Determinants of Weight Loss in an Interdisciplinary Long–Term Care Program for Childhood Obesity

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A. C. DUBUISSON, F. R. ZECH, M. M. DASSY, N. B. JODOGNE, and V. M. BEAULOYE 12.1 INTRODUCTION Childhood obesity has spread dramatically over the previous decades. To curtail this major health issue, long-term effective weight control programs are essential. In the short term, several studies have shown positive and encouraging outcomes of multidisciplinary approach for childhood obesity. A combination of dietary, physical activity and behavioural interventions compared to standard care or self-help can produce a significant and clinically meaningful reduction in obesity in children and adolescents [1, 2]. This highlights the importance of multidisciplinary programs as the best first-line treatment. However, in most studies, programs are limited to between 6 and 12 months of duration, and beneficial effects are partly lost from 6 to 12 months after completion [3], especially for severely obese children [4]. Long-term follow-up studies of paediatric obesity interventions show a mean 10% reduction in relative weight but also substantial relapse [5, 6]. As obesity is a chronic disease, the question of the need of a chronic care program is raised [7]. Whether the continuation of the program will still be beneficial and how to implement this in a real-life situation remains to be answered.

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