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Immersion treatment of childhood and adolescent obesity: the first review of a promising intervention.
MedLine Citation:
PMID:  20070541     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Obese children have attended weight loss camps and residential programmes for more than 40 years. This paper provides the first systematic review of the effects of those programmes. Twenty-two studies met inclusion criteria (targeted and assessed change in weight status, minimal stay of 10 days and nights). Similar components across programmes included controlled diet, activities, nutrition education, and therapy and/or education regarding behaviour change. Participants lost substantial amounts of weight in all 22 studies, as measured by reductions in per cent-overweight during intervention. Eleven programmes included long-term follow-up evaluations. Compared with results highlighted in a recent meta-analysis of out-patient treatments, these immersion programmes produced an average of 191% greater reductions in per cent-overweight at post-treatment and 130% greater reduction at follow-up. Furthermore, mean attrition rates were much lower when compared with standard out-patient treatment. Inclusion of a cognitive-behavioural therapy (CBT) component seemed especially promising; follow-up evaluations showed decreased per cent-overweight at follow-up by an average of 30% for CBT immersion programmes vs. 9% for programmes without CBT. Explanations for the potentially greater impact of immersion relative to out-patient treatments are presented, including possibly differential effects on self-efficacy for both children and their parents.
Authors:
K P Kelly; D S Kirschenbaum
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Obesity reviews : an official journal of the International Association for the Study of Obesity     Volume:  12     ISSN:  1467-789X     ISO Abbreviation:  Obes Rev     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2011-04-20     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100897395     Medline TA:  Obes Rev     Country:  England    
Other Details:
Languages:  eng     Pagination:  37-49     Citation Subset:  IM    
Copyright Information:
© 2010 The Authors. obesity reviews © 2010 International Association for the Study of Obesity.
Affiliation:
Wellspring, a division of CRC Health Group, Cupertino, CA, USA; Northwestern University Medical School, Chicago, IL, USA.
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