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Treatment of Childhood Obesity by Retraining Eating Behavior
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In Short…

A device that reminded children and teenagers that they were eating too much and too quickly aided in overall weight loss and helped reduced body fat, improved levels of good blood fats, and helped study participants learn to continue to eat less and more slowly after the study ended.

order viagra no prescriptionChildhood obesity is an increasing problem. It is associated with high blood pressure and unhealthy blood fats, risk factors for heart disease, stroke and other diseases that used to be seen only in middle-aged adults. Many types of interventions have been tried to reduce obesity in children and teens, but with limited success. Research has shown that people who eat too fast also usually eat too much because their body is not given enough time to feel full – what is called ”satiety.” This was a study of a device made specifically to remind teenaged participants about the amount of food they ate and how quickly they ate it, two factors that are important to weight management.

order viagra no prescriptionThis was a study of a device (the Mandometer) created at the Karolinska Institutet, Stockholm, Sweden, that was designed to detect the amount of food removed from a plate and the rate at which it was removed. One hundred and six children and teenagers aged 9 to 17 who had recently been diagnosed with obesity took part in this ; 54 tested the Mandometer and 52 received usual care. In this study, the Mandometer was used to remind participants to alter their behavior if they were eating too much or too rapidly. This intervention was compared to standard care in which the family and teenager were educated about childhood obesity and how it is usually managed with diet and exercise. They were also encouraged to set their own goals for use of these techniques. The measures used to determine if one treatment was superior to the other, or if there was no difference between them were change in after 12 months in the study and again at 18 months after the start of the study, change in body fat, blood fats, quality of life, and portion size and eating speed. The participants were also asked about whether they felt they had gained the ability to feel satiety, which could reduce the amount of food they ate.

order viagra no prescriptionCompared to the standard treatment, the participants whoused the Mandometer had a greater reduction in their overall BMI and body fat content by the end of the study and maintained that loss at six month follow up. The group also ate less and felt as full with less food than at the start of the study. Their good blood fat levels (high density lipoproteins), which are protective against heart disease, were higher in the Mandometer group than in the comparison group. Both groups experienced improved quality of life.

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The preceding is a summary of: Ford, A.L., Bergh, C., Sodersten, P., Sabin, M.A., Hollinghurst, S., Hunt, L.P., Shield, J.P.H . Treatment of Childhood Obesity by Retraining Eating Behavior: Randomized Controlled Trial. BMJ 2010: 340:b5388 doi: 10.1136/bmj.b5388

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