title: Anthropometric and psychosocial changes in obese adolescents enrolled in a Weight Management Program.
abstract: OBJECTIVE
  To determine short- and long-term effects of the Bright Bodies Weight Management Program on obese adolescents and to further observe if a diet or nondiet approach is more successful.
  
  
  METHODS
  Twenty-five obese adolescents completed a 1-year, comprehensive weight-management program and returned for a 2-year follow-up. Adolescents were 11 to 16 years old (17 female, eight male) with mixed ethnic backgrounds. Although the program emphasizes a nondiet approach, eight children requested a structured meal plan (diet approach), while 17 were taught to make better food choices (nondiet approach). Body mass index (BMI) z score, body fat percent, and self-concept were measured at 0, 1, and 2 years. Outcomes were analyzed for the entire group and by diet method groups.
  
  
  METHODS
  Changes in outcome variables were evaluated using covariance pattern models for repeated measures.
  
  
  RESULTS
  At 1 year, the entire group (N=25) demonstrated a decrease in BMI z score (P <.001) and body fat percent (P <.001), while self-concept scores increased (P <.001). At 2 years, the decrease in BMI z score was still significant (P =.004) and body fat percent and self-concept scores remained improved, although not significant compared to baseline (P =.15 and P =.10, respectively). When comparing dietary approaches, the dieting group (n=8) tended to show favorable results short-term for BMI z score at year 1 (P =.11), but by year 2, the nondieting group (n=17) further improved BMI z score (P =.006), while the dieting group reverted toward baseline.
  
  
  CONCLUSIONS
  The Bright Bodies Weight Management Program was successful at decreasing BMI z scores both short and long term. In a separate analysis, dieting showed more superior short-term results, but a nondiet approach demonstrated improved long-term results.
authors.affiliation: Department of Pediatric Endocrinology & General Clinical Research Center, Yale University School of Medicine, New Haven, CT 06520-8064, USA. mary.savoye@yale.edu
authors.forename: Mary
authors.initials: M
authors.lastname: Savoye
authors.forename: Diane
authors.initials: D
authors.lastname: Berry
authors.forename: James
authors.initials: J
authors.lastname: Dziura
authors.forename: Melissa
authors.initials: M
authors.lastname: Shaw
authors.forename: John B
authors.initials: JB
authors.lastname: Serrecchia
authors.forename: Gina
authors.initials: G
authors.lastname: Barbetta
authors.forename: Paulina
authors.initials: P
authors.lastname: Rose
authors.forename: Sylvia
authors.initials: S
authors.lastname: Lavietes
authors.forename: Sonia
authors.initials: S
authors.lastname: Caprio
mesh_terms: D000273:Adipose Tissue / Q000378:metabolism; D000293:Adolescent; D017195:Adolescent Nutritional Physiological Phenomena; D000704:Analysis of Variance; D000886:Anthropometry; D001823:Body Composition / Q000502:physiology; D015992:Body Mass Index; D002648:Child; D004038:Diet, Reducing; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D008297:Male; D009765:Obesity / Q000178:diet therapy* / Q000523:psychology*; D012649:Self Concept; D016896:Treatment Outcome; D015431:Weight Loss