Design and evaluation of a treatment programme for Spanish adolescents with overweight and obesity. The EVASYON Study.
BACKGROUND
The prevalence of overweight and obesity (OW/OB) among adolescents worldwide has increased since the 60 s. Spain has reached one of the highest OW/OB prevalence rates among adolescents from European countries. The aim of this methodological paper is to describe the design and evaluation in the EVASYON study (Development, implementation and evaluation of the efficacy of a therapeutic programme for adolescents with OW/OB: integral education on nutrition and physical activity).


METHODS
The EVASYON was planned by a multidisciplinary team to treat OW/OB in Spanish adolescents. The EVASYON is a multi-centre study conducted in 5 hospitals in 5 Spanish cities (Granada, Madrid, Pamplona, Santander and Zaragoza) and two hundred and four OW/OB Spanish adolescents were recruited for this intervention. The treatment was implemented for approximately one-year follow-up. The adolescents were treated in groups of a maximum of 10 subjects; each group had 20 visits during the treatment period in two phases: intensive during the first 2 months (1st to 9th visits), and extensive during the last 11 months (10th to 20th visits). In order to assess the efficacy of the treatment, 8 dimensions were measured: diet; physical activity and fitness; eating behaviour; body composition; haematological profile; metabolic profile; minerals and vitamins; immuno-inflammatory markers. Moreover, genetic polymorphisms were also determined.


CONCLUSIONS
The treatment programme developed in the EVASYON study was designed as a national pilot study to be implemented as an effective treatment for adolescents with OW/OB into the Spanish Health Care Service.
Martinez-Gomez
David
D
Department of Metabolism and Nutrition, Instituto del Frío, Institute of Food Science and Technology and Nutrition, Spanish National Research Council (CSIC), Madrid, Spain. d.martinez@uam.es
Gomez-Martinez
Sonia
S
Puertollano
M Angeles
MA
Nova
Esther
E
Wärnberg
Julia
J
Veiga
Oscar L
OL
Martí
Amelia
A
Campoy
Cristina
C
Garagorri
Jesus M
JM
Azcona
Cristina
C
Vaquero
M Pilar
MP
Redondo-Figuero
Carlos
C
Delgado
Manuel
M
Martínez
J Alfredo
JA
Garcia-Fuentes
Miguel
M
Moreno
Luis A
LA
Marcos
Ascension
A
D000293:Adolescent; D001823:Body Composition; D015992:Body Mass Index; D004032:Diet; D015444:Exercise; D005260:Female; D005500:Follow-Up Studies; D006305:Health Status Indicators; D006801:Humans; D008297:Male; D015999:Multivariate Analysis; D009765:Obesity / Q000235:genetics / Q000628:therapy*; D010043:Outcome and Process Assessment, Health Care / Q000379:methods; D050177:Overweight / Q000235:genetics / Q000628:therapy*; D010353:Patient Education as Topic; D016730:Program Development; D012107:Research Design; D013030:Spain; D055815:Young Adult