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Perez-Sousa MA, Olivares PR, Carrasco-Zahinos R, Garcia-Hermoso A. Normative Values and Psychometric Properties of EQ-5D-Y-3L in Chilean Youth Population among Different Weight Statuses. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2023; 20:4096. [PMID: 36901107 PMCID: PMC10002306 DOI: 10.3390/ijerph20054096] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/30/2022] [Revised: 02/20/2023] [Accepted: 02/22/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND This study aimed to provide population norms among children and adolescents in Chile using the EQ-5D-Y-3L questionnaire and to examine its feasibility and validity among body weight statuses. METHODS This was a cross-sectional study in which 2204 children and adolescents (aged 8-18 years) from Chile completed a set of questionnaires providing sociodemographic, anthropometric and health-related quality of life (HRQoL) data using the five EQ-5D-Y-3L dimensions and its visual analogue scale (EQ-VAS). Descriptive statistics of the five dimensions and the EQ-VAS were categorized into body weight status groups for the EQ-5D-Y-3L population norms. The ceiling effect, feasibility and discriminant/convergent validity of the EQ-5D-Y-3L were tested. RESULTS The dimensions of the EQ-5D-Y-3L questionnaire presented more ceiling effects than the EQ-VAS. The validity showed that the EQ-VAS could discriminate among body weight statuses. However, the EQ-5D-Y-3L index (EQ-Index) demonstrated a non-acceptable discriminant validity. Furthermore, both the EQ-Index and the EQ-VAS presented an acceptable concurrent validity among weight statuses. CONCLUSIONS The normative values of the EQ-5D-Y-3L indicated its potential use as a reference for future studies. However, the validity of the EQ-5D-Y-3L for comparing the HRQoL among weight statuses could be insufficient.
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Affiliation(s)
- Miguel Angel Perez-Sousa
- Department of Physical Education, Faculty of Education, University of Córdoba, 14071 Cordoba, Spain
- Epidemiology of Physical Activity and Fitness Across Lifespan Research Group, University of Seville, 41004 Seville, Spain
| | - Pedro R. Olivares
- Faculty of Education, Psychology and Sport Sciences, University of Huelva, Avenida de las Fuerzas Armadas s/n 21007, 21004 Huelva, Spain
- Instituto de Actividad Fisica y Salud, Universidad Autonoma de Chile, Talca 3460000, Chile
| | - Rocio Carrasco-Zahinos
- Faculty of Education, Psychology and Sport Sciences, University of Huelva, Avenida de las Fuerzas Armadas s/n 21007, 21004 Huelva, Spain
| | - Antonio Garcia-Hermoso
- Navarrabiomed, Hospital Universitario de Navarra (HUN), Universidad Pública de Navarra (UPNA), IdiSNA, 31008 Pamplona, Spain
- Physical Activity, Sport and Health Sciences Laboratory, University of Santiago de Chile, Santiago 9170020, Chile
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Zanganeh M, Adab P, Li B, Pallan M, Liu WJ, Rong L, Liu W, Martin J, Cheng KK, Frew E. Relationship Between Weight Status and Health-Related Quality of Life in School-age Children in China. JOURNAL OF HEALTH ECONOMICS AND OUTCOMES RESEARCH 2022; 9:75-81. [PMID: 35342771 PMCID: PMC8901243 DOI: 10.36469/jheor.2022.32414] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Accepted: 01/10/2022] [Indexed: 06/14/2023]
Abstract
Background: Some studies from high-income countries suggest that overweight and/or obesity in children are negatively associated with health-related quality of life (HRQOL). However, the relationship between weight status and HRQOL is not well established in China, where obesity trends follow a different pattern compared with high-income countries. The risk of obesity is greater in children from higher socioeconomic backgrounds and higher in boys compared with girls. Objective: The aim of this study was to examine the relationship between weight status and HRQOL in children between 6 and 7 years old in this unique country context. Methods: Baseline HRQOL and demographic data were collected from children recruited to the CHIRPY DRAGON obesity prevention trial in China. HRQOL was measured using the Chinese version of the Child Health Utility-9D (CHU-9D-CHN) and the Pediatric Quality of Life Inventory™ (PedsQL™) instruments. CHU-9D-CHN utility scores were generated using 2 scoring algorithms (UK and Chinese tariffs). Height and weight measures were taken at school by trained researchers using standardized methods, and BMI z scores were calculated using the World Health Organization 2007 growth charts. The relationship between HRQOL and weight status was examined using multivariable analyses, adjusting for age, gender, and socioeconomic status. Results: Full data were available for 1539 children (mean age, 6 years). In both unadjusted and adjusted analyses, HRQOL, using both the CHU-9D-CHN and the PedsQL™, was marginally higher in children who were overweight or living with obesity compared with children with healthy weight, although this difference did not reach statistical significance. Separate analyses and models by gender showed that the relationship between weight status and HRQOL scores was similar in boys and girls. Conclusions: Our results suggest no statistically significant difference in HRQOL between children with overweight/obesity compared with those with healthy weight. These results have implications for the methods of economic evaluation for obesity treatment and prevention interventions within this population cohort and country setting, as there appears to be no discernible consequences on children's HRQOL from living with overweight and obesity.
