Multiprofessional Nucleus of Obesity Study, Department of Physical Education, State University of Maringa, 5790 Colombo Avenue, Jardim Universitário, Maringá, Paraná, 87020-900, Brazil.
Clinical Research Center, University Hospital of Maringa, 1590 Mandacaru Avenue, Parque das Laranjeiras, Maringá, Paraná, 87083-240, Brazil.
Qual Life Res. 2019 Jul;28(7):1803-1812. doi: 10.1007/s11136-019-02141-9. Epub 2019 Feb 21.
The aim of the present study was to verify the effects of a 16-week multidisciplinary obesity treatment program (MOTP) on health-related quality of life (HRQoL) in adolescents with weight excess. In addition, we verified a possible association between changes on HRQoL and anthropometric, body composition, and cardiorespiratory fitness (CRF) parameters.
Two hundred four adolescents aged from 15 to 18 years were distributed in control group (CG) and intervention group (IG). They underwent a 16-week MOTP composed by nutritional, psychological, and health-related physical activity group sessions. Moreover, they performed physical exercise sessions three times per week during the whole 16-week program. Data on HRQoL, body composition, CRF and anthropometry were collected using standard protocols and validated questionnaires.
The MOTP promoted significant enhancements in all HRQoL domains, except for the school domain in IG. Furthermore, positive correlations between HRQoL and body weight (BW), body fat (BF), waist circumference (WC), and body mass index (BMI) z-score were verified. Higher scores of HRQoL might be achieved by improving these variables.
The 16-week MOTP was effective to improve HRQoL in adolescents with weight excess. This improvement has a positive correlation with enhancements in BW, BMI z-score, WC, and BF. Nevertheless, these findings have not reached a consensus on literature and still need to be further enlightened.
本研究旨在验证为期 16 周的多学科肥胖治疗方案（MOTP）对超重青少年健康相关生活质量（HRQoL）的影响。此外，我们还验证了 HRQoL 的变化与人体测量学、身体成分和心肺功能（CRF）参数之间可能存在的关联。
204 名年龄在 15 至 18 岁的青少年被分配到对照组（CG）和干预组（IG）。他们接受了为期 16 周的 MOTP，包括营养、心理和与健康相关的体育活动小组课程。此外，他们在整个 16 周的计划中每周进行三次体育锻炼。使用标准协议和经过验证的问卷收集 HRQoL、身体成分、CRF 和人体测量学数据。
MOTP 显著提高了所有 HRQoL 领域，除了 IG 的学校领域。此外，还验证了 HRQoL 与体重（BW）、体脂肪（BF）、腰围（WC）和体重指数（BMI）z 评分之间的正相关关系。通过改善这些变量，可以获得更高的 HRQoL 分数。
为期 16 周的 MOTP 有效改善了超重青少年的 HRQoL。这种改善与 BW、BMI z 评分、WC 和 BF 的增强呈正相关。然而，这些发现尚未在文献中达成共识，仍需要进一步阐明。
