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J Pediatr. 2005 Oct;147(4):443-50.

Health-related quality of life in overweight and nonoverweight black and white adolescents.

Author information

1
Unit on Growth and Obesity, Developmental Endocrinology Branch, National Institute of Child Health and Human Development, National Institutes of Health, DHHS, Bethesda, Maryland 20892-1103, USA.

Abstract

OBJECTIVES:

To assess the impact of obesity on quality of life (QOL) in black and white adolescents.

STUDY DESIGN:

One hundred ten overweight (body mass index [BMI], 41.7 +/- 8.9 kg/m2) and 34 nonoverweight adolescents (BMI, 20.6 +/- 2.9 kg/m2) and their parents completed measures of QOL.

RESULTS:

Overweight was associated with poorer adolescent-reported QOL and parent reports of their children's QOL. Examining groups by weight status and race, overweight whites reported the greatest impairment on Social/Interpersonal, Self-Esteem, and Physical Appearance QOL (all P < .01), whereas parents of overweight blacks reported the poorest General Health Perceptions scores regarding their children. Interactions between BMI z-score and race were detected for Social/Interpersonal, Self-esteem, Daily Living, Self-Efficacy, Self-regard, and Physical Appearance QOL (all P < .05): Higher BMI in whites was associated with greater impairments in QOL than in blacks. Parents reported similar relations for their children.

CONCLUSIONS:

According to adolescent and parent reports, overweight is associated with poorer QOL in adolescence, regardless of race; however, compared with overweight white adolescents, blacks report less impairment in QOL. Future research is required to determine whether differences in QOL are predictive of treatment success.

PMID:
16227028
PMCID:
PMC2266889
DOI:
10.1016/j.jpeds.2005.05.039
[Indexed for MEDLINE]
Free PMC Article

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