Zusammenfassung
Adipositas bezeichnet eine gesundheitsgefährdende Vermehrung des Körperfettgewebes und liegt bei 5,9 % der Kinder und Jugendlichen in Deutschland vor. Zur Entstehung und Aufrechterhaltung tragen neben der genetischen Vulnerabilität und der adipogenen Umwelt individuelle psychische Faktoren wie Stressintoleranz oder Selbstregulationsdefizite bei. Adipositas geht mit einem hohen Stigmatisierungsrisiko einher und dieses trägt auch wesentlich zur Krankheitsaufrechterhaltung bei. Komorbid treten gehäuft psychische Auffälligkeiten bis hin zu psychischen Störungen auf, die der Adipositas vorausgehen, ihr aber auch folgen können. Psychologische Interventionen setzen zentral an der Modifikation des Ess-, Ernährungs- und Bewegungsverhaltens an und adressieren die mit Adipositas verbundenen psychischen Probleme. Neben einer langfristigen Gewichtsreduktion sollen gesundheitsförderliches Verhalten aufgebaut und die Lebensqualität gesteigert werden.
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Literatur
Abarca-Gómez L, Abdeen ZA, Hamid ZA et al (2017) Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128.9 million children, adolescents, and adults. Lancet 390:2627–2642. https://doi.org/10.1016/S0140-6736(17)32129-3
Brettschneider A-K, Schaffrath Rosario A, Kuhnert R, Schmidt S, Wiegand S, Ellert U, Kurth B-M (2015) Updated prevalence rates of overweight and obesity in 11- to 17-year-old adolescents in Germany. Results from the telephone-based KiGGS Wave 1 after correction for bias in self-reports. BMC Public Health 15:1101. https://doi.org/10.1186/s12889-015-2467-x
Carrière K, Khoury B, Günak MM, Knäuper B (2017) Mindfulness-based interventions for weight loss: a systematic review and meta-analysis. Obes Rev. https://doi.org/10.1111/obr.12623
Cortese S, Angriman M, Maffeis C, Isnard P, Konofal E, Lecendreux M, Purper-Ouakil D, Vincenzi B, Bernardina BD, Mouren M-C (2008) Attention-deficit/hyperactivity disorder (ADHD) and obesity: a systematic review of the literature. Crit Rev Food Sci Nutr 48:524–537. https://doi.org/10.1080/10408390701540124
Dohle S, Diel K, Hofmann W (2017) Executive functions and the self-regulation of eating behavior: a review. Appetite. https://doi.org/10.1016/j.appet.2017.05.041
Elks CE, den Hoed M, Zhao JH, Sharp SJ, Wareham NJ, Loos RJF, Ong KK (2012) Variability in the heritability of body mass index: a systematic review and meta-regression. Front Endocrinol 3:29. https://doi.org/10.3389/fendo.2012.00029
Fernandes J, Ferreira-Santos F, Miller K, Torres S (2017) Emotional processing in obesity: a systematic review and exploratory meta-analysis. Obes Rev. https://doi.org/10.1111/obr.12607
He J, Cai Z, Fan X (2017) Prevalence of binge and loss of control eating among children and adolescents with overweight and obesity: an exploratory meta-analysis. Int J Eat Disord 50:91–103. https://doi.org/10.1002/eat.22661
Hemmingsson E, Johansson K, Reynisdottir S (2014) Effects of childhood abuse on adult obesity: a systematic review and meta-analysis. Obes Rev 15:882–893. https://doi.org/10.1111/obr.12216
Hill DC, Moss RH, Sykes-Muskett B, Conner M, O’Connor DB (2018) Stress and eating behaviors in children and adolescents: systematic review and meta-analysis. Appetite 123:14–22. https://doi.org/10.1016/j.appet.2017.11.109
Jansen A, Houben K, Roefs A (2015) A cognitive profile of obesity and its translation into new interventions. Front Psychol 6:1–9. https://doi.org/10.3389/fpsyg.2015.01807
Javed A, Jumean M, Murad MH, Okorodudu D, Kumar S, Somers VK, Sochor O, Lopez-Jimenez F (2015) Diagnostic performance of body mass index to identify obesity as defined by body adiposity in children and adolescents: a systematic review and meta-analysis. Pediatr Obes 10:234–244. https://doi.org/10.1111/ijpo.242
Kleiser C, Schaffrath RA, Mensink GB, Prinz-Langenohl R, Kurth BM (2009) Potential determinants of obesity among children and adolescents in Germany: Results from the cross-sectional KiGGS Study. BMC Public Health 9:46. https://doi.org/10.1186/1471-2458-9-46
Kröller K, Warschburger P (2009) ISS – ein Instrument zur Erfassung elterlicher Steuerungsstrategien in der Essenssituation. Diagnostica 55:135–143. https://doi.org/10.1026/0012-1924.55.3.135
Kromeyer-Hauschild K, Wabitsch M, Kunze K, Geller F, Hesse V, von Hippel A, Jaeger U, Johnsen D, Korte W, Müller G, Müller JM, Niemann-Pilatus A, Remer T, Wittchen H-U, Zabransky S, Zellner K, Ziegler A, Hebebrand J (2001) Perzentile für den Body-Mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben. Monatsschr Kinderheilkd 149:807–818. https://doi.org/10.1007/s001120170107
Loveman E, Al-Khudairy L, Johnson RE, Robertson W, Colquitt JL, Mead EL, Ells LJ, Metzendorf M-I, Rees K (2015) Parent-only interventions for childhood overweight or obesity in children aged 5 to 11 years. Cochrane Database Syst Rev CD012008. https://doi.org/10.1002/14651858.CD012008
