Dataset Information

Health-related quality of life after camp-based family obesity treatment: an RCT.

ABSTRACT: Objective:To compare the effects of a 2-year camp-based immersion family treatment for obesity with an outpatient family-based treatment for obesity on health-related quality of life (HRQoL) in two generations. Design:Randomised controlled trial. Setting:Rehabilitation clinic, tertiary care hospital and primary care. Patients:Families with at least one child (7-12 years) and one parent, both with obesity. Interventions:Summer camp for 2?weeks, with four repetition weekends, or lifestyle school, including four outpatient days over 4?weeks. Behavioural techniques to promote a healthier lifestyle. Main outcome measures:Children's and parents' HRQoL were assessed using generic and obesity-specific measures. Outcomes were analysed using linear mixed models according to intention to treat, and multiple imputations were used for missing data. Results:Ninety children (50% girls) with a mean (SD) age of 9.7 (1.2) years and body mass index 28.7 (3.9) kg/m2 were included in the analyses. Summer camp children had an estimated mean (95%?CI) of 5.3 (0.4 to 10.1) points greater improvement in adiposity-specific HRQoL score at 2?years compared with the lifestyle school children, and this improvement was even larger in the parent proxy-report, where mean difference was 7.3 (95% CI 2.3 to 12.2). Corresponding effect sizes were 0.33 and 0.44. Generic HRQoL questionnaires revealed no significant differences between treatment groups in either children or parents from baseline to 2 years. Conclusions:A 2-year family camp-based immersion obesity treatment programme had significantly larger effects on obesity-specific HRQoL in children's self-report and parent proxy-reports in children with obesity compared with an outpatient family-based treatment programme. Trial registration number:NCT01110096.

SUBMITTER: Benestad B

PROVIDER: S-EPMC6542445 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Health-related quality of life after camp-based family obesity treatment: an RCT.

Benestad Beate B Karlsen Tor-Ivar TI Småstuen Milada Cvancarova MC Lekhal Samira S Hertel Jens Kristoffer JK Steinsbekk Silje S Kolotkin Ronette L RL Ødegård Rønnaug Astri RA Hjelmesæth Jøran J

BMJ paediatrics open 20190403 1

<h4>Objective</h4>To compare the effects of a 2-year camp-based immersion family treatment for obesity with an outpatient family-based treatment for obesity on health-related quality of life (HRQoL) in two generations.<h4>Design</h4>Randomised controlled trial.<h4>Setting</h4>Rehabilitation clinic, tertiary care hospital and primary care.<h4>Patients</h4>Families with at least one child (7-12 years) and one parent, both with obesity.<h4>Interventions</h4>Summer camp for 2 weeks, with four repeti ...[more]

PMID: 31206074

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Project description:IntroductionChildren and adolescents with overweight and obesity have an impaired health-related quality of life (HRQoL). However, it is unclear which of these children are most affected in their physical, psychological, and social functioning. Therefore, this study aimed to evaluate HRQoL in treatment-seeking children and adolescents with overweight, obesity, and severe obesity.MethodsA cross-sectional study was performed at the Centre for Overweight Adolescent and Children's Healthcare (COACH). Children and adolescents (8-17 years) with overweight, obesity, and severe obesity were included. The primary outcome was the self-reported HRQoL measured with the KIDSCREEN-27.ResultsA total of 419 participants with overweight (N = 121), obesity (N = 182), and severe obesity (N = 116) were included. One-way ANOVA analysis showed that children and adolescents with severe obesity reported significantly lower physical well-being (41.25 ± 13.14) compared to those with overweight (47.91 ± 12.53; p < 0.001) and obesity (46.74 ± 11.93; p < 0.001). Furthermore, impaired psychological well-being was found in the group with severe obesity (45.14 ± 13.27) in comparison to the group with overweight (50.90 ± 9.48; p < 0.001) and obesity (49.71 ± 10.95; p = 0.002). Multivariable linear regression analysis, while correcting for age, sex, cardio metabolic health risk, and ethnicity, revealed similar results. Additionally, children and adolescents with severe obesity scored lower regarding autonomy and parent relation than those with overweight (B = 3.95; p = 0.009). In almost all groups and dimensions of the KIDSCREEN-27, caregivers scored lower compared to the children and adolescents themselves. Furthermore, a low child-caregiver agreement seemed to exist, especially in the children and adolescents with overweight.ConclusionThe HRQoL of treatment-seeking children and adolescents with overweight and obesity was most affected in children and adolescents with the most severe grade of obesity. Following these findings, lifestyle intervention programs targeting childhood obesity should be aware of this even more vulnerable group so that treatments can be tailored according to their needs.

Dataset Information

Health-related quality of life after camp-based family obesity treatment: an RCT.

Publications

Health-related quality of life after camp-based family obesity treatment: an RCT.

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