{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T11:15:33Z","timestamp":1789730133948,"version":"4.0.1"},"reference-count":29,"publisher":"Georg Thieme Verlag KG","issue":"08","funder":[{"DOI":"10.13039\/501100002347","name":"Bundesministerium f\u00fcr Bildung und Forschung","doi-asserted-by":"crossref","award":["01EO1501"],"award-info":[{"award-number":["01EO1501"]}],"id":[{"id":"10.13039\/501100002347","id-type":"DOI","asserted-by":"crossref"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Psychother Psychosom Med Psychol"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Zusammenfassung<\/jats:title><jats:p>Aktuelle Therapiestudien zu \u00dcbergewicht und Adipositas im Kindes- und\n                    Jugendalter berichten h\u00e4ufig einzelne psychologische oder somatische\n                    Parameter. In der vorliegenden Studie wurde die Wirksamkeit einer multimodalen\n                    Adipositastherapie in der ambulanten Routineversorgung \u00fcber 12 Monate\n                    bei N=278 Kindern und Jugendlichen (Alter 2\u201317 Jahre) anhand\n                    umfassender psychologischer und somatischer Parameter untersucht. Als\n                    prim\u00e4rer Endpunkt wurde die objektiv ermittelte Ver\u00e4nderung des\n                    BMI-SDS (Body Mass Index Standard Deviation Score) festgelegt. Sekund\u00e4re\n                    Endpunkte umfassten die selbstberichtete gesundheitsbezogene\n                    Lebensqualit\u00e4t, allgemeine und Essst\u00f6rungspsychopathologie,\n                    gewichtsbezogene Selbststigmatisierung, sowie objektiv gemessene Lipoprotein-\n                    bzw. Glukosestoffwechselparameter und Leberenzyme. Zu Therapieende nach 12\n                    Monaten verbesserte die Gesamtstichprobe signifikant ihren BMI-SDS\n                    (M=-0,10; SD=0,32) und einzelne Leberenzyme, psychologische\n                    Parameter und \u00fcbrige Blutparameter blieben jedoch ohne signifikante\n                    Verbesserung. Therapieresponder (BMI-SDS-\u0394\u2264-0,20; n=47)\n                    zeigten gr\u00f6\u00dfere BMI-SDS-Reduktionen (M=-0,44;\n                    SD=0,22) sowie vergleichbare Ergebnisse hinsichtlich Blutparameter und\n                    psychologische Parameter im Vergleich zu der Gesamtstichprobe. Die multimodale\n                    Adipositastherapie zeigte sich damit als \u00fcberwiegend wirksam f\u00fcr\n                    die BMI-SDS-Reduktion und einzelne assoziierte k\u00f6rperliche, nicht jedoch\n                    psychische Parameter. Die psychischen Belastungsfaktoren der Patienten\n                    verdeutlichen die Notwendigkeit einer psychotherapeutischen Behandlung\n                    \u00fcber eine BMI-SDS-Reduktion hinaus. Weiterhin verdeutlichen die\n                    Ergebnisse die Bedeutsamkeit einer umfassenden Erhebung von Erfolgsparametern,\n                    um den Behandlungserfolg zu verbessern.<\/jats:p>","DOI":"10.1055\/a-1725-8653","type":"journal-article","created":{"date-parts":[[2022,2,3]],"date-time":"2022-02-03T23:50:31Z","timestamp":1643932231000},"page":"345-353","source":"Crossref","is-referenced-by-count":2,"title":["Wirksamkeit eines Adipositastherapieprogramms bei Kindern und\n                    Jugendlichen in der Routineversorgung"],"prefix":"10.1055","volume":"72","author":[{"given":"Julius Lars","family":"Breinker","sequence":"additional","affiliation":[{"name":"Integriertes Forschungs- und Behandlungszentrum (IFB)\n                    AdipositasErkrankungen, Forschungsbereich Verhaltensmedizin, Klinik und\n                    Poliklinik f\u00fcr Psychosomatische Medizin und Psychotherapie,\n                    Universit\u00e4tsmedizin Leipzig, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Marie","family":"Biernath","sequence":"additional","affiliation":[{"name":"Integriertes Forschungs- und Behandlungszentrum (IFB)\n                    AdipositasErkrankungen, Forschungsbereich Verhaltensmedizin, Klinik und\n                    Poliklinik f\u00fcr Psychosomatische Medizin und Psychotherapie,\n                    Universit\u00e4tsmedizin Leipzig, Leipzig, Germany"},{"name":"Klinik und Poliklinik f\u00fcr Kinder- und Jugendmedizin, Zentrum\n                    f\u00fcr P\u00e4diatrische Forschung, Universit\u00e4tsmedizin Leipzig,\n                    Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elena","family":"Sergeyev","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Kinder- und Jugendmedizin, Zentrum\n                    f\u00fcr P\u00e4diatrische Forschung, Universit\u00e4tsmedizin Leipzig,\n                    Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anika","family":"Kaspar","sequence":"additional","affiliation":[{"name":"LIFE Forschungszentrum f\u00fcr Zivilisationskrankheiten, Leipzig,\n                    Universit\u00e4t Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antje","family":"K\u00f6rner","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Kinder- und Jugendmedizin, Zentrum\n                    f\u00fcr P\u00e4diatrische Forschung, Universit\u00e4tsmedizin Leipzig,\n                    Leipzig, Germany"},{"name":"LIFE Forschungszentrum f\u00fcr Zivilisationskrankheiten, Leipzig,\n                    Universit\u00e4t Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wieland","family":"Kiess","sequence":"additional","affiliation":[{"name":"Klinik und Poliklinik f\u00fcr Kinder- und Jugendmedizin, Zentrum\n                    f\u00fcr P\u00e4diatrische Forschung, Universit\u00e4tsmedizin Leipzig,\n                    Leipzig, Germany"},{"name":"LIFE Forschungszentrum f\u00fcr Zivilisationskrankheiten, Leipzig,\n                    Universit\u00e4t Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anja","family":"Hilbert","sequence":"additional","affiliation":[{"name":"Integriertes Forschungs- und Behandlungszentrum (IFB)\n                    AdipositasErkrankungen, Forschungsbereich Verhaltensmedizin, Klinik und\n                    Poliklinik f\u00fcr Psychosomatische Medizin und Psychotherapie,\n                    Universit\u00e4tsmedizin Leipzig, Leipzig, Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"194","published-online":{"date-parts":[[2022,2,3]]},"reference":[{"key":"ref1","doi-asserted-by":"publisher","first-page":"16","DOI":"10.17886\/RKI-GBE-2018-005.2","article-title":"\u00dcbergewicht und Adipositas im Kindes- und Jugendalter in Deutschland\n                    \u2013 Querschnittergebnisse aus KiGGS Welle 2 und Trends","volume":"3","author":"A Schienkiewitz","year":"2018","journal-title":"Journal of Health Monitoring"},{"key":"ref2","doi-asserted-by":"publisher","first-page":"807","DOI":"10.1007\/s001120170107","article-title":"Perzentile f\u00fcr den Body-mass-Index f\u00fcr das Kindes- und\n                    Jugendalter unter Heranziehung verschiedener deutscher Stichproben","volume":"149","author":"K Kromeyer-Hauschild","year":"2001","journal-title":"Monatsschr Kinderheilkd"},{"key":"ref4","doi-asserted-by":"publisher","first-page":"307","DOI":"10.1159\/000354534","article-title":"Eating disorder pathology in adolescents participating in a lifestyle\n                    intervention for obesity: associations with weight change, general\n                    psychopathology and health-related quality of life","volume":"6","author":"K E Giel","year":"2013","journal-title":"Obes 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Psychiatry"},{"key":"ref8","doi-asserted-by":"publisher","first-page":"53","DOI":"10.3109\/17477166.2011.604325","article-title":"Does obesity lead to a specific lipid disorder? Analysis from the\n                    German\/Austrian\/Swiss APV registry","volume":"6","author":"R W Holl","year":"2011","journal-title":"Int J Pediatr Obes"},{"key":"ref9","doi-asserted-by":"publisher","first-page":"156","DOI":"10.1159\/000381227","article-title":"BMI