Related Experiment Video

Updated: Aug 15, 2025

Multidisciplinary Approach to Obesity Management: A Case Report
05:10

Multidisciplinary Approach to Obesity Management: A Case Report

Published on: May 30, 2025

277

Predictors of Effectiveness and Adherence in a Multimodal Obesity Treatment Program for Children and Adolescents in

Julius Lars Breinker1, Anika Kaspar2, Elena Sergeyev2

  • 1Integrated Research and Treatment Center Adiposity Diseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, University of Leipzig Medical Center, 04103 Leipzig, Germany.

Nutrients
|January 8, 2023
PubMed

Insights

Early intervention in childhood obesity is crucial. Younger children with greater eating disorder psychopathology showed better BMI-SDS reductions in a 12-month multimodal treatment study.

Area of Science:

  • Pediatric Endocrinology
  • Child Psychology
  • Obesity Research

Background:

  • Multimodal obesity treatments for youth yield limited effects and high dropout rates.
  • Predictors of treatment success and adherence in pediatric obesity are not well understood.

Purpose of the Study:

  • To identify psychological, physical, and sociodemographic predictors of treatment success and adherence.
  • To analyze factors influencing Body Mass Index-Standard Deviation Score (BMI-SDS) reduction in a 12-month multimodal obesity intervention.

Main Methods:

  • Analysis of an intent-to-treat sample of 361 children and adolescents (ages 3-17).
  • Investigated predictors of BMI-SDS reduction and treatment adherence over 12 months.
  • Included sensitivity analysis for factors like eating disorder psychopathology and pandemic timing.

Main Results:

  • Younger age predicted greater BMI-SDS reduction.
  • Higher eating disorder psychopathology and pre-pandemic treatment initiation also predicted greater BMI-SDS reduction.
  • No significant predictors for treatment adherence were identified.

Conclusions:

  • Early treatment initiation is vital for juvenile obesity management.
  • Eating disorder psychopathology, including restrained eating, may positively influence treatment outcomes.
  • COVID-19 pandemic altered treatment delivery, posing ongoing challenges.
Keywords:
COVID-19adherenceadolescentschildrenefficacymultimodalobesitypredictorsroutine caretreatment

More Related Videos

Control of Eating Behavior Using a Novel Feedback System04:48

Control of Eating Behavior Using a Novel Feedback System

Published on: May 8, 2018

11.1K
Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation09:42

Using Continuous Data Tracking Technology to Study Exercise Adherence in Pulmonary Rehabilitation

Published on: November 8, 2013

13.6K

Related Concept Videos

Operant Conditioning Intervention01:24

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
100
Modeling in Therapy01:26

Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
135
Treatment Strategies for Psychological Disorders01:24

Treatment Strategies for Psychological Disorders

Treatment approaches for psychological disorders fall into three main categories: psychological, biological, and sociocultural. Each approach targets different aspects of mental health, requiring varying levels of education and training.
Psychological therapies focus on modifying emotions, thoughts, and behaviors through talking, interpreting, listening, rewarding, challenging, and modeling. Clinical psychologists, counselors, and social workers commonly practice psychotherapy. Clinical...
227
Drug Therapy01:28

Drug Therapy

The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
83
Obesity01:24

Obesity

The Body Mass Index (BMI) is a numerical value derived from a person's weight and height, used to categorize individuals into weight ranges. It is calculated using the formula: weight in kilograms divided by height in meters squared. Obesity is a health condition characterized by excessive accumulation of adipose tissue that poses health risks, often diagnosed with a BMI ≥ 30. This excess fat storage occurs when surplus dietary calories are converted into triglycerides and stored in...
572
Behavior Modification01:21

Behavior Modification

Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
216