Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Randomized Controlled Trial
. 2013 Jan 2:11:1.
doi: 10.1186/1477-7525-11-1.

Changes in self-reported and parent-reported health-related quality of life in overweight children and adolescents participating in an outpatient training: findings from a 12-month follow-up study

Emily Finne  1 , Thomas Reinehr, Anke Schaefer, Katrin Winkel, Petra Kolip
Affiliations
Randomized Controlled Trial

Changes in self-reported and parent-reported health-related quality of life in overweight children and adolescents participating in an outpatient training: findings from a 12-month follow-up study

Emily Finne et al. Health Qual Life Outcomes. .

Abstract

Background: Health-related quality of life (HRQoL) was found to improve in participants of weight management interventions. However, information on moderately overweight youth as well as on maintaining HRQoL improvements following treatment is sparse. We studied the HRQoL of 74 overweight, but not obese participants (32.4% male, mean age = 11.61 ± 1.70 SD) of a comprehensive and effective six-month outpatient training at four time-points up to 12 months after end of treatment.

Methods: HRQoL was measured by self-report and proxy-report versions of the generic German KINDL-R, including six sub domains, and an obesity-specific additional module. Changes in original and z-standardized scores were analyzed by (2×4) doubly multivariate analysis of variance. This was done separately for self- and proxy-reported HRQoL, taking into account further socio-demographic background variables and social desirability. Additionally, correlations between changes in HRQoL scores and changes in zBMI were examined.

Results: There were significant multivariate time effects for self-reported and proxy-reported HRQoL and a significant time-gender interaction in self-reports revealed (p < .05). Improvements in weight-specific HRQoL were evident during treatment (partial η² = 0.14-0.19). Generic HRQoL further increased after end of treatment. The largest effects were found on the dimension self-esteem (partial η² = 0.08-0.09 for proxy- and self-reported z-scores, respectively). Correlations with changes in weight were gender-specific, and weight reduction was only associated with HRQoL improvements in girls.

Conclusions: Positive effects of outpatient training on generic and weight-specific HRQoL of moderately overweight (not obese) children and adolescents could be demonstrated. Improvements in HRQoL were not consistently bound to weight reduction. While changes in weight-specific HRQoL were more immediate, generic HRQoL further increased after treatment ended. An extended follow-up may therefore be needed to scrutinize HRQoL improvements due to weight management.

Trial registration: clinicaltrials.gov NCT00422916.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Profile of HRQoL z-scores (estimated marginal means) over time from parents’ proxy-reports.
Figure 2
Figure 2
Profile of HRQoL z-scores (estimated marginal means) over time from children’s self-reports.
Figure 3
Figure 3
Estimated marginal means of weight-specific HRQoL and weight complaints (parents’proxy-reports and adolescents’ self-reports). Weight-specific HRQoL scores on a scale from 0 (lowest HRQoL) to 100 (highest HRQoL). Weight complaints were measured on a scale from 1 (never/not at all) to 5 (always/strong).
See this image and copyright information in PMC

References

    1. Jackson-Leach R, Lobstein T. Estimated burden of paediatric obesity and co-morbidities in Europe. Part 1. The increase in the prevalence of child obesity in Europe is itself increasing. Int J Pediatr Obes. 2006;1:26–32. doi: 10.1080/17477160600586614. - DOI - PubMed
    1. Wang Y, Lobstein T. Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes. 2006;1:11–25. doi: 10.1080/17477160600586747. - DOI - PubMed
    1. Kurth BM, Schaffrath Rosario A. The prevalence of overweight and obese children and adolescents living in Germany. Results of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). (Article in German) Bundesgesundheitsblatt. 2007;50:736–743. doi: 10.1007/s00103-007-0235-5. - DOI - PubMed
    1. Seidell JC. In: Obesity prevention and public health. Crawford D, Jeffery RW, editor. New York: Oxford University Press; 2005. The epidemiology of obesity: a global perspective; pp. 3–19.
    1. Ritchie LD, Ivey SL, Woodward-Lopez G, Crawford PB. Alarming trends in pediatric overweight in the United States. Soz Praventivmed. 2003;48:168–177. doi: 10.1007/s00038-003-2054-2. - DOI - PubMed

Publication types

Associated data