title: A multidisciplinary intervention programme has positive effects on quality of life in overweight and obese preschool children.
abstract: OBJECTIVE
  Up to 18.1% of Dutch children aged 3-5 are overweight and up to 3.3% are obese, with higher levels in girls. This study assessed the effect of a multidisciplinary intervention programme on health-related quality of life (HRQoL) in this patient group.
  
  
  METHODS
  We randomised 75 children to a multidisciplinary intervention, comprising dietary advice, exercise sessions and psychological counselling for parents or the standard care programme, providing healthy lifestyle advice. The parents completed quality of life and child health questionnaires at baseline and after 16 weeks and 12 months.
  
  
  RESULTS
  At 16 weeks, children in the intervention group experienced more bodily pain and less mental health than the standard care group, but at 12 months, this difference disappeared and they showed a more positive change in HRQoL than the standard care group, especially for the physical domain. When we combined both groups, a decreased BMIz-score over 12 months was associated with increased global health and reduced visceral fat correlated with increased general health.
  
  
  CONCLUSIONS
  At 12 months, a multidisciplinary intervention programme for overweight and obese children aged 3-5 years had beneficial effects on HRQoL, especially for the physical domain. Reduced obesity parameters correlated with several increased HRQoL parameters.
authors.affiliation: Department of Paediatrics, Beatrix Children's Hospital, University of Groningen, University Medical Center Groningen, Groningen, the Netherlands.
authors.forename: G
authors.initials: G
authors.lastname: Bocca
authors.forename: M W B
authors.initials: MW
authors.lastname: Kuitert
authors.forename: P J J
authors.initials: PJ
authors.lastname: Sauer
authors.forename: R P
authors.initials: RP
authors.lastname: Stolk
authors.forename: B C
authors.initials: BC
authors.lastname: Flapper
authors.forename: E
authors.initials: E
authors.lastname: Corpeleijn
mesh_terms: D002675:Child, Preschool; D005260:Female; D006801:Humans; D008297:Male; D050177:Overweight / Q000628:therapy*; D010348:Patient Care Team; D063766:Pediatric Obesity / Q000628:therapy*; D011788:Quality of Life
keywords: Childhood; Obesity; Overweight; Preschool; Quality of life