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Qual Life Res. 2013 May;22(4):917-28. doi: 10.1007/s11136-012-0211-x. Epub 2012 Jun 14.

Impaired parent-reported health-related quality of life of underweight and obese children at elementary school entry.

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1
Department of Public Health, Erasmus MC University Medical Center, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.

Abstract

PURPOSE:

Examine the health-related quality of life of 5-6-year-old underweight, overweight and obese children.

METHODS:

Our cross-sectional study included 3,227 parent-child dyads from the "Be active, eat right" study. Parents completed questionnaires regarding child and parental characteristics. Health-related quality of life of the child was measured using the Child Health Questionnaire Parent Form 28. Children were classified normal weight, overweight, obese, severely obese, and underweight according to the international age and gender BMI cutoff points. Bootstrap analyses were performed for general linear models corrected for potential confounding variables.

RESULTS:

Severely obese children (β, -2.60; 95% CI, -4.80 to -0.57, p < 0.01) and underweight children (β, -1.11; 95% CI, -1.85 to -0.39, p < 0.01) had lower parent-reported scores on the physical summary scale. On the physical functioning profile scale parents of overweight and severely obese children also reported statistically significant lower scores (p < 0.05 and p < 0.01, respectively).There were no significant differences regarding the psychosocial summary scale scores between the different weight categories.

CONCLUSION:

Underweight and overweight children experience impaired health-related quality of life on the physical functioning domain. Physicians, teachers and parents should be aware of the possible negative impact on health-related quality of life in underweight and overweight 5-6-year-old children.

PMID:
22695828
PMCID:
PMC3636439
DOI:
10.1007/s11136-012-0211-x
[Indexed for MEDLINE]
Free PMC Article
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