1109 Obesity-Therapy and Self-Regulation in Children From Age 8 to 17 Years Over 10 Years

Background and aims: Since 1997 we carry out the treatment program for children from age 8-12 years and adolescents from age 13-17 years with their parents. The goal is to learn self-control and self-regulation of eating behaviour, to obtain better physical fitness and slithly bodyweight reduction. Methods: Because the psycho-social problems are often overlooked and focusing on the longterm physical health, there is an emerging evidence to show the association between the psychological problems and obesity of the children and adolescents. Our obesity-therapy (>P.97) is concipatied over 3 years for children and parents. The program includes in the first year 1 times / week education in behaviour modification and nutrition by a psychologist and nutrition by a psychologist and nutritionist, the same happens with the parents in a way of family-therapy. The children participate in 3-times a week of different physical fitness in the first year. Results: In an on-going-study we can report over 400 children of our therapy-Program that based on the 7-Phase-Mode of Kanfer. After 3 years there is an reduction of BMI-SDS 2,7±0,5 kg/m 2 to 2,1±0,8 kg/m 2 . 43 % have a reduction of 0,2 and 29 % of BMI-SDS < 0,5. 72 % of all children and adults have positive results. Conclusion: The results of the T.O.M.-program indicate that long term weight-control is feasible in children and adolescents and is worthwhile as a wide range of improvements in risk faktors and selfconfidence can be demonstrated.