Article

Evidence-based behavioral treatment of obesity in children and adolescents.

The Children's Weight Clinic PO Box 28533, Edinburgh EH4 2WW, Scotland, UK.
Child and adolescent psychiatric clinics of North America (Impact Factor: 2.88). 02/2009; 18(1):189-98. DOI: 10.1016/j.chc.2008.07.014
Source: PubMed

ABSTRACT Obesity is the most common childhood disease and is widely acknowledged as having become a global epidemic. Well-recognized health consequences of childhood obesity exist, both during childhood and adulthood, affecting health and psychological and economic welfare. The importance of finding effective strategies for the management of childhood obesity has international significance with the publication of various expert reports and evidence-based guidelines in recent years.

1 Follower
 · 
166 Views
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: The ability of chitosan to entrap large amounts of water when dispersed in an oily phase was utilized to formulate a novel meal replacement functional food. Furthermore, the proposed preparation can be fortified with nutrients. The purpose of this formulation was to produce an edible low calorie pseudo-fatty rich meal that can enhance the feeling of satiety when ingested. Different concentrations of chitosan and pectin were tested to find out a stable preparation with acceptable physical characteristics. It was found that a preparation containing 1% chitosan and 6% pectin is suitable to be consumed as a meal replacement diet. The safety of such preparation was assessed by repeated dose administration to rats. A set of other in vivo experiments was performed to assess the ability of this preparation to enhance satiety. The ingestion of chitosan preparation resulted in reduced body weight, food and water intake, and reduced faecal excretion in the emulsion administered rats (p < 0.05). Furthermore, serum lipids of tested rats were not essentially changed. Accordingly, the investigated chitosan emulsion could be introduced as a low calorie, relatively stable and a safe functional food preparation for enhancing satiety when ingested as a meal replacement diet.
    Journal of Functional Foods 07/2013; 5(3):1125-1134. DOI:10.1016/j.jff.2013.03.009 · 4.48 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Obesity is a major public health problem and is implicated in the rising prevalence of cardiac disease and type 2 diabetes mellitus in India. Management of an obese patient includes therapeutic lifestyle changes of increasing physical activity and reducing calorie intake. This combination can result in about a 10% loss of initial body weight. To reinforce this intervention, behavioral therapy needs to be incorporated into the overall intervention under the belief that obesity is a result of maladaptive eating behaviors and exercise patterns. This review explains the principles of behavioral therapy, including the underlying assumptions and characteristics. The common components of behavioral therapy for obesity are explained. The different settings where behavioral therapy can be administered are mentioned. The review focuses on how behavioral therapy can be incorporated in the routine clinical management of obesity by primary and secondary care physicians who encounter obese patients.
    03/2012; 16(1):28-32. DOI:10.4103/2230-8210.91180
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: This study aimed to assess the impact of a multidisciplinary program of obesity treatment (MPOT) on adolescents who have maintained/gained weight or lost weight. Eighty-six adolescents aged 10–18 years were allocated in either the intervention group (IG; n = 44) or the control group (CG; n = 42). Each group was divided into two more groups: weight maintenance/gain and weight loss, as assessed after the intervention. The MPOT lasted 16 weeks and was conducted by a multidisciplinary team based on cognitive-behavioral therapy. We analyzed body composition and cardiometabolic parameters prior to and after the intervention. Adolescents from the IG who lost weight showed improvements in maximal oxygen uptake (23.54 ± 5.30 mL/kg/minute vs. 25.39 ± 5.63 mL/kg/minute), body fat percentage (49.29 ± 6.98% vs. 46.75 ± 8.56%), triglyceride levels (116.58 ± 46.50 mg/dL vs. 101.19 ± 43.08 mg/dL), diastolic blood pressure (75.81 ± 8.08 mmHg vs. 71.19 ± 6.34 mmHg), and the number of risk factors for metabolic syndrome (2.00 ± 1.06 vs. 1.58 ± 1.10). Adolescents from the IG who gained/maintained weight reported reduced body fat percentage (48.81 ± 5.04% vs. 46.60 ± 5.53%), systolic blood pressure (123.39 ± 14.58 mmHg vs. 115.83 ± 7.02 mmHg), diastolic blood pressure (74.83 ± 9.91 mmHg vs. 68.78 ± 5.95 mmHg), and number of risk factors for metabolic syndrome (from 1.67 ± 1.09 to 1.11 ± 0.68), and their lean mass (39.00 ± 7.20 kg vs. 41.85 ± 7.53 kg) and maximal oxygen uptake (23.74 ± 4.40 mL/kg/minute vs. 25.29 ± 5.17 mL/kg/minute) increased in a manner similar to those of adolescents who lost weight. Furthermore, we noted significant decreases in body mass index, body fat (kg), glycemia, and waist circumference in CG adolescents who lost weight, whereas those in the CG who maintained/gained weight had an increase in body mass index, hip circumference, body fat (kg), and lean mass. A 16-week MPOT promoted positive changes in body composition and cardiometabolic risk factors independently of weight changes.
    Journal of exercise science and fitness (JESF) 06/2014; 12(1). DOI:10.1016/j.jesf.2014.04.001 · 0.53 Impact Factor

Preview

Download
1 Download
Available from