Multidisciplinary intervention in obese adolescents: predictors of dropout
OBJECTIVE: To identify biological and psychosocial factors associated with dropout in a multidisciplinary behavioral intervention in obese adolescents. METHODS: A total of 183 adolescents (15.4±1.6 years), pubertal (Tanner stage 3 or 4) and obese (34.7±4.0kg/m(2)), were enrolled in a 12-week behavio...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Instituto de Ensino e Pesquisa Albert Einstein
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4943784/ https://www.ncbi.nlm.nih.gov/pubmed/26466062 http://dx.doi.org/10.1590/S1679-45082015AO3339 |
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author | Fidelix, Yara Lucy de Farias, José Cazuza Lofrano-Prado, Mara Cristina Guerra, Ricardo Luís Fernandes Cardel, Michelle do Prado, Wagner Luiz |
author_facet | Fidelix, Yara Lucy de Farias, José Cazuza Lofrano-Prado, Mara Cristina Guerra, Ricardo Luís Fernandes Cardel, Michelle do Prado, Wagner Luiz |
author_sort | Fidelix, Yara Lucy |
collection | PubMed |
description | OBJECTIVE: To identify biological and psychosocial factors associated with dropout in a multidisciplinary behavioral intervention in obese adolescents. METHODS: A total of 183 adolescents (15.4±1.6 years), pubertal (Tanner stage 3 or 4) and obese (34.7±4.0kg/m(2)), were enrolled in a 12-week behavioral intervention, which included clinical consultations (monthly), nutritional and psychological counseling (once a week), and supervised aerobic training (three times/week). The studied variables were weight, height, body mass index, body composition (skinfold), cardiorespiratory fitness (direct gas analysis), blood lipids and self-reported symptoms of eating disorders (bulimia, anorexia and binge eating), anxiety, depression, body image dissatisfaction and quality of life. Statistical analysis included binary logistic regression and independent t-tests. RESULTS: Of the adolescents, 73.7% adhered to the program. The greatest chance for dropout was observed among adolescents older than 15 years (odds ratio of 0.40; 95%CI: 0.15-0.98), with more anorexia symptoms (odds ratio of 0.35; 95%CI: 0.14-0.86) and hypercholesterolemia (odds ratio of 0.40; 95%CI: 0.16-0.91) at baseline. CONCLUSION: Older adolescents, with more symptoms of eating disorders and total cholesterol have less chance to adhere to multidisciplinary treatments. |
format | Online Article Text |
id | pubmed-4943784 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | Instituto de Ensino e Pesquisa Albert Einstein |
record_format | MEDLINE/PubMed |
spelling | pubmed-49437842016-08-10 Multidisciplinary intervention in obese adolescents: predictors of dropout Fidelix, Yara Lucy de Farias, José Cazuza Lofrano-Prado, Mara Cristina Guerra, Ricardo Luís Fernandes Cardel, Michelle do Prado, Wagner Luiz Einstein (Sao Paulo) Original Article OBJECTIVE: To identify biological and psychosocial factors associated with dropout in a multidisciplinary behavioral intervention in obese adolescents. METHODS: A total of 183 adolescents (15.4±1.6 years), pubertal (Tanner stage 3 or 4) and obese (34.7±4.0kg/m(2)), were enrolled in a 12-week behavioral intervention, which included clinical consultations (monthly), nutritional and psychological counseling (once a week), and supervised aerobic training (three times/week). The studied variables were weight, height, body mass index, body composition (skinfold), cardiorespiratory fitness (direct gas analysis), blood lipids and self-reported symptoms of eating disorders (bulimia, anorexia and binge eating), anxiety, depression, body image dissatisfaction and quality of life. Statistical analysis included binary logistic regression and independent t-tests. RESULTS: Of the adolescents, 73.7% adhered to the program. The greatest chance for dropout was observed among adolescents older than 15 years (odds ratio of 0.40; 95%CI: 0.15-0.98), with more anorexia symptoms (odds ratio of 0.35; 95%CI: 0.14-0.86) and hypercholesterolemia (odds ratio of 0.40; 95%CI: 0.16-0.91) at baseline. CONCLUSION: Older adolescents, with more symptoms of eating disorders and total cholesterol have less chance to adhere to multidisciplinary treatments. Instituto de Ensino e Pesquisa Albert Einstein 2015 /pmc/articles/PMC4943784/ /pubmed/26466062 http://dx.doi.org/10.1590/S1679-45082015AO3339 Text en http://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Original Article Fidelix, Yara Lucy de Farias, José Cazuza Lofrano-Prado, Mara Cristina Guerra, Ricardo Luís Fernandes Cardel, Michelle do Prado, Wagner Luiz Multidisciplinary intervention in obese adolescents: predictors of dropout |
title | Multidisciplinary intervention in obese adolescents: predictors of dropout |
title_full | Multidisciplinary intervention in obese adolescents: predictors of dropout |
title_fullStr | Multidisciplinary intervention in obese adolescents: predictors of dropout |
title_full_unstemmed | Multidisciplinary intervention in obese adolescents: predictors of dropout |
title_short | Multidisciplinary intervention in obese adolescents: predictors of dropout |
title_sort | multidisciplinary intervention in obese adolescents: predictors of dropout |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4943784/ https://www.ncbi.nlm.nih.gov/pubmed/26466062 http://dx.doi.org/10.1590/S1679-45082015AO3339 |
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