Evaluación de un programa integral de tratamiento de obesidad y sobrepeso en niños escolares y adolescentes en Santiago de Chile (1999-2006) / Assessment of a multidisciplinary program for the treatment of obesity in children
Rev. chil. endocrinol. diabetes
; 2(1): 5-12, ene. 2009. tab, graf
Article
in Es
| LILACS
| ID: lil-612518
Responsible library:
CL1.1
ABSTRACT
Background:
Medical treatment of obesity requires a multidisciplinary approach including dietary, exercise and behavioral interventions.Aim:
To report the results of a multidisciplinary program for the treatment of obesity in children. Patients andMethods:
Three hundred twenty four children (155 males), aged between 5 and 18 year, were treated with diet, exercise and behavioral modification, between 1999 and 2006. At baseline and at the end of follow up, weight, height, z score for body mass index (BMI), blood pressure and features of the metabolic syndrome were assessed.Results:
z scores for IMC decreased by 0.28 points (95 percent confidence intervals -0.31 to -0.25). Sixty percent of patients achieved a weight reduction of 5 percent of more of their initial weight. In a multiple linear regression model, weight loss was directly associated with the follow up time and inversely associated with the initial waist circumference. Patients had a reduction of 0.05 z score points of BMI per month (95 percent confidence intervals 0.07 to 0.025; p < 0.001), while adhering to the program. The overall compliance with the three months treatment period was 59 percent.Conclusions:
In children and teenagers, a multidisciplinary management of obesity achieves a sustained weight loss, that ifs proportional to the lapse of adherence to the program.Key words
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Index:
LILACS
Main subject:
Program Evaluation
/
Obesity
Type of study:
Evaluation_studies
/
Observational_studies
/
Prognostic_studies
/
Risk_factors_studies
Limits:
Adolescent
/
Child
/
Child, preschool
/
Female
/
Humans
/
Male
Country/Region as subject:
America do sul
/
Chile
Language:
Es
Journal:
Rev. chil. endocrinol. diabetes
Journal subject:
ENDOCRINOLOGIA
Year:
2009
Type:
Article