TY  - JOUR
A1  - Hoffmann, Svenja
A1  - Warschburger, Petra
T1  - Body image in obese children and adolescents. Body dissatisfaction and body size perception in relation to quality of life and weight loss
JF  - Psychotherapeut
N2  - Body dissatisfaction and an unrealistic perception of own body size are particularly common in obese children and adolescents; however, little is known about the association with weight-related quality of life and the impact on successful long-term weight loss.
 At the beginning of an inpatient child obesity rehabilitation program, 408 children and adolescents aged 9-12 years completed a questionnaire on body image (body silhouettes) and a body weight-specific questionnaire for overweight and obese children and adolescents (GW-LQ-KJ) on quality of life. Height and weight were measured by a physician at the beginning and 1 year after inpatient hospitalization.
 Of the participants 91.9 % reported body dissatisfaction and 75.7 % underestimated their own body size. There were no gender-specific differences in body dissatisfaction but boys perceived their body size more realistically than girls. Participants with body dissatisfaction and realistic body size perception showed a reduced weight-related quality of life. Those participants who realistically perceived their body size also lost less weight in the long term.
 The subjective underestimation of body size proved to be important for reduced weight-related quality of life and more pronounced long-term weight loss; therefore, body image should be taken into account in multimodal treatment programs.
KW  - Body size perception
KW  - Quality of life
KW  - Weight loss
KW  - Obesity
KW  - Questionnaire
Y1  - 2015
U6  - https://doi.org/10.1007/s00278-015-0060-5
SN  - 0935-6185
SN  - 1432-2080
VL  - 60
IS  - 6
SP  - 498
EP  - 504
PB  - Springer
CY  - New York
ER  - 
TY  - JOUR
A1  - Warschburger, Petra
T1  - SRT-Joy - computer-assisted self-regulation training for obese children and adolescents: study protocol for a randomized controlled trial
JF  - Trials
N2  - Background: Obesity is not only a highly prevalent disease but also poses a considerable burden on children and their families. Evidence is increasing that a lack of self-regulation skills may play a role in the etiology and maintenance of obesity. Our goal with this currently ongoing trial is to examine whether training that focuses on the enhancement of self-regulation skills may increase the sustainability of a complex lifestyle intervention.
 Methods/Design: In a multicenter, prospective, parallel group, randomized controlled superiority trial, 226 obese children and adolescents aged 8 to 16 years will be allocated either to a newly developed computer-training program to improve their self-regulation abilities or to a placebo control group. Randomization occurs centrally and blockwise at a 1:1 allocation ratio for each center. This study is performed in pediatric inpatient rehabilitation facilities specialized in the treatment of obesity. Observer-blind assessments of outcome variables take place at four times: at the beginning of the rehabilitation (pre), at the end of the training in the rehabilitation (post), and 6 and 12 months post-rehabilitation intervention. The primary outcome is the course of BMI-SDS over 1 year after the end of the inpatient rehabilitation. Secondary endpoints are the self-regulation skills. In addition, health-related quality of life, and snack intake will be analyzed.
 Discussion: The computer-based training programs might be a feasible and attractive tool to increase the sustainability of the weight loss reached during inpatient rehabilitation.
KW  - Obesity
KW  - Randomized-controlled trial
KW  - Computer-assisted self-regulation training
KW  - Children
KW  - Adolescents
KW  - Weight
Y1  - 2015
U6  - https://doi.org/10.1186/s13063-015-1078-2
SN  - 1745-6215
VL  - 16
PB  - BioMed Central
CY  - London
ER  -