Quality of life in Brazilian obese adolescents: effects of a long-term multidisciplinary lifestyle therapy
Quality of life in Brazilian obese adolescents: effects of a long-term multidisciplinary lifestyle therapy
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DOI：
10.1186/1477-7525-7-61
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发表时间：
2009-07-03
影响因子：
3.6
通讯作者：
Damaso, Ana R.
中科院分区：
文献类型：
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作者：
Lofrano-Prado, Mara Cristina;Moreira Antunes, Hanna Karen;Damaso, Ana R.
背景：肥胖具有不良的身体、社会和经济后果，可对生活质量（QOL）产生负面影响。因此，本研究旨在验证长期多学科生活方式干预对肥胖青少年生活质量、身体形象、焦虑、抑郁和暴食的影响。（41名女孩和25名男孩; BMI：35.62 +/- 4.18 kg/m2）从多学科肥胖干预计划门诊招募，并接受多学科生活方式治疗（短期= 12周，长期= 24周），包括医疗、饮食、运动和心理计划。使用经验证的自我报告问卷评估焦虑症状特质/状态（STAI）;抑郁（BDI）;暴食（BES），身体形象不满（BSQ）和QOL（SF-36）。结果：长期治疗组女生的抑郁症状、暴食症状、体像不满意度明显降低，生活质量明显改善，男生的焦虑症状、暴食症状明显减轻，生活质量各维度均数明显改善（P < 0.05）。长期治疗组女生的抑郁症状、暴食症状、体像不满意度明显降低，生活质量明显改善（P < 0.05）。
Background: Obesity has adverse physical, social, and economic consequences that can negatively affect quality of life (QOL). Thus the aim of this study was to verify the effects of a long-term multidisciplinary lifestyle intervention on QOL, body image, anxiety, depression and binge eating in obese adolescents.Methods: Sixty-six obese adolescents (41 girls and 25 boys; BMI: 35.62 +/- 4.18 kg/m(2)) were recruited from the Multidisciplinary Obesity Intervention Program outpatient clinic, and were submitted to a multidisciplinary lifestyle therapy (short-term = 12 weeks and long-term = 24 weeks), composed of medical, dietary, exercise and psychological programs. Validated self-report questionnaires were used to assess symptoms of anxiety Trait/State (STAI); depression (BDI); binge eating (BES), body image dissatisfaction (BSQ) and QOL (SF-36). Data were analyzed by means of scores; comparisons were made by ANOVA for repeated measures, and Tukey's test as post-hoc and Students T test.Results: Long-term therapy decreased depression and binge eating symptoms, body image dissatisfaction, and improved QOL in girls, whereas, for boys, 24 weeks, were effective to reduce anxiety trait/state and symptoms of binge eating, and to improve means of dimensions of QOL (p