The relationship between obesity, hyperglycemia symptoms, and health-related quality of life among Hispanic and non-Hispanic white children and adolescents.
The relationship between obesity, hyperglycemia symptoms, and health-related quality of life among Hispanic and non-Hispanic white children and adolescents.
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DOI：
10.1186/1471-2296-7-3
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发表时间：
2006-01-17
影响因子：
2.9
通讯作者：
Rohrer JE
中科院分区：
文献类型：
--
作者：
Arif AA;Rohrer JE
本研究旨在评估超重、高血糖症状、西班牙裔和语言障碍对儿童和青少年健康相关生活质量（HRQoL）的影响。对5530名3 - 18岁儿童的父母/监护人进行基于人群的样本管理，使用父母版本的KINDL®调查工具评估儿童和青少年的HRQoL。多元线性回归分析用于评估HRQoL、体重指数和高血糖症状类别之间的关系。儿童的平均年龄为10.6岁（SD = 4.3）。平均KINDL®总分为79.7（SD = 11.6），平均身体功能评分为81.9（SD = 20.3）。男童的身体健康状况好于女童（p < 0.001）。超重儿童的总体HRQoL较低（p = 0.008）。然而，该协会是不显着的六个分量表，包括身体健康领域的四个。有高血糖症状和糖尿病家族史的儿童总体健康和身体健康HRQoL也显著较低（p < 0.05）。被诊断患有糖尿病且收入较低的儿童的总体HRQoL也显着较低（p < 0.05）。西班牙裔和HRQoL之间没有显着的关联。然而，那些报告主要讲西班牙语的人表现出显着较低的整体HRQoL（p = 0.001）。结果表明，超重可能会降低儿童的整体生活质量，尽管它不会直接影响身体功能。然而，高血糖症状可能会影响整体健康和身体功能。调查结果还表明，需要制定针对克服语言障碍，可能面临的讲西班牙语的儿童或他们的父母的方案。此外，针对有高血糖症状的儿童开展公共宣传运动可能比针对超重儿童更合适。
The current study was conducted to evaluate the effects of overweight, hyperglycemia symptoms, Hispanic ethnicity, and language barriers on health-related quality of life (HRQoL) among children and adolescents. Parents'/guardians of a population based sample of 5530 children between ages 3 and 18 were administered the parents' version of the KINDL® survey instrument to assess HRQoL in children and adolescents. Multiple linear regression analysis was used to assess relationships between HRQoL, body mass index, and hyperglycemia symptoms categories. The mean age of children was 10.6 (SD = 4.3). The mean KINDL® total score was 79.7 (SD = 11.6) and the mean physical functioning score was 81.9 (SD = 20.3). Male children exhibited better physical health as compared to the female children (p < 0.001). Overweight children had lower overall HRQoL (p = 0.008). However, the association was not significant for the four of the six subscales including the physical health domain. Children with hyperglycemia symptoms and a family history of diabetes also had significantly lower overall and physical health HRQoL (p < 0.05). Children diagnosed with diabetes and in lower income strata also had significantly lower overall HRQoL (p < 0.05). No significant association between the Hispanic ethnicity and HRQoL was observed. However, those who reported mostly speaking Spanish exhibited significantly lower overall HRQoL (p = 0.001). Results suggest that overweight may reduce overall quality of life among children, though it does not directly influence physical functioning. However, hyperglycemia symptoms may affect both overall health and physical functioning. Findings also suggest the need for developing programs directed at overcoming language barriers that may face Spanish-speaking children or their parents. Furthermore, targeting children who have hyperglycemia symptoms with public information campaigns may be more appropriate than targeting overweight children.