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Affiliation(s)
- Mandana Zanganeh
- Centre for Health Economics, Warwick Medical School, University of Warwick
| | - Peymané Adab
- Institute of Applied Health Research, University of Birmingham
| | - Bai Li
- Centre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol
| | - Miranda Pallan
- Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham
| | - Wei J Liu
- School Health Unit, Centre for Disease Control and Prevention, Guangzhou, China
| | - Lin Rong
- School Health Unit, Centre for Disease Control and Prevention, Guangzhou, China
| | - Wei Liu
- School Health Unit, Centre for Disease Control and Prevention, Guangzhou, China
| | - James Martin
- Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham
| | - Kar K Cheng
- Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham
| | - Emma Frew
- Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham
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Zanganeh M, Adab P, Li B, Pallan M, Liu WJ, Hemming K, Lin R, Liu W, Martin J, Cheng KK, Frew E. Cost-Effectiveness of a School-and Family-Based Childhood Obesity Prevention Programme in China: The "CHIRPY DRAGON" Cluster-Randomised Controlled Trial. Int J Public Health 2021; 66:1604025. [PMID: 34531712 PMCID: PMC8439195 DOI: 10.3389/ijph.2021.1604025] [Citation(s) in RCA: 9] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2021] [Accepted: 08/04/2021] [Indexed: 01/22/2023] Open
Abstract
Objectives: Rapid socioeconomic and nutrition transitions in Chinese populations have contributed to the growth in childhood obesity. This study presents a cost-effectiveness analysis of a school- and family-based childhood obesity prevention programme in China. Methods: A trial-based economic evaluation assessed cost-effectiveness at 12 months. Forty schools with 1,641 children were randomised to either receive the multi-component (diet and physical activity) intervention or to continue with usual activities. Both public sector and societal perspectives were adopted. Costs and benefits in the form of quality-adjusted life years (QALYs) were compared and uncertainty was assessed using established UK and US thresholds. Results: The intervention cost was 35.53 Yuan (£7.04/US$10.01) per child from a public sector perspective and 536.95 Yuan (£106/US$151) from a societal perspective. The incremental cost-effectiveness ratio (ICER) was 272.7 Yuan (£54/US$77)/BMI z-score change. The ICER was 8,888 Yuan (£1,760/US$2,502) and 73,831 Yuan (£14,620/US$20,796) per QALY from a public sector and societal perspective, respectively and was cost-effective using UK (£20,000) and US (US$50,000) per QALY thresholds. Conclusion: A multi-component school-based prevention programme is a cost-effective means of preventing childhood obesity in China.
