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1 OVERWEIGHT AND OBESE ADOLESCENTS IN GREECE. A STUDY PROTOCOL OF THE FEEDING-EXERCISE TRIAL IN ADOLESCENTS (FETA) Anna Patsopoulou, George Rachiotis,

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Presentation on theme: "1 OVERWEIGHT AND OBESE ADOLESCENTS IN GREECE. A STUDY PROTOCOL OF THE FEEDING-EXERCISE TRIAL IN ADOLESCENTS (FETA) Anna Patsopoulou, George Rachiotis,"— Presentation transcript:

1 1 OVERWEIGHT AND OBESE ADOLESCENTS IN GREECE. A STUDY PROTOCOL OF THE FEEDING-EXERCISE TRIAL IN ADOLESCENTS (FETA) Anna Patsopoulou, George Rachiotis, Antonis Katsioulis, Paschalis Adam Molyvdas, Christos Hadjichristodoulou

2 2 Introduction-Description  Obesity: is a common but often underestimated condition of clinical and public health importance all over the world is an important risk factor for morbidity and mortality 1.  Adolescence is a period of major physical and cognitive change and it has been considered as a "critical period" for the development of adult obesity.  Adolescents with established overweight or obesity have a moderate to substantial risk of remaining so in adulthood 2.  In Greece several studies have been conducted on the prevalence of overweight and obesity among children.  On the contrary, only few studies investigate the prevalence of obesity among adolescents 3-6. The FETA programme has the following aims: a)To investigate the prevalence of obesity and the risk factors among adolescents years old and their parents. b)To compare and evaluate the efficacy of two different clinical interventions among overweight and obese adolescents.

3 3 FETA: The study consisted of two parts Part 1. Descriptive study  816 adolescents aged 12 to18 in public schools of Larissa took part.  Measures: height, weight, BMI, waist circumference, systolic and diastolic blood pressure, and cardiac rate, parental authority and motivation, and last, information on dietary and exercise habits of the adolescents and their parents.  Used 3 questionnaires: 1.The modified version of Parental Authority Questionnaire (PAQ) 7,8 2.The modified version of Parent-Initiated Motivational Climate Questionnaire-2 (PIMCQ-2) 9 3.The modified version of the Family Eating and Activity Habits Questionnaire (FEAHQ) 10-12

4 4 Part 2.Intervention Program (Clinical Trial)  Two different interventions groups and one control group were employed: the 1st group participated in an exercise program, the 2nd group participated in a combined dietary and exercise program, and  Each group comprised of 50 individuals, aged 12 to 18, of both sexes.  Measures: height, weight, BMI, waist circumference, systolic and diastolic blood pressure, and cardiac rate, speed trial (10x5m, Eurofit) and last, information on dietary and exercise habits of the adolescents and their parents.  The modified version of the Family Eating and Activity Habits Questionnaire (FEAHQ) was used.  duration of the program: six months

5 5 CONCLUSIONS  It is expected that the results of the study will provide useful information about the effectiveness of preventive interventions among overweight and obese adolescents.  The environment of children has drastically changed in all over the world during the last decades as reflected in unhealthy dietary habits and a sedentary lifestyle. Our goal was to identify how parental feeding and exercise practices influence the life style of their children and either the mother or the father influenced their more.  The proposed FETA programme could be used by health professionals inside schools to identify adolescent at high risk for obesity from early life. This simple and inexpensive programme could be useful in assisting obesity in the adolescents preventing initiatives.

6 6 References 1. Hedley AA, Ogden CL, Johnson CL, Carroll MD, Curtin LR, Flegal KM. Prevalence of overweight and obesity among US children, adolescents, and adults, 1999–2002. JAMA. 2004; 291 (23): 2847– Shrewsbury VA, O'Connor J, Steinbeck KS, Stevenson K, Lee A, Hill AJ, Kohn MR, Shah S, Torvaldsen S, Baur LA. A randomised controlled trial of a community-based healthy lifestyle program for overweight and obese adolescents: the Loozit study protocol. BMC Public Health 2009; 9:119 doi: / Jelastopulu E, Kallianezos P, Merekoulias G, Alexopoulos EC, Sapountzi-Krepia D. Prevalence and risk factors of excess weight in school children in West Greece. Nurs Health Sci Sep;14(3): doi: /j x. Epub 2012 May Kosti RI, Panagiotakos DB, Mihas CC, Alevizos A, Zampelas A, Mariolis A, Tountas Y. Dietary habits, physical activity and prevalence of overweight/obesity among adolescents in Greece: the Vyronas study. Med Sci Monit. 2007; 13(10): CR Kosti RIPanagiotakos DBMihas CCAlevizos AZampelas AMariolis ATountas YMed Sci Monit. 5. Krassas GE, Tzotzas T, Tsametis C, Konstantinidis T. Prevalence and trends in overweight and obesity among children and adolescents in Thessaloniki, Greece. J Pediatr Endocrinol Metab. 2001; 14(5): Krassas GETzotzas TTsametis CKonstantinidis TJ Pediatr Endocrinol Metab. 6. Manios Y, Birbilis M, Moschonis G, Birbilis G, Mougios V, Lionis C, Chrousos GP; “Healthy Growth Study” group. Childhood Obesity Risk Evaluation based on perinatal factors and family sociodemographic characteristics: CORE index. Eur J Pediatr. 2013; 172(4): doi: /s y. Epub 2013 Jan 10.Manios YBirbilis MMoschonis GBirbilis GMougios VLionis CChrousos GP“Healthy Growth Study” groupEur J Pediatr. 7. Baumrind D. Current patterns of parental authority. Developmental Phychology. 1971; 4(1): Buri JR. Parental Authority Questionnaire. Journal of Personality Assessment. 1991; 57(1): White SA, Duda JL, Hart S. An exploratory examination of the Parent-initiated Motivational Climate Questionnaire. Percept Mot Skills. 1992; 75(3 Pt 1): White SADuda JLHart SPercept Mot Skills. 10. Golan M. Fifteen years of the Family Eating and Activity Habits Questionnaire (FEAHQ): an update and review. Pediatr Obes. 2013; 28. doi: /j x. [Epub ahead of print]Golan MPediatr Obes. 11. Golan M, Weizman A. Reliability and validity of the Family Eating and Activity Habits. European Journal of Clinical Nutrition.1998; 52 (10): Golan M, Weizman A, Apter A, Fainaru M. Parents as the exclusive agents of change in the treatment of childhood obesity. Am. J. Clin. Nutr. 1998; 67 (6):


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