Article tracking


Published on

  • Be the first to comment

  • Be the first to like this

No Downloads
Total views
On SlideShare
From Embeds
Number of Embeds
Embeds 0
No embeds

No notes for slide

Article tracking

  1. 1. Title Author Van Vlierberghe, L., Braet, C., Goossens, L., Rosseel, Y., &Psychological disorder, symptom severity and weight loss in inpatient Mels, S.adolescent obesity treatment Kitzmann, K. M., Dalton, W., Stanley, C. M., Beech, B. M.,Lifestyle interventions for youth who are overweight: A Reeves, T. P., Buscemi, J., &meta-analytic review … Midgett, E. L. Goldfield, G. S., Raynor, H. A.,Handbook of Obesity Treatment Epstein, L. H.
  2. 2. Epstein, L. H., Paluch, R. A.,The Effect of Reinforcement or Stimulus Control to Reduce Sedentary Kilanowski, C. K., & Raynor H. A.Behavior in the Treatment of Pediatric Obesity.Family-based interventions for pediatric obesity: Methodological andconceptual challenges for family psychology Kitzmann, K. M., & Beech, B. M. Pratt, K. J., Lamson, A. L., Collier, D. N., Camp Golden Treasures: A multidisciplinary weight-loss and a Crawford, Y. S., Harris, N., Gross, K., &healthy lifestyle camp for adolescent girls. ... Saporito, M.Psychological interventions in the treatment of childhood obesity:What we know and need to find out. Bogle, V., & Skykes C.Empriically Supported Treatments in Pediatric Psychology: PediatricObesity. Jelalian, E., & Saelens, B. E.Etiology, Treatment, and Prevention of Obesity in Childhood andAdolescence: A decade in Review. Srunijt-Metz, D.
  3. 3. Growth Rate Reduction during energy restriction in obese Amador, M., Ramonths, L.T., Morono,adolescents. M., & Hermelo, M.P.Treating overweight children through parental training and Aragona, J., Cassady, J., & Drabman,contingency contracting. R.S.The effect of physical activity on the body measurements and work Blomquist, B., Boreson, M., Larsson, Y.,capacity of overweight boys. Persson, B., & Sterky, G.The effectiveness of cognitive self-management as an adjunct to abehavioral intervention for childhood obesity. Duffy, G. Spence, S.H. Epstein, L. H., McKenzie, S.J., Valoski,Effects of mastery criteria and contingent reinforcement for family- A., Klein, K.R., & Wing, R.R.based child weight control.
  4. 4. Epstein, L.H., Valsoki, A., Vara, L.,Effects of decreasing sedentary behavior and increasing activity on McCurley, J., Wisniewski, L., Kalarchian,weight change in obese children. M.A.,Klein, K.R., & Shrager, L.R.Child and parent weight loss in family-based behavior modification Epstein, L.H., Wing, R.R., Koeske, R.,programs. Andrasik, F., & Ossip, D.J.A comparison of life-style change and programmed aerobic exercise Epstein, L.H., Wing, R.R., Koeske, Ossip,on weight and fitness changes in obese children. D.J., & Beck, S. Epstein, L.H., Wing, R.R., Koeske, R., &Effects of diet plus exercise on weight change in parents and children. Vasloski, A.
  5. 5. A comparison of life-style exercise, aerobic exercise, and calistehenics Epstein, L.H., Wing, R.R., Koeske, R., &on weight loss in obese children. Valoski, A. Epstein, L.H., Wing, R.R., Koeske, R., &Effects of parent weight on weight loss in obese children. Valoski, A.The effect of diet and controlled exercise on weight loss in obese Epstein, L.H., Wing, R.R., Penner, B.C.,children. & Kress, M.J.Comparison of family-based behavior modification and nutrition Epstein, L.H., Wing, R.R., Steranchak, L.,education for childhood obesity. Dickson, B., & Michelson, J.
  6. 6. Stability of food preferences during weight control: A study with 8- to Epstein, L.H., Wing, R.R., Valoski, A., &12 - year olf children and their parents Gooding, W.Effects of family-based behavioral treatment on obese 5- to 8- year- Epstein, L.H., Wing, R.R., Valoski, A., &old children. Penner, B.C.The modification of activity patterns and energy expenditure in obese Epstein, L.H., Woodall, K., Goreczny,young girls. A.J., Wing, R.R., & Robertson, R.J.An evaluation of enhanced self-regulation training in the treatment of Israel, A.C., Guile, C.A., Baker, J.E., &childhood obesity. Silverman, W.K.Treatment of ovese children with and without their mothers: changes Brownell, K.D., Kelman, J.H., &in weight and blood pressure Stunkard, A.J.