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Affiliation(s)
- Mandana Zanganeh
- Warwick Medical School, University of Warwick, Coventry, United Kingdom
| | - Peymane Adab
- Institute for Applied Health Research, University of Birmingham, Birmingham, United Kingdom
| | - Bai Li
- School for Public Studies, University of Bristol, Bristol, United Kingdom
| | - Miranda Pallan
- Institute for Applied Health Research, University of Birmingham, Birmingham, United Kingdom
| | - Wei Jia Liu
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
| | - Karla Hemming
- Institute for Applied Health Research, University of Birmingham, Birmingham, United Kingdom
| | - Rong Lin
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
| | - Wei Liu
- Guangzhou Center for Disease Control and Prevention, Guangzhou, China
| | - James Martin
- Institute for Applied Health Research, University of Birmingham, Birmingham, United Kingdom
| | - Kar Keung Cheng
- Institute for Applied Health Research, University of Birmingham, Birmingham, United Kingdom
| | - Emma Frew
- Institute for Applied Health Research, University of Birmingham, Birmingham, United Kingdom
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Zanganeh M, Adab P, Li B, Frew E. An assessment of the construct validity of the Child Health Utility 9D-CHN instrument in school-aged children: evidence from a Chinese trial. Health Qual Life Outcomes 2021; 19:205. [PMID: 34446001 PMCID: PMC8394170 DOI: 10.1186/s12955-021-01840-7] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/08/2020] [Accepted: 08/10/2021] [Indexed: 11/11/2022] Open
Abstract
Background Although there is emerging data regarding the psychometric properties of the Child Health Utility-9D instrument, more evidence is required with respect to its validity for use in different country settings. The aim of this study was to examine the construct validity of the CHU-9D-CHN instrument in Chinese children. Methods Baseline Health-Related Quality of Life (HRQoL) and demographic data were collected from children recruited to the CHIRPY DRAGON obesity prevention intervention randomised controlled trial in China. HRQoL was measured using the Chinese version of the CHU-9D instrument (CHU-9D-CHN) and the PedsQL instrument. CHU-9D-CHN utility scores were generated using two scoring algorithms [UK and Chinese tariffs]. Discriminant validity, known-group validity and convergent validity were evaluated using non-parametric test for trend, Kruskal–Wallis test and Spearman correlation coefficient analysis respectively. Results Data was available for 1,539 children (mean age 6 years). The CHU-9D-CHN was sensitive to known group differences determined by the median PedsQL total score. Furthermore, the mean CHU-9D-CHN utility values decreased linearly with increasing levels of severity on each dimension of the PedsQL for emotional and social functioning domains. They decreased monotonically with increasing levels of severity on each dimension of the PedsQL for physical and school functioning domains (p < 0.001). Contrary to studies conducted in Western countries, and although not statistically significant, we found an indication that HRQoL, using both the CHU-9D-CHN and the PedsQL, was higher in children whose parents had lower levels of education, compared to those whose parents were university educated. The correlation between the CHU-9D-CHN utility values using UK and Chinese tariffs, and PedsQL total scores showed a statistically significant moderate positive correlation (Spearman’s rho = 0.5221, p < 0.001 and Spearman’s rho = 0.5316, p < 0.001), respectively. However, each CHU-9D-CHN dimension was either weakly, or very weakly correlated with each of the predetermined PedsQL domain functioning scores. Conclusions Overall, the findings provide some support for the construct validity of the CHU-9D-CHN within a Chinese population aged 6–7 years. However, some uncertainty remains. We recommend future studies continue to test the validity of the CHU-9D in different country settings. Trial registration: ISRCTN Identifier ISRCTN11867516, Registered on 19/08/2015 Supplementary Information The online version contains supplementary material available at 10.1186/s12955-021-01840-7.
