Effect on BMI of a multi-component treatment with E-modules for 3–8-year-old obese children. Issue 1 (1st January 2019)

• Record Type: Journal Article
• Authors: van Hoek, Esther; Feskens, Edith J.M.; Bouwman, Laura I.; Verburgt, Wilma H.; de Jager, Wilco; Schipper, Henk S.; Vrijkotte, Tanja G.M.; Janse, Arieke J.
• Is Part Of: Child and adolescent obesity. Volume 2:Issue 1(2019)
• Page Start: 79
• Page End: 95
• Publication Date: 2019-01-01
• Subjects: Treatment -- multidisciplinary -- web-based -- obesity -- young children; 618.92398
• DOI: 10.1080/2574254X.2019.1668220
• Languages: English
• ISSNs: 2574-254X

Abstract

ABSTRACT: Introduction : Childhood obesity has serious health risks including the development of metabolic syndrome, cardiovascular disease and mortality later in life. The critical growth period from 3 to 7 years provides a window of opportunity for interventions. The goal of this study is to evaluate a one year, multidisciplinary, low-intensity treatment program for young obese children, complemented with web-based modules, called "AanTafel!", on body composition, cardiometabolic risk profile, quality of life (HRQoL), eating behavior and physical activity. Methods : In the pre-post-test design all measures were taken at baseline, 4 months, at the end of treatment and 3 years after baseline. Results : Thirteen boys and 27 girls with median BMI z-score of, respectively, 4.2 and 3.3 aged 3 to 8 started "AanTafel!". Eighty percent (n = 32) completed treatment. BMI z-score decreased with 0.45 (end of treatment) and sustained after 3 years. At the start, 16.7% of the children had all four components of metabolic syndrome which decreased to 0%. HDL cholesterol significantly increased. Concentrations of the markers IL18, e-selectin, and sICAM significantly decreased indicating a reduction of inflammation. Conclusion : "AanTafel!" is effective in improving health of obese young children. The reduction of overweight is clinically relevant and sustained after 3 years.