Skip to main content

Advertisement

Log in

Multidisciplinary obesity treatment program improved health-related quality of life and positively correlated with anthropometric and body composition but not with cardiorespiratory fitness parameters in adolescents

  • Published:
Quality of Life Research Aims and scope Submit manuscript

Abstract

Purpose

The aim of the present study was to verify the effects of a 16-week multidisciplinary obesity treatment program (MOTP) on health-related quality of life (HRQoL) in adolescents with weight excess. In addition, we verified a possible association between changes on HRQoL and anthropometric, body composition, and cardiorespiratory fitness (CRF) parameters.

Methods

Two hundred four adolescents aged from 15 to 18 years were distributed in control group (CG) and intervention group (IG). They underwent a 16-week MOTP composed by nutritional, psychological, and health-related physical activity group sessions. Moreover, they performed physical exercise sessions three times per week during the whole 16-week program. Data on HRQoL, body composition, CRF and anthropometry were collected using standard protocols and validated questionnaires.

Results

The MOTP promoted significant enhancements in all HRQoL domains, except for the school domain in IG. Furthermore, positive correlations between HRQoL and body weight (BW), body fat (BF), waist circumference (WC), and body mass index (BMI) z-score were verified. Higher scores of HRQoL might be achieved by improving these variables.

Conclusions

The 16-week MOTP was effective to improve HRQoL in adolescents with weight excess. This improvement has a positive correlation with enhancements in BW, BMI z-score, WC, and BF. Nevertheless, these findings have not reached a consensus on literature and still need to be further enlightened.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3

Similar content being viewed by others

References

  1. Abarca-Gómez, L., Abdeen, Z. A., Hamid, Z. A., Abu-Rmeileh, N. M., Acosta-Cazares, B., Acuin, C., et al. (2017). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: A pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. The Lancet, 390(10113), 2627–2642.

    Article  Google Scholar 

  2. The GBD 2015 Obesity Collaborators. (2017). Health effects of overweight and obesity in 195 countries over 25 years. New England Journal of Medicine, 377(1), 13–27.

    Article  Google Scholar 

  3. World Health Organization. Fact sheets on obesity and overweight. 2018. Retrieved from http://www.who.int/en/news-room/fact-sheets/detail/obesity-and-overweight.

  4. Lopera, C. A., da Silva, D. F., Bianchini, J. A. A., Locateli, J. C., Moreira, A. C. T., Dada, R. P., et al. Effect of water- versus land-based exercise training as a component of a multidisciplinary intervention program for overweight and obese adolescents. Physiology & Behavior. 2016;165.

  5. Bianchini, J. A. A., da Silva, D. F., Dada, R. P., Lopera, C. A., McNeil, J., & Nardo Junior, N. (2017). Improvements in self-reported and parent-proxy perceptions of adolescents’ health-related quality of life following a multidisciplinary obesity treatment program. Sport Sciences for Health, 13(1), 131–137.

    Article  Google Scholar 

  6. Katzmarzyk, P. T. (2015). Physical activity and obesity in pediatric exercise science. Pediatric Exercise Science, 27(4), 429–430.

    Article  PubMed  Google Scholar 

  7. Evaristo, S., Moreira, C., Santos, R., Lopes, L., Abreu, S., Agostinis-Sobrinho, C., et al. (2018). Associations between health-related quality of life and body mass index in Portuguese adolescents: LabMed physical activity study. International Journal of Adolescent Medicine and Health. https://doi.org/10.1515/ijamh-2017-0066.

    Article  PubMed  Google Scholar 

  8. Sutaria, S., Devakumar, D., Ss, Y., Das, S., & Saxena, S. (2018). Is obesity associated with depression in children? Systematic review and meta-analysis. Archives of Disease in childhood, 104(1), 64–74.

    Article  Google Scholar 

  9. Helseth, S., Haraldstad, K., & Christophersen, K. A. (2015). A cross-sectional study of Health Related Quality of Life and body mass index in a Norwegian school sample (8–18 years): A comparison of child and parent perspectives. Health and Quality of Life Outcomes, 13(1), 1.