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Affiliation(s)
- Mandana Zanganeh
- Centre for Health Economics, Warwick Medical School, University of Warwick, Coventry, CV4 7AL, UK
| | - Peymane Adab
- Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK
| | - Bai Li
- Centre for Exercise, Nutrition and Health Sciences, School for Policy Studies, University of Bristol, Bristol, UK
| | - Emma Frew
- Institute of Applied Health Research, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
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Pan CW, Zhong H, Li J, Suo C, Wang P. Measuring health-related quality of life in elementary and secondary school students using the Chinese version of the EQ-5D-Y in rural China. BMC Public Health 2020; 20:982. [PMID: 32571279 PMCID: PMC7310053 DOI: 10.1186/s12889-020-09116-3] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2020] [Accepted: 06/15/2020] [Indexed: 11/27/2022] Open
Abstract
Background To measure health-related quality of life (HRQOL) of elementary and secondary school students in rural China using the simplified Chinese version of the EQ-5D-Y. Method Both the samples of students were from a school-based cohort study in a county located in southwestern China. The students self-completed the EQ-5D-Y. Feasibility was evaluated according to the percentages of missing values. Known group validity was assessed by comparing the frequency of reporting EQ-5D-Y problems between groups known to differ in health status. Results A total of 1728 elementary students and 2116 secondary students were included in the analysis. Their respective mean age was 8.7 (range: 7–15) years and 14.8 (range: 11–18) years, with girls being 45.1 and 50.1%, respectively. The missing values in both samples were quite low. Elementary students were less likely to have problems on‘having pain or discomfort’ and ‘feeling worried, sad or unhappy’ dimensions, but more likely to report problems on the dimensions related to physical functioning. Gender difference in HRQOL was only detected for secondary students in terms of ‘doing usual activities’, ‘having pain or discomfort,’ and ‘feeling worried, sad or unhappy’ (P < 0.05 for all). The significant differences in HRQOL were not observed for the other characteristics. Conclusions It appears that the EQ-5D-Y is feasible and valid instrument in school-aged children and adolescents in rural China; but it suffers from similar disadvantages to those found in other general populations. The HRQOL distributions measured by the EQ-5D-Y were also provided.
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Affiliation(s)
- Chen-Wei Pan
- School of Public Health, Medical College of Soochow University, Suzhou, China
| | - Hua Zhong
- Department of Ophthalmology, the First Affiliated Hospital of Kunming Medical University, Kunming, China
| | - Jun Li
- Department of Ophthalmology, the Second People's Hospital of Yunnan Province, Kunming, China
| | - Chen Suo
- School of Public Health, Fudan University, 130 Dong An Road, Shanghai, 200032, China
| | - Pei Wang
- School of Public Health, Fudan University, 130 Dong An Road, Shanghai, 200032, China. .,Key Lab of Health Technology Assessment, National Health Commission of the People's Republic of China (Fudan University), Shanghai, China.
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Health-related quality of life scores of typically developing children and adolescents around the world: a meta-analysis with meta-regression. Qual Life Res 2020; 29:2311-2332. [DOI: 10.1007/s11136-020-02519-0] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 05/02/2020] [Indexed: 12/17/2022]
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7
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Guzmán de la Garza FJ, Salinas-Martínez AM, Zendejas-Valdéz JM, Cordero-Franco HF, Mathiew-Quirós Á, de la Garza-Salinas LH. Body frame size, body image, self-esteem, and health-related quality of life in schoolchildren. Am J Hum Biol 2019; 31:e23294. [PMID: 31293009 DOI: 10.1002/ajhb.23294] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/19/2018] [Revised: 05/03/2019] [Accepted: 06/27/2019] [Indexed: 11/11/2022] Open
Abstract
OBJECTIVE The aim of this study was to explore the relationship between body frame size (BFS) and body image, self-esteem, and health-related quality of life (HRQL) in Mexican schoolchildren. METHODS This cross-sectional study included children aged 6 to 11 years. Body image, self-esteem, and HRQL were evaluated through interviews. Two frame-size measures, biacromial and bitrochanteric diameters, were collected and summed for categorizing BFS as small, medium, or large. Height and weight were also measured. Spearman's correlations were determined and adjusted by sex, age, and body mass index (BMI). Multiple logistic regression analyses were performed with the psychological measure as the binary dependent variable, the categories of BFS as the independent variable, and sex, age, and BMI as control variables. RESULTS The correlation between BFS and body image was 0.15 (P < .01) and after BMI adjustment was 0.07 (P > .05). BFS did not correlate with self-esteem nor HRQL (P > .05). Of the children, 79% were dissatisfied with their body image, 20% had a low self-esteem, and 31.8% had a poorly perceived HRQL; there were no differences by BFS. The multivariate analysis showed that a large BFS was not associated with body image dissatisfaction (OR 1.2, 95% CI 0.6-2.3), low self-esteem (OR 1.3, 95% CI 0.7-2.6), or poor HRQL (OR 1.3, 95% CI 0.8-2.2). CONCLUSIONS BFS was not correlated with body image, self-esteem, or HRQL. A high self-esteem and a good level of HRQL prevailed, but a high proportion of children were dissatisfied with their body image. School interventions should promote an appropriate body image and a healthy lifestyle.
