Ontology highlight
ABSTRACT: Objective
To compare the effects of a 2-year camp-based immersion family treatment for obesity with an outpatient family-based treatment for obesity on health-related quality of life (HRQoL) in two generations.Design
Randomised controlled trial.Setting
Rehabilitation clinic, tertiary care hospital and primary care.Patients
Families with at least one child (7-12 years) and one parent, both with obesity.Interventions
Summer camp for 2 weeks, with four repetition weekends, or lifestyle school, including four outpatient days over 4 weeks. Behavioural techniques to promote a healthier lifestyle.Main outcome measures
Children's and parents' HRQoL were assessed using generic and obesity-specific measures. Outcomes were analysed using linear mixed models according to intention to treat, and multiple imputations were used for missing data.Results
Ninety children (50% girls) with a mean (SD) age of 9.7 (1.2) years and body mass index 28.7 (3.9) kg/m2 were included in the analyses. Summer camp children had an estimated mean (95% CI) of 5.3 (0.4 to 10.1) points greater improvement in adiposity-specific HRQoL score at 2 years compared with the lifestyle school children, and this improvement was even larger in the parent proxy-report, where mean difference was 7.3 (95% CI 2.3 to 12.2). Corresponding effect sizes were 0.33 and 0.44. Generic HRQoL questionnaires revealed no significant differences between treatment groups in either children or parents from baseline to 2 years.Conclusions
A 2-year family camp-based immersion obesity treatment programme had significantly larger effects on obesity-specific HRQoL in children's self-report and parent proxy-reports in children with obesity compared with an outpatient family-based treatment programme.Trial registration number
NCT01110096.
SUBMITTER: Benestad B
PROVIDER: S-EPMC6542445 | biostudies-literature | 2019
REPOSITORIES: biostudies-literature
Benestad Beate B Karlsen Tor-Ivar TI Småstuen Milada Cvancarova MC Lekhal Samira S Hertel Jens Kristoffer JK Steinsbekk Silje S Kolotkin Ronette L RL Ødegård Rønnaug Astri RA Hjelmesæth Jøran J
BMJ paediatrics open 20190403 1
<h4>Objective</h4>To compare the effects of a 2-year camp-based immersion family treatment for obesity with an outpatient family-based treatment for obesity on health-related quality of life (HRQoL) in two generations.<h4>Design</h4>Randomised controlled trial.<h4>Setting</h4>Rehabilitation clinic, tertiary care hospital and primary care.<h4>Patients</h4>Families with at least one child (7-12 years) and one parent, both with obesity.<h4>Interventions</h4>Summer camp for 2 weeks, with four repeti ...[more]