  7. 7. Figueroa-Colon, R. von Almen, T.K., Franklin, F.A., Schuftan, C., & Suskind,Comparison of two hypocaloric diets in ovese children. R.M.Obesity management via diet and exercise intervention Hills, A.P., & Parker, A.W.
  8. 8. Year Journal Volume Page No. DOI International Journal of Pediactric Obesity 2009 4 36-44 10.1080/17477160802220533 2010 Health Psychology 29 91-101 10.1037/a0017437 2002 Book 532-555
  9. 9. 2004 Health Psychology 23 371-380 10.1037/0278-6133.23.4.371 Couple And Family Psychology: Research And Practice2011 1 42-62 10.1037/2160-4096.1.S.45 Families, Systems,2009 and Health 27 116-124 10.1037/a0014912 Journal of Health2011 Psychology 16 997-1015 10.1177/1359105310397626 Journal of Pediatric1999 Psychology 24 223-248 Journal of Research on2011 Adolescence 21 129-152 10.1111/j.153-7795.2010.00719.x
  10. 10. Experimental and Clinical1990 Endocrinology 96 73-82 Journal of Applied Behavioral1975 Analysis 8 269-278 Acta Paediatrica1965 Scandinaciva 54 566-572 Journal of Child Psychology 1043-1993 and Psyhiatry 34 10501994 Addictive Bheaviors 19 135-145
  11. 11. 1995 Health Psychology 14 109-115 Journal of Consulting and1981 Clinical Psychology 49 674-6851982 Behavior Therapy 13 651-665 Journal of Consulting and1984 Clinical Psychology 52 429-437
  12. 12. 1985 Behavior Therapy 16 345-356 Journal of Consulting and1986 Clinical Psychology 54 400-4011985 Journal of Pediatrics 107 358-361 Journal of Pediatric1980 Psychology 5 25-36
  13. 13. 1987 Behavioral Modification 11 87-1011985 Behavioral Therapy 16 205-2121984 Behavioral Therapy 15 101-108 Journal of Pediatric1994 Psychology 19 737-7491983 Pediatrics 71 515-525
  14. 14. American Journal of Diseases1993 in Children. 147 160-166 Child Care, Health and1988 Devleopment 14 409-416
  15. 15. Population Method Analysis * t -tests conducted for YSR and EDE-Q subscales *R - software for statistical computing of graphics was used to account for missing data*Adolescence (14-19 yrs) *3 Regression analysis*Possesing psychological run (1 month, 4symptoms or disorders Empirical Study; months, end of*66 Participants Quantiative Study treatment) Empirical Study; *Effect Size Analysis*Overweight (~20%) Meta Analysis; Software*6- 18 years old Quantiative Study *SPSS *Between-groups comparisons of previously collected*Obese Children (5-17 yrs) data Empirical Study
  16. 16. *Graphs and charts of data comparing pre and post treatment outcomes for both Empirical Study; groups*Obese 8-12 year old children Quantitative Study *Graphs of changes of*child in 85th BMI percentile BMI overtime*Overweight children from 1-18years of age Data Based Meta Analysis Comparisons*56 overweight girls (10-18years) Qualitative Study *Data comparison *evaluated studies psychological interventions combined with dietary*obese adolescents (age 5-16 and physical activityyears) components*pediatric obesity (12 years andyounger) *compare studies *between-study*obese children (2-18 years) comparison
  17. 17. *Overweight children (0-13years) Experimental Design *weekly sessions *12 weekly sessions *Parent only sessions *info about exercise, calisthenics, nutrition,*15 girls and stimulus control*Ages 5-10 *explained response*overweiht cost and*no medical, psychological, or *Experimental Design reinforcement,psychiatric treatment and not in *Randomized group reponse cost, andanother weight control program *2 week baseline waitlist control*43 participants *physical activity 2*ages 8-9 years times a week for 4*overweight child *Experimental Design months *Randomized group *no treatment control* 21 participants*Average percent overweogjt *Experimental Design48.36% *Randomized group *8 weekly, 90-minute*Age 7-13 years group sessions *26 weekly meetings* 44 participants followed by 6 monthly*74% female, 26% male *Experimental Design meetings*Age 8-12 years *Randomized group
  18. 18. *weekly session for 4 months then 2 month* 61 subjects *Experimental Design meetings*Age 8-12 years *Randomized group *14 sessions (8 weekly* 44 participants sessions followed by 6*74% female, 26% male *Experimental Design monthly sessions)*Age 8-12 years *Randomized group* 51 participants*children 20-80% overweight*Age 8-12 years*no existing *8 weekly sessionspsychological/psychiatric then 5 maintenancecondition *Experimental Design sessions over 4 months *Randomized group* 53 participants*children 20-80% overweight*Age 8-12 years*no existingpsychological/psychiatric * 8 weekly sessionscondition then 7 sessions over 20*no contra-indications for *Experimental Design weeksexercise *Randomized group
