Health-related quality of life and perceived health status of adolescents with obesity are improved by a 10-month multidisciplinary intervention.

Journal: Physiology & behavior

Volume: 210

Issue: 

Year of Publication: 2020

Affiliated Institutions:  Clermont Auvergne University, Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AMEP), Clermont-Ferrand EA , France; Research Unit, Sportive Performance and Physical Rehabilitation, High Institute of Sports and Physical Education of Kef, University of Jendouba, Kef, Tunisia; Faculty of Science of Bizerte, University of Carthage, Zarzouna, Bizerte, Tunisia. Electronic address: khammassimarwa.issep@hotmail.com. Clermont Auvergne University, Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AMEP), Clermont-Ferrand EA , France. Division of Population Health Sciences, Royal College of Surgeons of Ireland, Childhood Obesity Service, Temple Street Children's University Hospital, Dublin , Ireland. Clermont Auvergne University, Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AMEP), Clermont-Ferrand EA , France; INRA, UMR , Clermont-Ferrand, France. UGECAM Nutrition Obesity Ambulatory Hospital, Clermont-Ferrand, France. Program of Nutrition, Paulista Medicine School, Universidade Federal de São Paulo (UNIFESP), Rua Botucatu, -Vila Clementino, São Paulo, SP -, Brazil. Clermont-Ferrand University Hospital, Biostatistics unit (DRCI), Clermont-Ferrand, France. INRA, UMR , Clermont-Ferrand, France; Department of Sport Medicine and Functional Explorations, Clermont-Ferrand University Hospital, G. Montpied Hospital, Clermont-Ferrand, France; CRNH-Auvergne, Clermont-Ferrand, France; University Clermont , UFR Medicine, Clermont-Ferrand, France. Clermont Auvergne University, Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AMEP), Clermont-Ferrand EA , France; CRNH-Auvergne, Clermont-Ferrand, France. INRA, UMR , Clermont-Ferrand, France; CRNH-Auvergne, Clermont-Ferrand, France; University Clermont , UFR Medicine, Clermont-Ferrand, France; Department of Human Nutrition, Clermont-Ferrand University Hospital, G. Montpied Hospital, Clermont-Ferrand, France.

Abstract summary 

Although multidisciplinary weight management interventions have been shown effective in improving body composition and cardio-respiratory fitness, their effects on HRQOL and perceived health status remain uncertain in adolescents with obesity.To assess the impact of a 10-month multidisciplinary weight management intervention on HRQOL and health perception in adolescents with obesity, exploring whether these changes were associated with changes in body weight and body composition.Thirty-six adolescents with obesity (28 girls and 8 boys; mean age: 13 ± 1.32 years) enrolled in a multidisciplinary weight management intervention composed of nutritional counseling, physical activity and health-related therapeutic education. Validated self-report questionnaires were used to assess HRQOL (SF-36) and health perception (HP questionnaire) at baseline (T0) after5 months (T1) and after 10 month of intervention (T2). In addition, anthropometric parameters and body composition (DXA) were measured at T0, T1 and T2.Items of the SF-36 significantly improved at T1 and T2, such as physical functioning (P < .01), general health (P < .01), physical (P < .001) and mental score (T1: P < .05, T2: P < .01). Dimensions of health perception improved significantly such as physical condition (P < .01 at T2), adiposity (P < .001 at T1 and T2), healthy balanced diet (P < .01 at T1 and P < .001 at T2), general health (P < .05), and perceived general health (T1: P < .01, T2: P < .001). Body weight, BMI, and fat mass (in Kg and in %) were significantly decreased (P < .001) at T1 and T2. No relationship was observed between variations of weight, BMI and Fat mass and variations of HRQOL and health perception.A 10-month multidisciplinary weight-management intervention was associated with positive changes in HRQOL and perceived health status, which might not be explained by body weight and adiposity improvements.

Authors & Co-authors:  Khammassi Marwa M Miguet Maud M O'Malley Grace G Fillon Alicia A Masurier Julie J Damaso Ana R AR Pereira Bruno B Lambert Céline C Duclos Martine M Courteix Daniel D Boirie Yves Y Thivel David D

Study Outcome 

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Statistics
Citations : 
Authors :  12
Identifiers
Doi : 10.1016/j.physbeh.2019.05.010
SSN : 1873-507X
Study Population
Girls
Mesh Terms
Adolescent
Other Terms
Adolescents with obesity;Body composition;HRQOL;Health perception;Multidisciplinary intervention;Weight-loss
Study Design
Cross Sectional Study
Study Approach
Country of Study
Publication Country
United States