Gains of an individual diagnosed with infantile scoliosis in the context of quality of life: The adventure of achieving ideal body weight
DOI:
https://doi.org/10.14687/jhs.v22i2.6565Keywords:
quality of life, infantile scoliosis, obesity, treatment, exerciseAbstract
Research problem/aim: This case study investigates the impact of achieving an ideal body weight (77 kg) through an 18-month individualized exercise and nutrition program on the quality of life of an obese male adolescent diagnosed with infantile scoliosis, who started the program at the age of 13.5 weighing 143 kg and was followed until the age of 15. The study aimed to explore physical, psychological, and social changes during this transformation process.
Method: A mixed-method case study design was employed, and criterion sampling was used for participant selection. The independent variable was the personalized program, and the dependent variable was the change in quality of life. Quantitative data were collected through 49 bioelectrical impedance measurements at regular intervals. Qualitative data were obtained via semi-structured interviews with the participant and his mother. Open-ended responses were grouped under main themes and analyzed through content analysis.
Findings: Findings were categorized under six themes: physical functioning, emotional well-being, academic engagement, mental health, family relationships, and social interaction. Improvements were noted in endurance, flexibility, mobility, emotional balance, body image, and school participation.
Conclusions: The study concludes that individualized interventions, when supported by active family involvement, can foster holistic development and promote long-term well-being in adolescents with obesity and comorbid skeletal conditions.
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References
Altun, İ. (2023). Skolyoz cerrahisi esnasında ve sonrasında karşılaşılan komplikasyonlar. J. Anatol. Med. Res., 8(1), 48–53.
Befort, C. A., Stewart, E. E., Smith, B. K., Gibson, C. A., Sullivan, D. K., & Donnelly, J. E. (2008). Weight maintenance, behaviors and barriers among previous participants of a university-based weight control program. Int. J. Obes., 32(3), 519–526. View Article: DOI: https://doi.org/10.1038/sj.ijo.0803769
Chan, G., & Dormans, J. P. (2009). Update on congenital spinal deformities: Preoperative evaluation. Spine (Phila Pa 1976), 34, 1766–1774. View Article: DOI: https://doi.org/10.1097/BRS.0b013e3181ab62d8
D’Innocenzo, S., Biagi, C., & Lanari, M. (2019). Obesity and the Mediterranean diet: A review of evidence of the role and sustainability of the Mediterranean diet. Nutrients, 11(6), 1306. View Article: DOI: https://doi.org/10.3390/nu11061306
Davey, L. (2009). The application of case study evaluations. Elem. Educ. Online, 8(2), 1–3.
Després, J. P., & Lemieux, I. (2006). Abdominal obesity and metabolic syndrome. Nature, 444, 881–887. View Article: DOI: https://doi.org/10.1038/nature05488
Dimitri, P. (2019). The impact of childhood obesity on skeletal health and development. J. Obes. Metab. Syndr., 28(1), 4–17. View Article: DOI: https://doi.org/10.7570/jomes.2019.28.1.4
Doany, M. E., Olgun, Z. D., Kinikli, G. I., Bekmez, S., Koçyiğit, A., Demirkıran, G., Karaağaoğlu, A. E., & Yazıcı, M. (2018). Health-related quality of life in early-onset scoliosis patients treated surgically: EOSQ scores in traditional growing rod versus magnetically controlled growing rods. Spine (Phila Pa 1976), 43(2), 148–153. View Article: DOI: https://doi.org/10.1097/BRS.0000000000002274
Duncanson, K., Shrewsbury, V., Burrows, T., Chai, L. K., Ashton, L., Taylor, R., Gow, M., Ho, M., Ells, L., Stewart, L., Garnett, S., Jensen, M. E., Nowicka, P., Littlewood, R., Demaio, A., Coyle, D. H., Walker, J. L., & Collins, C. E. (2021). Impact of weight management nutrition interventions on dietary outcomes in children and adolescents with overweight or obesity: A systematic review with meta-analysis. J. Hum. Nutr. Diet., 34(1), 147–177. View Article: DOI: https://doi.org/10.1111/jhn.12831
Ekiz, D. (2009). Bilimsel çalışma yöntemleri. Ankara: Anı Yayıncılık.
Erkul, C. (2018). Obezite ve depresyon arasındaki ilişki: Diyet polikliniğine başvuran obezite tanısı almış kişiler üzerinde bir araştırma [Yüksek lisans tezi, Okan Üniversitesi, Beslenme ve Diyetetik Anabilim Dalı].
