FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W2585840751> ?p ?o ?g. }

• W2585840751 abstract "Adolescent obesity is a public health problem associated with significant immediate and long-term health complications (Kelly et al. 2013). Amongst obese adolescents, a third are severely obese (BMI >99.6th centile UK90 reference charts) (Ogden et al. 2012) with severe obesity the fastest growing classification in this age group (Wang et al. 2011). The evidence for managing and treating child and adolescent obesity generally is poor, with multidisciplinary lifestyle programmes failing to derive significant and sustained weight loss and often reporting high attrition (Luttikhuis et al. 2009). Furthermore, this evidence has predominantly focused on young people as a whole with little differentiation of treatment and outcomes by age and severity of obesity. As a result, successful treatments for severely obese adolescents are lacking with permanent bariatric surgery increasingly considered. This thesis aimed to enhance the understanding of the needs of obese adolescents, contribute to what is known about current treatment options for severely obese adolescents specifically and pilot a novel treatment approach within this population.A qualitative enquiry (Study 1) of the lived experiences of obese adolescents (n = 12) reinforced the complexity of the impact of obesity on the lives of obese adolescents across social, emotional, behavioural and cultural contexts. All participants experienced low self-esteem and feelings of shame and there were frequent accounts of debilitating bullying. Adolescents required intensive support to develop skills for coping and managing emotional choices, and the importance of family-support within treatment was highlighted. Data confirmed weight loss programmes need to consider the complex experience of obese adolescents in their design, focusing on how to implement long-term lifestyle changes into their ‘real’ lives.Informed by the findings from Study 1 and a comprehensive review of existing treatment options for severely obese adolescents, the use of an intra-gastric balloon alongside a lifestyle support programme (BOB; Study 2) to promote weight loss was piloted in 12 severely obese adolescents (5 males, 7 females; mean age 15 yrs; BMI >3.5 SD; puberty stage 4 or above). Mean weight loss at 12 months (n=9) was 3.05 kg ± 14.69; d=0.002 with improvements in psychosocial health, physical activity and cardiorespiratory fitness also maintained at 12 months. Although, the use of an intra-gastric balloon as an adjunct to a lifestyle programme was well tolerated by participants, large variations in outcome data suggest alternative treatment solutions in this population are warranted. That said, the comprehensive reporting of the intervention and the focus on validated behaviour change techniques to support change is a strength of this study.The qualitative experiences of treatment for participants and their family members were captured throughout treatment (Study 3). All participants acknowledged the experience was harder than anticipated, but recognised the importance of creating shared ownership over making lifestyle changes. Single case data pointed to successful and sustained weight loss where the whole family were actively engaged in treatment, modelling positive lifestyle changes alongside the adolescent. Future studies are encouraged to explore the most effective methods for engaging family members in treatment." @default.
• W2585840751 created "2017-02-10" @default.
• W2585840751 creator A5062254106 @default.
• W2585840751 date "2016-06-16" @default.
• W2585840751 modified "2023-09-26" @default.
• W2585840751 title "Treatment of severe obesity in adolescents : A mixed method approach." @default.
• W2585840751 cites W1227484495 @default.
• W2585840751 cites W126987257 @default.
• W2585840751 cites W1484747638 @default.
• W2585840751 cites W1491332049 @default.
• W2585840751 cites W1499094208 @default.
• W2585840751 cites W1532524410 @default.
• W2585840751 cites W1580033044 @default.
• W2585840751 cites W175626284 @default.
• W2585840751 cites W1762104481 @default.
• W2585840751 cites W1778708195 @default.
• W2585840751 cites W1792110071 @default.
• W2585840751 cites W1827576540 @default.
• W2585840751 cites W1837644969 @default.
• W2585840751 cites W1844527188 @default.
• W2585840751 cites W1859018917 @default.
• W2585840751 cites W1900905834 @default.
• W2585840751 cites W1901819292 @default.
• W2585840751 cites W1933634198 @default.
• W2585840751 cites W1958998568 @default.
• W2585840751 cites W1966227622 @default.
• W2585840751 cites W1966858838 @default.
• W2585840751 cites W1967383364 @default.
• W2585840751 cites W1968087824 @default.
• W2585840751 cites W1969737467 @default.
• W2585840751 cites W1969949005 @default.
• W2585840751 cites W1970224163 @default.
• W2585840751 cites W1971445485 @default.
• W2585840751 cites W1973217966 @default.
• W2585840751 cites W1974090990 @default.
• W2585840751 cites W1974294929 @default.
• W2585840751 cites W1974802313 @default.
• W2585840751 cites W1975551323 @default.
• W2585840751 cites W1975615224 @default.
• W2585840751 cites W1976884882 @default.
• W2585840751 cites W1979914845 @default.
• W2585840751 cites W1980709727 @default.
• W2585840751 cites W1981320195 @default.
• W2585840751 cites W1982184209 @default.
• W2585840751 cites W1983463888 @default.
• W2585840751 cites W1984539088 @default.
• W2585840751 cites W1986586078 @default.
• W2585840751 cites W1987684330 @default.
• W2585840751 cites W1988712698 @default.
• W2585840751 cites W1989231011 @default.
• W2585840751 cites W1989959668 @default.
• W2585840751 cites W1991050188 @default.
• W2585840751 cites W1993404179 @default.
• W2585840751 cites W1994771098 @default.
• W2585840751 cites W1994810405 @default.
• W2585840751 cites W1995425481 @default.
• W2585840751 cites W1996661765 @default.
• W2585840751 cites W1997551115 @default.
• W2585840751 cites W1999377693 @default.
• W2585840751 cites W2000231316 @default.
• W2585840751 cites W2002061010 @default.
• W2585840751 cites W2005737948 @default.
• W2585840751 cites W2005823031 @default.
• W2585840751 cites W2006149621 @default.
• W2585840751 cites W2009485103 @default.
• W2585840751 cites W2010898513 @default.
• W2585840751 cites W2011348859 @default.
• W2585840751 cites W2014360052 @default.
• W2585840751 cites W2016859362 @default.
• W2585840751 cites W2018642433 @default.
• W2585840751 cites W2019561331 @default.
• W2585840751 cites W2023123705 @default.
• W2585840751 cites W2024875967 @default.
• W2585840751 cites W2025085557 @default.
• W2585840751 cites W2025353918 @default.
• W2585840751 cites W2027293069 @default.
• W2585840751 cites W2028103091 @default.
• W2585840751 cites W2028372736 @default.
• W2585840751 cites W2028744383 @default.
• W2585840751 cites W2034737500 @default.
• W2585840751 cites W2036124295 @default.
• W2585840751 cites W2036775099 @default.
• W2585840751 cites W2036812036 @default.
• W2585840751 cites W2037557484 @default.
• W2585840751 cites W2037893031 @default.
• W2585840751 cites W2038236742 @default.
• W2585840751 cites W2039163106 @default.
• W2585840751 cites W2040866346 @default.
• W2585840751 cites W2041652346 @default.
• W2585840751 cites W2042485582 @default.
• W2585840751 cites W2044207998 @default.
• W2585840751 cites W2044379852 @default.
• W2585840751 cites W2046505053 @default.
• W2585840751 cites W2049352361 @default.
• W2585840751 cites W2050878694 @default.
• W2585840751 cites W2051644318 @default.
• W2585840751 cites W2053323115 @default.
• W2585840751 cites W2054030165 @default.
• W2585840751 cites W2054824927 @default.
• W2585840751 cites W2055062024 @default.

• next