Treatment of Overweight and Obese Children -Using the Holbaek-Method in a Municipality Based Treatment Program.

Study Overview
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Brief Summary
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In the present study the effect of a community-based treatment of overweight and obese children is analyzed. The treatment-method is based on the principals and the method used in the Children Obesity Clinic in the Pediatric department i Holbaek. The effect is evaluated by the change in body mass index standard deviation score, change in blood pressure standard deviation score, quality of life and concentration of fasting blood lipids and glucose during one year of treatment.

Detailed Description
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In the present study the effect of a community-based treatment of overweight and obese children is analyzed. The treatment-method is based on the principals and the method used in the Children Obesity Clinic in the Pediatric department i Holbaek and the care providers in each of the eight municipalities included are thought thoroughly to use this method. The treatment effect is evaluated after one year, and the effect is assessed by the change in body mass index standard deviation score, change in blood pressure standard deviation score, quality of life (PedsQL), body composition and concentration of fasting blood lipids and glucose.

Official Title
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Treatment of Overweight and Obese Children - the Holbaek-Method in a Municipality Based Treatment Program.

Conditions
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Diabetes, Pediatric Obesity, Dyslipidemia, Hypertension, Quality of Life

Intervention / Treatment
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* Behavioral: Community-based treatment of overweight and obesity


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: - Body mass index above 90-percentile for age and gender Exclusion Criteria: None

Ages Eligible for Study
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Minimum Age: 3 Years
Maximum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Health Services Research
Intervention Model: Single Group Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Other: Community-based treatment<br>Overweight and obese children are seen on a regular basis by health care professionals in the 8 communities included in the project. The care providers are all trained thoroughly in using the Holbaek-method for treatment of pediatric obesity. | Behavioral: Community-based treatment of overweight and obesity<br>* Community based treatment of overweight and obese children using the Holbaek-method.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Body mass index standard deviation score | primary outcome is the change in body mass index standard deviation score during 12 month treatment of overweight and obesity. | 1 year | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Change in blood pressure standard deviation score |  | 1 year | 
| Change in the concentration of blood lipids |  | 1 year | 
| change in the concentration of fasting blood-glucose, HBA1C and insulin |  | 1 year | 
| Change in body composition measured by Tanita BC 418 |  | 1 year | 
| Change in quality of life assessed by PedsQL |  | 1 year | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Pediatric obesity, Community-based treatment, dyslipidemia, hypertension, diabetes