The association between weight loss and long term development in quality-of-life among children living with obesity: a pragmatic descriptive intervention study

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BACKGROUND: Childhood obesity is associated with impaired Quality-of-Life (QoL), increased stigmatization and higher risk of development of depression compared to their peers. This report describes the long-term development in QoL for cohort of children with obesity after a sustainable weight reduction.

METHODS: This pragmatic descriptive intervention study enrolled 120 children with obesity, age 5-17 years, in a multifactorial lifestyle intervention. The intervention was an across sectors collaboration between a department of pediatrics and community health care workers. QoL was assessed yearly throughout the intervention and evaluated by a 6-item Visual Analogue Scale (VAS). For analyzing changes in VAS, as function BMI-SDS, regression models were used, while ANOVA and Wilcoxon test were applied for normal and not-normal distributed data. 95% confidence interval not containing 0 and p-value < 0.05 was considered statistically significant.

RESULTS: After 26.4 months (13.9 SD) an overall decrease in bullying (0.6 vs. 0.0 median) and motivation (10.0 vs. 9.6) was observed. QoL increased in children with a BMI-SDS reduction (0.65 (2.49 SD)) opposite children with no-change or increasing BMI-SDS who reported reduced QoL (-0.36 (1.55 SD) and -0.96 (2.27 SD)). A significant inverse relationship was observed for Joy of Life, QoL and body perception as a function of BMI-SDS per year.

CONCLUSION: Weight reduction causes improvement in QoL for children with obesity and an inverse relationship for QoL and changing BMI-SDS / year was establish.

Original languageEnglish
Article number135
JournalItalian journal of pediatrics
Volume48
Issue1
Number of pages7
ISSN1824-7288
DOIs
Publication statusPublished - 2022

    Research areas

  • Adolescent, Body Mass Index, Child, Child, Preschool, Humans, Life Style, Pediatric Obesity/therapy, Quality of Life, Weight Loss, Obesity, Weight loss, Quality-of-life, Lifestyle intervention, Children, YOUTHS, VISUAL ANALOG SCALE, ADOLESCENTS, OVERWEIGHT

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