Five-year follow-up of a cognitive-behavioural lifestyle multidisciplinary programme for childhood obesity outpatient treatment

M. Vignolo, F. Rossi, G. Bardazza, A. Pistorio, A. Parodi, S. Spigno, C. Torrisi, M. Gremmo, E. Veneselli, G. Aicardi

Research output: Contribution to journalArticle

Abstract

Objective: Aim of this study is to examine the 5-year follow-up results of MI PIACE PIACERMI (I like to like and please myself), a cognitive-behavioural programme intended to obtain a weight growth regulation over an extended period. Design: Longitudinal observational clinical study. Setting: Hospital-based programme, through outpatient activities. Subjects: Thirty-one simple obese children, 13 boys and 18 girls, 6-12 years of age on admission. Intervention: The intervention was carried out by a multidisciplinary team (paediatrician, cognitive-behavioural psychologist, physical therapist). It employed cognitive-behavioural techniques, nutrition education, promotion of physical activity, setting a high value on free play in motion. The programme actively involves parents. The following measurements were taken on admission and at 5-year follow-up: height, weight, waist circumference, body mass index (BMI), BMI standardized (BMI-SDS), and adjusted BMI (a-BMI) as actual BMI/BMI (50th percentile)*100. Dietary habits were investigated by interview and 24-h recall. Parents completed the Family Habit Inventory and the Child Behaviour Checklist (CBCL). Motor skills were assessed by using Frostig's test. Results: The dropout rate was 35.5 %. In subjects who completed the 5-year follow-up, the mean and s.d. of BMI-SDS and a-BMI were, respectively, 4.23±0.71 and 54.7%±9.0 at baseline and 2.74±0.85 and 43.2%±17.3 at the last visit. Waist circumference decreased. Family habits improved significantly. Total energy intake was significantly reduced. Emotional and social aspects of obesity-related behaviours showed positive changes. Motor skills globally improved. Conclusions: The study provides further evidence that positive persistent results may be obtained in obese children with treatment programmes combining a lifestyle centred approach, parental involvement, nutrition education and cognitive-behavioural strategies.

Original languageEnglish
Pages (from-to)1047-1057
Number of pages11
JournalEuropean Journal of Clinical Nutrition
Volume62
Issue number9
DOIs
Publication statusPublished - 2008

Fingerprint

childhood obesity
Pediatric Obesity
lifestyle
body mass index
Life Style
Body Mass Index
Outpatients
Motor Skills
waist circumference
nutrition education
Waist Circumference
Therapeutics
Habits
Parents
pediatricians
dropouts
parenting
Education
Weights and Measures
Physical Therapists

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Food Science

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Five-year follow-up of a cognitive-behavioural lifestyle multidisciplinary programme for childhood obesity outpatient treatment. / Vignolo, M.; Rossi, F.; Bardazza, G.; Pistorio, A.; Parodi, A.; Spigno, S.; Torrisi, C.; Gremmo, M.; Veneselli, E.; Aicardi, G.

In: European Journal of Clinical Nutrition, Vol. 62, No. 9, 2008, p. 1047-1057.

Research output: Contribution to journalArticle

Vignolo, M, Rossi, F, Bardazza, G, Pistorio, A, Parodi, A, Spigno, S, Torrisi, C, Gremmo, M, Veneselli, E & Aicardi, G 2008, 'Five-year follow-up of a cognitive-behavioural lifestyle multidisciplinary programme for childhood obesity outpatient treatment', European Journal of Clinical Nutrition, vol. 62, no. 9, pp. 1047-1057. https://doi.org/10.1038/sj.ejcn.1602819
Vignolo, M. ; Rossi, F. ; Bardazza, G. ; Pistorio, A. ; Parodi, A. ; Spigno, S. ; Torrisi, C. ; Gremmo, M. ; Veneselli, E. ; Aicardi, G. / Five-year follow-up of a cognitive-behavioural lifestyle multidisciplinary programme for childhood obesity outpatient treatment. In: European Journal of Clinical Nutrition. 2008 ; Vol. 62, No. 9. pp. 1047-1057.
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AU - Bardazza, G.

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AU - Parodi, A.

AU - Spigno, S.

AU - Torrisi, C.

AU - Gremmo, M.

AU - Veneselli, E.

AU - Aicardi, G.

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