Fjölskyldumiðuð atferlismeðferð fyrir of feit börn

Gunnarsdottir, Thrudur; Einarsson, Svavar Mar; Njarðvík, Urður; Ólafsdóttir, Anna S.; Gunnarsdottir, Agnes Bjorg; Helgason, Tryggvi; Bjarnason, Ragnar

doi:10.17992/lbl.2014.03.535

Cited by 2 publications

(1 citation statement)

References 33 publications

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“…Þetta er fjölskyldumiðuð atferlismeðferð sem byggir á rannsóknum Epsteins 18 en hefur verið þróuð og aðlöguð að íslenskum aðstaeðum með góðum árangri. 19,20 Frá stofnun Heilsuskólans hafa rúmlega 800 börn og unglingar sótt meðferð hans og á hverjum tíma eru um það bil 250-300 börn í virkri meðferð. Við upphaf meðferðar í Heilsuskólanum eru blóðrannsóknir framkvaemdar til þess að meta efnaskipti barnanna.…”

Section: Umraeðaunclassified

Insulin Resistance and Abnormalities in Blood Values of Icelandic Children Receiving Obesity Treatment

Arnfríðardóttir,

Þorsteinsdóttir,

Ólafsdóttir

et al. 2024

LBL

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INTRODUCTION: Worldwide, the rates of childhood obesity have risen dramatically in recent decades. Obesity may cause serious sequelae during childhood and throughout adulthood. Insulin resistance is prevalent metabolic abnormality in pediatric obesity. The Pediatric Obesity Clinic was established in 2011 at the Children's Medical Center, Landspítali University Hospital. This study aimed to observe metabolic abnormalities and insulin resistance in blood values of children receiving obesity treatment. METHODS: The study included all children (n = 180) who received obesity treatment at The Pediatric Obesity Clinic between 2016 and 2020 and had at least eight out of the nine following serum values analyzed while fasting: HbA1c, glucose, insulin, ALAT, total cholesterol, HDL-cholesterol, triglycerides, TSH and free T4. HOMA-IR value was calculated from insulin and glucose values. Decreased insulin sensitivity was defined as HOMA-IR > 3.42. RESULTS: 84% of the children had at least one abnormality in their tested blood values. 50% had abnormal insulin values and 44% had abnormal ALAT values. 78% had decreased insulin sensitivity, and their mean HOMA-IR was 7.3 (± 5.0), surpassing twice the normal value. CONCLUSION: A large majority of the children undergoing obesity treatment already exhibited signs of metabolic sequelae during their treatment. The prevalence of affected children has increased compared to a similar study conducted in 2013. Of particular concern is the growing number of children with decreased insulin sensitivity. Proper measures must be taken to combat this alarming trend.

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Section: Umraeðaunclassified

Insulin Resistance and Abnormalities in Blood Values of Icelandic Children Receiving Obesity Treatment

Arnfríðardóttir,

Þorsteinsdóttir,

Ólafsdóttir

et al. 2024

LBL

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Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years

Mead

Brown

Rees

et al. 2017

Cochrane Database of Systematic Reviews

387

365

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Multi-component behaviour-changing interventions that incorporate diet, physical activity and behaviour change may be beneficial in achieving small, short-term reductions in BMI, BMI z score and weight in children aged 6 to 11 years. The evidence suggests a very low occurrence of adverse events. The quality of the evidence was low or very low. The heterogeneity observed across all outcomes was not explained by subgrouping. Further research is required of behaviour-changing interventions in lower income countries and in children from different ethnic groups; also on the impact of behaviour-changing interventions on health-related quality of life and comorbidities. The sustainability of reduction in BMI/BMI z score and weight is a key consideration and there is a need for longer-term follow-up and further research on the most appropriate forms of post-intervention maintenance in order to ensure intervention benefits are sustained over the longer term.

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Fjölskyldumiðuð atferlismeðferð fyrir of feit börn

Cited by 2 publications

References 33 publications

Insulin Resistance and Abnormalities in Blood Values of Icelandic Children Receiving Obesity Treatment

Insulin Resistance and Abnormalities in Blood Values of Icelandic Children Receiving Obesity Treatment

Diet, physical activity and behavioural interventions for the treatment of overweight or obese children from the age of 6 to 11 years

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