Subjective evaluation of psychosocial well-being in children and youths with overweight or obesity: the impact of multidisciplinary obesity treatment

Fonvig, Cilius Esmann; Hamann, Sophie Amalie; Nielsen, Tenna Ruest Haarmark; Johansen, Mia Østergaard; Grønbæk, Helle Nergaard; Mollerup, Pernille Maria; Holm, Jens Christian

doi:10.1007/s11136-017-1667-5

Cited by 19 publications

(24 citation statements)

References 55 publications

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“…The TCOCT intervention is used in the treatment of children with obesity in Denmark and our results ad to previous ndings [4], by including long-term follow-up in children who were more obese and younger. Fonvig et al reported bene cial changes in 5 out of 6 VAS-items for children with increasing BMI-SDS.…”

Section: Discussionsupporting

confidence: 90%

“…Recently, a 14 months multifactorial lifestyle intervention in children with obesity reported increased QoL, mood, and body satisfaction whereas appetite, bullying, and motivation were decreased. Interestingly, similar positive changes were observed in ve of the six VAS items in the 24.4% of children who increased their Body Mass Index-Standard Deviation Score (BMI-SDS) during the intervention [4]. The aim of our study was to evaluate long-term effects of a comparable multifactorial lifestyle intervention on measures of QoL in children with obesity.…”

Section: Introductionmentioning

confidence: 53%

“…TCOCT is a family-centered multifactorial lifestyle intervention developed for treatment of children with overweight and obesity. The TCOCT protocol is described in detail elsewhere [4]. In brief, participants had one yearly visit at our outpatient clinic and 6-8 municipality-based visits in-between.…”

Section: The Tcoct Protocolmentioning

confidence: 99%

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Childhood Obesity, Weight Loss and Long Term Development in Quality-of-Life: A Longitudinal Follow-Up Study.

Jørgensen

Vestergaard

Kremke

et al. 2020

Preprint

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Background To evaluate long-term effects of a multifactorial lifestyle intervention on measures of quality-of-life (QoL) in children with obesity. Methods One hundred and twenty children age 4-17 years with a BMI standard deviation score (BMI-SDS) >2 participated in a multifactorial lifestyle intervention. QoL and wellbeing were measured by a 6-item Visual Analogue Scale (VAS) throughout the intervention.Results Follow-up time was 26.4 months (13.9 SD). VAS scores decreased on bullying (0.6 vs. 0.0 median) and in motivation (10.0 vs. 9.6). 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)). Boys experienced reduced appetite (6.7 (2.3 SD) to 5.7 (2.6 SD)), bullying (median 0.4 vs. 0.0) and motivation (median 10.0 vs. 8.9), while girls experienced reduction in bullying (median 0.6 vs. 0.0) and an enhancement in Joy of Life compared to boys (0.73 (2.10 SD) vs. -0.04 (2.08 SD)).Conclusion Multifactorial lifestyle intervention for children with obesity induces long-term BMI-SDS reduction for the majority, and exerts significant reduction in bullying and improves QoL if weight loss is obtained and maintained.

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Section: Discussionsupporting

confidence: 90%

Section: Introductionmentioning

confidence: 53%

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Childhood Obesity, Weight Loss and Long Term Development in Quality-of-Life: A Longitudinal Follow-Up Study.

Jørgensen

Vestergaard

Kremke

et al. 2020

Preprint

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“…Furthermore, the present study included a relatively large study population compared with similar previous studies in children, especially in our analyses of intervention outcome. Importantly, the children and adolescents with overweight and obesity underwent treatment using The Children’s Obesity Clinic protocol, which has, in several nonrandomized studies, shown improvement in metabolic risk variables and psychosocial well‐being, including degree of obesity in both patients and their parents , blood pressure , plasma lipid fractions , body composition , liver and muscle fat content , and quality of life .…”

Section: Discussionmentioning

confidence: 99%

Genetic Susceptibility for Childhood BMI has no Impact on Weight Loss Following Lifestyle Intervention in Danish Children

