The Factors Associated with Change in Percent Obesity after Obesity Treatment among Obese Children and Adolescents.
- Author:
Ka Young LEE
1
;
Jin Kyung KIM
;
Nam Su LEE
;
Jeong Hee HAN
;
Tae Jin PARK
;
Hye Nyeon JEON
Author Information
1. Department of Family Medicine, Inje Medical School, Pusan Paik Hospital, Busan, Korea. fmlky@ijnc.inje.ac.kr
- Publication Type:Original Article
- Keywords:
childhood obesity;
treatment of obesity;
percentage of obesity
- MeSH:
Adipose Tissue;
Adolescent*;
Child*;
Follow-Up Studies;
Humans;
Linear Models;
Obesity*;
Parents;
Pediatric Obesity
- From:Journal of the Korean Academy of Family Medicine
2003;24(1):64-71
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
BACKGROUND: The purpose of this study was to find changes in percentage obesity and the factors associated with the changes after its treatment in obese children and adolescents. METHODS: A total of 42 obese children from 3- to 17- year-olds (males 60%) were enrolled in an obesity treatment program at least 3 times. They were provided with an individual weight control program that included dietary, activity, and behavioral change information. The paired t-test, Kruskal-Wallis test, Mann-Whitney test, and linear regression were used for analyses. RESULTS: The means of BMI, percent body fat, and percent obesity were 27.4 kg/m2, 39.4%, and 52.3%, respectively. Among them, 85.3% of obese children had one or more abnormalities on biochemical tests and 32.4% of them had 3 or more abnormalities. There was a significant reduction in weight (1.4 kg), BMI (1.1 kg/m2), percent body fat (1.8%) and percent obesity (7.1%), whereas height increased significantly by 1.3 cm after the treatment. The decrease in percent obesity was associated significantly with the number of follow-up, the number of accompanied biochemical abnormality, and the duration of treatment. The decrease in percent obesity was 12.9% among obese children who were followed-up 6 times or more, by 12.2% among those who did not accompany biochemical abnormality and by 13.3% among those who were retained in the program for 76 days or over. However, the change in % obesity was not associated with sex, age groups (<12, >or=12-year-old), severity of obesity and parental obesity. The percent obesity decreased by 5.2% as the number of follow-up (n=3/4, 5/6~17) increased after adjusting for sex, age groups and the number of biochemical abnormalities. The number of follow-up also explained 38% for the variance of change in percent obesity in that model. CONCLUSIONS: Continuous program retention was an effective factor to reduce percent obesity. Therefore, further investigation is needed to develop methods to enforce program retention.
