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Hege Havstad Clemm

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Anna Tora Dalsbotten

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The Bergen Paediatric Obesity Research Group (BarneBORG)

In 2012, The Paediatric Obesity Outpatient Clinic, Haukeland University Hospital opened. To date, lifestyle treatment has been given to more than 300 children and adolescents, including their families. Data on anthropometric measurements, body composition and information on cardio-metabolic risk factors, are collected into a quality register. Four master degrees has been finalized using data from this register. A randomized study, Family-based behavioral treatment of childhood obesity (FABO), targeting children and adolescents with obesity and their families, in currently ongoing. The Bergen Paediatric Obesity Research Groups (BarneBORG) embodies the projects attached to the Paediatric Obesity Outpatient Clinic.

 

The FABO studyThis is a randomized controlled trial (RCT), in which families (n = 120) are recruited from the children and adolescents (ages 6–18 years) referred to the Obesity Outpatient Clinic (OOC), Haukeland University Hospital, Norway. Criteria for admission to the OOC are BMI above the International Obesity Task Force (IOTF) cut-off ≥ 35, or IOTF ≥ 30 with obesity related co-morbidity. Families are randomized to receive family-based behavioral social facilitation treatment (FBSFT) immediately or following one year of treatment as usual (the default treatment at the out-patient clinic, a semi-structured lifestyle treatment). All participants receive a multidisciplinary assessment. For TAU this assessment results in a plan and a contract for chancing specific lifestyle behaviors. Thereafter each family participates in monthly counselling sessions with their primary health care nurse to work on implementing these goals, including measuring their weight change, and also meet every third month for sessions at the OOC. In FBSFT, following assessment, families participate in 17 weekly sessions at the OOC, in which each family works on changing lifestyle behaviors using a structured cognitive-behavioral, socio-ecological approach targeting both parents and children with strategies for behavioral maintenance and sustainable weight change. Outcome variables include body mass index (BMI; kg/m2), BMI standard deviation score (SDS) and percentage above the IOTF definition of overweight, waist-circumference, body composition (bioelectric impedance (BIA) and dual-X-ray-absorptiometry (DXA)), blood tests, blood pressure, activity/inactivity and sleep pattern (measured by accelerometer), as well as questionnaires measuring depression, general psychological symptomatology, self-esteem, disturbed eating and eating disorder symptoms. Finally, barriers to treatment and parenting styles are measured via questionnaires. For further details, see Skjåkødegård H et al BMC Public Health 2016.

 

Research group:

Pétur B. Júlíusson (PI)

Yngvild Danielsen

Denise Wilfley

Rachel Kolko

Mathieu Roelants

Mette Morken

Hanna Skjåkødegård (PhD-candidate)