PMID- 27195900 OWN - NLM STAT- MEDLINE DCOM- 20170621 LR - 20220408 IS - 1930-7810 (Electronic) IS - 0278-6133 (Linking) VI - 35 IP - 10 DP - 2016 Oct TI - Change in health-related quality of life in the context of pediatric obesity interventions: A meta-analytic review. PG - 1097-109 LID - 10.1037/hea0000362 [doi] AB - OBJECTIVE: To quantitatively characterize change in health-related quality of life (HRQoL) in the context of behavioral (n = 16), surgical (n = 5), and pharmacological (n = 1) interventions for pediatric overweight and obesity. A secondary goal was to examine the relationship between change in HRQoL and change in body mass index (DeltaBMI) by treatment type. The amount of weight loss necessary to observe a minimally clinically important difference (MCID) in HRQoL was determined. METHOD: Data were gathered from studies reporting on weight change and DeltaHRQoL over the course of obesity interventions (N = 22) in youths (N = 1,332) with average ages between 7.4 and 16.5 years (M = 12.2). An overall effect size was calculated for DeltaHRQoL. Moderation analyses were conducted using analysis of variance and weighted regression. MCID analyses were conducted by converting HRQoL data to standard error of measurement units. RESULTS: The overall effect size for DeltaHRQoL in the context of pediatric obesity interventions was medium (g = 0.51). A significant linear relationship was detected between DeltaBMI and DeltaHRQoL (R2 = 0.87). This relationship was moderated by treatment type, with medical (i.e., surgical) interventions demonstrating a stronger relationship. Results indicated that it takes a change of 0.998 BMI units to detect true change in HRQoL. CONCLUSION: This study provides the first known quantitative examination of changes in HRQoL associated with weight loss in pediatric interventions. Medical interventions appear to offer a more substantial increase in HRQoL per unit of BMI change. These results offer a concrete weight loss goal for noticing positive effects in daily life activities. (PsycINFO Database Record CI - (c) 2016 APA, all rights reserved). FAU - Steele, Ric G AU - Steele RG AD - Clinical Child Psychology Program. FAU - Gayes, Laurie A AU - Gayes LA AD - Clinical Child Psychology Program. FAU - Dalton, William T AU - Dalton WT AD - Department of Psychology, East Tennessee State University. FAU - Smith, Courtney AU - Smith C AD - Department of Psychology, East Tennessee State University. FAU - Maphis, Laura AU - Maphis L AD - Department of Psychology, East Tennessee State University. FAU - Conway-Williams, Elizabeth AU - Conway-Williams E AD - Department of Psychology, East Tennessee State University. LA - eng PT - Journal Article PT - Meta-Analysis PT - Review DEP - 20160519 PL - United States TA - Health Psychol JT - Health psychology : official journal of the Division of Health Psychology, American Psychological Association JID - 8211523 SB - IM MH - Adolescent MH - Body Mass Index MH - Child MH - Humans MH - Male MH - Obesity/*psychology MH - Overweight/psychology MH - Pediatric Obesity/*prevention & control MH - Quality of Life/*psychology EDAT- 2016/05/20 06:00 MHDA- 2017/06/22 06:00 CRDT- 2016/05/20 06:00 PHST- 2016/05/20 06:00 [entrez] PHST- 2016/05/20 06:00 [pubmed] PHST- 2017/06/22 06:00 [medline] AID - 2016-24580-001 [pii] AID - 10.1037/hea0000362 [doi] PST - ppublish SO - Health Psychol. 2016 Oct;35(10):1097-109. doi: 10.1037/hea0000362. Epub 2016 May 19.