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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The association between weight loss and long term development in quality-of-life among children living with obesity: a pragmatic descriptive intervention study. / Jørgensen, Rasmus Møller; Vestergaard, Esben Thyssen; Kremke, Britta et al.

In: Italian journal of pediatrics, Vol. 48, No. 1, 135, 2022.

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@article{bb844112c8664a4bb6cd84db610b029e,
title = "The association between weight loss and long term development in quality-of-life among children living with obesity:: a pragmatic descriptive intervention study",
abstract = "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.",
keywords = "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",
author = "J{\o}rgensen, {Rasmus M{\o}ller} and Vestergaard, {Esben Thyssen} and Britta Kremke and Bahnsen, {Rikke Frederiksen} and Nielsen, {Bent Windelborg} and Bruun, {Jens Meldgaard}",
note = "{\textcopyright} 2022. The Author(s).",
year = "2022",
doi = "10.1186/s13052-022-01326-2",
language = "English",
volume = "48",
journal = "Italian journal of pediatrics",
issn = "1824-7288",
publisher = "BioMed Central Ltd.",
number = "1",

}

RIS

TY - JOUR

T1 - The association between weight loss and long term development in quality-of-life among children living with obesity:

T2 - a pragmatic descriptive intervention study

AU - Jørgensen, Rasmus Møller

AU - Vestergaard, Esben Thyssen

AU - Kremke, Britta

AU - Bahnsen, Rikke Frederiksen

AU - Nielsen, Bent Windelborg

AU - Bruun, Jens Meldgaard

N1 - © 2022. The Author(s).

PY - 2022

Y1 - 2022

N2 - 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.

AB - 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.

KW - Adolescent

KW - Body Mass Index

KW - Child

KW - Child, Preschool

KW - Humans

KW - Life Style

KW - Pediatric Obesity/therapy

KW - Quality of Life

KW - Weight Loss

KW - Obesity

KW - Weight loss

KW - Quality-of-life

KW - Lifestyle intervention

KW - Children

KW - YOUTHS

KW - VISUAL ANALOG SCALE

KW - ADOLESCENTS

KW - OVERWEIGHT

U2 - 10.1186/s13052-022-01326-2

DO - 10.1186/s13052-022-01326-2

M3 - Journal article

C2 - 35908012

VL - 48

JO - Italian journal of pediatrics

JF - Italian journal of pediatrics

SN - 1824-7288

IS - 1

M1 - 135

ER -