A cognitive behavioral therapy program for overweight children.
OBJECTIVE
To assess the 1-year results of a multidisciplinary, cognitive behavioral therapy treatment program for overweight and obese children.


METHODS
Children (n = 73; 8 to 15 years old) participated in a prospective study aimed at reduction of the body mass index-standard deviation score (BMI-SDS), adapting a healthy lifestyle and creating a positive self-image and higher self-esteem, by use of a group approach and parental involvement. Reduction in BMI-SDS and percent overweight were measured and analyzed by use of MIXED modeling.


RESULTS
The participants achieved a 0.6 BMI-SDS reduction, comparable to a weight loss of 18.7% after 1 year (P < .0001). The proportion of dropouts was 33%. Compared with the follow-up group, dropouts were older, increased in BMI-SDS before start of treatment, and were less successful in BMI-SDS reduction during treatment.


CONCLUSIONS
This treatment program had a positive effect on BMI-SDS in overweight and obese children at 1-year follow-up. Differences between the characteristics of the dropout and follow-up group may reflect predictor variables for treatment outcome.
van den Akker
Erica L T
EL
Department of Pediatrics, Erasmus University Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands. vandenakker@erasmusmc.nl
Puiman
Patrycja J
PJ
Groen
Mieke
M
Timman
Reinier
R
Jongejan
Mieke T M
MT
Trijsburg
Wim
W
D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D015928:Cognitive Behavioral Therapy; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D010379:Peer Group; D011446:Prospective Studies; D012649:Self Concept