Implementing Interventions to Enhance Quality of Life in Overweight Children and Adolescents

  • J. Lamanna
  • N. Kelly
  • M. Stern
  • S. E. Mazzeo
Reference work entry


The rates of pediatric overweight in the United States and in other industrialized countries have risen dramatically in recent years. Pediatric overweight is associated with poor physical, psychological, and social Quality of Life (QOL). Overweight children and adolescents are at greater risk for weight-related health problems, emotional and psychological problems, and social stigmatization than their normal-weight peers. To address the pediatric overweight crisis and to improve QOL in this population, a number of interventions have been developed. Rather than focusing on weight loss, interventions tend to encourage the development of healthy lifestyle behaviors such as regular physical activity and a nutritious diet. Interventions have been found to yield promising enhancements in QOL. These programs offer one or more treatment components, including physical activity, nutritional counseling, behavioral modification, and parent involvement. Inpatient and outpatient facilities are the primary outlets for these services. This chapter focuses primarily on the impact of pediatric overweight interventions on QOL, and also describes the modalities through which they enhance QOL.


Physical Activity Binge Eating Weight Management Overweight Child Behavioral Modification 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

List of Abbreviations:


Behavior Modification


Body Mass Index


Cognitive Behavioral Therapy


Nutritional Counseling


Physical Activity


Parent Involvement


Pediatric Overweight Intervention


Quality of Life


Teaching, Education, Exercise, Nutrition, and Support


  1. Andersen N, Wold B. (1992). Res Q Exerc Sport. 63(4): 341–348.Google Scholar
  2. Barlow SE, Dietz WH. (1998). Pediatrics. 102: e29.PubMedCrossRefGoogle Scholar
  3. Barlow SE. (2007). Expert Committee Pediatrics. 120: S164–S192.PubMedCrossRefGoogle Scholar
  4. Braet C, Tanghe A, De Bode P, Franckx H, Van Winckel M. (2003). Eur J Pediatr. 162: 391–396.PubMedGoogle Scholar
  5. Braet C, Tanghe A, Decaluwe V, Moens E, Rosseel Y. (2004). J Pediatr Psychol. 29(7): 519–529.PubMedCrossRefGoogle Scholar
  6. Calfas KJ, Taylor WC. (1994). Pediatr Exerc Sci. 6: 406–423.Google Scholar
  7. Cameron JW. (1999). Issues Compr Pediatr Nurs. 22: 75–85.PubMedCrossRefGoogle Scholar
  8. Chan J, Edman JC, Koltai PJ. (2004). Am Fam Physician. 69(5): 1147–1154.PubMedGoogle Scholar
  9. Cole K, D’Auria J, Garner H. (2006). J Spec Pediatr Nurs. 11(3): 166–177.PubMedCrossRefGoogle Scholar
  10. Collins CE, Warren J, Neve M, McCoy P, Strokes BJ. (2006). Archives of Pediatr Adolesc Med. 160: 906–922.CrossRefGoogle Scholar
  11. Cote MP, Byczkowski T, Kotagal U, Kirk S, Zeller M, Daniels S. (2004). Int J Qual Health Care. 16(2): 165–173.PubMedCrossRefGoogle Scholar
  12. Daley AJ, Copeland RJ, Wright NP, Roalfe A, Wales JKH. (2006). Pediatrics. 118(5): 2126–2134.PubMedCrossRefGoogle Scholar
  13. Decaluwe V, Braet C, Fairburn CG. (2003). Int J Eat Disord. 33: 78–84.PubMedCrossRefGoogle Scholar
