Quality of life
Baseline SF-36 scores were lower than national norms but consistent with scores reported among obese individuals (26). Change in SF-36 scores in the case management group was significantly different from usual care in seven of nine domains (Fig. 3). The domains with greatest improvement in the case management group were emotional role (15.1, 3.4-26.8) and physical role (10, 1.2-24.7).