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Journal of Pediatric Endocrinology and Metabolism

Editor-in-Chief: Kiess, Wieland

Editorial Board Member: Darendeliler, Feyza / Gustafsson, Jan / Luo, Feihong / Mericq, Veronica / Lanes M. D., Roberto / Battelino, Tadej / Buyukgebiz, Atilla / Cassorla, Fernando / Chrousos, George P. / Cutfield, Wayne / Fideleff, Hugo L. / Hershkovitz, Eli / LaFranchi, Stephen H. / Mohn, Angelika / Root, Allen W. / Rosenfeld, Ron G. / Wabitsch, Martin / Werther, George / Zadik, Zvi

12 Issues per year


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Effects of a combined intervention for treating severely obese prepubertal children

1 / Idan Ben-Haim1 / Michal Pantanowits1 / Alon Eliakim1

1Pediatric Department, Child Health and Sports Center, Meir Medical Center, Kfar-Saba, Sackler School of Medicine, Tel-Aviv University, Israel

Corresponding author: Dan Nemet, MD, MHA, Department of Pediatrics, Child Health and Sports Center, Meir Medical Center, Kfar-Saba, Sackler School of Medicine, Tel-Aviv University, 44281, Israel, Phone: +972-9-7472134, Fax: +972-9-7471303

Citation Information: Journal of Pediatric Endocrinology and Metabolism. Volume 26, Issue 1-2, Pages 91–96, ISSN (Online) 2191-0251, ISSN (Print) 0334-018X, DOI: 10.1515/jpem-2012-0225, October 2012

Publication History

Received:
2012-07-11
Accepted:
2012-09-17
Published Online:
2012-10-25

Abstract

Introduction: Obesity has become the most common modern pediatric chronic disease. Early prevention and treatment of childhood and adolescent obesity is mandated. Severe obesity [body mass index (BMI) percentile >98%] reduces the likelihood of the multidisciplinary childhood obesity program to succeed, suggesting, most probably, that a more intense program is needed to treat severely obese children.

Objective and methods: To prospectively examine the effects of an intense, 3-month, combined dietary-behavioral-physical activity intervention on anthropometric measures, leisure time activity patterns, and fitness in prepubertal severely obese (BMI percentile >98%) children (n=22) compared to age, gender, and obesity matched controls (n=18).

Results: At 3 months, there were significant differences (p<0.05) in changes in body weight (–0.5±2.4 vs. 1.7±1.9 kg), BMI (–0.9±1.2 vs. 0.4±1.0 kg/m2), BMI percentile (0.39±0.39% vs. –0.04±0.32%), sum skinfolds (–3.1±8.1 vs. 1.1±4.7 mm), total habitual physical activity (25.4±10.8 vs. 0.3±10.1 Mets), and fitness (142±72 vs. –8±88 s) in the intervention vs. control participants.

Conclusions: Our data demonstrate the beneficial, short-term effects of an intense combined dietary-behavioral-physical activity intervention on anthropometric measures, activity patterns, and fitness in severely obese children. However, despite the encouraging results, the modest effect on BMI percentiles emphasizes the difficulty of treating severely obese children using the conventional nutritional-behavioral-physical activity approach.

Keywords: childhood; exercise; multidisciplinary treatment; severe obesity

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