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Klin Padiatr 2018; 230(01): 13-23
DOI: 10.1055/s-0043-121989
Übersicht
© Georg Thieme Verlag KG Stuttgart · New York

Aktuelle Literaturübersicht zur Therapie der Adipositas bei Kindern und Jugendlichen

Current literature overview on the therapy of obesity in children and adolescents
Jana Brauchmann
1   Sozialpädiatrisches Zentrum für chronisch kranke Kinder, Charité – Universitätsmedizin Berlin, Berlin, Deutschland
,
Susann Weihrauch-Blüher
2   IFB AdipositasErkrankungen, Universitätsmedizin Leipzig, Leipzig, Deutschland
3   Universitätsklinikum Halle (Saale), Universitätsklinik und Poliklinik für Pädiatrie I, Halle (Saale), Deutschland
,
Stefan Ehehalt
4   Gesundheitsamt Stuttgart, Abteilung Kinder-, Jugend- und Zahngesundheit, Gesundheitsförderung, Soziale Dienste, Stuttgart, Deutschland
,
Susanna Wiegand
1   Sozialpädiatrisches Zentrum für chronisch kranke Kinder, Charité – Universitätsmedizin Berlin, Berlin, Deutschland
› Author Affiliations
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Publication History

Publication Date:
13 December 2017 (online)

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Zusammenfassung

Hintergrund Adipositas ist durch die mit ihr einhergehende Komorbidität und den Bedarf an langfristiger medizinischer Versorgung als chronische Krankheit zu betrachten. Dabei ist auf jeder Stufe der Pathophysiologie eine therapeutische Intervention möglich. Ziel der Arbeit ist es, den Effekt von multimodalen Lebensstilinterventionen nicht nur bezüglich des BMI/BMI-SDS, sondern auch bezüglich (sekundärer) Outcomes wie Komorbiditäten, Lebensqualität sowie des Ernährungs- und Bewegungsverhalten darzustellen.

Material und Methoden In der Literaturdatenbank PubMed wurde international nach klinischen Studien zu Lebensstilinterventionen bei 0 bis 18-Jährigen mit Übergewicht und Adipositas im Zeitraum vom 01/01/2009 bis 01/01/2016 gesucht.

Ergebnisse Es sind 64 Publikationen mit Daten aus 55 Studien in die Übersichtsarbeit eingeflossen. Durch multimodale Lebensstilinterventionen konnten vielfältige Verbesserungen in den Bereichen Komorbidität, Lebensqualität, Ernährung und Bewegung erzielt werden.

Diskussion Der Nutzen einer Adipositastherapie geht weit über eine Gewichtsreduktion hinaus, weshalb weitere Parameter als Therapieziele regelhaft erfasst werden sollten. So haben die Verbesserung von Komorbiditäten, der Lebensqualität sowie des Bewegungs- und Ernährungsverhaltens für einen langfristig gesunden Lebensstil eine mind. genauso große Bedeutung und reduzieren die Gefahr des Regains nach einer initialen Gewichtsreduktion.

Abstract

Background Obesity is a chronic disease due to the comorbidity associated with it and the need for long-term medical care. Therapeutic intervention is possible at every stage of pathophysiology.

Aim The aim of the study is to demonstrate the effect of multimodal lifestyle interventions not only on the BMI/BMI-SDS, but also on (secondary) outcomes such as comorbidities, quality of life as well as the nutritional and movement behavior.

Materials and Methods The literature database PubMed has been searched for internationally clinical studies on lifestyle interventions among 0 to 18-year-olds with overweight and obesity in the period from 01/01/2009 to 01/01/2016.

Results 64 publications with data from 55 studies were included in this overview. Through multimodal lifestyle interventions, many improvements have been achieved in the fields of comorbidity, quality of life, diet and exercise.

Discussion The use of obesity therapy goes far beyond a weight reduction, which is why other parameters should be regularly recorded as therapeutic targets. Thus the improvement of comorbidities, the quality of life as well as the movement and nutritional behavior for a long-term healthy lifestyle are at least as important and reduce the risk of regain after initial weight reduction.

Schlüsselwörter

Lebensstilintervention - Adipositastherapie - Adipositas - Kinder - Jugendliche

Key words

pediatric obesity - childhood obesity - lifestyle intervention - adolescents - obesity therapy
 

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