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Übersicht

Verhaltenstherapeutische Behandlung der kindlichen Adipositas

Published Online:September 01, 2006https://doi.org/10.1026//0942-5403.8.4.206

Abstract

Zusammenfassung. Dieser Beitrag gibt eine Übersicht über die verhaltenstherapeutischen Behandlungsmethoden der kindlichen Adipositas. Angesichts steigender Prävalenz sowohl in Europa als auch in den USA und der Gefahr der Chronifizierung wird die Bedeutung einer erfolgreichen Behandlung deutlich. Der Beitrag bezieht 14 Studien mit ein, die verhaltenstherapeutische Methoden aufwiesen. Davon fanden drei Studien im schulischen Bereich statt, die übrigen wurden im ambulanten klinischen Rahmen durchgeführt. Die wichtigsten Komponenten in der Adipositas-Therapie bilden die Ernährungsberatung bzw. Diät, behaviorale Prinzipien sowie die körperliche Aktivität. Der Elternteilnahme kommt eine hohe Bedeutung zu, indem diese ihre Kinder bei der Gewichtsabnahme unterstützen. Neben dem Gewichtsstatus sind als weitere Parameter das Eßverhalten, das Ernährungswissen, psychologische Variablen sowie die Compliance der Eltern erhoben worden. Der mittlere kurzfristige prozentuale Gewichtsverlust liegt bei 12,3%, der langfristige bei 7,6%.


Behavior therapy of pediatric obesity

Abstract. This article reviews the current intervention methods of pediatric obesity. Because of increasing prevalence in Europe and in the USA and the risk of the maintenance of obesity the relevance of an successful treatment becomes evident. This article includes 14 studies with behavioral methods. Three studies took place in a school setting, the others were carried out in an outpatient clinical setting. The most important components of the treatment of obesity are diet respectively dietary counselling, behavioral principles and physical activity. Participation of parents is very important, because they support their child's weight loss. Besides the anthropometric measures weight and height, eating behavior, health and eating knowledge, psychological variables and adherence of the parents were evaluated. The mean short-term weight loss is at 12.3%, the long-term is 7.6%.

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