title: [The Obeldicks concept. An example for a successful outpatient lifestyle intervention for overweight or obese children and adolescents].
abstract: The outpatient lifestyle interventions Obeldicks (for 8- to 16-year-old obese children; 1-year intervention), Obeldicks Light (for 8- to 16-year-old overweight children; 6-month intervention), and Obeldicks Mini (for 4- to 7-year-old obese children; 1-year intervention) are based on nutrition education, physical activity, behavior therapy, and individual psychological care. Only 17% dropped out of the intervention, and 79% of the more than 1,000 participants reduced their degree of overweight. The mean SDS-BMI reduction was 0.4 (~1.5-2 kg/m(2) BMI reduction) and was associated with a significant improvement of hypertension, dyslipidemia, and disturbed glucose metabolism in the participants compared to an untreated control group. This efficiency was also proven by a multicenter randomized controlled trial. Furthermore, the quality of life of the participants improved significantly. Even 4 years after the end of intervention, the achieved weight loss was sustained. Training manuals and training seminars for professionals assist in the implementation of these lifestyle interventions at further locations.
authors.affiliation: Abteilung für Pädiatrische Endokrinologie, Diabetes und Ernährungsmedizin, Vestische Kinder- und Jugendklinik Datteln, Universität Witten/Herdecke, Deutschland.
authors.forename: M
authors.initials: M
authors.lastname: Dobe
authors.forename: A
authors.initials: A
authors.lastname: Geisler
authors.forename: D
authors.initials: D
authors.lastname: Hoffmann
authors.forename: M
authors.initials: M
authors.lastname: Kleber
authors.forename: P
authors.initials: P
authors.lastname: von Köding
authors.forename: N
authors.initials: N
authors.lastname: Lass
authors.forename: S
authors.initials: S
authors.lastname: Müther
authors.forename: B
authors.initials: B
authors.lastname: Pohl
authors.forename: K
authors.initials: K
authors.lastname: Rose
authors.forename: A
authors.initials: A
authors.lastname: Schaefer
authors.forename: M L
authors.initials: ML
authors.lastname: Többens
authors.forename: R
authors.initials: R
authors.lastname: Vierhaus
authors.forename: K
authors.initials: K
authors.lastname: Winkel
authors.forename: T
authors.initials: T
authors.lastname: Reinehr
mesh_terms: D000293:Adolescent; D002648:Child; D002675:Child, Preschool; D003131:Combined Modality Therapy; D005081:Exercise Therapy / Q000379:methods*; D005858:Germany; D006801:Humans; D009765:Obesity / Q000628:therapy*; D011613:Psychotherapy / Q000379:methods*; D040242:Risk Reduction Behavior; D016896:Treatment Outcome