Impact of an Effort Rehabilitation Program for Overweight/Obese Children/Teens on Quality of Life and Wellbeing
Impact of an Effort Rehabilitation Program for Overweight/Obese Children/Teens on Quality of Life and Wellbeing
Obese and overweight children or teens can join the Prevention and Care of Pediatric Obesity
 and Pediatric Diabetes Organization of Mulhouse. Those patients who are no longer able to
 exercize because of their physical condition start an effort rehabilitation program at the
 Organization. The study will evaluate the impact of this rehabilitation program on quality of
 life and appetency to physical activity for these children and teens.
Because of a National Obesity Plan (2010-2013) initiated by the French government in charge
 of health, the Pediatric Obesity and Pediatric Diabetes Organization of Mulhouse was created
 in 2011.

 This Organization is in charge of children or teens with:

 -  severe or growing obesity associated with respiratory, osteo-articular metabolic
 complications

 -  comorbidities worsened by obesity

 The Organization and the Physical Medicine and Rehabilitation department of the Mulhouse
 Hospital have worked together to create an effort rehabilitation program for obese or
 overweight children. The program, aiming movement rehabilitation, is based on reinforcement
 and endurance activities in a playful atmosphere and in an important motivational dimension.
 A medical examination is performed before the first session to confirm the patient's ability
 to follow an effort rehabilitation program. Each session is supervised by a teacher of
 adapted physical activity.
Inclusion Criteria:

 -  BMI > 97 percentile

 -  at least one of the following symptoms :

 -  respiratory functional signs

 -  orthopedic complications

 -  sleep apnea

 -  cardiovascular complications

 -  metabolic syndrome

 Exclusion Criteria:

 -  lack of motivation

 -  uncontrolled psychological issue

 -  ambulatory care more appropriate to treat the same issues

 -  any related psychiatric pathology likely to worsen with weight loss

 -  patient or family not committed to therapeutics program

 -  psychological inability to deal with separation

 -  behavior disorders making collective activity impossible