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The data regarding the application of motivational interviewing techniques (MITs) in the treatment of obese adolescents contain conflicting results. The case examined in this study belongs to a patient who was advised to diet and exercise and given medication for 5 years in the examination by a dietician and various outpatient clinics. However, the patient did not comply with the diet or use medication regularly, so weight gain continued. Laboratory tests showed the presence of insulin resistance and hepatosteatosis. The patient was sedentary, uncomfortable with their weight, and had limited family and peer relationships. The patient's BMI SDS was 3.7, with the physical examination showing the presence of acanthosis nigricans, striae, and mild kyphosis. MITs were conducted every 15 days for the first 3 months, and then once a month. At the end of the two-year follow-up, the patient's weight had decreased to 62 kg (BMI = 24.2 kg/m2, +1.15 SDS), and their family-peer relationships had improved. MITs are a treatment method healthcare teams should use for treating obesity in adolescents. MITs are also effective for the accompanying psychopathologies. Conducting frequent interviews in the early stages of obesity treatment may result in more positive findings. [ABSTRACT FROM AUTHOR]

Objective: Increased risk of unfavorable cardiovascular risk factors has been recognised in ageing patients with haemophilia (PwH), but needs further studies in younger patients. The purpose of this study was to assess obesity, hypertension (HT), metabolic variables, insulin resistance and metabolic syndrome in young PwH. Methods: Forty-eight haemophilia A and B patients and 35 age and sex matched healthy controls were included in the study. Anthropometric measurements, blood pressure (BP), fasting glucose and insulin levels, serum lipids and diet were evaluated. The metabolic syndrome was defined according to the criteria of the International Diabetes Federation for pediatric and adult age groups. Results: The mean age of PwH was 21±9 years (range, 6-40 years). Of those ≥18 years, 46% were were obese/overweight while there were no obese/overweight cases in the <18 year-old patients. Obesity was more prevalent in PwH with arthropathy (p=0.017). Seven percent of the PwH between 10 and 18 years-old and 25% of those ≥18 years had metabolic syndrome. There was no difference in metabolic syndrome frequency between PwH and controls >10 years-old (19.5% vs 10% respectively, p=0.34). Fifty percent of the PwH ≥18 years-old had elevated BP or HT. Fasting blood glucose levels of PwH were significantly higher compared to controls (p=0.02). Conclusion: Our study showed that obesity, HT and metabolic syndrome are frequent problems, especially in PwH with arthropathy. Early prevention and management of overweight, obesity and their sequelae must be addressed in clinical practice in order to maximize the overall health of the haemophilia population. [ABSTRACT FROM AUTHOR]