title: The effect of family-based multidisciplinary cognitive behavioral treatment on health-related quality of life in childhood obesity.
abstract: OBJECTIVE
  To evaluate the effect of multidisciplinary treatment on obesity and health-related quality of life (HRQOL).
  
  
  METHODS
  Obese children were randomized to a multidisciplinary lifestyle treatment, including medical, nutritional, physical, and psychological counseling during 3 months, (n = 40, BMI-SDS; 4.2 ± 0.7, age; 13.3 ± 2.0) or standard care, including an initial advice on nutrition and physical activity by the pediatrician (n = 39, BMI-SDS; 4.3 ± 0.7, age; 13.1 ± 1.9). At baseline, after 3 months of treatment and at 12 months follow-up, data were collected for BMI-SDS and a European validated questionnaire for assessing HRQOL (DISABKIDS).
  
  
  RESULTS
  A significantly reduced BMI-SDS was found for the intervention group after 3 months treatment (4.0 ± 0.9 vs. 4.2 ± 0.7, P = 0.02) and at 12 months follow-up (3.8 ± 1.1 vs. 4.2 ± 0.7, P = 0.03). HRQOL in the intervention group was significantly improved at 12 months follow-up and unchanged in the obese control group. Agreement between child and parent report was moderate (67-85%), with parents reporting a lower HRQOL for their obese children than children themselves in both groups.
  
  
  CONCLUSIONS
  Multidisciplinary treatment is effective in reducing BMI-SDS and improving HRQOL after 12 months follow-up.
authors.affiliation: Department of Pediatrics, Juliana Children's Hospital/ HagaHospital, Sportlaan 600, 2566 MJ, The Hague, The Netherlands. r.vos@hagaziekenhuis.nl
authors.forename: Rimke C
authors.initials: RC
authors.lastname: Vos
authors.forename: Sasja D
authors.initials: SD
authors.lastname: Huisman
authors.forename: Euphemia C A M
authors.initials: EC
authors.lastname: Houdijk
authors.forename: Hanno
authors.initials: H
authors.lastname: Pijl
authors.forename: Jan M
authors.initials: JM
authors.lastname: Wit
mesh_terms: D000293:Adolescent; D000294:Adolescent Behavior; D000704:Analysis of Variance; D015992:Body Mass Index; D002648:Child; D002669:Child Welfare; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D016001:Confidence Intervals; D005196:Family Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology / Q000523:psychology* / Q000628:therapy; D010348:Patient Care Team; D010353:Patient Education as Topic / Q000379:methods*; D010372:Pediatrics; D011594:Psychometrics; D011788:Quality of Life / Q000523:psychology*; D057566:Self Report; D011795:Surveys and Questionnaires