or BIA: Is Body Mass Index or Body Fat Mass a better predictor of\n                    cardiovascular risk in overweight or obese children and adolescents? A\n                    German\/Austrian\/Swiss multicenter APV analysis of 3,327 children\n                    and adolescents","volume":"8","author":"B Bohn","year":"2015","journal-title":"Obes Facts"},{"key":"ref10","doi-asserted-by":"publisher","first-page":"490","DOI":"10.1093\/ajcn\/84.3.490","article-title":"Long-term follow-up of cardiovascular disease risk factors in children after an\n                    obesity intervention","volume":"84","author":"T Reinehr","year":"2006","journal-title":"Am J Clin Nutr"},{"key":"ref11","doi-asserted-by":"publisher","first-page":"1307","DOI":"10.1056\/NEJMoa1502821","article-title":"Cardiometabolic risks and severity of obesity in children and young adults","volume":"373","author":"A C Skinner","year":"2015","journal-title":"N Engl J Med"},{"key":"ref12","doi-asserted-by":"publisher","first-page":"CD012651","DOI":"10.1002\/14651858.CD012651","article-title":"Diet, physical activity and behavioural interventions for the treatment of\n                    overweight or obese children from the age of 6 to 11 years","volume":"6","author":"E Mead","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"ref13","doi-asserted-by":"publisher","first-page":"CD012691","DOI":"10.1002\/14651858.CD012691","article-title":"Diet, physical activity and behavioural interventions for the treatment of\n                    overweight or obese adolescents aged 12 to 17 years","volume":"6","author":"L Al-Khudairy","year":"2017","journal-title":"Cochrane Database Syst Rev"},{"key":"ref14","doi-asserted-by":"publisher","first-page":"818","DOI":"10.3238\/arztebl.2014.0818","article-title":"Weight loss in children and adolescents","volume":"111","author":"Y M\u00fchlig","year":"2014","journal-title":"Dtsch Arztebl Int"},{"key":"ref15","doi-asserted-by":"publisher","first-page":"137","DOI":"10.3390\/nu11010137","article-title":"The effect of a multidisciplinary lifestyle intervention on obesity status, body\n                    composition, physical fitness, and cardiometabolic risk markers in children and\n                    adolescents with obesity","volume":"11","author":"Y-G Seo","year":"2019","journal-title":"Nutrients"},{"key":"ref16","doi-asserted-by":"publisher","first-page":"179","DOI":"10.1159\/000496940","article-title":"Baseline dietary restraint predicts negative treatment outcomes after 12 months\n                    in children and adolescents with obesity participating in a lifestyle\n                    intervention","volume":"12","author":"\u00d6 Albayrak","year":"2019","journal-title":"Obes Facts"},{"key":"ref17","doi-asserted-by":"publisher","first-page":"412","DOI":"10.1089\/chi.2020.0070","article-title":"Changes in the health-related quality of life and weight status of children with\n                    overweight or obesity aged 7 to 13 years after participating in a 10-week\n                    lifestyle intervention","volume":"16","author":"E van den Eynde","year":"2020","journal-title":"Childhood Obesity"},{"key":"ref18","doi-asserted-by":"publisher","first-page":"e59","DOI":"10.1093\/pch\/18.10.e59","article-title":"Modest treatment effects and high program attrition: The impact of\n                    interdisciplinary, individualized care for managing paediatric obesity","volume":"18","author":"J L Avis","year":"2013","journal-title":"Paediatr Child Health"},{"key":"ref19","doi-asserted-by":"publisher","first-page":"299","DOI":"10.1002\/eat.23015","article-title":"Change in eating disorder symptoms following pediatric obesity treatment","volume":"52","author":"D M Eichen","year":"2019","journal-title":"Int J Eat Disord"},{"key":"ref20","doi-asserted-by":"publisher","first-page":"16","DOI":"10.1007\/s00278-020-00474-2","article-title":"Psychotherapie