Abstract
Background/Aims: Concering the treatment of morbid obesity in childhood there still do exist few evaluated treatment programmes. In Germany only 49% of 119 investigated outpatient treatment programmes work with the evidential successful combination of psychological, nutrition-oriented and physical care. 19% evaluate effects at the end of the therapy (Reinehr, T.& Wabitsch, M., 2003). For the group of morbidly obese children and adolescents a special multi-disciplinary treatment procedure including dietetic, psychological and physical counselling and medical care has been introduced within the outpatient's clinic in the year 1999. The multi-disciplinary team's main objective is to achieve a change in a morbid obese person's handling of food and eating customs. This goal should be reached by means of an individual care, connected to a slow weight reduction and a rearrangement of living and nutritional habits towards a diverse, low-fat and carbohydrate-rich diet.
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