Effects of a Multidisciplinary Inpatient Intervention on Body Composition, Aerobic Fitness, and Quality of Life in Severely Obese Girls and Boys

Knöpfli, Bruno; Radtke, Thomas; Lehmann, Marc; Schätzle, Barbara; Eisenblätter, Julia; Gachnang, Angela; Wiederkehr, Pius; Hammer, Jürg; Brooks-Wildhaber, Joanne

doi:10.1016/j.jadohealth.2007.08.015

Cited by 96 publications

(116 citation statements)

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“…These include two RCTs, 21,22 one validation study, 15 one non-randomized controlled trial 33 and three uncontrolled clinical trials. [34][35][36] Without exception these studies examined the effects in adolescent participants. They tested a range of weight loss treatments, including laparoscopic adjustable gastric banding surgery, 35 combined pharmacotherapy (sibutramine), diet and exercise, 22,36 behavioral or cognitive-behavioral therapy 21,33,36 and weight loss camps.…”

Section: Resultsmentioning

confidence: 99%

“…[34][35][36] Without exception these studies examined the effects in adolescent participants. They tested a range of weight loss treatments, including laparoscopic adjustable gastric banding surgery, 35 combined pharmacotherapy (sibutramine), diet and exercise, 22,36 behavioral or cognitive-behavioral therapy 21,33,36 and weight loss camps. 15 These studies documented significant improvements in HRQOL with weight loss, but pooling data to examine a possible quantitative relationship for the purposes of the present review was not possible as these studies assessed changes in weight status differently (see Table 2) and few utilized common tools to assess HRQOL.…”

Section: Resultsmentioning

confidence: 99%

“…21,35 Fullerton et al 21 found that improvements in BMI z-scores explained significant changes in physical functioning (b ¼ À0.22, Po0.005), but not psychosocial functioning after a 12-week behavioral therapy intervention (Table 2). Knopfli et al 36 reported improvements in all subsets of HRQOL in severely obese adolescents with a median BMI reduction of 5 kgm -2 after an 8-week inpatient program. Similarly, Ravens-Sieberer et al 34 reported improvements in all HRQOL scores (assessed using the KINDL tool), except for psychosocial functioning, although they did not specify the magnitude of changes in weight status.…”

Section: Resultsmentioning

confidence: 99%

“…Judging from the findings of these studies, it seems that weight loss may have a positive influence on the overall HRQOL 15,22,[33][34][35][36] and subsets of HRQOL, 15,34,36 although it is worth noting that only two of the seven studies were RCTs. 21,22 Furthermore, it is difficult to ascertain the change in weight status that is required before a positive influence on HRQOL is noted, as studies have reported changes in weight status differently, with one study not quantifying weight status changes at all.…”

Section: Hrqol and Weight Lossmentioning

confidence: 99%

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Health-related quality of life in obese children and adolescents

et al. 2009

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Objective: This review addresses the effect of overweight and obese weight status on pediatric health-related quality of life (HRQOL). Method: Web of Science, Medline, CINAHL, Cochrane Library, EMBASE, AMED and PubMed were searched for peer-reviewed studies in English reporting HRQOL and weight status in youth (o21 years), published before March 2008. Results: Twenty-eight articles were identified. Regression of HRQOL against body mass index (BMI) using pooled data from 13 studies utilizing the Pediatric Quality of Life Inventory identified an inverse relationship between BMI and pediatric HRQOL (r ¼ À0.7, P ¼ 0.008), with impairments in physical and social functioning consistently reported. HRQOL seemed to improve with weight loss, but randomized controlled trials were few and lacked long-term follow-up. Conclusions: Little is known about the factors associated with reduced HRQOL among overweight or obese youth, although gender, age and obesity-related co-morbidities may play a role. Few studies have examined the differences in HRQOL between community and treatment-seeking samples. Pooled regressions suggest pediatric self-reported HRQOL can be predicted from parent proxy reports, although parents of obese youths tend to perceive worse HRQOL than children do about themselves. Thus, future research should include both pediatric and parent proxy perspectives.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Hrqol and Weight Lossmentioning

confidence: 99%

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Health-related quality of life in obese children and adolescents

et al. 2009

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“…The treatment of established obesity is, however, more complex and needs more intensive treatment. Clinical intervention based on a multi-disciplinary approach seems to be succesful (Eliakim et al, 2002;Nemene et al, 2005;Sacher et al, 2005;Korsten-Reck et al, 2005;Dreimane, et al, 2007;Eneli et al, 2008;Knöpfli et al, 2008;Weigel et al, 2008). It is also reported that interventions are more successful when the child is motivated to lose weight (Boon & Clydesdale, 2005), and that interventions on obese children with concerned parents are more successful than for instance school-based multi-disciplinary interventions where children sometimes are not even aware of the fact that they have a weight problem.…”

