Health-related quality of life of severely obese children and adolescents

Health-related quality of life of severely obese children and adolescents
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DOI:
10.1001/jama.289.14.1813
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发表时间:
2003-04-09
影响因子:
120.7
通讯作者:
Varni, JW
Varni, JW
中科院分区:
医学1区
文献类型:
--
作者:
Schwimmer, JB;Burwinkle, TM;Varni, JW

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七分之一的美国儿童和青少年肥胖,但对他们与健康相关的生活质量(QOL)知之甚少。目的比较肥胖儿童青少年与健康儿童青少年及癌症诊断儿童青少年健康相关生活质量。设计、环境和参与者:横断面研究,研究对象为106名儿童和青少年(57名男性),年龄在5 - 18岁(平均[SD], 12.1亿岁),于2002年1月至6月间转诊至一家学术儿童医院接受肥胖评估。儿童和青少年的平均(SD)体重指数(BMI)为34.7 (9.3),BMI z评分为2.6(0.5)。儿童自我报告和家长代理报告采用儿童生活质量量表通用核心量表(范围0-100)。问卷由采访者对5至7岁的儿童进行调查。将得分与先前公布的健康儿童和青少年以及被诊断患有癌症的儿童和青少年的得分进行比较。结果与健康儿童青少年相比,肥胖儿童青少年报告差异有统计学意义(P
Context One in 7 US children and adolescents is obese, yet little is known about their health-related quality of life (QOL).Objective To examine the health-related QOL of obese children and adolescents compared with children and adolescents who are healthy or those diagnosed as having cancer.Design, Setting, and Participants Cross-sectional study of 106 children and adolescents (57 males) between the ages of 5 and 18 years (mean [SD], 12.1 [3] years), who had been referred to an academic children's hospital for evaluation of obesity between January and June 2002. Children and adolescents had a mean (SD) body mass index (BMI) of 34.7 (9.3) and BMI z score of 2.6 (0.5).Main Outcome Measures Child self-report and parent proxy report using a pediatric QOL inventory generic core scale (range, 0-100). The inventory was administered by an interviewer for children aged 5 through 7 years. Scores were compared with previously published scores for healthy children and adolescents and children and adolescents diagnosed as having cancer.Results Compared with healthy children and adolescents, obese children and adolescents reported significantly (P