Abstrakt

To improve the long-term effectivity of ambulant or inpatient rehabilitation of obese children or adolescents, an interdisciplinary group of the “Konsensusgruppe Adipositasschulung” (KgAS) developed an aftercare program. Evidence from recent studies, own experience as well as the quality criteria of the German Association of obesity in childhood and adolescents were taken in consideration. The indication for aftercare should be individualized, particularly, when the long-term success of the primary obesity training will be endangered. Then the aftercare is initiated by the rehabilitation unit, if necessary with support from national networks. A case manager will coordinate different modules and professions in the local region of the patient. The modular design of the program allows a flexible and individual use and takes into account the main features of the previous obesity training. 16 modules for the participants and their families, and 4 optional modules for parental obesity training, are described in an structured curriculum. The motivation to maintain the desired lifestyle is crucial. The resources as well as the obstacles are evaluated to support the patient’s behavioral and emotional change. The promotion of increased physical activity is of particular importance. The needs to create a legal framework are discussed.

Autoreninformation

Autoren

• R. Stachow¹
• B. Sievers-Böckel²
• A. Büssenschütt³
• A. Gahler⁴
• B. Daas⁵
• V. Faustin⁶
• J. Möttig⁷
• R. Jaeschke⁸
• A. Baudach⁹
• K. Stübing¹⁰
• I. Eggers¹¹
• G. Ramos¹²
• K. Bremer¹³
• K. Heber¹⁴
• A. von Egmond-Fröhlich¹⁵
• S. Wiegand¹⁶
• T. Lob-Corzilius¹⁷
• I. Gellhaus¹⁸

Abteilungen

• ¹ Fachklinik Sylt für Kinder und Jugendliche der DRV Nord, Westerland,
• ² Confirma – Beratung, Training, Paderborn,
• ³ ZABS – Zentrum für Adipositasschulung Bremen- Stadt,Bremen,
• ⁴ Zentrale für Ernährungsberatung e.V., Hamburg,
• ⁵ Fördekids durch Dick und Dünn, Kiel,
• ⁶ Adipositas Ambulanz, Göttingen,
• ⁷ Kinderrehaklinik „Am Nicolausholz“, Bad Kösen,
• ⁸ Waldburg-Zeil-Kliniken, Fachkiniken Wangen, Wangen,
• ⁹ Charlottenhall Rehabilitations- und Vorsorgekliniken, Bad Salzungen,
• ¹ 
• ⁰ Weiterbildungszentrum Euregio Bodensee, Scheidegg,
• ¹ 
• ¹ Ostsee Kurklinik Fischland GmbH, Wustrow,
• ¹ 
• ² Netzwerk NAchsorge (NeNa e.V.), Berlin,
• ¹ 
• ³ Fachklinik Prinzregent Luitpold, Scheidegg,
• ¹ 
• ⁴ CJD-Garz, Garz/Rügen,
• ¹ 
• ⁵ SMZ Ost – Donauspital, Abteilung für Kinderheilkunde und Jugendmedizin, Wien,
• ¹ 
• ⁶ Interdisziplinäres SPZ Charité, Berlin,
• ¹ 
• ⁷ Christliches Kinderhospital, Osnabrück und
• ¹ 
• ⁸ St. Vincenz Krankenhaus, Klinik für Kinder- und Jugendmedizin, Paderborn

Adresse

Dr. med. R. Stachow
Ärztlicher Direktor
Fachklinik Sylt der DRV Nord
Steinmannstraße 52 – 54
D–25980 Westerland
Email: [email protected]

Citation