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 language | English |
|---|---|
| Pages (from-to) | 1047-1057 |
| Number of pages | 11 |
| Journal | European Journal of Clinical Nutrition |
| Volume | 62 |
| Issue number | 9 |
| DOIs | |
| Publication status | Published - 2008 |
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ASJC Scopus subject areas
- Medicine (miscellaneous)
- Food Science
Cite this
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 journal › Article
}
TY - JOUR
T1 - Five-year follow-up of a cognitive-behavioural lifestyle multidisciplinary programme for childhood obesity outpatient treatment
AU - Vignolo, M.
AU - Rossi, F.
AU - Bardazza, G.
AU - Pistorio, A.
AU - Parodi, A.
AU - Spigno, S.
AU - Torrisi, C.
AU - Gremmo, M.
AU - Veneselli, E.
AU - Aicardi, G.
PY - 2008
Y1 - 2008
N2 - 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.
AB - 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.
UR - http://www.scopus.com/inward/record.url?scp=51549099379&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=51549099379&partnerID=8YFLogxK
U2 - 10.1038/sj.ejcn.1602819
DO - 10.1038/sj.ejcn.1602819
M3 - Article
C2 - 17554247
AN - SCOPUS:51549099379
VL - 62
SP - 1047
EP - 1057
JO - European Journal of Clinical Nutrition
JF - European Journal of Clinical Nutrition
SN - 0954-3007
IS - 9
ER -