Quality of life in Mexican American children following a weight management program.

  • Fullerton L
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Abstract

This study examined quality of life (QOL) in at-risk for overweight and overweight Mexican American children after participating in 6 months of intensive weight management or self-help. A total sample of 80 sixth- and seventh-grade at-risk for overweight (BMI 85th-95th percentile) and overweight (BMI ge; 95th percentile) Mexican American children were randomly assigned to receive either intensive instructor-led intervention (II) or self-help (SH). The II condition included daily participation for 12 weeks in a school-based program comprised of nutrition education, physical activity, and behavior modification, followed by ongoing monthly maintenance. QOL was assessed at baseline and 6 months via child self-report PedsQL. QOL outcomes were compared across treatment groups, and the impact of change in zBMI on change in QOL was evaluated. Children in the II condition not only reported significantly greater weight loss (zBMI, -.13 + .14; p < .001) but also significantly greater physical QOL improvements than those in the SH condition at six months ( p < .05). Furthermore, physical QOL increases were associated with zBMI reduction (p < .05). However, neither psychosocial nor total QOL were significantly impacted by intervention or zBMI change. These findings show that even modest decreases in zBMI following weight management results in improved physical QOL in Mexican American children. However, other factors may be playing a more important role in psychosocial QOL in these children. These results illustrate the clear need to include evaluation of QOL in the process of identifying effective weight management programs. (PsycINFO Database Record (c) 2016 APA, all rights reserved)

Author-supplied keywords

  • *At Risk Populations
  • *Mexican Americans
  • *Obesity
  • *Quality of Life
  • *Weight Control

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Authors

  • Laura Fullerton

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