  19. 19. * 44 participants * 8 weekly sesssions,*children > 20 overweight then 10 monthly*Age 8-12 years *Experimental Design sessions *Randomized group* 41 participants*children 20-80% overweight*Age 8-12 years*children not receiving *Experimental Design *8 weekly sessions,psychological/psychiatric *Randomized group then 10 monthlytreatment *crossed with parent meetings overweight status *Experimental Design* 23 participants *Randomized group*children 20-80% overweight after stratification on *8 weekly sessions*Age 8-12 years age, percent overweight, then 10 monthly*no contra-indications for and physical work maintenance sessionsexercise capacity * 13 participants*children > 20% overweight *Experimental Design*Age 6-12 years *Randomized group *7 weekly groups, then*child not receiving medical, after stratification by 3 monthly grouppsychological/psychiatric percentage overweight sessionstreatment and age
  20. 20. * 41 participants*children 20% -80 % overweight *Experimental Design*Age 8-12 years *Randomized groups *8 weekly sessions,*child not receiving medical, crossed with parent then 10 monthlypsychological/psychiatric overweight status sessionstreatment (yes/no)* 19 participants*children 20% -80 % overweight *5 week camp, then 9*Age 5-8 years monthly maintenance*obese girls reffered by school *Experimental Design sessionsnurse or physician *Randomized group* 19 participants*children 20% -80 % overweight *5 weeks of 2*Age 5-8 years *Experimental Design days/weel of camp *Randomized group* 20 participants*children > 20% overweight *8 90-minute group*Age 8 years, 11 months - 13 *Experimental Design sessions, then 9years, 0 months *Randomized group biweekly sessions * 45 to 60 minute group sessions for 1* 38 participants year (16 weekly*average percent overweight = sessions, then 155.7% *Experimental Design session every 2 months*Age 12-16 years *Randomized group
  21. 21. *ten outpatient* 19 participants sessions, followed by*average percent overweight = monthly sessions for 180.4 % *Experimental Design year*Age 7.5 - 16.9 years *Randomized group* 20 participants*child above 95th percentile forpercent overweight*average BMI > 25 *Experimental Design *food recording*Age: prepubertal *Randomized group *dietitian consult
  22. 22. Measures Results *Severly overweight children are sucessful in loosing weight *After 4 months, boys had lost more weight than girls *psychopathology not found to significantly predict weight loss *those with eating disorders decreased binge eating*Eating Disorder Examination episodes*Structured Clinical Interview for DSM *~50% of adolescents entering treatment with at least-IV one psychological disorder kept atleast one psychiatric*Youth Self-Report diagnosis at the end of the program*BMI *Girls and severley obese adolescents require long-*Percent Overweight term care*Between-groups differences in *Interventions for overweight adolescents are effectiveweight-related outcomes under a wide range of conditions*Between-groups differences in *Improved eating habitshealth related behaviors at end of *Parents showed better weight managementtreatment themselves*BMI *key component - parent involvement in program*Percent Overweight *weight management bettered *Most successful programs include multidisciplinary design with diet, exercise, and application of behavior modification principles *exercise interventions alone do not have impact on weight change *exercise combined with diet enhances weight loss and improves long-term maintenance *less structured, more flexible lifestyle exercise may be more effective than higher intensity aerobic exercise *Reduce sedentary activity with use of structured eating plan *Including parents in family-based behavioral intervention strengthens short and long-term weight*Percent Overweight loss*Different treatment outcomes *Percent overweight decreases as duration of*BMI treatment increases
