• Medientyp: E-Artikel
  • Titel: The association between weight loss and long term development in quality-of-life among children living with obesity: a pragmatic descriptive intervention study
  • Beteiligte: Jørgensen, Rasmus Møller; Vestergaard, Esben Thyssen; Kremke, Britta; Bahnsen, Rikke Frederiksen; Nielsen, Bent Windelborg; Bruun, Jens Meldgaard
  • Erschienen: Springer Science and Business Media LLC, 2022
  • Erschienen in: Italian Journal of Pediatrics
  • Sprache: Englisch
  • DOI: 10.1186/s13052-022-01326-2
  • ISSN: 1824-7288
  • Schlagwörter: General Medicine
  • Entstehung:
  • Anmerkungen:
  • Beschreibung: <jats:title>Abstract</jats:title><jats:sec> <jats:title>Background</jats:title> <jats:p>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.</jats:p> </jats:sec><jats:sec> <jats:title>Methods</jats:title> <jats:p>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 &lt; 0.05 was considered statistically significant.</jats:p> </jats:sec><jats:sec> <jats:title>Results</jats:title> <jats:p>After 26.4 months (13.9 SD) an overall decrease in bullying (0.6 <jats:italic>vs.</jats:italic> 0.0 median) and motivation (10.0 <jats:italic>vs.</jats:italic> 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.</jats:p> </jats:sec><jats:sec> <jats:title>Conclusion</jats:title> <jats:p>Weight reduction causes improvement in QoL for children with obesity and an inverse relationship for QoL and changing BMI-SDS / year was establish.</jats:p> </jats:sec>
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