    Article  Google Scholar 

  10. Kuhl, E. S., Rausch, J. R., Varni, J. W., & Stark, L. J. (2012). Impaired health-related quality of life in preschoolers with obesity. Journal of Pediatric Psychology, 37(10), 1148–1156.

    Article  PubMed  PubMed Central  Google Scholar 

  11. Schwimmer, J. B., Burwinkle, T. M., & Varni, J. W. (2003). Health-related quality of life of severely obese children and adolescents. JAMA, 289(14), 1813–1819.

    Article  PubMed  Google Scholar 

  12. Minor, T., Ali, M. M., & Rizzo, J. A. (2016). Body weight and suicidal behavior in adolescent females: The role of self-perceptions. The Journal of Mental Health Policy and Economics, 19(1), 21–31.

    PubMed  Google Scholar 

  13. Helen, F. D., Poll, F. A., Reuter, C. P., Burgos, M. S., & Mello, E. D. (2018). Health-related quality of life in adolescents with excess weight. Jornal de Pediatria. https://doi.org/10.1016/j.jped.2018.05.005.

    Article  Google Scholar 

  14. Morano, M., Rutigliano, I., Rago, A., Pettoello-Mantovani, M., & Campanozzi, A. (2016). A multicomponent, school-initiated obesity intervention to promote healthy lifestyles in children. Nutrition, 32(10), 1075–1080.

    Article  PubMed  Google Scholar 

  15. Nardo Junior, N., Bianchini, J. A. A., da Silva, D. F., Ferraro, Z. M., Lopera, C. A., & Antonini, V. D. S. (2018). Building a response criterion for pediatric multidisciplinary obesity intervention success based on combined benefits. European Journal of Pediatrics, 177(6), 1–12.

    Article  CAS  PubMed  Google Scholar 

  16. Lofrano-Prado, M. C., Antunes, H. K. M., do Prado, W. L., de Piano, A., Caranti, D. A., Tock, L., et al. (2009). Quality of life in Brazilian obese adolescents: Effects of a long-term multidisciplinary lifestyle therapy. Health Quality of Life Outcomes, 7, 1–8.

    Article  Google Scholar 

  17. Mollerup, P. M., Nielsen, T. R. H., Bøjsøe, C., Kloppenborg, J. T., Baker, J. L., & Holm, J. C. (2017). Quality of life improves in children and adolescents during a community-based overweight and obesity treatment. Quality of Life Research, 26(6), 1597–1608.

    Article  PubMed  Google Scholar 

  18. Perez-Sousa, M. A., Olivares, P. R., Garcia-Hermoso, A., & Gusi, N. (2018). Does anthropometric and fitness parameters mediate the effect of exercise on the HRQoL of overweight and obese children/adolescents? Quality of Life Research. https://doi.org/10.1007/s11136-018-1893-5.

    Article  PubMed  Google Scholar 

  19. Handley, M. A., Lyles, C., McCulloch, C., & Cattamanchi, A. (2018). Selecting and improving quasi-experimental designs in effectiveness and implementation research. Annual Review of Public Health, 39, 5–25.

    Article  PubMed  Google Scholar 

  20. Bärnighausen, T., Røttingen, J. A., Rockers, P., Shemilt, I., & Tugwell, P. (2017). Quasi-experimental study designs series—paper 1: Introduction: two historical lineages. Journal of Clinical Epidemiology, 89, 4–11.

    Article  PubMed  Google Scholar 

  21. Cole, T. J., & Lobstein, T. (2012). Extended international (IOTF) body mass index cut-offs for thinness, overweight and obesity. Pediatric Obesity, 7(4), 284–294.

    Article  CAS  PubMed  Google Scholar 

  22. Cooper, Z., Doll, H. A., Hawker, D. M., Byrne, S., Bonner, G., Eeley, E., et al. (2010). Testing a new cognitive behavioural treatment for obesity: A randomized controlled trial with three-year follow-up. Behaviour Research and Therapy, 48(8), 706–713.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Heyward, V. (2002). ASEP methods recommendation: Body composition assessment. Journal of Exercise Physiology Online, 1971(1), 1–10.