Hollensted

Fogh

Schnurr

et al. 2018

Obesity

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Objective This study aimed to investigate the effect of a genetic risk score (GRS) comprising 15 single‐nucleotide polymorphisms, previously shown to associate with childhood BMI, on the baseline cardiometabolic traits and the response to a lifestyle intervention in Danish children and adolescents. Methods Children and adolescents with overweight or obesity (n = 920) and a population‐based control sample (n = 698) were recruited. Anthropometric and biochemical measures were obtained at baseline and in a subgroup of children and adolescents with overweight or obesity again after 6 to 24 months of lifestyle intervention (n = 754). The effects of the GRS were examined by multiple linear regressions using additive genetic models. Results At baseline, the GRS associated with BMI standard deviation score (SDS) both in children and adolescents with overweight or obesity (β = 0.033 [SE = 0.01]; P = 0.001) and in the population‐based sample (β = 0.065 [SE = 0.02]; P = 0.001). No associations were observed for cardiometabolic traits. The GRS did not influence changes in BMI SDS or cardiometabolic traits following lifestyle intervention. Conclusions A GRS for childhood BMI was associated with BMI SDS but not with other cardiometabolic traits in Danish children and adolescents. The GRS did not influence treatment response following lifestyle intervention.

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“…9,13,25 The reduction in BMI-even moderateobserved during and after the period of care may significantly improve the short-term, mid-term, and long-term health of children and limit the consequences of obesity. 4,5,26 Indeed, recent investigations have shown that a reduction in BMI in children significantly improved hypertension, hypertriglyceridemia, and low HDLcholesterol during adulthood, 26 was associated with greater improvements in their psychosocial well-being, 27 and seemed to be effective in improving the quality of life in the physical, emotional, social, and psychosocial domains. 28 Moreover, the homogeneous outcomes observed confirm the sustainability, transferability, and reproducibility of the multidisciplinary care offered by the French networks and may be considered as a proof of concept of such organisation of care for paediatric obesity.…”

Section: Discussionmentioning

confidence: 99%

Short‐term and long‐term positive outcomes of the multidisciplinary care implemented by the French health networks for the prevention and care of paediatric overweight and obesity

Carriere¹,

Thibault²,

Barat³

et al. 2019

Pediatric Obesity

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Summary Background The nine French regional health networks for the prevention and care of paediatric obesity offer a 2‐year program of multidisciplinary primary care (medical, dietetical, psychological, adapted physical activity) based on multicomponent lifestyle interventions. Objectives To assess the short‐term and long‐term impact of care management. Methods The impact of the multidisciplinary care was assessed by changes in the body mass index (BMI) Z score during the period of the care, and at least 2 years after the end. Anthropometric data were collected at baseline and at the end of the care either through a digital medical file or through direct phone contacts with the referring. Long‐term outcomes were assessed through studies relative to post follow‐up evaluation. Results At the end of the period of the care in a network, 72.9% of 6947 children had decreased their BMI Z score from 3.6 ± 1.0 DS at baseline to 3.3 ± 1.1 DS at the end. The four studies relative to long‐term evaluation showed a pursuit of the decrease of BMI Z score during the 5.1 years after the beginning of the care. Conclusions The care provided by regional French networks for prevention and care of paediatric obesity induce a reduction of BMI that continues afterwards.

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Subjective evaluation of psychosocial well-being in children and youths with overweight or obesity: the impact of multidisciplinary obesity treatment

Cited by 19 publications

References 55 publications

Childhood Obesity, Weight Loss and Long Term Development in Quality-of-Life: A Longitudinal Follow-Up Study.

Childhood Obesity, Weight Loss and Long Term Development in Quality-of-Life: A Longitudinal Follow-Up Study.

Genetic Susceptibility for Childhood BMI has no Impact on Weight Loss Following Lifestyle Intervention in Danish Children

Short‐term and long‐term positive outcomes of the multidisciplinary care implemented by the French health networks for the prevention and care of paediatric overweight and obesity

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