“…Several studies suggest that persons with obesity tend to have psychosocial impairment and a poorer quality of life than do lean individuals. It has also been shown that impairments to quality of life worsen as obesity increases, with a greater effect on the physical dimensions of HRQoL than on the emotional aspects (e.g., Doll, Petersen, & StewartBrown, 2000;de Zwaan, Petersen, Kaerber, Burgmer, Nolting, Legenbauer, et al, 2009;Herman, Hopman, & Craig, 2010). Moreover, in those with obesity who seek treatment, weight loss, not increased fitness, contributes significantly to improvement in HRQoL (de Zwaan, et al, 2009;Ross, Milsom, Rickel, DeBraganza, Gibbons, Murawski, et al, 2009;Yancy, Almirall, Maciejewski, Kolotkin, McDuffie, & Westman, 2009).…”