Effects of a diabetes prevention programme on weight-specific quality of life in Latino youth

Pediatr Obes. 2014 Oct;9(5):e108-11. doi: 10.1111/ijpo.240. Epub 2014 Jun 5.

Abstract

Objective: To examine the effects of a diabetes prevention programme on weight-specific Quality of Life (QOL) in obese Latino youth.

Methods: Fifteen obese Latino adolescents (body mass index % = 96.4 ± 1.2; age = 15.0 ± 1.0) completed a 12-week culturally grounded, community-based intervention designed to improve physical and psychosocial health. Weight-specific QOL was assessed by the Youth Quality of Life-Weight module and compared with age, sex and ethnicity-matched lean youth.

Results: At baseline, intervention youth exhibited significantly lower weight-specific QOL compared with lean youth (70.8 ± 5.4 vs. 91.2 ± 2.2, P = 0.002). However, following the intervention, total weight-specific QOL increased by 21.8% among obese youth (70.8 ± 5.4 to 86.2 ± 4.3, P < 0.001) and was no longer different from lean controls. Significant increases in weight-specific QOL were noted across all subdomains including self (45.7%), social (11.9%) and environmental (36.2%) despite the fact that weight did not change (90.6 ± 6.8 to 89.9 ± 7.2, P = 0.44). The improvements in QOL were maintained for up to 12 months after the intervention.

Conclusion: Weight-specific QOL among obese Latino youth can be improved through lifestyle interventions to a level similar to lean peers. Further, weight loss may not be necessary to observe improvements in QOL.

Keywords: Adolescent; QOL; diabetes prevention; lifestyle.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adolescent
  • Adolescent Behavior / ethnology
  • Adolescent Behavior / psychology*
  • Body Composition
  • Body Mass Index
  • Diabetes Mellitus, Type 2 / ethnology
  • Diabetes Mellitus, Type 2 / prevention & control*
  • Diabetes Mellitus, Type 2 / psychology
  • Female
  • Follow-Up Studies
  • Health Education
  • Health Knowledge, Attitudes, Practice
  • Hispanic or Latino* / psychology
  • Humans
  • Male
  • Motivation
  • Pediatric Obesity / ethnology
  • Pediatric Obesity / prevention & control*
  • Pediatric Obesity / psychology
  • Quality of Life / psychology*
  • Risk Reduction Behavior
  • Self Care / psychology
  • Surveys and Questionnaires
  • United States / ethnology
  • Weight Loss*