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WELCOME : improving WEight controL and CO-Morbidities in children with obesity via Executive function training : study protocol for a randomized controlled trial

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Abstract
Background: Obesity is a widespread problem that not only leads to medical and psychological diseases in adults, but also in children and adolescents at an early stage in life. Because of its global burden on both the individual and society, it is necessary to develop effective evidence-based treatments. Current " Multidisciplinary Obesity Treatments" (MOT) already provide significant weight loss, but still leave room for more long-lasting improvements. In this protocol paper, we outline the research goals of the WELCOME trial, based on a substantial proof of concept. Methods: In this Randomized Controlled Trial (RCT) - conducted in both an inpatient and two outpatient treatment settings -existing MOT will be supplemented with an Executive Function (EF) training and compare effects on various parameters in an experimental versus an active control group of obese youngsters (8-18 years old). WELCOME aims to (a) train youngsters' executive functions to facilitate effects on weight loss, psychological and medical comorbidities, (b) to enhance the long-term effects by continuing the training in the daily home context with booster sessions, and (c) to investigate its effects until a 6-month follow-up. In comparison to the active control group, better progress is expected in the experimental group on following variables: weight, psychological comorbidities (unhealthy eating behavior, internalizing symptoms, impaired self-esteem) and medical comorbidities (metabolic syndromes, endothelia dysfunction, tonsillar hypertrophy and sleep obstruction). Discussion: It is stated that this EF-training for enhancing self-control abilities is necessary for a long-lasting effect of childhood obesity treatment interventions.
Keywords
BEHAVIORAL TREATMENT PROGRAM, EATING-DISORDER EXAMINATION, LIFE-STYLE, INTERVENTIONS, ATTENTIONAL BIAS, CHILDHOOD OBESITY, INDIVIDUAL-DIFFERENCES, INCREASED DISTRACTION, EFFORTFUL CONTROL, SELF-REGULATION, IMPULSE CONTROL

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MLA
Naets, Tiffany et al. “WELCOME : Improving WEight controL and CO-Morbidities in Children with Obesity via Executive Function Training : Study Protocol for a Randomized Controlled Trial.” BMC PUBLIC HEALTH 18 (2018): n. pag. Print.
APA
Naets, T., Vervoort, L., Ysebaert, M., Van Eyck, A., Verhulst, S., Bruyndonckx, L., De Winter, B., et al. (2018). WELCOME : improving WEight controL and CO-Morbidities in children with obesity via Executive function training : study protocol for a randomized controlled trial. BMC PUBLIC HEALTH, 18.
Chicago author-date
Naets, Tiffany, Leentje Vervoort, Marijke Ysebaert, Annelies Van Eyck, Stijn Verhulst, Luc Bruyndonckx, Benedicte De Winter, Kim Van Hoorenbeeck, Ann Tanghe, and Caroline Braet. 2018. “WELCOME : Improving WEight controL and CO-Morbidities in Children with Obesity via Executive Function Training : Study Protocol for a Randomized Controlled Trial.” Bmc Public Health 18.
Chicago author-date (all authors)
Naets, Tiffany, Leentje Vervoort, Marijke Ysebaert, Annelies Van Eyck, Stijn Verhulst, Luc Bruyndonckx, Benedicte De Winter, Kim Van Hoorenbeeck, Ann Tanghe, and Caroline Braet. 2018. “WELCOME : Improving WEight controL and CO-Morbidities in Children with Obesity via Executive Function Training : Study Protocol for a Randomized Controlled Trial.” Bmc Public Health 18.
Vancouver
1.
Naets T, Vervoort L, Ysebaert M, Van Eyck A, Verhulst S, Bruyndonckx L, et al. WELCOME : improving WEight controL and CO-Morbidities in children with obesity via Executive function training : study protocol for a randomized controlled trial. BMC PUBLIC HEALTH. London: Bmc; 2018;18.
IEEE
[1]
T. Naets et al., “WELCOME : improving WEight controL and CO-Morbidities in children with obesity via Executive function training : study protocol for a randomized controlled trial,” BMC PUBLIC HEALTH, vol. 18, 2018.
@article{8593174,
  abstract     = {Background: Obesity is a widespread problem that not only leads to medical and psychological diseases in adults, but also in children and adolescents at an early stage in life. Because of its global burden on both the individual and society, it is necessary to develop effective evidence-based treatments. Current " Multidisciplinary Obesity Treatments" (MOT) already provide significant weight loss, but still leave room for more long-lasting improvements. In this protocol paper, we outline the research goals of the WELCOME trial, based on a substantial proof of concept. Methods: In this Randomized Controlled Trial (RCT) - conducted in both an inpatient and two outpatient treatment settings -existing MOT will be supplemented with an Executive Function (EF) training and compare effects on various parameters in an experimental versus an active control group of obese youngsters (8-18 years old). WELCOME aims to (a) train youngsters' executive functions to facilitate effects on weight loss, psychological and medical comorbidities, (b) to enhance the long-term effects by continuing the training in the daily home context with booster sessions, and (c) to investigate its effects until a 6-month follow-up. In comparison to the active control group, better progress is expected in the experimental group on following variables: weight, psychological comorbidities (unhealthy eating behavior, internalizing symptoms, impaired self-esteem) and medical comorbidities (metabolic syndromes, endothelia dysfunction, tonsillar hypertrophy and sleep obstruction). Discussion: It is stated that this EF-training for enhancing self-control abilities is necessary for a long-lasting effect of childhood obesity treatment interventions.},
  articleno    = {1075},
  author       = {Naets, Tiffany and Vervoort, Leentje and Ysebaert, Marijke and Van Eyck, Annelies and Verhulst, Stijn and Bruyndonckx, Luc and De Winter, Benedicte and Van Hoorenbeeck, Kim and Tanghe, Ann and Braet, Caroline},
  issn         = {1471-2458},
  journal      = {BMC PUBLIC HEALTH},
  keywords     = {BEHAVIORAL TREATMENT PROGRAM,EATING-DISORDER EXAMINATION,LIFE-STYLE,INTERVENTIONS,ATTENTIONAL BIAS,CHILDHOOD OBESITY,INDIVIDUAL-DIFFERENCES,INCREASED DISTRACTION,EFFORTFUL CONTROL,SELF-REGULATION,IMPULSE CONTROL},
  language     = {eng},
  pages        = {10},
  publisher    = {Bmc},
  title        = {WELCOME : improving WEight controL and CO-Morbidities in children with obesity via Executive function training : study protocol for a randomized controlled trial},
  url          = {http://dx.doi.org/10.1186/s12889-018-5950-3},
  volume       = {18},
  year         = {2018},
}

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