Interdisciplinary intervention in obese children and impact on health and quality of life

Poeta, Lisiane S.; Duarte, Maria de Fátima da S.; Giuliano, Isabela de C.B.; Mota, Jorge

doi:10.1016/j.jpedp.2013.01.008

Article information

Abstract

Objective

To verify the effects of an intervention program including physical exercise and recreational activities, as well as nutritional counseling, on the health-related quality of life of obese children.

Methods

This was a controlled clinical trial. The initial study population included children aged eight to 11 years with a body mass index (BMI) > 97th percentile for age and gender, according to the criteria of the World Health Organization, totaling 44 children matched by gender and age, as case (n = 22) and control groups (n = 22). BMI and self-reported health-related quality of life by Pediatric Quality of Life Inventory were measured before and after 12 weeks of intervention (three times weekly). The control group did not participate in the intervention.

Results

Thirty-two children completed the study (16 in each group). The case group showed significant reduction in BMI (p = 0.001) and improved quality of life in the physical (p = 0.001), emotional (p = 0.014), social (p = 0.004), and psychosocial (p = 0.002) domains, as well as in overall quality of life (p = 0.001), which was not observed in the control group.

Conclusion

The program was effective in improving the health and quality of life of obese children.

Keywords:

Child

Obesity

Physical activity

Recreation

Resumo

Objetivo

Verificar os efeitos de um programa de intervenção com exercício físico, ati- vidades recreativas e orientação nutricional na qualidade de vida relacionada à saúde de crianças obesas.

Métodos

Trata-se de um ensaio clínico controlado. A população inicial do estudo envol- veu crianças com idades entre oito e 11 anos e com índice de massa corporal acima de 97 percentil por idade e sexo, conforme os critérios da Organização Mundial de Saúde, totalizando 44 crianças pareadas em sexo e idade, sendo: grupo caso (n = 22) e grupo controle (n = 22). Determinou-se, antes e após 12 semanas de intervenção (três vezes semanais), o índice de massa corporal e a qualidade de vida relacionada à saúde autor- relatada pelo questionário PedsQL. O grupo controle não participou da intervenção.

Resultados

Completaram o estudo 32 crianças (16 em cada). O grupo caso apresentou redução significativa do índice de massa corporal (p = 0,001) e melhorou a qualidade de vida nos domínios físico (p = 0,001), emocional (p = 0,014), social (p = 0,004), psi- cossocial (p = 0,002) e qualidade de vida geral (p = 0,001), o que não foi observado no grupo controle.

Conclusão

O programa foi efetivo na melhora da saúde e da qualidade de vida de crianças obesas.

Palavras-chave:

Criança

Obesidade

Atividade física

Recreação

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Como citar este artigo: Poeta LS, Duarte MF, Giuliano IC, Mota J. Interdisciplinary intervention in obese children and impact on health and quality of life. J Pediatr (Rio J). 2013;89:499–504.

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