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Behavioral treatment helps very obese children, but not severelyobese adolescents by wwy yrj





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Behavioral treatment helps very obese children, but not severelyobese adolescents by
Article Posted: 11/19/2012
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Behavioral treatment helps very obese children, but not severelyobese adolescents


 
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Researchers have found that severely obese children respond well tobehavioral treatment, but not severely obese adolescents. Thestudy, conducted by Dr. Pernilla Danielsson, Karolinska Institutet,Stockholm, Sweden, was presented at the 19th European Congress onObesity in Lyon, France. The researchers evaluated 643 children who began behavioral obesity treatment at Sweden's National Childhood Obesity Center between1998 and 2006. Participants were divided into three age groups (6-9, 10-13, and14-16 years) and further into two groups, depending on how obesethey were.



The researchers used a body-mass index (BMI) standardized age- andgender-dependent deviation score (SDS) in order to compare weightdata between children of different ages and gender, and to examinedifferences over time. Moderately obese was defined as BMI SDS 1.6-3.5 and severely obesewas defined as BMI SDS 3.5. In the group of moderately obese children, the team found thatthose aged 6 to 9 years showed a decline in BMI SDS. Even thoughtreatment effect was observed in the older age groups with moderateobesity.



It was less pronounced. The researchers found that severely obese young children respondedeven better to treatment, while adolescents showed no changed inBMI SDS at all after 3 years. Severely obese boys in the 10-13 yearold age group showed a significantly greater mean reduction in BMISDS than girls. Compared to severely obese children with obese mothers, those withnormal-weight mothers had a larger mean decrease in BMI SDS.



Theresearchers found no association between father's weight status andchange of BMI SDS. Younger very obese children respond better to behavioral treatmentthan their adolescent counterpants Danielsson said: "Behavioral treatment is successful when initiated early in lifeboth for moderately and severely obese children. Adolescents withsevere obesity show no effect at all of behavioral treatment, whilethose adolescents with moderate obesity show a response that ismuch less pronounced than for younger children with moderateobesity." The team found that 92% of severely obese adolescents were obeseand 51% were severely obese at the age of 7 years, whilecorresponding values for the moderately obese were 46% and 8%. Danielsson explained: "This means early treatment may be one way to reduce treatmentfailures during adolescence. For the severely obese adolescents,new treatment modalities such as gastric banding or gastric bypassneed to be developed and tested." Earlier studies have demonstrated that during obesity treatmentself-esteem was reduced.



According to Danielsson, treatments suchas bariatric surgery in adolescents requires further research anddevelopment in order to make sure they are safe for adolescents. Grace Rattue Copyright: Medical News Today Not to be reproduced without permission of Medical News Today Additional References Citations.

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