  23. 23. *Daily food intake recorded*Habits book - recorded target *Decrease in percent overweightsedentary behavior times *Decrease in sedentary behavior/ intake of high density*BMI calculated and compared to CDC foodsgrowth charts *Increase in servings of fruits and vegetables* Weight and Height *Increase in percent of time above 3 METs*METs calculated daily *Increase in moderate to vigorous physical activity *Most programs include parents in behavioral or cognitive-behavioral approaches to behavior management in order to change childs eating habits*Content of intervention *Some research states that the more a parent is*Weight/Height envolved doesnt always mean the outcome will be*BMI better*Nutrion Measurment in logs *Family-based research can be more effective if aspects*Exervise Logs such as variability in parent and family function is taken*Therapy sessions into account *~6% weightloss of initial body weight for 6 weeks of*Percent Overweight attendance*Exercise *changes in obesity-related comorbidities*BMI (hypertension, insulin resistance, sleep apnea)*Eating Habits *firm conclusions about the effectiveness of*Change of weight and BMI psychological interventions for childhood obesity can*Percentage overweight not be made*dietary intake *interventions aimed atreducing sedentary*physical activity activities/increasing physical activity level effective*fitness *multi-component family-based behavioral*screen time (tv/computer, etc.) interventions are effective *well-established treatments for intervening with*compared weight loss interventions pediatric obesity in children between the ages of 8 toof several studies. 12 years*current definitions of childhoos andadolescent overweight and obesity*demography od obesity in U.S. *several studies were found the reduced BMI with*psyhcosocial correlations of pharmaceutical, physical activity, reduce sedentary,childhood and adolecent obesity and lifestyle interventions.
  24. 24. *Males lost 3.2 kg after 4 weeks of treatment*weekly sessions *Females lost 2.9 kg after 4 weeks of treatment*calroie intake log *males lost 7.6 kg after 6 months*BMI measurement *females lost 8.1 kg *response cost and reinforcement group lost 11.3 lbs*Change of weight and BMI *response cost group lost 9.5 lbs*Percentage overweight *waitlist control gained 0.9 lbs*dietary intake *patients still lost weight eight weeks from post- treatment*Physical activity level*weight loss *Gained 0.8 kg*BMI *no follow up *stimulus crontrol*monitoring food & activity*goal setting and postivie *Group 1 demonstrated a 0.9% decrease in percentreinforcement over weight*relaxation training *Group 2 demonstrated a 7.8% decrease in percent*cognitive restructuring over weight*problem solving *Significant decrease in percentage of overweight*selving-reinforcement individuals in both groups *6 months from pre-treatment group 1 demonstrated 30.1% decrease in percent overweight*traffic light diet *6 months from pre-treatment group 2 demonstrated*lifestlye exercise 20% decrease in percent overweight*parents trained in behavior *Twelve months from pre-treatment Group 1management demonstrated a 26.5% decrease in percent overweight* parents and children seen in * Twelve months from pre-treatment Group 2separate groups demonstrated a 16.7% decrease in percent overweight
  25. 25. *4 months from pre-months for group 1 there was approxiately a 21% decrease in overweight *4 months from pre-months for group 2 there was approxiately a 13% decrease in overweight*traffic light diet *4 months from pre-months for group 3 there was*behavioral contracting approxiately a % decrease in overweight*reinforce decreased sedentary * 12 months from pre-months for group 1 there wasactivity approxiately a 19% decrease in overweight* reinforced increased physcial * 12 months from pre-months for group 2 there wasactivity combined with behavioral approxiately a 8% decrease in overweightcontrast and decreased sedentary * 12 months from pre-months for group 3 there wasactivity approxiately a 11% decrease in overweight*traffic light diet*aerobic exercise plan*behavioral modification *significant decrease inpercentage of obesity for all*parent and child targeted weight loss groups (1,2,3)*psychiatric treatment *41 % of children were less than 20% overweight*parent participation *traffic light diet*behavior contracting*behavioral modification *at the end of maintenance group 1 was -19%*parent and child seen in different overweightgroups *at the end of maintenance group 2 was -10%* diet and lifestyle exercise (group 1) overweight*diet and programmed exercise *at the end of maintenance group 3 was 13-%(group 2) overweight*lifestyle exercise (group 3) *at the end of maintenance group 4 was -14%*programmed exercise (group 4) overweight*traffic light diet*token economy *group 1 demonstrated approximately -15%*parent and child seen in different overweightgroups *group 2 demonstrated approximately -16%* diet and lifestyle exercise (group 2) overweight*diet (group 1) *group 3 demonstrated approximately + 2%*waitlist control (group 3) overweight
