Efeitos de um programa multiprofissional de tratamento da obesidade sobre a qualidade de vida de adolescentes e o impacto sobre a percepção de seus responsáveis

• Autor(a) principal: Bianchini, Josiane Aparecida Alves
• Data de Publicação: 2013
• Tipo de documento: Dissertação
• Idioma: por
• Título da fonte: Repositório Institucional da Universidade Estadual de Maringá (RI-UEM)
• Texto Completo: http://repositorio.uem.br:8080/jspui/handle/1/2204
• topic: Obesidade - Adolescente - Qualidade de vida - Percepção de pais; Adolescente - Qualidade de vida - Saúde; Intervenção multiprofissional - Tratamento da obesidade - Mudança de estilo de vida; Programa multiprofissional de tratamento da obesidade; Qualidade de Vida Relacionada à Saúde (QVRS); Obesidade - Intervenções multiprofissionais - Composição corporal; Ciências da Saúde; Educação Física

Assess overweight adolescents' health-related quality of life (HRQoL) compared to their parent-proxy perception of HRQoL, according to adolescent gender and age and to parent gender. Besides, analyze the effects of a Multidisciplinary Program of Obesity Treatment (MPOT) on health-related quality of life (HRQoL) in adolescents and the impact on parent-proxy perception. A total of 179 adolescents aged 10 to 18 years with excess weight took part of this study. Of this total, 92 were allocated in intervention group (IG) and 67 in control group (CG). The others were excluded because they did not complete the intervention. We evaluated weight, height, BMI, waist (WC) and hip circumference (HC), absolute and relative body fat and lean mass. HRQoL was assessed by Pediatric Quality of Life Inventory, PedsQLTM version 4.0, being applied in adolescents and their parents/guardians. Intervention lasted 16 weeks, with a multidisciplinary team based on Cognitive Behavioral Therapy. We tested normality with Shapiro-Wilk test. Data was presented as mean and standard deviation. Mixed ANOVA for repeated measures was used to compare both moments and groups and significance was preset at 5%. Compared to their children's self report, parents underestimated all the domains of HRQoL except the school domain. Parents underestimated HRQoL all the domains among boys; however, they only underestimated the physical domain among girls. Comparisons between parent-proxy perception and self-report of the adolescent according to adolescent age revealed that parents underestimated their children's HRQoL in the younger adolescents (10 to 13 years) for all except for the school domain, and underestimated only the physical domain in older adolescents (14 to 18 years). The same comparison between parent-proxy perception and their children self-report of HRQoL according to parent gender showed that mothers underestimated HRQoL in all domains except for the school domain, while fathers only underestimated the school domain with no differences for the other domains. After intervention period, IG adolescents showed significant improvement in BMI, WC, body fat (absolute and relative) and lean mass, while we observed in CG increase of body mass and lean mass. About HRQoL, IG improved physical, social, psychosocial and total domains and in IG and no significant changes were observed in CG. With regards to parent-proxy perception, we found improvements for all domains in IG, except for school domain, while in CG, no changes were reported. In baseline, parents underestimated adolescents' HRQoL for all domains except for school domain, in IG and CG, however after the intervention we found differences only physical and total domains and in CG all HRQoL domains were underestimation by parents. The differences between self-report overweight adolescent and perceptions of their parents about the HRQL of their children are influenced by adolescent gender and age and to parent gender. Results showed that multidisciplinary intervention is effective to improve anthropometric variables, body composition and HRQoL in excess weight adolescents and promote approximation between adolescents self-report and those of their parents in emotional, social and psychosocial domains.