Assessment of Children's Health-Related Quality of Life in the United States With a Multidimensional Index

Simon, Alan E.; Chan, Kitty S.; Forrest, Christopher B.

doi:10.1542/peds.2007-0480

Cited by 70 publications

(74 citation statements)

References 29 publications

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“…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%

“…Of the 22 studies located, 12 studies report significant inverse relationships between overall HRQOL and weight status in both community and treatment-seeking samples (Table 1), either using dichotomized weight categories as predictors, 18,23,24 or BMI as a continuous predictor. 6,12,14,15,19,[24][25][26][27] Our pooled analyses indicate that there is an inverse linear relationship between HRQOL (PedsQL total score) and BMI for both pediatric self-report (r ¼ À0.7, P ¼ 0.008, n ¼ 13) and parent proxy-report (r ¼ À0.77, P ¼ 0.003, n ¼ 12) (Figure 3). In contrast, three smaller cross-sectional studies from the United States of America did not find a significant inverse relationship between BMI (as a continuous predictor) and overall HRQOL.…”

Section: Resultsmentioning

confidence: 99%

“…12,13 Comparisons of this nature can yield information that may be of particular interest to policy-makers and funding agencies. 14 Alternatively, condition-specific measures may be more sensitive to HRQOL limitations experienced as a result of a particular health condition, and may therefore be better suited to detecting specific treatment effects. Kolotkin et al 15 found consistently larger effect sizes for differences between the lowest and highest BMI groups when using the obesity-specific IWQOL-Kids (effect sizes of 41.00 for all subscales except for family relations) compared with the generic PedsQL (effect sizes of 0.46-0.95 for subscales).…”

Section: Measuring Hrqolmentioning

confidence: 99%

“…The only significant age-effect found by Williams et al 6 was in the 11-year-old age band who reported significantly lower total PedsQL scores (P ¼ 0.02) compared with 9, 10 and 12-year-olds (P ¼ 0.37, 0.06 and 0.09, respectively). Findings from a very large epidemiological study 14 indicated that parent proxy-reported HRQOL declined across all weight ranges during early adolescence (b ¼ À2.902 to À3.060). Similarly, Ravens-Sieberer et al 34 in an uncontrolled clinical trial found that participants older than 13 years of age had significantly worse physical, selfesteem and school functioning compared with younger children (t ¼ 2.08, 3.11 and 3.48, respectively Po0.037).…”

Section: Treatment-seeking Versus Community Samplesmentioning

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: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Measuring Hrqolmentioning

confidence: 99%

Section: Treatment-seeking Versus Community Samplesmentioning

confidence: 99%

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Health-related quality of life in obese children and adolescents

et al. 2009

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“…No obstante lo anterior, recomendamos cautela en la interpretación de los hallazgos debido a las características de la muestra y al diseño del estudio, por lo que parece conveniente investigar la CVRS a nivel comunitario, lo que contribuiría a la construcción de indicadores positivos de salud y no solamente a estimar el efecto de ciertas enfermedades pediátricas tanto agudas como crónicas. 18,30,31 Finalmente, a pesar del posible sesgo debido a la selección de un grupo hospitalario de pacientes obesos, los resultados son consistentes con otros reportes y corroboran que la obesidad deteriora la CVRS de los niños y adolescentes, particularmente la esfera emocional, y se aprecia que la obesidad duplica el riesgo de tener una mala CVRS en escolares de la ciudad de Hermosillo, Sonora. En este sentido, el cuestionario PedsQL® en su versión para México es un instrumento válido y de fácil aplicación para examinar la relación de obesidad y CVRS.…”

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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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Estimating the Risk of Food Stamp Use and Impoverishment During Childhood

Rank¹,

Hirschl²

2009

Arch Pediatr Adolesc Med

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To estimate the lifetime risk that an American child will reside in a household receiving food stamps and, as a result, will encounter poverty and a heightened exposure to food insecurity. Design: Thirty years of longitudinal data from the Panel Study of Income Dynamics survey data set. Setting: Nationally representative sample of the US population. Participants: Approximately 90 000 childhood years of information are pooled together to create a series of life tables that span the ages of 1 to 20 years. Main Outcome Measure: Self-reporting measure of whether survey households received the Food Stamp Program during the prior year.

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Assessment of Children's Health-Related Quality of Life in the United States With a Multidimensional Index

Cited by 70 publications

References 29 publications

Health-related quality of life in obese children and adolescents

Health-related quality of life in obese children and adolescents

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

Estimating the Risk of Food Stamp Use and Impoverishment During Childhood

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