  14. Dempster M, Donnelly M. (2000). Soc Work Health Care. 32(1): 45–56.PubMedCrossRefGoogle Scholar
  15. DeStefano RA, Caprio S, Fahey JT, Tamborlane WV, Goldberg B. (2000). Pediatr Diabetes. 1: 61–65.PubMedCrossRefGoogle Scholar
  16. Dreimane D, Safani D, MacKenzie M, Halvorson M, Braun S, Conrad B, Kaufman F. (2007). Diabetes Res Clin Pract. 75: 159–168.PubMedCrossRefGoogle Scholar
  17. Duffy G, Spence SH. (1993). J Child Psychol Psychiat. 34(6): 1043–1050.PubMedCrossRefGoogle Scholar
  18. Edwards C, Nicholls D, Croker H, Van Zyl S, Viner R, Wardle J. (2006). Eur J Clin Nutr. 60: 587–592.PubMedCrossRefGoogle Scholar
  19. Epstein LH, Coleman KJ, Myers MD. (1996). Med Sci Sports Exerc. 28(4): 428–435.PubMedCrossRefGoogle Scholar
  20. Epstein LH, Goldfield GS. (1999). Med Sci Sports Exerc. 31, (11), Suppl 1, S553.PubMedGoogle Scholar
  21. Epstein LH, Myers MD, Raynor HA, Saelens BE. (1998). Pediatrics. 101:554–570.PubMedGoogle Scholar
  22. Epstein LH, Paluch RA, Gordy CC, Dorn J. (2000). Archives of Pediatr Adolesc Med. 154: 220–226.Google Scholar
  23. Epstein LH, Paluch RA, Kilanowski CK, Raynor HA. (2004). Health Psychol. 23(4): 371–380.PubMedCrossRefGoogle Scholar
  24. Epstein LH, Paluch RA, Saelens BE, Ernst M, Wilfley DE. (2001). J Pediatr. 139: 58–65.PubMedCrossRefGoogle Scholar
  25. Erermis S, Cetin N, Tamar M, Bukusoglu N, Akdeniz F, Goksen D. (2004). Pediatr Int. 46: 296–301.PubMedCrossRefGoogle Scholar
  26. Felce D, Perry J. (1995). Res Dev Disabil. 16(1): 51–74.PubMedCrossRefGoogle Scholar
  27. Friedlander SL, Larkin EK, Rosen CL, Palermo TM, Redline S. (2003). Arch Pediatr Adolesc Med. 157: 1206–1211.PubMedCrossRefGoogle Scholar
  28. Fullerton G, Tyler C, Johnston CA, Vincent JP, Harris GE, Foreyt JP. (2007). Obesity. 15(11): 2553–2556.PubMedCrossRefGoogle Scholar
  29. Gately PJ, Cooke CB, Barth JH, Bewick BM, Radley D, Hill AJ. (2005). Pediatrics. 116(1): 73–77.PubMedCrossRefGoogle Scholar
  30. Glasofer DR, Tanofsky-Kraff M, Eddy KT, Yanovski SZ, Theim KR, Mirch MC, Ghorbani S, Ranzenhofer LM, Haaga D, Yanovski JA. (2007). J Pediatr Psychol. 32(1): 95–105.PubMedCrossRefGoogle Scholar
  31. Golan M. (2006). Int J Pediatr Obes. 1(2): 66–76.PubMedCrossRefGoogle Scholar
  32. Haddock CK, Shadish WR, Klesges RC, Stein RJ. (1994). Ann Behav Med. 16(3): 235–244.Google Scholar
  33. Herrera EA, Johnston CA, Steele RG. (2004). Children’s Health Care. 33(2): 151–167.CrossRefGoogle Scholar
  34. Huang JS, Norman GJ, Zabinski MF, Calfas K, Patrick K. (2007). J Adolesc Health. 40: 245–251.PubMedCrossRefGoogle Scholar
  35. Hughes AR, Farewell K, Harris D, Reilly JJ. (2007). Int J Obes. 31: 39–44.Google Scholar
  36. Jelalian E, Mehlenbeck R, Lloyd-Richardson EE, Birmaher V, Wing RR. (2006). Int J Obes. 30: 31–39.CrossRefGoogle Scholar
  37. Jelalian E, Saelens BE. (1999). J Pediatr Psychol. 24 (3): 223–248.PubMedCrossRefGoogle Scholar
  38. Jiang JX, Lia XL, Greiner T, Lian GL, Rosenqvist U. (2005). Arch Dis Child. 90: 1235–1238.PubMedCrossRefGoogle Scholar
  39. Kiess W, Galler A, Reich A, Muller G, Kapellen T, Deutscher J, Raile K, Kratzsch J. (2001). Obesity Rev. 2: 29–36.CrossRefGoogle Scholar
  40. Kirk S, Zeller M, Claytor R, Santangelo M, Khoury PR, Daniels SR. (2005). Obes Res. 13(5): 876–882.PubMedCrossRefGoogle Scholar