bei juveniler Adipositas: gerechtfertigt und sinnvoll?","volume":"66","author":"M S Gmeiner","year":"2021","journal-title":"Psychotherapeut"},{"key":"ref21","doi-asserted-by":"publisher","first-page":"682","DOI":"10.1080\/02640414.2020.1725384","article-title":"Effects and prevalence of responders after a multicomponent intervention on\n                    cardiometabolic risk factors in children and adolescents with\n                    overweight\/obesity: Action for health study","volume":"38","author":"C Brand","year":"2020","journal-title":"Journal of Sports Sciences"},{"key":"ref22","doi-asserted-by":"publisher","first-page":"87","DOI":"10.1055\/s-0037-1618900","article-title":"Das Leipziger Adipositasmanagement","volume":"09","author":"S V Schwalm","year":"2015","journal-title":"Adipositas \u2013 Ursachen, Folgeerkrankungen,\n                    Therapie"},{"key":"ref23","doi-asserted-by":"publisher","first-page":"e78","DOI":"10.1055\/a-1134-1896","article-title":"Ausweg aus der Versorgungsl\u00fccke: Voll Krankenkassen-finanzierte\n                    konservative Adipositas-Therapie","volume":"145","author":"S V Frenzel","year":"2020","journal-title":"Dtsch Med Wochenschr"},{"key":"ref24","volume-title":"Der Kindl-R-Fragebogen zur Erfassung der gesundheitsbezogenen\n                    Lebensqualit\u00e4t bei Kindern und Jugendlichen \u2013 Revidierte Form.\n                    In: Schumacher J, Klaiberg A, Br\u00e4hler E, Hrsg. Diagnostische Verfahren\n                    zu Lebensqualit\u00e4t und Wohlbefinden. Band 2. Diagnostik f\u00fcr\n                    Klinik und Praxis","author":"U Ravens-Sieberer","year":"2003"},{"key":"ref25","doi-asserted-by":"publisher","first-page":"105","DOI":"10.1024\/\/1422-4917.30.2.105","article-title":"Normierung und Evaluation der deutschen Elternversion des Strengths and\n                    Difficulties Questionnaire (SDQ): Ergebnisse einer repr\u00e4sentativen\n                    Felderhebung","volume":"30","author":"W Woerner","year":"2002","journal-title":"Z Kinder Jugendpsychiatr Psychother"},{"key":"ref26","volume-title":"Eating Disorder Examination \u2013 Questionnaire f\u00fcr Kinder","author":"A Hilbert","year":"2016"},{"key":"ref27","doi-asserted-by":"publisher","first-page":"e86303","DOI":"10.1371\/journal.pone.0086303","article-title":"Weight bias internalization scale: psychometric properties and population\n                    norms","volume":"9","author":"A Hilbert","year":"2014","journal-title":"PLoS ONE"},{"key":"ref28","doi-asserted-by":"publisher","first-page":"157","DOI":"10.1037\/a0037721","article-title":"Confidence interval estimation for standardized effect sizes in multilevel and\n                    latent growth modeling","volume":"83","author":"A Feingold","year":"2015","journal-title":"J Consult Clin Psychol"},{"key":"ref29","volume-title":"Statistical power analysis for the behavioral sciences. 2. Aufl","author":"J Cohen","year":"1988"},{"key":"ref30","volume-title":"Hrsg. Klinikleitfaden Labordiagnostik. Klinikleitfaden. 6. Aufl","author":"B Neumeister","year":"2018"}],"container-title":["PPmP - Psychotherapie \u00b7 Psychosomatik \u00b7 Medizinische Psychologie"],"original-title":[],"language":"de","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1725-8653.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,22]],"date-time":"2022-08-22T23:22:02Z","timestamp":1661210522000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1725-8653"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,3]]},"references-count":29,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2022,8,22]]},"published-print":{"date-parts":[[2022,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1725-8653","archive":["Portico","CLOCKSS"],"relation":{},"ISSN":["0937-2032","1439-1058"],"issn-type":[{"value":"0937-2032","type":"print"},{"value":"1439-1058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,3]]}}}