Research

Health and Quality of Life Outcomes

, 11:116

Open Access This content is freely available online to anyone, anywhere at any time.

Quality of life and BMI changes in youth participating in an integrated pediatric obesity treatment program

  • Keeley J PrattAffiliated withDepartment of Human Development and Family Science, The Ohio State University Email author 
  • , Suzanne LazorickAffiliated withDepartments of Pediatrics and Public Health, Brody School of Medicine, East Carolina University
  • , Angela L LamsonAffiliated withDepartment of Child Development and Family Relations, College of Human Ecology, East Carolina University
  • , Andrada IvanescuAffiliated withDepartment of Biostatistics, College of Allied Health Sciences, East Carolina University
  • , David N CollierAffiliated withDepartments of Pediatrics and Public Health, Brody School of Medicine, East Carolina University

Abstract

Background

Changes in Quality of Life (QOL) measures over time with treatment of obesity have not previously been described for youth. We describe the changes from baseline through two follow up visits in youth QOL (assessed by the Pediatric Quality Life Inventory, PedsQL4.0), teen depression (assessed by the Patient Health Questionnaire, PHQ9A), Body Mass Index (BMI) and BMI z-score. We also report caregiver proxy ratings of youth QOL.

Methods

A sample of 267 pairs of youth and caregiver participants were recruited at their first visit to an outpatient weight-treatment clinic that provides care integrated between a physician, dietician, and mental health provider; of the 267, 113 attended a visit two (V2) follow-up appointment, and 48 attended visit three (V3). We investigated multiple factors longitudinally experienced by youth who are overweight and their caregivers across up to three different integrated care visits. We determined relationships at baseline in QOL, PHQ9A, and BMI z-score, as well as changes in variables over time using linear mixed models with time as a covariate.

Results

Overall across three visits the results indicate that youth had slight declines in relative BMI, significant increases in their QOL and improvements in depression.

Conclusions

We encourage clinicians and researchers to track youth longitudinally throughout treatment to investigate not only youth’s BMI changes, but also psychosocial changes including QOL.

Keywords

Pediatric obesity Quality of life Depression Obesity treatment