  41. Kirkcaldy BD, Shephard RJ, Siefen RG. (2002). Social Psychiatry and Psychiatr Epidemiol. 37: 544–550.CrossRefGoogle Scholar
  42. Kirschenbaum DS, Harris ES, Tomarken AJ. (1984). Behav Ther. 15: 485–500.CrossRefGoogle Scholar
  43. Lowry KW, Sallinen BJ, Janicke DM. (2007). J Pediatr Psychol. 32(10): 1179–1195.PubMedCrossRefGoogle Scholar
  44. Murphree D. (1994). J Fam Pract. 38: 45–48.PubMedGoogle Scholar
  45. Myers MD, Raynor HA, Epstein LH. (1998). Arch Pediatr Adolesc Med. 152: 855–861.PubMedGoogle Scholar
  46. Nemet D, Barkan S, Epstein Y, Friedland O, Kowen G, Eliakim A. (2005). Pediatrics 115: e443-–e449.PubMedCrossRefGoogle Scholar
  47. Neumark-Sztainer D, Story M, Hannan PJ, Tharp T, Rex J. (2003). Arch Pediatr Adolesc Med 157(8): 803–810.PubMedCrossRefGoogle Scholar
  48. Ogden CL, Carroll MD, Curtin LR, McDowell MA, Tabak CJ, Flegal KM. (2006). JAMA. 295(13): 1549–1555.PubMedCrossRefGoogle Scholar
  49. Piko BF, Keresztes N. (2006). J Community Health. 31(2): 136–145.PubMedCrossRefGoogle Scholar
  50. Pinhas-Hamiel O, Singer S, Pilpel N, Fradkin A, Modan D, Reichman B. (2006). Int J Obes 30: 267–272.CrossRefGoogle Scholar
  51. Reinehr T, Brylak K, Alexy U, Kersting M, Andler W. (2003). Int J Obes. 27: 1087–1092.CrossRefGoogle Scholar
  52. Reinehr T, de Sousa G, Toschke AM, Andler W. (2006a). Am J Clin Nutr. 84: 490–496.PubMedGoogle Scholar
  53. Reinehr T, de Sousa G, Wabitsch M. (2006b). J Pediatr Gastroenterol Nutr. 43(4): 506–511.PubMedCrossRefGoogle Scholar
  54. Resnicow K, Taylor R, Baskin M, McCarty F. (2005). Obes Res 13(10): 1739–1748.PubMedCrossRefGoogle Scholar
  55. Resnicow K, Yaroch AL, Davis A, Wang DT, Carter S, Slaughter L, Coleman D, Baranowski T. (2000). Health Educ Behav. 27(5): 616–631.PubMedCrossRefGoogle Scholar
  56. Robinson S. (2006). J Sch Nurs. 22(4): 201–206.PubMedCrossRefGoogle Scholar
  57. Robinson TN. (1999). JAMA 282(16): 1561–1567.PubMedCrossRefGoogle Scholar
  58. Ross HE, Ivis F. (1999). Int J Eat Disord. 26(3): 245–260.PubMedCrossRefGoogle Scholar
  59. Rudolf MCJ, Sahota P, Barth JH, Walker J. (2001). BMJ. 322:1094–1095.PubMedCrossRefGoogle Scholar
  60. Sallis JF, Prochaska JJ, Taylor WC. (2000). Med Sci Sports Exerc. 32: 963–975.PubMedCrossRefGoogle Scholar
  61. Salmon J, Ball K, Crawford D, Booth M, Telford A, Hume C, Jolley D, Worsley A. (2005). Health Promot Int. 20: 7–17.PubMedCrossRefGoogle Scholar
  62. Savoye M, Berry D, Dziura J, Shaw M, Serrecchia JB, Barbetta G, Rose P, Lavietes S, Caprio S. (2005). J Am Diet Assoc. 105: 364–370.PubMedCrossRefGoogle Scholar
  63. Savoye M, Shaw M, Dziura J, Tamborlane WV, Rose P, Guandalini C, Goldberg-Gell R, Burgert TS, Cali AMG, Weiss R, Caprio S. (2007). JAMA. 297: 2697–2704.PubMedCrossRefGoogle Scholar
  64. Schipper H, Clinch JJ, Olweny CLM. (1996). In: Spilker B (ed) Quality of Life and Pharmacoeconomics in Clinical Trials 2nd ed. Lippencott-Raven, Philadelphia, pp. 11–23.Google Scholar
  65. Schwimmer JB, Burwinkle TM, Varni JW. (2003). JAMA. 289(14): 1813–1819.PubMedCrossRefGoogle Scholar
  66. Shepard RJ. (1995). Res Q Exerc Sport. 66(4): 298–302.Google Scholar
  67. Snethen JA, Broome ME, Cashin SE. (2006). J Pediatr Nurs. 21: 45–56.PubMedCrossRefGoogle Scholar
