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Improvements in self-reported and parent-proxy perceptions of adolescents’ health-related quality of life following a multidisciplinary obesity treatment program

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Abstract

Purpose

To evaluate the effects of a Multidisciplinary Obesity Treatment Program (PMTO) on parent-proxy perceptions and self-reported health-related quality of life (HRQoL) in overweight and obese adolescents.

Methods

Ninety-two overweight and obese adolescents aged 10–18 years were assigned to the PMTO. HRQoL was assessed with the Pediatric Quality of Life Inventory (PedsQLTM 4.0), administered to the adolescents and their parents/guardians at baseline and post-intervention. This intervention lasted 16 weeks and was based on cognitive behavioral therapy with the involvement of a psychologist, a nutritionist and exercise professionals.

Results

Adolescents reported improved physical [pre: 78.13 (21.1) to post: 84.38 (18.8); p < 0.001; effect size: 0.43], social [pre: 80.0 (30.0) to post: 85.0 (20.0); p = 0.033; effect size: 0.10], psychosocial [pre: 75.0 (22.8) to post: 76.67 (19.6); p = 0.013; effect size: 0.18], and total [pre: 75.0 (17.4) to post: 79.35 (16.8); p = 0.001; effect size: 0.28] domain scores. As for parent-proxy perceptions, improvements for all domains, except school domain, were noted (p < 0.05; effect sizes: from 0.26 to 0.34) post-intervention. At baseline, parents presented lower scores than the adolescents’ HRQoL for all domains (p < 0.05). However, following the intervention, parents only had lower scores than their children for the physical and total domains of the HRQoL scale.

Conclusions

In addition to improving HRQoL in the adolescents, the PMTO improved parent-proxy perceptions of their children’s HRQoL.

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Abbreviations

BMI:

Body mass index

ES:

Effect size

HRQoL:

Health-related quality of life

PMTO:

Multidisciplinary obesity treatment program

WC:

Waist circumference

HC:

Hip circumference

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Acknowledgements

The authors thank the members of the Multiprofessional Nucleus of Obesity Treatment program for their contributions to data collection and intervention development. The authors would also like to thank the Araucaria Foundation, Capes, and the Brazilian Ministry of Health for financial support and scholarships. This study was funded by Araucaria Foundation (agreement 179/10, protocol 19213).

Author information

Authors and Affiliations

  1. Multiprofessional Nucleus of Obesity Study, Department of Physical Education, State University of Maringa, Clinical Research Center of University Hospital of Maringa, Herculano Ribeiro de Paiva Street, 948, Paris, Maringa, Parana, 87083-380, Brazil

    Josiane Aparecida Alves Bianchini, Danilo Fernandes da Silva, Rafaela Pilegi Dada, Carlos Andrés Lopera & Nelson Nardo Junior

  2. Human Kinetics, Department of Cancer Epidemiology and Prevention Research, Alberta Health Services, Calgary, AB, Canada

    Jessica McNeil

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  1. Josiane Aparecida Alves Bianchini
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  2. Danilo Fernandes da Silva
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  3. Rafaela Pilegi Dada
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  4. Carlos Andrés Lopera
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  5. Jessica McNeil
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  6. Nelson Nardo Junior
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Corresponding author

Correspondence to Josiane Aparecida Alves Bianchini.

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The authors declare that they have no conflict of interest.

Ethical standard

This study was approved by the local Ethics Committee (protocol 463/2009). All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Informed consent

Informed consent was obtained from all individual participants included in the study.

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Bianchini, J.A.A., da Silva, D.F., Dada, R.P. et al. Improvements in self-reported and parent-proxy perceptions of adolescents’ health-related quality of life following a multidisciplinary obesity treatment program. Sport Sci Health 13, 131–137 (2017). https://doi.org/10.1007/s11332-016-0341-6

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  • DOI: https://doi.org/10.1007/s11332-016-0341-6

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