DÄ internationalArchive17/2015Increased Quality of Life
LNSLNS

I like to make a small critical point to the excellent systematic review by Dipl.-Psych. Mühlig et al. (1). I cannot agree with the authors’ statement that the evidence currently available only supports short-term improvements in quality of life under conservative weight-loss treatments. As early as 2001, a research team led by Petra Warschburger conducted a randomized controlled long-term study including 197 children and adolescents that showed an increase in health-related quality of life even 12 months after an 8-week period of multimodal cognitive-behavioral treatment for obesity (2). Furthermore, the recent analysis of the German LOGIC study (Long-term effects of lifestyle Intervention and Genetic Influence in Children) demonstrated that the quality of life of overweight/obese children and adolescents remained significantly improved 2 years after the end of the treatment. “Self-esteem“ was the dimension where patients benefited the most from the program (3). I think we should make more use of volitional and awareness-based weight management strategies for obese or overweight patients, including children.

DOI: 10.3238/arztebl.2015.0297a

Dr. oec. troph. Martin Hofmeister

Verbraucherzentrale Bayern e. V.,

Department of Food and Nutrition, Munich, Germany

hofmeister@vzbayern.de

Conflict of interest statement

The author declares that no conflict of interest exists.

1.
Mühlig Y, Wabitsch M, Moss A, Hebebrand J: Weight loss in children and adolescents—a systematic review and evaluation of conservative, non-pharmacological obesity treatment programs. Dtsch Arztebl Int 2014; 111: 818–24 VOLLTEXT
2.
Warschburger P, Fromme C, Petermann F, Wojtalla N, Oepen J: Conceptualisation and evaluation of a cognitive-behavioural training programme for children and adolescents with obesity. Int J Obes Relat Metab Disord 2001; 25 (Suppl 1): 93–5 CrossRef MEDLINE
3.
Rank M, Wilks DC, Foley L, et al.: Health-related quality of life and physical activity in children and adolescents 2 years after an inpatient weight-loss program. J Pediatr 2014; 165:732–7.e2 CrossRef MEDLINE
1.Mühlig Y, Wabitsch M, Moss A, Hebebrand J: Weight loss in children and adolescents—a systematic review and evaluation of conservative, non-pharmacological obesity treatment programs. Dtsch Arztebl Int 2014; 111: 818–24 VOLLTEXT
2.Warschburger P, Fromme C, Petermann F, Wojtalla N, Oepen J: Conceptualisation and evaluation of a cognitive-behavioural training programme for children and adolescents with obesity. Int J Obes Relat Metab Disord 2001; 25 (Suppl 1): 93–5 CrossRef MEDLINE
3.Rank M, Wilks DC, Foley L, et al.: Health-related quality of life and physical activity in children and adolescents 2 years after an inpatient weight-loss program. J Pediatr 2014; 165:732–7.e2 CrossRef MEDLINE

Info

Specialities