Marwa Khammassi1, Maud Miguet2, Grace O'Malley3, Alicia Fillon4, Julie Masurier5, Ana R Damaso6, Bruno Pereira7, Céline Lambert7, Martine Duclos8, Daniel Courteix9, Yves Boirie10, David Thivel9. 1. Clermont Auvergne University, Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), Clermont-Ferrand EA 3533, France; Research Unit, Sportive Performance and Physical Rehabilitation, High Institute of Sports and Physical Education of Kef, University of Jendouba, Kef, Tunisia; Faculty of Science of Bizerte, University of Carthage, 7021 Zarzouna, Bizerte, Tunisia. Electronic address: khammassimarwa.issep@hotmail.com. 2. Clermont Auvergne University, Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), Clermont-Ferrand EA 3533, France. 3. Division of Population Health Sciences, Royal College of Surgeons of Ireland, Childhood Obesity Service, Temple Street Children's University Hospital, Dublin 1, Ireland. 4. Clermont Auvergne University, Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), Clermont-Ferrand EA 3533, France; INRA, UMR 1019, Clermont-Ferrand, France. 5. UGECAM Nutrition Obesity Ambulatory Hospital, Clermont-Ferrand, France. 6. Program of Nutrition, Paulista Medicine School, Universidade Federal de São Paulo (UNIFESP), Rua Botucatu, 862-Vila Clementino, São Paulo, SP 04020-050, Brazil. 7. Clermont-Ferrand University Hospital, Biostatistics unit (DRCI), Clermont-Ferrand, France. 8. INRA, UMR 1019, Clermont-Ferrand, France; Department of Sport Medicine and Functional Explorations, Clermont-Ferrand University Hospital, G. Montpied Hospital, Clermont-Ferrand, France; CRNH-Auvergne, Clermont-Ferrand, France; University Clermont 1, UFR Medicine, Clermont-Ferrand, France. 9. Clermont Auvergne University, Laboratory of the Metabolic Adaptations to Exercise under Physiological and Pathological Conditions (AME2P), Clermont-Ferrand EA 3533, France; CRNH-Auvergne, Clermont-Ferrand, France. 10. INRA, UMR 1019, Clermont-Ferrand, France; CRNH-Auvergne, Clermont-Ferrand, France; University Clermont 1, UFR Medicine, Clermont-Ferrand, France; Department of Human Nutrition, Clermont-Ferrand University Hospital, G. Montpied Hospital, Clermont-Ferrand, France.
Abstract
BACKGROUND: Although multidisciplinary weight management interventions have been shown effective in improving body composition and cardio-respiratory fitness, their effects on HRQOL and perceived health status remain uncertain in adolescents with obesity. OBJECTIVE: To assess the impact of a 10-month multidisciplinary weight management intervention on HRQOL and health perception in adolescents with obesity, exploring whether these changes were associated with changes in body weight and body composition. METHODS: Thirty-six adolescents with obesity (28 girls and 8 boys; mean age: 13 ± 1.32 years) enrolled in a multidisciplinary weight management intervention composed of nutritional counseling, physical activity and health-related therapeutic education. Validated self-report questionnaires were used to assess HRQOL (SF-36) and health perception (HP questionnaire) at baseline (T0) after5 months (T1) and after 10 month of intervention (T2). In addition, anthropometric parameters and body composition (DXA) were measured at T0, T1 and T2. RESULTS: Items of the SF-36 significantly improved at T1 and T2, such as physical functioning (P < .01), general health (P < .01), physical (P < .001) and mental score (T1: P < .05, T2: P < .01). Dimensions of health perception improved significantly such as physical condition (P < .01 at T2), adiposity (P < .001 at T1 and T2), healthy balanced diet (P < .01 at T1 and P < .001 at T2), general health (P < .05), and perceived general health (T1: P < .01, T2: P < .001). Body weight, BMI, and fat mass (in Kg and in %) were significantly decreased (P < .001) at T1 and T2. No relationship was observed between variations of weight, BMI and Fat mass and variations of HRQOL and health perception. CONCLUSION: A 10-month multidisciplinary weight-management intervention was associated with positive changes in HRQOL and perceived health status, which might not be explained by body weight and adiposity improvements.
BACKGROUND: Although multidisciplinary weight management interventions have been shown effective in improving body composition and cardio-respiratory fitness, their effects on HRQOL and perceived health status remain uncertain in adolescents with obesity. OBJECTIVE: To assess the impact of a 10-month multidisciplinary weight management intervention on HRQOL and health perception in adolescents with obesity, exploring whether these changes were associated with changes in body weight and body composition. METHODS: Thirty-six adolescents with obesity (28 girls and 8 boys; mean age: 13 ± 1.32 years) enrolled in a multidisciplinary weight management intervention composed of nutritional counseling, physical activity and health-related therapeutic education. Validated self-report questionnaires were used to assess HRQOL (SF-36) and health perception (HP questionnaire) at baseline (T0) after5 months (T1) and after 10 month of intervention (T2). In addition, anthropometric parameters and body composition (DXA) were measured at T0, T1 and T2. RESULTS: Items of the SF-36 significantly improved at T1 and T2, such as physical functioning (P < .01), general health (P < .01), physical (P < .001) and mental score (T1: P < .05, T2: P < .01). Dimensions of health perception improved significantly such as physical condition (P < .01 at T2), adiposity (P < .001 at T1 and T2), healthy balanced diet (P < .01 at T1 and P < .001 at T2), general health (P < .05), and perceived general health (T1: P < .01, T2: P < .001). Body weight, BMI, and fat mass (in Kg and in %) were significantly decreased (P < .001) at T1 and T2. No relationship was observed between variations of weight, BMI and Fat mass and variations of HRQOL and health perception. CONCLUSION: A 10-month multidisciplinary weight-management intervention was associated with positive changes in HRQOL and perceived health status, which might not be explained by body weight and adiposity improvements.
Authors: François Bughin; Gaspard Bui; Bronia Ayoub; Leo Blervaque; Didier Saey; Antoine Avignon; Jean Frédéric Brun; Nicolas Molinari; Pascal Pomies; Jacques Mercier; Fares Gouzi; Maurice Hayot Journal: JMIR Mhealth Uhealth Date: 2021-12-06 Impact factor: 4.773