gms | German Medical Science

54. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie e.V. (GMDS)

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie

07. bis 10.09.2009, Essen

Family-related predictors of success in a life-style intervention for overweight and obese children/adolescents

Meeting Abstract

  • Wilfried Pott - Red Cross Children’s Hospital Siegen, Siegen
  • Özgür Albayrak - Department of Child and Adolescent Psychiatry, University of Duisburg-Essen, Essen
  • Johannes Hebebrand - Department of Child and Adolescent Psychiatry, University of Duisburg-Essen, Essen
  • Ursula Pauli-Pott - Institute of Medical Psychology, University Medical Centre, Justus-Liebig University of Giessen, Giessen

Deutsche Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie. 54. Jahrestagung der Deutschen Gesellschaft für Medizinische Informatik, Biometrie und Epidemiologie (gmds). Essen, 07.-10.09.2009. Düsseldorf: German Medical Science GMS Publishing House; 2009. Doc09gmds003

DOI: 10.3205/09gmds003, URN: urn:nbn:de:0183-09gmds0034

Veröffentlicht: 2. September 2009

© 2009 Pott et al.
Dieser Artikel ist ein Open Access-Artikel und steht unter den Creative Commons Lizenzbedingungen (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.de). Er darf vervielfältigt, verbreitet und öffentlich zugänglich gemacht werden, vorausgesetzt dass Autor und Quelle genannt werden.


Gliederung

Text

Objective: To analyze whether caregiver and family characteristics predict success in a family-based lifestyle intervention program for children and adolescents.

Method: Participants were 111 overweight and obese children (7-15 years) who attended a family-based weight-reduction program. BMI and BMI standard deviation scores (BMI-SDS) of index child, and BMI of family members, family adversity characteristics, depression and attachment attitudes of the primary caregiver were assessed.

Results: Risk of non-response (≤ 5% reduction of BMI-SDS or dropout) was elevated in older children, cases with obese sibling(s), maternal depression, and avoidant attachment attitude. In a logistic regression analysis, maternal depression, attachment attitude and age of index child explained common variance while the presence of obese siblings explained unique variance in non-responding.

Conclusion: To meet the specific needs of all participating families and to prevent the discouraging experience of failure in weight-control interventions, our data suggest that special support should be provided to adolescents with obese siblings, and cases of maternal depression, and avoidant attachment attitude.