title: [Obesity in childhood and adolescence--first results of a multimodal intervention study in Mecklenburg-Vorpommern].
abstract: The prevalence of obesity in children and young adults in Germany has dramatically increased during the last decades. We investigated the impact of an one year outpatient intervention including physical training, psychotherapy and nutrition counselling on psychological status and course of weight of 19 adolescents who were diagnosed with obesity (intervention group, IG). The following questions were of particular interest: Is there a difference between children with obesity (n = 19, mean age 12.4 years) and controls (without obesity and overweight, control group, CG, n = 38, matched for age and sex) regarding the extent of emotional and behavioural problems, self-esteem and physical complaints? Does the intervention lead to a decrease of these problems as rated by the adolescents and mothers? Can we find a significant reduction of the BMI-SDS after one year training in the IG? The group comparisons between the IG and the CG revealed lower feelings of self-esteem, more self rated physical complaints, higher values on measures of depression/anxiety and attention problems in the CBCL for children with obesity, compared with controls. After one year training adolescents' psychological well being increased significantly while the BMI-SDS only decreased moderately. We conclude that children with obesity can benefit from receiving outpatient intervention if psychological and medical aspects are considered.
authors.affiliation: Fachbereich und Poliklinik für Psychiatrie und Psychotherapie der Ernst-Moritz-Arndt-Universität Greifswald.
authors.forename: Sven
authors.initials: S
authors.lastname: Barnow
authors.forename: Dorothee
authors.initials: D
authors.lastname: Bernheim
authors.forename: Carmen
authors.initials: C
authors.lastname: Schröder
authors.forename: Heinz
authors.initials: H
authors.lastname: Lauffer
authors.forename: Christoph
authors.initials: C
authors.lastname: Fusch
authors.forename: Harald-J
authors.initials: HJ
authors.lastname: Freyberger
mesh_terms: D000293:Adolescent; D002648:Child; D003131:Combined Modality Therapy; D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D008297:Male; D009747:Nutritional Physiological Phenomena; D009765:Obesity / Q000453:epidemiology / Q000628:therapy*; D010045:Outpatients; D010353:Patient Education as Topic; D010809:Physical Fitness; D011613:Psychotherapy