Objective: To evaluate the SickKids Team Obesity Management Program (STOMP), an obesity management program for severely obese adolescents. Methods: Non-randomized study of 6 and 12 month outcomes in STOMP patients vs. a comparison group of obese adolescents. Results: At 6 months, STOMP patients stabilized their BMI (0.08±0.3 kg/m2;p=0.79) and reported improved psychological and health behaviour measures, whereas comparison participants increased their BMI (0.7±0.2 kg/m2;p=0.004) and had worsening of cardiometabolic outcomes. Between-group differences included improved cardiometabolic, psychological and health behaviour measures in STOMP patients. At 12 months, STOMP patients stabilized their BMI (0.8±0.5 kg/m2;p=0.07), had improvements in anthropometric and cardiometabolic outcomes and reported an increase in health behaviours, whereas comparison participants increased their BMI (1.2±0.4 kg/m2;p=0.001) and had worsening of cardiometabolic outcomes. Between-group differences included improved anthropometric, cardiometabolic and health behaviour outcomes in STOMP patients. Conclusions: Participation in STOMP improved anthropometric, cardiometabolic, psychological and health behaviour outcomes among severely obese adolescents.

Objective: To evaluate the SickKids Team Obesity Management Program (STOMP), an obesity management program for severely obese adolescents. Methods: Non-randomized study of 6 and 12 month outcomes in STOMP patients vs. a comparison group of obese adolescents. Results: At 6 months, STOMP patients stabilized their BMI (0.08±0.3 kg/m2;p=0.79) and reported improved psychological and health behaviour measures, whereas comparison participants increased their BMI (0.7±0.2 kg/m2;p=0.004) and had worsening of cardiometabolic outcomes. Between-group differences included improved cardiometabolic, psychological and health behaviour measures in STOMP patients. At 12 months, STOMP patients stabilized their BMI (0.8±0.5 kg/m2;p=0.07), had improvements in anthropometric and cardiometabolic outcomes and reported an increase in health behaviours, whereas comparison participants increased their BMI (1.2±0.4 kg/m2;p=0.001) and had worsening of cardiometabolic outcomes. Between-group differences included improved anthropometric, cardiometabolic and health behaviour outcomes in STOMP patients. Conclusions: Participation in STOMP improved anthropometric, cardiometabolic, psychological and health behaviour outcomes among severely obese adolescents.

Bakgrund: Barnfetma är på väg att bli ett stort folkhälsoproblem i samhället. 42 miljoner barn under fem år är överviktiga i världen. God självkänsla är viktigt för det psykiska välbefinnandet. Syfte: Vi vill undersöka om en överviktig ungdom löper större risk att drabbas av låg självkänsla jämfört med en normalviktig ungdom. Metod: Vi har gjort en litteraturstudie där vi har analyserat tio vetenskapliga artiklar. Resultat: Övervikt och fetma är ett stort problem med negativ påverkan på ungdomars psykiska hälsa. Skillnader finns mellan kön, etnicitet och socioekonomisk bakgrund. Flickor rapporterar lägre självkänsla än pojkar och ungdomar med afroamerikansk etnicitet rapporterar högre självkänsla än ungdomar från andra etniciteter. Slutsats: Övervikt och fetma har ett tydligt samband med låg självkänsla hos ungdomar, speciellt tydligt hos flickor. Därför är det viktigt att börja med insatser i tidig ålder för att motverka övervikt. / Background: Childhood obesity is becoming a major public health issue in the community. 42 million children under the age of five are overweight globally. Good self-esteem is important for mental well-being. Aim: We wanted to investigate if overweight youths were more likely to develop low self-esteem compared with normal weight youths. Method: We did a literature study where we analyzed ten scientific articles. Results: Overweight and obesity is a major problem with a negative impact on adolescent’s mental health. There is a difference between gender, ethnicity and socioeconomic background found in these studies. Girls report lower self-esteem compared to boys and young African-American report higher self-esteem compared to adolescents from other ethnicities. Conclusion: Overweight and obesity is clearly associated with low self-esteem in adolescents, especially evident in female gender. Therefore, it is important to start with interventions at an early age to prevent the problem of obesity.

The purpose of this study was to assess the efficacy of two different modes of exercise in an overweight and obese population over a 12-week period. Subjects: Forty-four overweight or obese individuals were recruited from a weight loss organisation. Participants were randomised into one of two groups which were matched according to age, gender and body mass index (BMI). The interventions consisted of either intermittent interval exercise (INT group), or intermittent steady-state exercise (SS group). Participants in both groups were on an identical strict caloric diet during the intervention period. Methods: Baseline and post-intervention testing consisted of the assessment of aerobic fitness, blood lipid profile, resting metabolism, body composition, vascular function, quality of life and activity levels. The exercise regime for the INT group consisted of a 1:2 min ratio of moderate intensity (70 75% V&O2peak) to low intensity exercise (40 45% V&O2peak), while the SS group exercised continuously between 50 55% V&O2peak. Total work per session was the same per group. Exercise consisted of walking/jogging twice daily for 15 mins five days per week. Eighteen participants dropped out of the study leaving 12 in the INT group and 14 in the SS group. Results: Peak oxygen uptake and exercise time to exhaustion increased significantly over time in the interventions (P < 0.001). Significant positive changes occurred in several blood tests, including liver function, insulin like growth factor (IGF- 1) and lipid levels (cholesterol, triglyceride, low density lipoprotein (LDL) and very low density lipoprotein (VLDL) and coronary risk ratio, all P < 0.05 over time). Additionally, uric acid and VLDL levels significantly decreased over time in the SS and INT groups, respectively (P < 0.05), whereas IGF-1 levels significantly increased in the SS group over time (P < 0.05). Body composition measures, including BMI, body mass, fat mass, percent of body fat, gynoid obesity and hip circumference, as well as waist circumference decreased significantly over time (P < 0.05). Several components of the SF-36 quality of life questionnaire (physical function, role physical, bodily pain, general health, vitality, social function and mental health) improved significantly over time (P < 0.05), while mental health also significantly improved over time in the SS group (P < 0.01). Finally, anxiety and depression levels were significantly reduced over time (P < 0.05). However, none of these changes over time significantly differed between the two groups. Conclusion: Both exercise interventions resulted in significant improvement over time in numerous health and fitness variables in an overweight and obese population. No significant differences were found, in the interaction term during a 2-way ANOVA, between the two groups at post-intervention. A longer intervention period, or changes to interval duration and intensities may result in more significant differences between the two training methods.

Diss. (sammanfattning) Stockholm : Karolinska institutet, 2005. / Härtill 5 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2003. / Härtill 6 uppsatser.

Diss. (sammanfattning) Stockholm : Karol inst., 2004. / Härtill 4 uppsatser.

Diss. (sammanfattning) Stockholm : Karol. inst., 2004. / Härtill 4 uppsatser.

Thesis (Ph.D.) -- University of Adelaide, Dept. of Physiology, 2001. / Errata pasted onto back page. Bibliography: leaves 193-228.

Thesis (M.S.)--Missouri State University, 2008. / "May 2008." Includes bibliographical references (leaves 58-64). Also available online.