Foster, G. D., Makris, A. P., & Bailer, B. A. (2005). Behavioral treatment of obesity. Am. J. Clin. Nutr., 82(1 Suppl), 230S–235S. View Article: DOI: https://doi.org/10.1093/ajcn/82.1.230S
Fox, E., Bowers, R., & Foss, M. (1990). Beden eğitimi ve sporun fizyolojik temelleri (M. Cerit, Çev.). Ankara: Bağırgan Yayınevi.
Gray, L. A., Hernandez Alava, M., Kelly, M. P., & Campbell, M. J. (2018). Family lifestyle dynamics and childhood obesity: Evidence from the Millennium Cohort Study. BMC Public Health, 18, 500. View Article: DOI: https://doi.org/10.1186/s12889-018-5398-5
Han, A., Fu, A., Cobley, S., & Sanders, R. H. (2018). Effectiveness of exercise intervention on improving fundamental movement skills and motor coordination in overweight/obese children and adolescents: A systematic review. J. Sci. Med. Sport, 21(1), 89–102. View Article: DOI: https://doi.org/10.1016/j.jsams.2017.07.001
Hell, A. K., Braunschweig, L., Behrend, J., Lorenz, H. M., Tsaknakis, K., von Deimling, U., & Mladenov, K. (2019). Health-related quality of life in early-onset scoliosis patients treated with growth-friendly implants is influenced by etiology, complication rate and ambulatory ability. BMC Musculoskelet. Disord., 20(1), 588. View Article: DOI: https://doi.org/10.1186/s12891-019-2969-2
Hillman, C. H., Erickson, K. I., & Kramer, A. F. (2008). Be smart, exercise your heart: Exercise effects on brain and cognition. Nat. Rev. Neurosci., 9(1), 58–65. View Article: View Article: DOI: https://doi.org/10.1038/nrn2298
Karagöl, A., Özçürümez, G., Taşkıntuna, N., & Nar, A. (2014). Beden kitle indeksinin depresyon ve aleksitimi ile ilişkisi. Anadolu Psikiyatri Derg., 15, 207–213. View Article: View Article: DOI: https://doi.org/10.5455/apd.37209
Kılıç, B. B., Akgül, H., & Çolak, T. K. (2020). Adolesanlarda omurganın sagital düzlem dizilimi. Celal Bayar Univ. Saglık Bilim. Enst. Derg., 8(1), 23–28. View Article: View Article: View Article: DOI: https://doi.org/10.34087/cbusbed.751886
Köksal, G., & Gökmen, H. (2000). Çocuk hastalıklarında beslenme tedavisi. Ankara: Hatiboğlu Yayınevi.
Lander, S. T., Thirukumaran, C., Saleh, A., Noble, K. L., et al. (2022). Long-term health-related quality of life after Harrington instrumentation and fusion for adolescent idiopathic scoliosis: A minimum 40-year follow-up. J. Bone Joint Surg. Am., 104(11), 995–1003. View Article: DOI: https://doi.org/10.2106/JBJS.21.00763
Li, J., Zhou, X., Huang, Z., & Shao, T. (2023). Effect of exercise intervention on depression in children and adolescents: A systematic review and network meta-analysis. BMC Public Health, 23(1), 1918. View Article: DOI: https://doi.org/10.1186/s12889-023-16824-z
Li, Y., Binkowski, L., Grzywna, A., Robbins, C. B., Caird, M. S., Farley, F. A., & Glotzbecker, M. (2017). Is obesity in adolescent idiopathic scoliosis associated with larger curves and worse surgical outcomes? Spine (Phila Pa 1976), 42(3), E156–E162. View Article: DOI: https://doi.org/10.1097/BRS.0000000000001721
Liu, F., Morris, M., Hicklen, L., Izadi, H., & Dawes, H. (2018). The impact of high and low-intensity exercise in adolescents with movement impairment. PLoS One, 13(4), e0195944. View Article: DOI: https://doi.org/10.1371/journal.pone.0195944
Manios, Y., Moschonis, G., Grammatikaki, E., Katsaroli, I., Kanelou, P., & Tanagra, S. (2006). Nutrition education in postmenopausal women: Changes in dietary and cardiovascular indices. Maturitas, 55(4), 338–347. View Article: DOI: https://doi.org/10.1016/j.maturitas.2006.05.006
Martin, A., Booth, J. N., McGeown, S., Niven, A., Sproule, J., Saunders, D. H., & Reilly, J. J. (2017). Longitudinal associations between childhood obesity and academic achievement: Systematic review with focus group data. Curr. Obes. Rep., 6(4), 297–313. View Article: DOI: https://doi.org/10.1007/s13679-017-0272-9
Menegoni, F., Galli, M., Tacchini, E., Vismara, L., Cavigioli, M., & Capodaglio, P. (2009). Gender-specific effect of obesity on balance. Obesity (Silver Spring), 17(10), 1951–1956. View Article: DOI: https://doi.org/10.1038/oby.2009.82
Murphy, M., Boardman, F., Robertson, W., & Johnson, R. (2021). Children's perspectives and experiences of health, diet, physical activity and weight in an urban, multi-ethnic UK population: A qualitative study. Child Care Health Dev., 47(5), 597–607. View Article: DOI: https://doi.org/10.1111/cch.12867
National Health and Medical Research Council. (2013). Australian dietary guidelines. Canberra: National Health and Medical Research Council.
