Increased quality of life.

Comments on an article, Weight loss in children and adolescents: A systematic review and evaluation of conservative, non-pharmacological obesity treatment programs by Y Mühlig et al. (2014). The author want to make a critical point to the excellent systematic review by Mühlig and colleagues. The current author cannot agree with authors' statement that the evidence by currently available only supports short-term improvements in quality of life under conservative weight-loss treatments. As early as 2001, a research team led by Petra Warschburger conducted a randomized controlled long-term study including 197 children and adolescents that showed an increase in health-related quality of life even 12 months after an 8-week period of multimodal cognitive-behavioral treatment for obesity. Furthermore, the recent analysis of the German LOGIC study (Long-term effects of lifestyle Intervention and Genetic Influence in Children) demonstrated that the quality of life of overweight/obese children and adolescents remained significantly improved 2 years after the end of the treatment. 'Self-esteem' was the dimension where patients benefited the most from the program.