Was konservative Adipositasschulung leisten kann und soll

Conservative, intensive, interdisciplinary health behavior and lifestyle treatment for children and adolescents with obesity is offered in Germany and Austria mainly in the form of outpatient obesity group training or inpatient rehabilitation programmes and is still recommended as first-line therapy in national and international guidelines. The aim of this article is to provide an overview of the possible effects and limitations of such interventions, as well as the current evidence-based recommendations of international and national evidence-based clinical practice guidelines, and to describe how they are currently implemented. Current developments, such as those compiled, designed and negotiated by the Disease Management Programme (DMP) Obesity in Germany or by a national care concept in Austria, provide a treatment chain in which conservative treatment of obesity is a central pillar; however, it also takes into account the limitations, including the fact that not all children and adolescents meet the indication criteria for group training and the limited long-term efficacy. Changes in society, policy and technology mean that existing approaches need to be adapted and developed to reach the target population. As a first-line and basic treatment, the content and didactic implementation of obesity education offer important elements for further treatment options, such as pharmacotherapy, in order to implement targeted, realistic and patient-centred obesity care and management.