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Response of severel...
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Danielsson, PernillaKarolinska Institutet
(författare)
Response of severely obese children and adolescents to behavioral treatment.
- Artikel/kapitelEngelska2012
Förlag, utgivningsår, omfång ...
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American Medical Association (AMA),2012
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printrdacarrier
Nummerbeteckningar
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LIBRIS-ID:oai:DiVA.org:gih-3876
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https://urn.kb.se/resolve?urn=urn:nbn:se:gih:diva-3876URI
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http://kipublications.ki.se/Default.aspx?queryparsed=id:125704035URI
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https://doi.org/10.1001/2013.jamapediatrics.319DOI
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Språk:engelska
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Sammanfattning på:engelska
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Ämneskategori:ref swepub-contenttype
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Ämneskategori:art swepub-publicationtype
Anmärkningar
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OBJECTIVES:To investigate whether the degree of obesity predicts the efficacy of long-term behavioral treatment and to explore any interaction with age.DESIGN:A 3-year longitudinal observational study. Obese children were divided into 3 age groups (6-9, 10-13, and 14-16 years) and also into 2 groups (moderately obese, with a body mass index [BMI]-standard deviation [SD] score [or z score] of 1.6 to <3.5, and severely obese, with a BMI-SD score of ≥3.5).SETTING:National Childhood Obesity Center, Stockholm, Sweden.PARTICIPANTS:Children 6 to 16 years of age who started treatment between 1998 and 2006.INTERVENTION:Behavioral treatment of obesity.MAIN OUTCOME MEASURE:Change in BMI-SD score during 3 years of treatment; a reduction in BMI-SD score of 0.5 units or more was defined as clinically significant.RESULTS:A total of 643 children (49% female children) met the inclusion criteria. Among the youngest moderately obese children, 44% had a clinically significant reduction in BMI-SD score (mean reduction, -0.4 [95% CI, -0.55 to -0.32]). Treatment was less effective for the older moderately obese children. Twenty percent of children who were 10 to 13 years of age and 8% of children who were 14 to 16 years of age had a reduction in BMI-SD score of 0.5 units or more; 58% of the severely obese young children showed a clinically significant reduction in BMI-SD score (mean reduction, -0.7 [95% CI, -0.80 to -0.54]). The severely obese adolescents showed no change in mean BMI-SD score after 3 years, and 2% experienced clinically significant weight loss. Age was found to be a predictor of a reduction in BMI-SD score (odds ratio, 0.68 units per year [95% CI, 0.60-0.77 units per year]).CONCLUSIONS:Behavioral treatment was successful for severely obese children but had almost no effect on severely obese adolescents.
Ämnesord och genrebeteckningar
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Medicin/Teknik
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Medicine/Technology
Biuppslag (personer, institutioner, konferenser, titlar ...)
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Kowalski, Jan
(författare)
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Ekblom, Örjan,1971-Gymnastik- och idrottshögskolan,Björn Ekbloms forskningsgrupp(Swepub:gih)orjane
(författare)
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Marcus, ClaudeKarolinska Institutet
(författare)
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Karolinska InstitutetBjörn Ekbloms forskningsgrupp
(creator_code:org_t)
Sammanhörande titlar
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Ingår i:Archives of Pediatrics & Adolescent Medicine: American Medical Association (AMA)166:12, s. 1103-11081072-47101538-3628
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