Abstract
Objectives:
To measure health-related quality of life (HRQoL) in a clinical sample of obese children by child self-report and parent-proxy report; to compare quality of life assessments provided by obese children and their parents; to assess differences in quality of life between the obese clinical sample and healthy control children.
Design:
Pairwise comparison of obese children matched for age, gender and socio-economic status with non-obese controls.
Subjects:
One hundred and twenty-six obese children (body mass index (BMI) ⩾98th centile) and 71 lean control children (BMI <85th centile). Controls were matched with 71 children from the obese clinical group (mean age 8.6, standard deviation (s.d.) 1.9 years; 33 M/38 F).
Measurement:
The Paediatric Quality of Life Inventory (UK) version 4 was self-administered to parents and to children aged 8–12 years and interview was administered to children aged 5–7 years. This questionnaire assessed physical, social, emotional and school functioning from which total, physical and psychosocial health summary scores were derived.
Results:
In the obese clinical group (n=126), parent proxy-reported quality of life was low for all domains. In the obese clinical group, parent-reported scores were significantly lower than child self-reported scores in all domains except physical health and school functioning. Parent-proxy reports were significantly higher for healthy controls than obese children in all domains (median total score 85.2 vs 64.7; 95% confidence interval (CI) 15.6, 24.1). For child self-reports, only physical health was significantly higher for healthy controls than obese children (median score 81.3 vs 75.0; 95% CI 3.1, 12.5).
Conclusions:
HRQoL is impaired in clinical samples of obese children compared to lean children, but the degree of impairment is likely to be greatest when assessed using the parent perspective rather than the child perspective.
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References
Reilly JJ, Methven E, McDowell ZC, Hacking B, Alexander O, Stewart L et al. Health consequences of obesity. Arch Dis Child 2003; 88: 748–752.
Gortmaker SL, Must A, Perrin JM, Sobol AM, Dietz WH . Social and economic consequences of overweight in adolescence and young adulthood. N Engl J Med 1993; 329: 1008–1012.
Dietz WH . Health consequences of obesity in youth: childhood predictors of adult disease. Pediatre 1998; 101: 518–525.
Brylinsky JA, Moore JC . The identification of body build stereotypes in young children. J Res Pers 1994; 28: 170–181.
Hill AJ, Silver EK . Fat, friendless and unhealthy: 9 year old children's perception of body shape stereotypes. Int J Obes Relat Metab Disord 1995; 19: 423–430.
Schwimmer JB, Burwinkle TM, Varni JW . Health-related quality of life of severely obese children and adolescents. JAMA 2003; 289: 1813–1819.
Williams J, Wake M, Hesketh K, Maher E, Waters E . Health-related quality of life of overweight and obese children. JAMA 2005; 293: 70–76.
Friedlander SL, Larkin EK, Rosen CL, Palermo TM, Redline S . Decreased quality of life associated with obesity in school-aged children. Arch Pediatr Adolesc Med 2003; 157: 1206–1211.
Ravens-Sieberer U, Redegeld M, Bullinger M . Quality of life after in-patient rehabilitation in children with obesity. Int J Obes Relat Metab Disord 2001; 25: S63–S65.
Stewart L, Houghton J, Hughes AR, Pearson D, Reilly JJ . Dietetic management of pediatric overweight: development and description of a practical and evidence-based behavioural approach. J Am Diet Assess 2005; 105: 1810–1815.
Cole TJ, Freeman JV, Preece MA . Body mass index reference curves for the UK, 1990. Arch Dis Child 1995; 73: 25–29.
McLoone P . Carstairs scores for Scottish postcode sectors from the 2001 Census. Glasgow: Public Health Research Unit, University of Glasgow, 2004.
Varni JW, Seid M, Kurtin PS . PedsQL 4.0: reliability and validity of the pediatric quality of life inventory version 4.0 generic core scales in healthy and patient populations. Med Care 2001; 39: 800–812.
Varni JW, Burwinkle TM, Seid M, Skarr D . The PedsQL 4.0 as a pediatric population health measure: feasibility, reliability, and validity. Ambul Pediatr 2003; 3: 329–341.
Upton P, Eiser C, Cheung I, Hutchings HA, Jenney M, Maddocks A et al. Measurement properties of the UK-English version of the pediatric quality of life inventory™ 4.0 (PedsQL™) generic core scales. Health Qual Life Outcomes 2005; 3: 22.
Altman DG . Practical Statistics for Medical Research. Chapman & Hall: London, 1991, 180pp.
Eiser C, Morse R . Can parents rate their child's health related quality of life? Results of a systematic review. Qual Life Res 2001; 10: 347–357.
Swallen KC, Reither EN, Haas SA, Meier AM . Overweight, obesity and health-related quality of life among adolescents: the National Longitudinal Study of Adolescent Health. Pediatre 2005; 115: 340–347.
Acknowledgements
This study was funded by the Scottish Executive Health Department. We are grateful to the children who participated in this study, their families and the staff of the primary schools for their cooperation. We thank the research dietitians involved in the Scottish Childhood Obesity Treatment Trial, Laura Stewart and Jan Houghton.
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Hughes, A., Farewell, K., Harris, D. et al. Quality of life in a clinical sample of obese children. Int J Obes 31, 39–44 (2007). https://doi.org/10.1038/sj.ijo.0803410
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DOI: https://doi.org/10.1038/sj.ijo.0803410
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