title: Outcomes of group-based treatment program with parental involvement for the management of childhood and adolescent obesity.
abstract: OBJECTIVE
  An uncontrolled study was conducted to evaluate the effects of a group-based program on weight control, metabolic profiles, and obesity-related complications in obese youth.
  
  
  METHODS
  The program consisted of an initial in-patient session and five group sessions, one, two, three, six, and nine months into the study, providing participants and their parents with information about the consequences of obesity and lifestyle modifications. The severity of obesity and obesity-related complications were evaluated at baseline and 12 months after the intervention. The participants' and their parents' perceptions of the program were assessed.
  
  
  RESULTS
  Of the obese youth recruited (n=126), 115 completed the study. Their percentage weight for height and percentage body fat decreased significantly (both p<0.001), and their insulin resistance, lipid profiles, and transaminases levels improved (all p<0.01). The prevalence of prediabetes, dyslipidemia, and elevated transaminases decreased significantly (all p<0.05). The participants and their parents perceived the program as valuable.
  
  
  CONCLUSIONS
  A group-based program is effective in managing childhood obesity, improving metabolic profiles, and alleviating certain obesity-related complications.
  
  
  CONCLUSIONS
  A group-based program that provides education and raises the awareness of obese children and their parents about the consequences of obesity is an effective model for treating childhood obesity.
authors: Division of Endocrinology and Metabolism, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand. Electronic address: jeerunda.san@mahidol.ac.th.
authors: Jeerunda
authors: J
authors: Santiprabhob
authors: Department of Rehabilitation Medicine, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
authors: Chanin
authors: C
authors: Leewanun
authors: Division of Respiratory and Critical Care, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
authors: Kawewan
authors: K
authors: Limprayoon
authors: Division of Endocrinology and Metabolism, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
authors: Pornpimol
authors: P
authors: Kiattisakthavee
authors: Division of Nutrition, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
authors: Renu
authors: R
authors: Wongarn
authors: Division of Gastroenterology, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
authors: Prapun
authors: P
authors: Aanpreung
authors: Division of Endocrinology and Metabolism, Department of Pediatrics, Faculty of Medicine Siriraj Hospital, Mahidol University, Bangkok, Thailand.
authors: Supawadee
authors: S
authors: Likitmaskul
mesh_terms: D000293:Adolescent; D001521:Behavior Therapy; D015992:Body Mass Index; D002648:Child; D015444:Exercise; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D009765:Obesity / Q000453:epidemiology / Q000517:prevention & control / Q000628:therapy*; D010290:Parents; D010353:Patient Education as Topic; D063766:Pediatric Obesity / Q000453:epidemiology / Q000517:prevention & control / Q000628:therapy*; D015397:Program Evaluation; D011615:Psychotherapy, Group / Q000379:methods*; D013785:Thailand; D016896:Treatment Outcome; D015431:Weight Loss
keywords: Complications; Lifestyle; Obesity; Prevalence; Program effectiveness