Heterogeneity in sociodemographic characteristics and cardiovascular risk factors at the initiation of a lifestyle intervention for obesity within Germany: an APV multicenter study on 40,942 children and adolescents

Abstract

the APV initiative and the German BMBF Competence Network Obesity (2018) Heterogeneity in sociodemographic characteristics and cardiovascular risk factors at the initiation of a lifestyle intervention for obesity within Germany: an APV multicenter study on 40,942 children and adolescents,

Who benefits most from outpatient lifestyle intervention? An IMI‐SOPHIA study on pediatric individuals living with overweight and obesity

“…Twice yearly, local data are anonymized and transmitted to Ulm, Germany. After validation and corrections (when applicable), data are aggregated into a cumulative database for quality assurance and research [7]. The APV (Adipositas-Patienten-Verlaufsdokumentation) initiative has been approved by the Ethics Committee at the University of Ulm (no.…”

“…Although they are recommended as first-line treatment prior to pharmaceutical and surgical interventions [6], program quality, reimbursement by health care insurance, and evaluation/certification status differ widely. Because long-term efficacy of lifestyle intervention (LI) is often modest [1,6], with children and adolescents entering LI programs being more heterogenous in terms of sociodemographic characteristics and presence of obesity-related risk factors [7], it is of major importance to identify individuals who are most likely to reduce BMIz successfully from conservative interventions. This study aimed to evaluate heterogeneous clusters of individual treatment responses for up to 2 years after initiating an outpatient LI.…”