Section: Evidence-based Intervention -Successes Challenges and Princmentioning

confidence: 99%

Childhood Obesity: The Need for Practice Based Solutions - A South African Perspective

Pienaar¹,

Strydom²

2012

Childhood Obesity

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Changes in Functional Mobility and Musculoskeletal Pain After Bariatric Surgery in Teens With Severe Obesity

et al. 2016

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IMPORTANCE Severe obesity is associated with mobility limitations and higher incidence of multijoint musculoskeletal pain. It is unknown whether substantial weight loss improves these important outcomes in adolescents with severe obesity.OBJECTIVE To examine the association of bariatric surgery with functional mobility and musculoskeletal pain in adolescents with severe obesity up to 2 years after surgery. DESIGN, SETTING, AND PARTICIPANTSThe Teen-Longitudinal Assessment of Bariatric Surgery Study is a prospective, multicenter, observational study, which enrolled 242 adolescents (Յ19 years of age) who were undergoing bariatric surgery from March 2007 through February 2012 at 5 US adolescent bariatric surgery centers. This analysis was conducted in November 2015.INTERVENTIONS Roux-en-Y gastric bypass (n = 161), sleeve gastrectomy (n = 67), or laparoscopic adjustable gastric band (n = 14). MAIN OUTCOMES AND MEASURESParticipants completed a 400-m walk test prior to bariatric surgery (n = 206) and at 6 months (n = 195), 12 months (n = 176), and 24 months (n = 149) after surgery. Time to completion, resting heart rate (HR), immediate posttest HR, and HR difference (resting HR minus posttest HR) were measured and musculoskeletal pain concerns, during and after the test, were documented. Data were adjusted for age, sex, race/ethnicity, baseline body mass index (calculated as weight in kilograms divided by height in meters squared), and surgical center (posttest HR and HR difference were further adjusted for changes in time to completion). RESULTSOf the 206 adolescents with severe obesity included in the study, 156 were female (75.7%), the mean (SD) age was 17.1 (1.6) years, and the mean (SD) body mass index was 51.7 (8.5). Compared with baseline, significant improvements were observed at 6 months for the walk test time to completion (mean, 376 seconds; 95% CI, 365-388 to 347 seconds; 95% CI, 340-358; P < .01), resting HR (mean, 84 beats per minute [bpm]; 95% CI, 82-86 to 74 bpm; 95% CI, 72-76), posttest HR (mean, 128 bpm; 95% CI, 125-131 to 113 bpm; 95% CI, 110-116), and HR difference (mean, 40 bpm; 95% CI, 36-42 to 34 bpm; 95% CI, 31-37). These changes in time to completion, resting HR, and HR difference persisted at 12 months and 24 months. Posttest HR further improved from 6 months to 12 months (mean, 113 bpm; 95% CI, 110-116 to 108 bpm; 95% CI, 105-111). There were statistically significant reductions in musculoskeletal pain concerns at all points.CONCLUSIONS AND RELEVANCE These data provide evidence that bariatric surgery in adolescents with severe obesity is associated with significant improvement in functional mobility and in the reduction of walking-related musculoskeletal pain up to 2 years after surgery.

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Effects of a Multidisciplinary Inpatient Intervention on Body Composition, Aerobic Fitness, and Quality of Life in Severely Obese Girls and Boys

Cited by 96 publications

References 32 publications

Health-related quality of life in obese children and adolescents

Health-related quality of life in obese children and adolescents

Childhood Obesity: The Need for Practice Based Solutions - A South African Perspective

Changes in Functional Mobility and Musculoskeletal Pain After Bariatric Surgery in Teens With Severe Obesity

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