    Google Scholar 

  24. Lohman, T. G., Roche, A. F., & Martorell, R. (1988). Anthropometric standardization reference manual (177 p). Champaign: Human Kinetics Books.

    Google Scholar 

  25. Léger, L. A., Mercier, D., Gadoury, C., & Lambert, J. (1988). The multistage 20 metre shuttle run test for aerobic fitness. Journal of Sports Sciences, 6(2), 37–41.

    Article  Google Scholar 

  26. Varni, J. W., Seid, M., & Kurtin, P. S. (2001). PedsQL™ 4.0: Reliability and validity of the pediatric quality of life inventory™ version 4.0 generic core scales in healthy and patient populations. Medical Care, 39(8), 800–812.

    Article  CAS  Google Scholar 

  27. Klatchoian, D. A., Len, C. A., Terreri, M. T. R. A., Silva, M., Itamoto, C., Ciconelli, R. M., et al. (2008). Quality of life of children and adolescents from São Paulo: Reliability and validity of the Brazilian version of the Pediatric Quality of Life Inventory™ version 4.0 Generic Core Scales. Jornal de Pediatria (Rio J), 84(4), 308–315.

    Google Scholar 

  28. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. New Jersey: Lawrence Erbarum Asssociates Inc.

    Google Scholar 

  29. Poeta, L. S., Duarte, M., de FdaS., Giuliano, de CB, I., & Mota, J. (2013). Interdisciplinary intervention in obese children and impact on health and quality of life. Jornal de Pediatria, 89(5), 499–504.

    Article  PubMed  Google Scholar 

  30. Brosse, A. L. L., Sheets, E. S. E. S., Lett, H. S. H. S., & Blumenthal, J. A. A. (2002). Exercise and the treatment of clinical depression in adults recent findings and future directions. Sport Medicat, 32(12), 741–760.

    Article  Google Scholar 

  31. Pinhas-Hamiel, O., Singer, S., Pilpel, N., Fradkin, A., Modan, D., & Reichman, B. (2005). Health-related quality of life among children and adolescents: Associations with obesity. International Journal of Obesity, 30(2), 267–272.

    Article  Google Scholar 

  32. Pogodina, A., Rychkova, L., Kravtzova, O., Klimkina, J., & Kosovtzeva, A. (2017). Cardiometabolic risk factors and health-related quality of life in adolescents with obesity. Childhood Obesity, 13(6), 499–506.

    Article  PubMed  Google Scholar 

  33. Morales, P. F., Sánchez-López, M., Moya-Martínez, P., García-Prieto, J. C., Martínez-Andrés, M., García, N. L., et al. (2013). Health-related quality of life, obesity, and fitness in schoolchildren: The Cuenca study. Quality of Life Research, 22(7), 1515–1523.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

We would like to thank the other members of the Multiprofessional Nucleus of Obesity Studies for their valuable contribution for the development of the present study.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to João Carlos Locateli.

Ethics declarations

Conflict of interest

The authors declare no conflict of interest.

Ethical approval

The research protocol of the present study was previously approved by the ethics committee of the State University of Maringa and follow all the requirements demanded on the resolution 466/2012 of the Brazilian National Health Council. The study was properly registered in the Brazilian Register of Clinical Trials (RBR-45ywtg) and it is in accordance with the ethical standards as laid down in the 1964 Declaration of Helsinki and its later amendments.

Informed consent

The subjects agreed to the study terms by signing an informed consent form.

Additional information

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Carlone Baldino Garcia, N., Lopes, W.A., Locateli, J.C. et al. Multidisciplinary obesity treatment program improved health-related quality of life and positively correlated with anthropometric and body composition but not with cardiorespiratory fitness parameters in adolescents. Qual Life Res 28, 1803–1812 (2019). https://doi.org/10.1007/s11136-019-02141-9

Download citation

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11136-019-02141-9

Keywords

Navigation