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...

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Autores principales: Fidelix, Yara Lucy, de Farias, José Cazuza, Lofrano-Prado, Mara Cristina, Guerra, Ricardo Luís Fernandes, Cardel, Michelle, do Prado, Wagner Luiz
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto de Ensino e Pesquisa Albert Einstein 2015
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.
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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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