  68. Sothern MS, Schumacher H, von Almen TK, Carlisle LK, Udall JN. (2002). J Am Diet Assoc. 102(3): S81–S85.PubMedCrossRefGoogle Scholar
  69. Spear BA, Barlow SE, Ervin C, Ludwig DS, Saelens BE, Schetzina KE, Taveras EM. (2007). Pediatrics. 120 (Supp 4): S254-–S288.PubMedCrossRefGoogle Scholar
  70. Stella SG, Vilar AP, Lacroix C, Fisberg M, Santos RF, Mello MT, Tufik S. (2005). Braz J Med Biol Res 38(11): 1683–1689PubMedCrossRefGoogle Scholar
  71. Stern M, Mazzeo SE, Gerke CK, Porter JS, Bean MK, Laver JH. (2007). J Pediatr Psychol. 32(1): 90–94.PubMedCrossRefGoogle Scholar
  72. Stern M, Mazzeo SE, Porter J, Gerke C, Bryan D, Laver J. (2006). J Clin Psychol Med Settings. 13(3): 217–228.CrossRefGoogle Scholar
  73. Stice E, Presnell K, Spangler D. (2002). Health Psychol. 21(2): 131–138.PubMedCrossRefGoogle Scholar
  74. St Jeor ST, Perumean-Chaney S, Sigman-Grant M, Williams C, Foreyt J. (2002). J Am Diet Assoc. 102(5): 640–644.PubMedCrossRefGoogle Scholar
  75. Strauss RS, Pollack HA. (2003). Arch Pediatr Adolesc Med. 157:746–752.PubMedCrossRefGoogle Scholar
  76. Valverde MA, Patin RV, Oliveira FLC, Lopez FA, Vitolo MR. (1998). Int J Obes. 22: 513–519.CrossRefGoogle Scholar
  77. van den Akker ELT, Puiman PJ, Groen M, Timman R, Jongejan MTM, Trijsburg W. (2007). J Pediatr. 151: 280–283.PubMedCrossRefGoogle Scholar
  78. Walker LLM, Gately PJ, Bewick BM, Hill AJ. (2003). Int J Obes. 27: 748–754.Google Scholar
  79. Weiss MR, McAuley E, Ebbeck V, Wiese DM. (1990). J Sport Exerc Psychol. 12: 21–36.Google Scholar
  80. Wilfley DE, Tibbs TL, Van Buren DJ, Reach KP, Walker MS, Epstein LH. (2007). Health Psychol. 26 (5): 521–532.PubMedCrossRefGoogle Scholar
  81. Wilson P, O’Meara S, Summerball C, Kelly S. (2003). Qual Saf Health Care. 12: 65–74.PubMedCrossRefGoogle Scholar
  82. Yanovski JA, Yanovski SZ. (2003). JAMA. 289(14): 1851–1853.PubMedCrossRefGoogle Scholar
  83. Yin Z, Gutin B, Johnson MH, MooreJ. Hanes JB, Cavnar M, Thornburg J, Moore D, Barbeau P. (2005). Obes Res. 13(12): 2153–2161.PubMedCrossRefGoogle Scholar
  84. Young KM, Northern JJ, Lister KM, Drummond JA, O’Brien WH. (2007). Clin Psychol Rev. 27: 240–249.PubMedCrossRefGoogle Scholar
  85. Young-Hyman D, Herman LJ, Scott DL, Schlundt DG. (2000). Obes Res. 8: 241–248.PubMedCrossRefGoogle Scholar
  86. Yu CC, Sung RY, Hau KT, Lam PK, Nelson EA, So RC. (2008). J Sports Med Phys Fitness. 48: 76–82.PubMedGoogle Scholar
  87. Zeller M, Kirk S, Claytor R, Khoury P, Grieme J, Santangelo M, Daniels S. (2004a). J Pediatr. 114: 466–470.Google Scholar
  88. Zeller MH, Modi AC. (2006). Obesity. 14(1): 122–130.PubMedCrossRefGoogle Scholar
  89. Zeller MH, Reiter-Purtill J, Modi AC, Gutzwiller J, Vannatta K, Davies WH. (2007). Obesity. 15(1):126–36.PubMedCrossRefGoogle Scholar
  90. Zeller MH, Saelens BE, Roehrig H, Kirk S, Daniels SR. (2004b). Obes Res. 12(10): 1576–1586.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media LLC 2010

Authors and Affiliations

  • J. Lamanna
    • 1
  • N. Kelly
    • 1
  • M. Stern
    • 1
  • S. E. Mazzeo
    • 1
  1. 1.Department of PsychologyVirginia Commonwealth UniversityRichmondVirginia

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