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Type: Journal article
Title: Health-related quality of life in obese children and adolescents
Author: Tsiros, M.
Olds, T.
Buckley, J.
Grimshaw, P.
Brennan, L.
Walkley, J.
Hills, A.
Howe, P.
Coates, A.
Citation: International Journal of Obesity, 2009; 33(4):387-400
Publisher: Nature Publishing Group
Issue Date: 2009
ISSN: 0307-0565
Statement of
MD Tsiros, T Olds, JD Buckley, P Grimshaw, L Brennan, J Walkley, AP Hills, PRC Howe and AM Coates
Abstract: 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 (r¼_0.7, P¼0.008), 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.
Keywords: pediatric
Rights: Copyright 2009 Macmillan Publishers Limited
DOI: 10.1038/ijo.2009.42
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