  26. 26. *2 months from pre-treatment group 1 was -11% overweight*self monitoring *2 months from pre-treatment group 2 was -13%*traffic light diet overweight*modeling *2 months from pre-treatment group 3 was -11%* parent behavioral management overweight*behavioral contracting * 6 months from pre-treatment group 1 was -17%*diet and programmed aerobic overweightexercise (group 1) *6 months from pre-treatment group 2 was -20%*diet and lifestyle exercise (group 2) overweight*diet and calisthenics exercise (group *6 months from pre-treatment group 3 was -16%3) overweight*traffic light diet*lifestyle exercise program*parent and child seen in differentgroups* parent control training, parentoverweight (group 1)*child self-control training, parentoverweight (group 2)*parent control training, parent not * no differential effect of parent vs. child controloverweight (group 3) *groups 1 & 2 demonstrated -7.7% overweight*child self-control training, parent not *groups 3 & 4 demonstrated -16.3% overweightoverweight (group 4) * 3+4 > 1+2 *2 months from pre-treatment group 1 was -17% overweight*traffic light diet * 2 months from pre-treatment group 2 was -12%*behavioral management overweight*parent and child seen in different *6 months from pre-treatment group 1 was -28%groups overweight* diet and aerobic exercise (group 1) * 6 months from pre-treatment group 1 was -19%* diet alone (group 2) overweight*traffic light deit*exercise instruction and calisthenicsor walking in sessions*self monitoring, stimulus control,behavioral contracting, therapstphone contact (group 1) * percent overweight group 1 -9.7%*nutrition and exercise education only *percent overweight group 2 -4.7%
  27. 27. *traffic light deit* parents and children seen inseparate groups*behavioral modifications* parent control training, with parentoverweight (group 1) *child self-control training, with parentoverweight (group 2)*parent control training, with parentnot overweight (group 3) * no differential effecr of parent vs. child control* child self-control training, with * group 1 & group 2 approximately - 8% overweightparent not overweight (group 4) *group 2 & group 3 approximately - 18% overweight * 3 + 4 > 1+ 2*traffic light diet*parents seen in separate groups * 4 months from pre-treatment group 1 showed -20%* behavioral management and diet overweightand exercise program (group 1) * 4 months from pre-treatment group 2 showed -13%*diet and exercise program (group 2) overweight*traffic light diet*nutritional education* experimental:baseline, treatment,reversal, treatment, reversal (group 1)*control: baseline; treatment =random reinforcement of physicalactivity; reversal = reinforcement of * Pre-post change: -4.9 lbs across groupssharing (group 2) *1=2* parent and child seen in separategroups* monitoring, cue control, rewardingweight control behaviors, parentemphasis (group 1) * group 1 demonstrated -12.5%*same as (1) except child-control *group 2 demonstrated -15.6%emphasis; child self management *significant decrease from pre-treatment in bothtraining (group 2) groups 1=2*adolescent in treatment alone (group1)*adolescent and mother attendedtogether (group 2) *group 1 shows -6.8% overweight* adolescent and mother attended *group 2 shows -7.0% overweightseparately (group 3) *group 3 shows -17.1% overweight
  28. 28. *ten weeks from pre-treatment group 1 showed -29.5%*protein-sparing modified fast (group overweight1) *ten weeks from pre-treatment group 2 showed -13.8%*hypocaloric diet (group 2) overweight*sixteen weekly, 50-minute exercisesessions (reinforcement andmonitoring of home exercise;prescription of 20 minutes of exercise *group 1 showed -5.5 kg3-4 X per week) (group 1) *group 2 showed +2.6 kg*no exercise (group 2) *No significant change in either group
  29. 29. Summary*Girls and severly obese require long-term care due to discouragmenthalfway through treatment.*Psychopathology not linked withpredicting weight loss*Parents role in treatment isextremely important for adolescent*Combining nutrition, exercise, andapplication of behavior modificationproduces most successful outcomes*Parents must be included inintervention process* Exercise must be combined withdiet to lead to weight loss
  30. 30. *Boys twice as likely to substitutephysical activity than girls*Effects of study enhanced whenparticipants engage in physicalactivity to keep busy from sedentarybehaviors*Parents do need to be envolved inintervention to some degree*Variability in parent and familyfunction must be taken inconsideration for each individualcase*Well structured diet, exercise andgroup therapy are sucessful whencompined*family-based, multi-componentbehavioral interventions are effective*still needs more research