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Related Experiment Video

Updated: Jul 12, 2026

Multidisciplinary Approach to Obesity Management: A Case Report

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

A cognitive behavioral therapy program for overweight children.

Erica L T van den Akker¹, Patrycja J Puiman, Mieke Groen

¹Department of Pediatrics, Erasmus University Medical Center-Sophia Children's Hospital, Rotterdam, The Netherlands. vandenakker@erasmusmc.nl

The Journal of Pediatrics

|August 28, 2007

Summary

This cognitive behavioral therapy program effectively reduced the body mass index-standard deviation score (BMI-SDS) in overweight and obese children over one year. Parental involvement and group sessions were key components of this successful childhood obesity intervention.

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Area of Science:

Pediatric Endocrinology
Behavioral Medicine
Public Health

Background:

Childhood obesity is a growing global health concern.
Effective interventions are needed to manage pediatric overweight and obesity.
Cognitive behavioral therapy (CBT) shows promise in lifestyle modification.

Purpose of the Study:

To evaluate the 1-year outcomes of a multidisciplinary CBT program for overweight and obese children.
To assess the program's impact on body mass index-standard deviation score (BMI-SDS) and psychological well-being.
To identify factors influencing treatment adherence and success.

Main Methods:

A prospective study involving 73 children (aged 8-15 years) in a group-based CBT program with parental involvement.
Primary outcome: reduction in BMI-SDS.
Secondary outcomes: changes in percent overweight, self-image, and self-esteem.
Statistical analysis using MIXED modeling.

Main Results:

Participants achieved a significant 0.6 reduction in BMI-SDS (18.7% weight loss equivalent) after 1 year (P < .0001).
A 33% dropout rate was observed.
Dropouts were older, had higher baseline BMI-SDS, and showed less reduction during treatment compared to the follow-up group.

Conclusions:

The multidisciplinary CBT program demonstrated a positive effect on BMI-SDS in overweight and obese children at 1-year follow-up.
Participant characteristics, such as age and baseline BMI-SDS, may predict treatment outcomes.
Further research into predictors of dropout is warranted to optimize intervention strategies.