title: Quality of life in Brazilian obese adolescents: effects of a long-term multidisciplinary lifestyle therapy.
abstract: 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/m2) 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 Turkey'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 < .05).
  
  
  CONCLUSIONS
  A long-term multidisciplinary lifestyle therapy is effective to control psychological aspects and to improve QOL in obese adolescents.
authors: Post-Graduate Program in Nutrition, Federal University of São Paulo, Paulista School of Medicine, 535 São Paulo, Brazil. maralofrano@gmail.com
authors: Mara Cristina
authors: MC
authors: Lofrano-Prado
authors: Hanna Karen Moreira
authors: HK
authors: Antunes
authors: Wagner Luiz
authors: WL
authors: do Prado
authors: Aline
authors: A
authors: de Piano
authors: Danielle Arisa
authors: DA
authors: Caranti
authors: Lian
authors: L
authors: Tock
authors: June
authors: J
authors: Carnier
authors: Sergio
authors: S
authors: Tufik
authors: Marco Túlio
authors: MT
authors: de Mello
authors: Ana R
authors: AR
authors: Dâmaso
mesh_terms: D000293:Adolescent; D000886:Anthropometry; D001294:Attitude to Health; D015992:Body Mass Index; D001938:Brazil; D003131:Combined Modality Therapy; D005081:Exercise Therapy; D005260:Female; D006801:Humans; D008019:Life Style; D008297:Male; D018529:Nutritional Support; D009765:Obesity / Q000178:diet therapy / Q000523:psychology / Q000628:therapy*; D011613:Psychotherapy; D011788:Quality of Life; D011795:Surveys and Questionnaires; D055815:Young Adult