ESPE Abstracts

Background: It is hard to treat severe obese children only with diet and physical activity, psychological interventions are need.

Objective and hypotheses: To examine the differences between courses of non-medicament treatment of severe obese children.

Method: We examined 32 pubertal severe obese children BMI 31.2±0.8 kg/m², 13.5±0.3 years. The newel (in Belarus) course of non-medicament treatment of obesity (diet, physical activity, psychological treatment) in groups was proposed to children and their parents. According to children’s and parent’s motivation were divided: group 1 19 patients underwent the whole course with their parents (four times with 3 month intervals between them). The first part group1 include: four lectures for parents with endocrinologist (children’s diet, physical activity), two lectures for parents with psychotherapeutist (children’s psychoemotional problems), four lectures for children with endocrinologist (diet, physical activity) and four lectures for children with psychotherapeutist (motivation for losing weight). Another three parts include four lectures for children with psychotherapeutist and one lecture for children with endocrinologist. Group 2 13 children underwent only the first part of treatment without parents. Weight (W) and BMI were collected before treatment (W1, BMI1), 1 months after the first part (W2, BMI2), after the last (W3, BMI3).

Results: We found the decreasing of W and BMI of group1 (W1 87.2±4.6 vs W2 84.4±4.5 kg (P=0.03)), BMI1 31.3±1.1 vs BMI2 30.3±1.2 kg/m² (P=0.01)) and group2 (W1 81±4.6 vs W2 80.7±4.6 kg (P=0.04)). Without differences in group 2 BMI (BMI1 312.±1.3 vs BMI2 30.8±1.3 kg/m² (P=0.1)). After the last part we determined the decreasing W and BMI in group1 comparison to the initial results (W3 83.4±5.5 kg (P=0.03)), BMI3 29.4±1.4 kg/m² (P=0.002)). Group2 showed statistical increasing of W without any significance of BMI (W3 86.9±4.1 kg (P=0.05)) BMI3 32.8±1.8 kg/m² (P=0.6)).

Conclusion: Command treatment (intense course with endocrinologists, psychotherapeutist and parents) showed a success in decreasing of weight and BMI in obese children.