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This multicenter prospective quasi-experimental study aims to compare the effectiveness of day hospitalization versus full-time hospitalization for adolescents with severe obesity. The primary outcome is the change in BMI z-score measured six months after the end of treatment.
This study evaluates two healthcare delivery models for adolescents with severe obesity: day hospitalization and full-time hospitalization. It examines clinical, biological, psychological, and social outcomes, as well as patient satisfaction and predictors of response. The objective is to identify patient profiles that benefit most from each treatment modality to optimize care pathways
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Day Hospitalization (DH) | Other | Multidisciplinary day hospital program for adolescents with severe obesity, including medical follow-up, nutritional counseling, physical activity, and psychological support, provided during daytime without overnight stay. |
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| Full-Time Hospitalization (FTH) | Other | Multidisciplinary full-time hospitalization program for adolescents with severe obesity, including medical follow-up, nutritional counseling, physical activity, and psychological support, provided with continuous inpatient care. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Day Hospital Multidisciplinary Care | Other | Adolescents with severe obesity involved in a day hospital program following standard multidisciplinary care will receive treatment as usual, including medical monitoring, nutritional counseling, physical activity, and psychological support provided during daytime sessions without overnight stay. |
| Measure | Description | Time Frame |
|---|---|---|
| hange in BMI z-score | BMI z-score calculated based on weight, height, sex, and age | From date of admission (baseline, T0) until the first occurrence of [event of interest], assessed up to 9 months after inclusion. |
| Measure | Description | Time Frame |
|---|---|---|
| Pain intensity assessed using Visual Analog Scale (VAS) | Pain intensity will be measured using a 0-10 Visual Analog Scale, where 0 indicates no pain and 10 indicates worst imaginable pain. | Baseline and end of treatment (3 months) |
| Quality of life assessed using the SF-36 questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
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Participants are assigned to one of two parallel groups based on the type of care provided at each participating center: day hospitalization or full-time hospitalization. This is a non-randomized, quasi-experimental multicenter study in which allocation depends on the standard care model available at each site. Outcomes are compared between groups at baseline, end of treatment, and 6 months after completion of care.
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| Full-Time Inpatient Multidisciplinary Care | Other | subjects with Anorexia Nervosa (AN) involved in a day hospital or an inpatient program following HAS guidelines for anorexia nervosa treatment (treatment as usual) who will receive in addition an adapted physical activity program (one lesson per week, during 8 weeks) Adapted Physical Activity program, including psychoeducation on both problematic physical activity and consequences in terms of physical activity good practice leads to a better outcome among persons suffering from anorexia nervosa. |
|
Quality of life will be assessed using the Short Form-36 (SF-36), which includes 8 domains. Scores range from 0 to 100, with higher scores indicating better quality of life. |
| Baseline and end of treatment (3 months) |
| Anxiety and depression assessed using the Hospital Anxiety and Depression Scale (HADS) | The HADS questionnaire consists of 14 items, with two subscales (anxiety and depression), each ranging from 0 to 21. Higher scores indicate greater symptom severity. | Baseline and end of treatment (3 months) |
| Fatigue assessed using the Fatigue Severity Scale (FSS) | Fatigue will be measured using the Fatigue Severity Scale, consisting of 9 items rated on a 1 to 7 scale. Higher scores indicate greater fatigue severity. | Baseline and end of treatment (3 months) |
| ID | Term |
|---|---|
| D063766 | Pediatric Obesity |
| ID | Term |
|---|---|
| D009765 | Obesity |
| D050177 | Overweight |
| D044343 | Overnutrition |
| D009748 | Nutrition Disorders |
| D009750 | Nutritional and Metabolic Diseases |
| D001835 | Body Weight |
| D012816 | Signs and Symptoms |
| D013568 | Pathological Conditions, Signs and Symptoms |
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