Increased Quality of Life
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.
Dr. oec. troph. Martin Hofmeister
Verbraucherzentrale Bayern e. V.,
Department of Food and Nutrition, Munich, Germany
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|