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For comparison: experience with a children's obesity camp.

Christopher Cooper1, Sharon Sarvey, David Collier

  • 1East Carolina University Brody School of Medicine, Greenville, North Carolina 27834, USA.

Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery
|October 6, 2006
PubMed
Summary

A summer camp intervention for obese children and adolescents led to significant improvements in weight, BMI, and fitness. While effective, long-term results require further study, and recidivism remains a challenge.

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Area of Science:

  • Pediatric Endocrinology
  • Obesity Medicine
  • Behavioral Health

Background:

  • Childhood obesity is a growing public health concern, prompting exploration of various interventions.
  • Bariatric surgery is increasingly considered for severely obese youth, necessitating comparison with nonoperative approaches.

Purpose of the Study:

  • To evaluate the effectiveness of a structured summer camp program as a nonoperative intervention for pediatric obesity.
  • To assess changes in weight, body mass index (BMI), body composition, and physical fitness in obese children and adolescents.

Main Methods:

  • A cohort of obese children and adolescents attended a specialized summer camp over three years (2003-2005).
  • The program included a 1700-calorie diet, daily aerobic and resistance training, nutrition education, and psychological support.
  • Measurements of weight, BMI, body shape, and fitness were assessed before and after the camp stay.

Main Results:

  • Significant reductions in weight (1.6-2.0 kg/week) and waist circumference (8.1-9.9 cm) were observed annually.
  • Marked improvements in physical fitness, including timed sprints, running endurance, and vertical jump, were documented.
  • Among campers attending two summers, a majority maintained or reduced their initial BMI, with notable improvements in comorbidities and functional capacity.

Conclusions:

  • Diet, exercise, and behavioral modification programs can yield significant positive outcomes for severely obese children.
  • While effective, these interventions can be costly, and long-term maintenance of results (recidivism) presents a challenge.
  • Outcomes from nonoperative approaches like this camp should be considered when evaluating the efficacy of bariatric surgery in this population.