Parent-reported health status of overweight and obese Australian primary school children: a cross-sectional population survey

Wake, Melissa; Salmon, Louisa; Waters, Elizabeth; Wright, Martin; Hesketh, Kylie

doi:10.1038/sj.ijo.0801974

Cited by 161 publications

(171 citation statements)

References 21 publications

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“…Numerous studies report that females have lower HRQOL scores in one or more domains 15,[17][18][19]26,28,31,34 which is most often physical functioning. 17,18,26,28,29,34 In contrast, Wake et al 20 report that overweight/obese boys are more likely to score below the 15th percentile for seven of the 12 Child Health Questionnaire subscales, compared with only two scales for girls. In contrast, other studies have found no significant gender-effects on HRQOL.…”

Section: Treatment-seeking Versus Community Samplesmentioning

confidence: 92%

“…Assessments indicating impaired emotional functioning are more common when parent proxy methods are utilized. 20,24,27,30,32 Conversely, when self-report methods are employed, some studies support significant differences between obese and lean participants 11,15 whereas others do not. 24,27,30 This appears to provide some support to the premise that parents may catastrophize ill-being in their obese children/adolescents or, alternatively, that young people may be hesitant to admit the effect that their weight has on their lives.…”

Section: Discussionmentioning

confidence: 99%

“…Of these, 22 studies were cross-sectional (Table 1), which included six population-based studies with participant numbers ranging from 1456 to 69 031. 6,14,[17][18][19][20] Six studies utilized weight loss interventions (Table 2), of which two were randomized controlled trials (RCTs). 21,22 One paper reported two studies (cross-sectional and intervention) and was therefore included in both the tables.…”

Section: Resultsmentioning

confidence: 99%

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Health-related quality of life in obese children and adolescents

et al. 2009

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Objective: This review addresses the effect of overweight and obese weight status on pediatric health-related quality of life (HRQOL). Method: Web of Science, Medline, CINAHL, Cochrane Library, EMBASE, AMED and PubMed were searched for peer-reviewed studies in English reporting HRQOL and weight status in youth (o21 years), published before March 2008. Results: Twenty-eight articles were identified. Regression of HRQOL against body mass index (BMI) using pooled data from 13 studies utilizing the Pediatric Quality of Life Inventory identified an inverse relationship between BMI and pediatric HRQOL (r ¼ À0.7, P ¼ 0.008), with impairments in physical and social functioning consistently reported. HRQOL seemed to improve with weight loss, but randomized controlled trials were few and lacked long-term follow-up. Conclusions: Little is known about the factors associated with reduced HRQOL among overweight or obese youth, although gender, age and obesity-related co-morbidities may play a role. Few studies have examined the differences in HRQOL between community and treatment-seeking samples. Pooled regressions suggest pediatric self-reported HRQOL can be predicted from parent proxy reports, although parents of obese youths tend to perceive worse HRQOL than children do about themselves. Thus, future research should include both pediatric and parent proxy perspectives.

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Section: Treatment-seeking Versus Community Samplesmentioning

confidence: 92%

Section: Discussionmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

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Health-related quality of life in obese children and adolescents

et al. 2009

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“…Several recent studies have found that parents underestimate the weight status of their overweight or obese child [4][5][6][7][8][9][10][11][12] in both population and clinical research settings. Parents weight status estimation is worse for younger rather than older children 9 and possibly for mothers with poorer educational attainment, 4 but is more accurate for daughters rather than for sons.…”

Section: Introductionmentioning

confidence: 99%

Predictors of maternal misclassifications of their offspring's weight status: a longitudinal study

et al. 2007

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Background: Very little is known about the factors influencing parental misclassifications of a child's weight status. The aim of this study is to examine the predictors of maternal misclassifications of their adolescent offspring's weight status. Methods: A mother-child linked analysis was carried out using 14-year follow-up data from a population-based prospective birth cohort of 2650 children (52% males) who were participants in the Mater-University Study of Pregnancy in Brisbane (Australia) in 1981. Offspring's observed height and weight and maternal perception of offspring weight were reported when they were 14 years old and predictors were prospectively recorded either at first clinical visit of mothers or at 5 or 14 years follow-up. Maternal misclassifications were defined combining observed body mass index (BMI) categories and maternal perceptions of their offspring's weight status. Results: We found that maternal misclassification of child's weight status was common and included misclassifications both to higher and lower weight categories. Forty percent of mothers of overweight children misclassified their child as normal or underweight, more so in males than females. Fifteen percent of mothers of normal weight children misclassified their child as underweight, again more so in males than females. The main independent predictors of maternal misclassifications of child weight status were gender, child dissatisfaction with appearance, shape, size and weight, dieting to lose weight, general health status, maternal BMI and family meals. Gender, child dissatisfaction, dieting and maternal overweight were especially associated with misclassifications of overweight children. Conclusions: This study identified a number of maternal, child and family factors associated with maternal misclassifications of child weight status. Although relevant for clinical practice, further study is needed, however, to evaluate the benefits and harms of promoting increasing parental and child awareness of the child's weight status at a population level.

