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