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Affiliation(s)
- Francisco J Guzmán de la Garza
- Unidad de Investigación Epidemiológica y en Servicios de Salud/Centro de Investigación Biomédica del Noreste, Delegación Nuevo León, Instituto Mexicano del Seguro Social, Monterrey, Mexico.,Facultad de Medicina, Departamento de Fisiología, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Ana M Salinas-Martínez
- Unidad de Investigación Epidemiológica y en Servicios de Salud/Centro de Investigación Biomédica del Noreste, Delegación Nuevo León, Instituto Mexicano del Seguro Social, Monterrey, Mexico.,Facultad de Salud Pública y Nutrición, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Juan M Zendejas-Valdéz
- Facultad de Salud Pública y Nutrición, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Hid F Cordero-Franco
- Unidad de Investigación Epidemiológica y en Servicios de Salud/Centro de Investigación Biomédica del Noreste, Delegación Nuevo León, Instituto Mexicano del Seguro Social, Monterrey, Mexico.,Facultad de Medicina, Departamento de Fisiología, Universidad Autónoma de Nuevo León, Monterrey, Mexico
| | - Álvaro Mathiew-Quirós
- Unidad de Investigación Epidemiológica y en Servicios de Salud/Centro de Investigación Biomédica del Noreste, Delegación Nuevo León, Instituto Mexicano del Seguro Social, Monterrey, Mexico
| | - Laura H de la Garza-Salinas
- Coordinación de Planeación y Enlace Institucional, Delegación Regional de Nuevo León, Instituto Mexicano del Seguro Social, Monterrey, Mexico
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Liu W, Lin R, Guo C, Xiong L, Chen S, Liu W. Prevalence of body dissatisfaction and its effects on health-related quality of life among primary school students in Guangzhou, China. BMC Public Health 2019; 19:213. [PMID: 30786874 PMCID: PMC6381611 DOI: 10.1186/s12889-019-6519-5] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2018] [Accepted: 02/07/2019] [Indexed: 02/06/2023] Open
Abstract
Background The relationship between body dissatisfaction (BD) and health-related quality of life (HRQoL) has been well documented in adolescents and adults but is less clear in children, particularly in China. The aims of this study were to describe body image perception and dissatisfaction and to examine their effects on HRQoL among primary school students in Guangzhou, China. Methods A total of 5734 children aged 8–12 years from 29 schools completed self-report questionnaires, which included the Paediatric Quality of Life Inventory 4.0 for measuring HRQoL and Ma figural stimuli for measuring BD. Based on their level of BD, the children were divided into three groups: no dissatisfaction, mild dissatisfaction and moderate or high dissatisfaction. Based on the children’s perceptions of their own body image, the groups were also categorized into just right, too fat and too thin groups. Height and weight were objectively measured using standardized methods, and a BMI z-score was derived using the age- and sex-specific WHO references from 2007 for children aged 5–19 years. Weight status was classified as underweight, healthy weight, overweight or obese. Results A total of 78.10% of children aged 8–12 years in Guangzhou had different levels of BD; boys had slightly higher levels BD than girls (p < 0.01), and obese children demonstrated the highest degree of BD (p < 0.01). However, BD levels did not differ significantly according to age (p = 0.194). Gender differences in body image perceptions were only found in children with a healthy weight (p < 0.01), but age differences in body image perception were present in both children with a healthy weight (p < 0.05) and underweight children (p < 0.05). Of the children with a healthy weight who were dissatisfied with their body image, 65.54% of the boys wanted to be heavier, whereas 52.95% of the girls wanted to be thinner (p < 0.01), and older children were more inclined to perceive themselves as too fat (p < 0.01). After controlling for the influence of confounding factors, significant trends for lower HRQoL scores with increasing BD levels persisted in all domains (p < 0.01). Conclusions BD is as common in children as in adolescents and adults and might be independently associated with HRQoL impairment. The present findings suggest that the current epidemic of BD is a threat to the health of primary school children in China, and prevention programmes for this population should be implemented in the future.
