Projektart: Gefördertes Projekt Verbundprojekt Studie
Studie zur Bestimmung der Effekte eines strukturierten ambulanten Weiterbehandlungsprogramms nach stationärer medizinischer Rehabilitation bei Kindern und Jugendlichen mit Adipositas

Background (Introduction): The prevalence and severity of obesity increases not only in adults but also alarmingly in children. Outside of inpatient rehabilitation facilities there are only sporadic ambulatory treatment centers confined to large cities. Up to now there is no concept for the continuing outpatient treatment of obese children and adolescents after stationary rehabilitation Objectives: The main objective of this study is the development and evaluation of a program for structured continuous outpatient care for obese children and adolescents following inpatient rehabilitation including parents and primary care physicians (pediatrician and general practitioner). Design: The evaluation is subject of a prospective randomised control group design. A total of 500 young and children with the diagnosis obesity with 7 cooperating rehabilitation centres were assessed in Study. Patients are randomised to the intervention or control groups (each 250 patients) at the end of rehabilitation. The intervention throughout the year following inpatient rehabilitation consists of 12 outpatient consultations by their own primary care physicians utilizing a structured guideline and in addition the children and adolescents are granted free access to the newly designed internet training program "Young and Healthy". The control group receives standard care. Timing of measurements: t1 = check in rehabilitation; t2 = ending rehabilitation; t3: six month after rehabilitation and t4: twelve month after rehabilitation. Main outcome variable: BMI-z score (intention to treat), other outcome variables: physical activity questionnaire, food frequency list, (family) eating habits, quality of life, subjective rating of intervention.