Quality of life in Brazilian obese adolescents: effects of a long-term multidisciplinary lifestyle therapy
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2009-07-03
Autores
Lofrano-Prado, Mara Cristina [UNIFESP]
Antunes, Hanna Karen Moreira [UNIFESP]
Prado, Wagner Luiz do
Piano, Aline de [UNIFESP]
Caranti, Danielle Arisa [UNIFESP]
Tock, Lian [UNIFESP]
Carnier, June [UNIFESP]
Tufik, Sergio [UNIFESP]
Mello, Marco Tulio de [UNIFESP]
Dâmaso, Ana Raimunda [UNIFESP]
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Background: Obesity has adverse physical, social, and economic consequences that can negatively affect quality of life (QOL). Thus the aim of this study was to verify the effects of a long-term multidisciplinary lifestyle intervention on QOL, body image, anxiety, depression and binge eating in obese adolescents.Methods: Sixty-six obese adolescents (41 girls and 25 boys; BMI: 35.62 +/- 4.18 kg/m(2)) were recruited from the Multidisciplinary Obesity Intervention Program outpatient clinic, and were submitted to a multidisciplinary lifestyle therapy (short-term = 12 weeks and long-term = 24 weeks), composed of medical, dietary, exercise and psychological programs. Validated self-report questionnaires were used to assess symptoms of anxiety Trait/State (STAI); depression (BDI); binge eating (BES), body image dissatisfaction (BSQ) and QOL (SF-36). Data were analyzed by means of scores; comparisons were made by ANOVA for repeated measures, and Tukey's test as post-hoc and Students T test.Results: Long-term therapy decreased depression and binge eating symptoms, body image dissatisfaction, and improved QOL in girls, whereas, for boys, 24 weeks, were effective to reduce anxiety trait/state and symptoms of binge eating, and to improve means of dimensions of QOL (p <.05).Conclusion: A long-term multidisciplinary lifestyle therapy is effective to control psychological aspects and to improve QOL in obese adolescents.
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Health and Quality of Life Outcomes. London: Biomed Central Ltd, v. 7, 8 p., 2009.