Researchers found that a family-based treatment for obesity in children--which included nutritional advice, exercise, and behavioral counseling--was effective.
The treatment lasted for about a year, but severely obese children or children who had significant metabolic disturbances remained in secondary care for a longer time. Participants' body mass index standard deviation scores (BMI-SDS) remained significantly lower than at the start of the study throughout a three-year follow-up period.
The study included 654 children aged 2-18 years who were treated for obesity in the pediatric units of three Finnish hospitals. Factors associated with a successful weight loss were young age and high BMI-SDS at baseline, good motivation for treatment, and adherence to the treatment protocol.
"Adolescence and acanthosis nigricans--a skin condition characterized by dark, velvety patches in body folds and creases--predicted a significantly worse outcome," said Dr. Marketta Dalla Valle, first author of the Acta Paediatrica study. "Targeted treatment programs for adolescents could lead to better results."