title: [Family-based behavioral treatment for obese children - results and two year follow up].
abstract: Childhood obesity has become a worldwide epidemic and Icelandic children have not been exempt from increasing rates of obesity. Epstein´s family-based behavioral treatment for childhood obesity has demonstrated favorable outcomes in research settings, but research in clinical settings has been called for. The objective of this study was to replicate and confirm the effects observed in the US research setting.
  
  
  
  Participants were 84 obese children (age-range: 8-13 years) and a participating parent. Sixty-one families completed a 12 week treatment lasting 18 weeks, and were followed for one and two years post-treatment. Measurements at baseline and end of treatment included height and weight, daily activity, daily fruit and vegetable consumption, blood pressure, blood profiles and measures of psychological well-being. Measurements also included parental height, weight and depression scores.
  
  
  
  Among treatment completers BMI-SDS (body-mass index standard deviation score) decreased significantly from pre- to post- treatment (F(2.60)=110.31, p<0.001) which was maintained at one-year (F(2.60)=1.33, p=0.253) and two-years (F(2.60)= 3,19, p=0.079) post treatment. There was a significant reduction in blood pressure (upper: t(59)=-2.01, p<0.05, lower: t(59)=-4.00, p<0.001). Among a subsample (n=23) of participants, significant reductions were observed in fasting insulin levels, (t(22)=6.1, p<0.05), triglycerides (t(22)=0.31, p<0.05) and total cholesterol (t(22)=0.35, p<0.05). Significant improvements were observed for measures of psychological well-being (depressive symptoms: (F(1.59)=6.67, p<0.05); anxiety: (F(1,57)= 4.54, p%lt;0.05) and children´s self-concept (F(1.59)=19.2, p<0.001). A significant reduction was observed in parental BMI scores from pre- to post- treatment (F(1.59)= 71.54, p%lt;0.001) but a significant increase was evident at one year post-treatment (F(1.59)=41.87, p%lt;0.001). Improvements were observed for measures of parental depression from pre- to post- treatment (F(1.60)= 12.93, p<0.01).
  
  
  
  Epstein´s family-based behavioural treatment showed promising effects on weight status, and emotional as well as physical markers, both in the short and long term in a clinical sample of obese Icelandic children.
authors.forename: Thrudur
authors.initials: T
authors.lastname: Gunnarsdottir
authors.forename: Svavar Mar
authors.initials: SM
authors.lastname: Einarsson
authors.forename: Urdur
authors.initials: U
authors.lastname: Njardvik
authors.forename: Anna Sigridur
authors.initials: AS
authors.lastname: Olafsdottir
authors.forename: Agnes Bjorg
authors.initials: AB
authors.lastname: Gunnarsdottir
authors.forename: Tryggvi
authors.initials: T
authors.lastname: Helgason
authors.forename: Ragnar
authors.initials: R
authors.lastname: Bjarnason
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D001521:Behavior Therapy; D015415:Biomarkers / Q000097:blood; D001794:Blood Pressure; D015992:Body Mass Index; D002648:Child; D002652:Child Behavior; D004644:Emotions; D015444:Exercise; D005195:Family Relations; D005196:Family Therapy; D005247:Feeding Behavior; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D007055:Iceland; D007328:Insulin / Q000097:blood; D008055:Lipids / Q000097:blood; D063766:Pediatric Obesity / Q000097:blood / Q000175:diagnosis / Q000503:physiopathology / Q000523:psychology / Q000628:therapy*; D012649:Self Concept; D013997:Time Factors; D016896:Treatment Outcome; D015431:Weight Loss
chemical_list: D015415:Biomarkers; D007328:Insulin; D008055:Lipids