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.
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 obesechildren, 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 obesechildren with treatment programmes combining a lifestyle centred approach, parental involvement, nutrition education and cognitive-behavioural strategies.
Authors: Sofia Ramalho; Pedro F Saint-Maurice; Diana Silva; Helena Ferreira Mansilha; Cátia Silva; Sónia Gonçalves; Paulo Machado; Eva Conceição Journal: Eat Weight Disord Date: 2018-12-05 Impact factor: 4.652
Authors: Kevin A Hommel; Kelly L McGraw; Robert T Ammerman; James E Heubi; Molly Hansen; Ellen Dunlap; Deborah C Beidel Journal: J Clin Psychol Med Settings Date: 2010-06
Authors: Constadina Panagiotopoulos; Rebecca Ronsley; Mohammed Al-Dubayee; Rollin Brant; Boris Kuzeljevic; Erin Rurak; Arlene Cristall; Glynis Marks; Penny Sneddon; Mary Hinchliffe; Jean-Pierre Chanoine; Louise C Mâsse Journal: Int J Environ Res Public Health Date: 2011-12-15 Impact factor: 3.390
Authors: Geesje H Hofsteenge; Peter J M Weijs; Henriette A Delemarre-van de Waal; Maartje de Wit; Mai J M Chinapaw Journal: BMC Public Health Date: 2013-10-08 Impact factor: 3.295