Mannan M, Mamun A, Doi S, Clavarino A (2016) Prospective associations between depression and obesity for adolescent males and females- a systematic review and meta-analysis of longitudinal studies. PLoS One 11:e0157240. https://doi.org/10.1371/journal.pone.0157240
Matheson BE, Eichen DM (2018) A review of childhood behavioral problems and disorders in the development of obesity: attention deficit/hyperactivity disorder, autism spectrum disorder, and beyond. Curr Obes Rep 7:19–26. https://doi.org/10.1007/s13679-018-0293-z
Ng M, Fleming T, Robinson M et al (2014) Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the global burden of disease study 2013. Lancet 384:766–781. https://doi.org/10.1016/S0140-6736(14)60460-8
Niemeier BS, Hektner JM, Enger KB (2012) Parent participation in weight-related health interventions for children and adolescents: A systematic review and meta-analysis. Prev Med 55:3–13. https://doi.org/10.1016/j.ypmed.2012.04.021
Peirson L, Fitzpatrick-Lewis D, Morrison K, Warren R, Usman Ali M, Raina P (2015) Treatment of overweight and obesity in children and youth: a systematic review and meta-analysis. CMAJ Open 3:E35–E46. https://doi.org/10.9778/cmajo.20140047
Peitz D, Warschburger P (2017) Mindful eating. Adipositas 11:154–159. https://doi.org/10.1055/s-0037-1618967
Puhl RM, Suh Y (2015) Health consequences of weight stigma: implications for obesity prevention and treatment. Curr Obes Rep 4:182–190. https://doi.org/10.1007/s13679-015-0153-z
Pulgarón ER (2013) Childhood obesity: a review of increased risk for physical and psychological comorbidities. Clin Ther 35:A18–A32. https://doi.org/10.1016/j.clinthera.2012.12.014
Reinert KRS, Po’e EK, Barkin SL (2013) The relationship between executive function and obesity in children and adolescents: a systematic literature review. J Obes 2013:820956. https://doi.org/10.1155/2013/820956
Schienkiewitz A, Damerow S, Rosario AS, Kurth BM (2019) Body-Mass-Index von Kindern und Jugendlichen: Prävalenzen und Verteilung unter Berücksichtigung von Untergewicht und extremer Adipositas. Bundesgesundheitsblatt-Gesundheitsforschung-Gesundheitsschutz, 62:1225–1234. https://doi.org/10.1007/s00103-019-03015-8
Shloim N, Edelson LR, Martin N, Hetherington MM (2015) Parenting styles, feeding styles, feeding practices, and weight status in 4-12 year-old children: a systematic review of the literature. Front Psychol 6:1849. https://doi.org/10.3389/fpsyg.2015.01849
Simmonds M, Llewellyn A, Owen CG, Woolacott N (2015) Predicting adult obesity from childhood obesity: a systematic review and meta-analysis. Obes Rev. https://doi.org/10.1111/obr.12334
Sokol RL, Qin B, Poti JM (2017) Parenting styles and body mass index: a systematic review of prospective studies among children. Obes Rev 18:281–292. https://doi.org/10.1111/obr.12497
Sonntag D, Ali S, Lehnert T, Konnopka A, Riedel-Heller S, König H-H (2015) Estimating the lifetime cost of childhood obesity in Germany; results of a Markov Model. Pediatr Obes 10:416–422. https://doi.org/10.1111/ijpo.278
Sutaria S, Devakumar D, Yasuda SS, Das S, Saxena S (2019) Is obesity associated with depression in children? Systematic review and meta-analysis. Arch Dis Child 104:64–74. https://doi.org/10.1136/archdischild-2017-314608
Tso MKW, Rowland B, Toumbourou JW, Guadagno BL (2018) Overweight or obesity associations with physical aggression in children and adolescents. Int J Behav Dev 42:116–131. https://doi.org/10.1177/0165025417690265
Turton R, Bruidegom K, Cardi V, Hirsch CR, Treasure J (2016) Novel methods to help develop healthier eating habits for eating and weight disorders: a systematic review and meta-analysis. Neurosci Biobehav Rev 61:132–155. https://doi.org/10.1016/j.neubiorev.2015.12.008
Warschburger P, Petermann F (2008) Adipositas: Leitfaden Kinder- und Jugendpsychotherapie. Hogrefe, Göttingen
Warschburger P, Petermann F, Fromme C (2005) Adipositas: Training mit Kindern und Jugendlichen. Beltz, Weinheim
Warschburger P, Gmeiner M, Morawietz M, Rinck M (2018) Evaluation of an approach-avoidance training intervention for children and adolescents with obesity: a randomized placebo-controlled prospective trial. Eur Eat Disord Rev 26:472–482. https://doi.org/10.1002/erv.2607
Yang Y, Shields GS, Guo C, Liu Y (2018) Executive function performance in obesity and overweight individuals: a meta-analysis and review. Neurosci Biobehav Rev 84:225–244. https://doi.org/10.1016/j.neubiorev.2017.11.020
Zuba A, Warschburger P (2018) Weight bias internalization across weight categories among school-aged children. Validation of the weight bias internalization scale for children. Body Image 25:56–65. https://doi.org/10.1016/j.bodyim.2018.02.008
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Warschburger, P. (2020). Adipositas im Kindes- und Jugendalter. In: Fegert, J., et al. Psychiatrie und Psychotherapie des Kindes- und Jugendalters. Springer Reference Medizin. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-49289-5_115-1
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