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Affiliation(s)
- Wei Liu
- Faculty of School Health, Guangzhou Centre for Disease Control and Prevention, No. 1, Qide road, Jiahe, Baiyun District, Guangzhou, 510440, China
| | - Rong Lin
- Faculty of School Health, Guangzhou Centre for Disease Control and Prevention, No. 1, Qide road, Jiahe, Baiyun District, Guangzhou, 510440, China
| | - Chongshan Guo
- Faculty of School Health, Guangzhou Centre for Disease Control and Prevention, No. 1, Qide road, Jiahe, Baiyun District, Guangzhou, 510440, China
| | - Lihua Xiong
- Faculty of School Health, Guangzhou Centre for Disease Control and Prevention, No. 1, Qide road, Jiahe, Baiyun District, Guangzhou, 510440, China
| | - Siyu Chen
- Faculty of School Health, Guangzhou Centre for Disease Control and Prevention, No. 1, Qide road, Jiahe, Baiyun District, Guangzhou, 510440, China
| | - Weijia Liu
- Faculty of School Health, Guangzhou Centre for Disease Control and Prevention, No. 1, Qide road, Jiahe, Baiyun District, Guangzhou, 510440, China.
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Magiera A, Sochacka-Tatara E, Sowa A, Jacek R, Pac A. Body weight and quality of life among adolescents in Krakow. DEVELOPMENTAL PERIOD MEDICINE 2018. [PMID: 30056403 PMCID: PMC8522893 DOI: 10.34763/devperiodmed.20182202.160170] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/22/2022]
Abstract
AIM The aim of this study was to assess the relationship between body weight and the quality of life among adolescents in Krakow, Poland. MATERIAL AND METHODS The study comprised 1291 pupils - 632 girls and 659 boys from 17 Krakow middle schools. Their quality of life (QoL) was assessed by means of the Polish version of the KIDSCREEN-27 questionnaire. Five dimensions of QoL were analyzed as low, average and high QoL according to Polish cut-off points. The body mass index (BMI) of the adolescents was classified as underweight, normal weight, or excessive weight according to Polish growth charts. RESULTS Low QoL was observed significantly more often in girls than in boys. Excessive weight among both girls and boys was found to be a risk factor for low QoL in the "Physical Well-being" dimension as compared to normal weight adolescents. Additionally, boys with excessive weight had a two-fold higher risk of low QoL in the "Social Support % Peers" dimension (OR=2.00; 95%CI:1.14-3.50). Underweight was associated with higher risk of low QoL in the "Physical Well-being", "Autonomy & Parents", and "Social Support % Peers" dimensions, but only among boys. CONCLUSIONS Both, underweight and excessive weight were associated with low QoL. Excessive weight in youth was linked mainly with lower physical well-being. Underweight was a predictor of low QoL only among boys in the dimensions related to physical health, as well as relations with family and peers.
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Affiliation(s)
- Agnieszka Magiera
- Katedra Epidemiologii i Medycyny Zapobiegawczej, Wydział Lekarski, Uniwersytet Jagielloński, Collegium Medicum, Kraków, Polska
| | - Elżbieta Sochacka-Tatara
- Katedra Epidemiologii i Medycyny Zapobiegawczej, Wydział Lekarski, Uniwersytet Jagielloński, Collegium Medicum, Kraków, Polska
| | - Agata Sowa
- Katedra Epidemiologii i Medycyny Zapobiegawczej, Wydział Lekarski, Uniwersytet Jagielloński, Collegium Medicum, Kraków, Polska
| | - Ryszard Jacek
- Katedra Epidemiologii i Medycyny Zapobiegawczej, Wydział Lekarski, Uniwersytet Jagielloński, Collegium Medicum, Kraków, Polska
| | - Agnieszka Pac
- Katedra Epidemiologii i Medycyny Zapobiegawczej, Wydział Lekarski, Uniwersytet Jagielloński, Collegium Medicum, Kraków, Polska,Agnieszka Pac Katedra Epidemiologii i Medycyny Zapobiegawczej UJ CM ul. Kopernika 7a, 31-034 Kraków tel. (12) 423-10-03
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