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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

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

Meeting Abstract

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  • 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:nbn:de:0183-09gmds0034

Published: September 2, 2009

© 2009 Pott et al.
This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by-nc-nd/3.0/deed.en). You are free: to Share – to copy, distribute and transmit the work, provided the original author and source are credited.

Outline

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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.