Patrick, L. D., & Bushnell, D. M. (2004). Obesity-specific patient reported outcomes: Obesity and weight loss quality of life and weight-related symptoms measure: User’s manual and scoring diskette for United States version. Seattle: University of Washington.
Rejeski, W. J., Brawley, L. R., & Shumaker, S. A. (1996). Physical activity and health-related quality of life. Exerc. Sport Sci. Rev., 24, 71–108.
Rossetti, C., Halfon, O., & Boutrel, B. (2014). Controversies about a common etiology for eating and mood disorders. Front. Psychol., 5, 1205. View Article: DOI: https://doi.org/10.3389/fpsyg.2014.01205
Ruiz, G., Torres-Lugo, N. J., Marrero-Ortiz, P., Guzmán, H., Olivella, G., & Ramírez, N. (2022). Early-onset scoliosis: A narrative review. EFORT Open Rev., 7(8), 599–610. View Article: DOI: https://doi.org/10.1530/EOR-22-0040
Ryan, R. M., & Deci, E. L. (2000). Self-determination theory and the facilitation of intrinsic motivation, social development, and well-being. Am. Psychol., 55(1), 68–78. View Article: DOI: https://doi.org/10.1037/0003-066X.55.1.68
Shahnazari, M., Ceresa, C., Foley, S., Fong, A., Zidaru, E., & Moody, S. (2013). Nutrition-focused wellness coaching promotes a reduction in body weight in overweight US veterans. J. Acad. Nutr. Diet., 113(7), 928–935. View Article: DOI: https://doi.org/10.1016/j.jand.2013.04.001
Siccoli, A., Schröder, M. L., & Staartjes, V. E. (2021). Influence of dynamic preoperative body mass index changes on patient-reported outcomes after surgery for degenerative lumbar spine disease. Neurosurg. Rev., 44(5), 2689–2696. View Article: DOI: https://doi.org/10.1007/s10143-020-01454-5
St. Jeor, S. T., Perumean-Chaney, S., Sigman-Grant, M., Williams, C., & Foreyt, J. (2002). Family-based interventions for the treatment of childhood obesity. J. Am. Diet. Assoc., 102(5), 640–644. View Article: DOI: https://doi.org/10.1016/s0002-8223(02)90146-x
Teixeira, P. J., Silva, M. N., Mata, J., Palmeira, A. L., & Markland, D. (2012). Motivation, self-determination, and long-term weight control. Int. J. Behav. Nutr. Phys. Act., 9, 22. View Article: DOI: https://doi.org/10.1186/1479-5868-9-22
Warholm, C., Øien, A. M., & Råheim, M. (2014). The ambivalence of losing weight after bariatric surgery. Int. J. Qual. Stud. Health Well-being, 9(1), 22876. View Article: DOI: https://doi.org/10.3402/qhw.v9.22876
Wing, R. R., & Phelan, S. (2005). Long-term weight loss maintenance. Am. J. Clin. Nutr., 82(1 Suppl), 222S–225S. View Article: DOI: https://doi.org/10.1093/ajcn/82.1.222S
Yiğit, B., & Güler, G. (2019). İdiyopatik skolyozlu adölesanlarda korse kullanımının vücut algısı, yaşam kalitesi ve stres üzerine etkisi. Haliç Univ. J. Health Sci., 2(3), 23–24.
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