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“…18 Por otra parte, en nuestro estudio 60% de los padres con obesidad otorgaron una menor puntuación a la CVRS que sus hijos, particularmente en las esferas emocional y física, algo ya documentado antes. 8,19 Una explicación que se ha dado a este hecho es que el propio exceso de peso de los padres los orilla a minimizar el efecto que el sobrepeso puede ocasionar en la salud de sus hijos. 16,20,21 Otros reportes 22 han sugerido que incluso las psicopatologías de los padres pueden confundir o modificar la percepción que tienen sobre la CVRS de sus hijos y consecuentemente afectar el cumplimiento de indicaciones médicas, nutricionales y psicológicas para resolver el problema.…”

Section: /unclassified

Calidad de vida relacionada con la salud del niño y del adolescente con obesidad

Hurtado-Valenzuela

Álvarez-Hernández²

2014

Salud Ment

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SUMMARY ObjectiveTo estimate the health-related quality of life (HRQoL) in a group of obese children and adolescents from the city of Hermosillo, Sonora, Mexico. MethodsA cross sectional study was performed using the PedsQL® questionnaire to compare the HRQoL of 200 children and adolescents with obesity as well as their parents, with two control groups: one from the community (n=400) and another group of users (n=200) from the Hospital Infantil del Estado de Sonora. The differences in HRQoL were assessed using a Kruskal-Wallis test and their relationship with sociodemographic variables and physical status was examined with logistic regression. ResultsHRQoL was lower in obese patients. Social and emotional QoL were lower in obese subjects. Perception of parents on HRQoL was lower than that of their children. 37.5% of obese subjects perceived their HRQoL as "very bad", which was lower than control groups. The risk of poor HRQoL was 2.2 times higher in the obese group. ConclusionsObesity impairs HRQoL in children and adolescents. PedsQL® is a useful tool for the systematic assessment of HRQoL in children with obesity.Key words: Quality of life related to health, obesity, children, adolescents. RESUMEN ObjetivoEstimar la calidad de vida relacionada con la salud (CVRS) en un grupo de niños y adolescentes con obesidad de la ciudad de Hermosillo, Sonora, México. MétodosSe realizó un estudio transversal utilizando el cuestionario PedsQL® para comparar la CVRS de 200 niños y adolescentes con obesidad al igual que a sus padres, con dos grupos de control, uno de la comunidad (n=400) y otro grupo de usuarios (n=200) del Hospital Infantil del Estado de Sonora. Las diferencias en la CVRS fueron evaluadas mediante una prueba de Kruskal-Wallis, y su relación con variables sociodemográficas y de estatus corporal se examinó con regresión logística. ResultadosLa CVRS fue menor en los sujetos obesos y las funciones más deterioradas fueron la emocional y la social; la percepción de los padres acerca de la CVRS fue inferior a la de sus hijos. El 37.5% de los sujetos obesos percibe su CVRS como "muy mala", una cifra inferior a los otros grupos. El riesgo de mala CVRS fue 2.2 veces mayor en el grupo de obesos. ConclusionesEn nuestra población, la obesidad se asoció negativamente con la CVRS de niños y adolescentes. El PedsQL ® es un instrumento útil para la evaluación sistemática de la CVRS en niños con obesidad.Palabras clave: Calidad de vida relacionada a la salud, obesidad, niños, adolescentes. INTRODUCCIÓNLa obesidad es un problema mundial de salud pública. En los niños y adolescentes tiene un comportamiento epidémico pues para el año 2010 más de 43 millones de niños menores de cinco años tenían sobrepeso u obesidad, 35 millones de los cuales vivían en países en desarrollo. 1 En los adolescentes, las cifras son menos claras, pero en algunos países industrializados la prevalencia oscila entre 9 y 18%. 2 En México, en el año 2006, 9.4% de los niños y 8.7% de las niñas de cinco a 11 años eran obesos. Entre 1999 y 2006 se observó un a...

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Parent-reported health status of overweight and obese Australian primary school children: a cross-sectional population survey

Cited by 161 publications

References 21 publications

Health-related quality of life in obese children and adolescents

Health-related quality of life in obese children and adolescents

Predictors of maternal misclassifications of their offspring's weight status: a longitudinal study

Calidad de vida relacionada con la salud del niño y del adolescente con obesidad

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