Effects of a psychological intervention on the quality of life of obese adolescents under a multidisciplinary treatment☆

Freitas, Camila R.M.; Gunnarsdottir, Thrudur; Fidelix, Yara L.; Tenório, Thiago R.S.; Lofrano-Prado, Mara C.; Hill, James O.; Prado, Wagner L.

doi:10.1016/j.jped.2016.05.009

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Original articles • J. Pediatr. (Rio J.) 93 (2) • Mar/Apr 2017 • https://doi.org/10.1016/j.jped.2016.05.009 copy

Effects of a psychological intervention on the quality of life of obese adolescents under a multidisciplinary treatment^☆ ☆ Please cite this article as: Freitas CR, Gunnarsdottir T, Fidelix YL, Tenório TR, Lofrano-Prado MC, Hill JO, et al. Effects of a psychological intervention on the quality of life of obese adolescents under a multidisciplinary treatment. J Pediatr (Rio J). 2017;93:185-91.

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Objective:

To investigate the effects of multidisciplinary treatment with and without psychological counseling on obese adolescents' self-reported quality of life.

Methods:

Seventy-six obese adolescents (15.87 ± 1.53 y) were allocated into psychological counseling group (PCG; n = 36) or control group (CG; n = 40) for 12 weeks. All participants received the same supervised exercise training, nutritional and clinical counseling. Participants in PCG also received psychological counseling. QOL was measured before and after 12 weeks of intervention by Generic Questionnaire for the Evaluation of Quality of Life (SF-36).

Results:

The dropout rate was higher in GC (22.5%) when compared with PCG (0.0%) (p < 0.001). After 12 weeks, participants from PCG presents lower body weight, relative fat mass and higher free fat mass (p < 0.001 for all) compared to GC. QOL improved among adolescents from both groups (p < 0.05), however, a better QOL was reported from those adolescents enrolled in PCG.

Conclusion:

The inclusion of a psychological counseling component in multidisciplinary treatment for adolescent obesity appears to provide benefits observed for improved QOL as compared with treatment without psychological counseling.

KEYWORDS
Multidisciplinary intervention; Obese adolescents; Psychological counseling

	Baseline	12 weeks	Group effect	Time effect	Interaction effect
BM (kg)
PCG	91.26 ± 11.22	89.16 ± 11.98^b b vs. basal.	0.022	0.001	0.010
CG	95.87 ± 10.33	96.72 ± 10.98^c c vs. PCG.	0.022	0.001	0.010
BMI (kg ^-1 m ² )
PCG	34.48 ± 3.88	33.61 ± 3.92^b b vs. basal.	0.505	<0.001	0.222
CG	34.55 ± 3.36	34.40 ± 3.73^b b vs. basal.	0.505	<0.001	0.222
FFM (kg)
PCG	44.14 ± 7.50	53.51 ± 8.72^b b vs. basal.	<0.015	<0.001	0.029
CG	42.03 ± 5.20	47.73 ± 4.56^b b vs. basal. ^, ^c c vs. PCG.	<0.015	<0.001	0.029
FM ^a a ANCOVA.
PCG	51.61 ± 8.39	39.23 ± 8.46^b b vs. basal.	<0.001	<0.001	0.002
CG	56.04 ± 5.89	50.28 ± 4.76^b b vs. basal. ^, ^c c vs. PCG.	<0.001	<0.001	0.002

	Basal	12 weeks	Group effect	Time effect	Interaction effect
Physical functioning ^a a ANCOVA.
PCG	82.50 ± 15.18	91.80 ± 11.22^c c vs. basal.	0.781	<0.001	0.881
CG	72.00 ± 23.19^b b vs. PGC.	80.55 ± 18.51^b b vs. PGC. ^, ^c c vs. basal.	0.781	<0.001	0.881
Role physical
PCG	79.16 ± 27.05	87.50 ± 21.12	0.021	0.705	0.062
CG	74.62 ± 28.51	67.59 ± 29.26^b b vs. PGC.	0.021	0.705	0.062
Pain
PCG	78.86 ± 19.18	78.83 ± 18.85	0.044	0.665	0.658
CG	70.12 ± 19.26	72.03 ± 21.05	0.044	0.665	0.658
General health perception ^a a ANCOVA.
PCG	66.13 ± 22.40	74.63 ± 19.93^c c vs. basal.	0.162	<0.001	0.454
CG	51.22 ± 25.57 ^b b vs. PGC.	62.56 ± 17.71^b b vs. PGC. ^, ^c c vs. basal.	0.162	<0.001	0.454
Vitality
PCG	66.25 ± 20.54	77.50 ± 13.54^c c vs. basal.	0.008	<0.001	0.410
CG	56.50 ± 24.13	68.33 ± 16.40^c c vs. basal.	0.008	<0.001	0.410
Social functioning
PCG	81.59 ± 20.59	86.11 ± 19.31	0.545	0.071	0.733
CG	76.25 ± 21.52	83.79 ± 22.68	0.545	0.071	0.733
Role emotional
PCG	77.77 ± 32.85	87.96 ± 19.76	0.002	0.368	0.252
CG	68.33 ± 38.45	62.96 ± 31.12^b b vs. PGC.	0.002	0.368	0.252
Mental health
PCG	75.88 ± 20.47	81.44 ± 16.89	0.480	0.003	0.430
CG	71.80 ± 25.17	80.37 ± 13.58^c c vs. basal.	0.480	0.003	0.430
Mean of dimensions ^a a ANCOVA.
PCG	76.36 ± 15.54	83.22 ± 11.53^c c vs. basal.	0.091	<0.001	0.839
CG	67.97 ± 16.57 ^b b vs. PGC.	72.22 ± 14.53^b b vs. PGC. ^, ^c c vs. basal.	0.091	<0.001	0.839

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[1] * Corresponding author. E-mail:wagner.prado@pq.cnpq.br (W.L. Prado).