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17-02-2017 | Uitgave 6/2017

Quality of life improves in children and adolescents during a community-based overweight and obesity treatment

Tijdschrift:: Quality of Life Research > Uitgave 6/2017

Auteurs:: Pernille M. Mollerup, Tenna R. H. Nielsen, Christine Bøjsøe, Julie T. Kloppenborg, Jennifer L. Baker, Jens-Christian Holm

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Abstract

Purpose

The quality of life is compromised in children and adolescents with overweight or obesity. The aim of this study was to evaluate whether the quality of life improves during a community-based overweight and obesity treatment, and whether improvements depend on reductions in the degree of obesity.

Methods

Quality of life was assessed using the Pediatric Quality of Life Inventory (PedsQL) 4.0 in children and adolescents aged 3–18 years with overweight or obesity [body mass index (BMI) ≥85th percentile] upon entry into a community-based chronic care overweight and obesity treatment based upon The Children’s Obesity Clinic’s Treatment protocol, and upon follow-up after 10–30 months of treatment. Height and weight were measured at each consultation and converted into a BMI standard deviation score (SDS).

Results

Upon entry, 477 children (212 boys) completed a PedsQL, and 317 (143 boys) completed another PedsQL after a median of 13 months of treatment. Quality of life improved (p < 0.001), regardless of sex, age, and pubertal development stage upon entry (p ≥ 0.108). Greater reductions in BMI SDS and high socioeconomic status were associated with greater improvements in the quality of life (p ≤ 0.047). However, improvements also occurred in children and adolescents with low socioeconomic status or who increased their BMI SDS (p < 0.001).

Conclusions

Improvements in quality of life occurred in children and adolescents during a community-based overweight and obesity treatment, even in children and adolescents who increased their BMI SDS. Thus, improvements may be due to the treatment itself and not exclusively to reductions in BMI SDS.

Trial registration

Clinicaltrials.gov, ID-no.: NCT02013843.

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Titel: Quality of life improves in children and adolescents during a community-based overweight and obesity treatment
Auteurs:: Pernille M. Mollerup
Tenna R. H. Nielsen
Christine Bøjsøe
Julie T. Kloppenborg
Jennifer L. Baker
Jens-Christian Holm
Publicatiedatum: 17-02-2017
DOI: https://doi.org/10.1007/s11136-017-1504-x
Uitgeverij: Springer International Publishing
Tijdschrift: Quality of Life Research An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation - An Official Journal of the International Society of Quality of Life Research
Uitgave 6/2017
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649

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Abstract

Purpose

Methods

Results

Conclusions

Trial registration

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