Adiposity with pathological significance

1. General remarks

in our clinic overweight children and adolescents have been treated for decades with sustained success. In this way our physicians and the entire therapeutical team have acquired a large body of experience in the treatment of adipose children and adolescents. In our clinic, adipose children and adolescents ranging from 3 to 18 years of age are treated.

2. Grounds for in-patient treatment

In many cases, in-patient treatment has been preceded by a number of futile attempts to reduce weight. Frequently, adipose children and adolescents end up in a vicious circle of obesity and rejection by playmates and classmates. They are also unable to keep up with the others in games and sports. Isolation and lack of movement, often combined with further gain in weight, are the consequences. Behavior-oriented treatment in a special clinic can be used to break this vicious circle.

3. Symptoms for in-patient treatment

4. Concept of treatment of the Klinik Sch�nsicht

Basically the therapy focusses on a sustained weight reduction and on improving the general state of health at the time of admission. Changing location, experiencing life in a group and building up motivation are important factors for a successful treatment. Success of the treatment is documented through intensive medical examinations, laboratory and function diagnosis, regular weight controls, and through measuring physical performance during the entire course of the in-patient therapy.

The therapy of adiposity rests upon the following four fundamental principles:

Optimized mix of nutrition

The food dispensed at the clinic is a mix; it is low in calories, and high in vitamins and dietary fiber (1200-1500 kcal). Food items and calorie content are varied according to the desired level of physical performance.

Sport therapy

The sports program is comprehensive and includes hiking, Nordic walking, jogging, swimming (in the clinic's indoor swimming pool), gymnastics, ball and team sports, as well as cross-country skiing in winter. The program aims at an overall measurable improvement in physical condition, that includes factors relevant to sport such as coordination, power, endurance and speed.

Psychological care

Age-based psychological care takes place in groups and aims at building up an optimal motivation for weight reduction, at changing eating behavior, at raising self-esteem, and at furthering self-confidence as well as self-discipline. Children and adolescents with mental problems or psychosomatic disorders receive a corresponding individual therapy.

Training of patients

In order to change the patients' eating habits beyond the period of in-patient treatment, our dietary instructor offers weekly dietary training sessions and dietary cookery courses.

5. Successful treatment - a good start for life at home

Within the scope of the usual in-patient treatment of 6 weeks, children of up to 10 years of age can reach a weight loss of 0.5 - 1.0 kg per week, while children and adolescents from 10 years upwards can reach 1.0-2.0 kg per week. Children and adolescents who have been prepared for the treatment by their parents before coming to the clinic, have been found to co-operate during their stay with particularly successful results. An in-patient treatment of 6 weeks ensures not only the desired weight loss but also success in the learning and training program and the necessary change of lifestyle.

6. Long-term therapy of extremely adipose children and adolescents

For children and adolescents who have been declared by the family doctor to be 60% or more overweight, a long-term therapy of several months is recommended. This long-term therapy must be applied for separately at the competent funding agency.