Quality of life in Brazilian obese adolescents: effects of a long-term multidisciplinary lifestyle therapy

doi:10.1186/1477-7525-7-61

Health and Quality of Life Outcomes

Volume 7

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Lofrano-Prado MC
Antunes HK
Prado WL
de Piano A
Caranti DA
Tock L
Carnier J
Tufik S
de Mello MT
Dâmaso AR

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Lofrano-Prado MC
Antunes HK
Prado WL
de Piano A
Caranti DA
Tock L
Carnier J
Tufik S
de Mello MT
Dâmaso AR
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Research

Quality of life in Brazilian obese adolescents: effects of a long-term multidisciplinary lifestyle therapy

Mara Cristina Lofrano-Prado¹ , Hanna Karen Moreira Antunes² , Wagner Luiz do Prado³ , Aline de Piano¹ , Danielle Arisa Caranti¹ , Lian Tock¹ , June Carnier¹ , Sergio Tufik⁴ , Marco Túlio de Mello¹^,4 and Ana R Dâmaso¹^,2

¹Post-Graduate Program in Nutrition, Federal University of São Paulo/Paulista School of Medicine, Marselhesa Street, 535, São Paulo/SP, Brazil

²Department of Health Sciences, Federal University of São Paulo, Baixada Santista Campus, Santos/SP, Brazil

³Department of Physical Education, Pernambuco University, Arnóbio Marques Street, 310, Recife/PE, Brazil

⁴Department of Psychobiology, Federal University of São Paulo/Paulista School of Medicine – Marselhesa Street, 500, São Paulo/SP, Brazil

author email corresponding author email

Health and Quality of Life Outcomes 2009, 7:61doi:10.1186/1477-7525-7-61


Published:	3 July 2009

Abstract

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/m²) 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.