Is obesity associated with reduced health-related quality of life in Latino, Black and White children in the community?
Is obesity associated with reduced health-related quality of life in Latino, Black and White children in the community?
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DOI：
10.1038/ijo.2013.31
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发表时间：
2013-07
影响因子：
4.9
通讯作者：
Schuster, M. A.
中科院分区：
文献类型：
--
作者：
Wallander, J. L.;Kerbawy, S.;Toomey, S.;Lowry, R.;Elliott, M. N.;Escobar-Chaves, S. L.;Franzini, L.;Schuster, M. A.
在非临床社区儿童样本中，很少有研究检查肥胖对健康相关生活质量（HRQOL）的影响，而且方法上的局限性阻碍了得出确切的结论，特别是这种影响是否在不同种族/族裔群体中相似。目前的目的是在控制社会经济地位（SES）差异的情况下，研究在非正常体重的什么水平下，学龄儿童的HRQOL较低，以及种族/民族群体之间是否存在差异。横断面社区队列调查。数据来自健康通道，报告了4824名拉丁裔，黑人和白人五年级学生在美国三个大都市进行的人口调查。根据测量的体重和身高，将儿童的体重状况分为体重不足（1%）、体重正常（52%）、超重（19%）、肥胖（13%）和极度肥胖（14%）。儿童使用儿童生活质量量表和附加量表报告自己的HRQOL，这些量表涉及整体自我价值、外表和身体满意度。家长报告了孩子的整体健康状况。与正常体重的人相比，非健康体重的每一次增加——超重到肥胖到极度肥胖——与心理社会HRQOL的更多领域的得分显著降低相关。然而，只有极度肥胖的儿童报告身体HRQOL显著降低。在调整社会经济地位后，体重等级之间的差异仍然存在，并且与种族/民族无关。体重过轻儿童普遍报告的HRQOL与正常体重儿童无显著差异。超重、肥胖和极度肥胖的五年级学生的平均HRQOL比正常体重的孩子差，尤其是在心理社会领域，包括自我价值和同伴关系，无论种族/民族。如果信息能够以敏感和支持的方式传达，改善HRQOL的愿望可以为儿童及其父母解决不健康体重问题提供额外的动力。
Few studies have examined the impact of obesity on health-related quality of life (HRQOL) in non-clinical community samples of children, and methodological limitations have hindered drawing firm conclusions, especially whether the impact is similar across racial/ethnic groups. The present aims were to examine at what levels of non-normal weight, school-aged children experience lower HRQOL and whether this differs among racial/ethnic groups, when controlling for socioeconomic status (SES) differences. Cross-sectional community cohort survey. Data are from the Healthy Passages, reporting on 4824 Latino, black and white 5th graders in a population-based survey conducted in three United States metropolitan areas. Children's weight status was classified from measured weight and height into underweight (1%), normal weight (52%), overweight (19%), obese (13%) and extremely obese (14%). Children reported their own HRQOL using the Pediatric Quality of Life Inventory and additional scales addressing global self-worth, physical appearance and body satisfaction. Parents reported children's overall health status. Each increment in higher non-healthy weight class—overweight to obese to extremely obese—was associated with significantly lower scores in more domains of psychosocial HRQOL compared with that in normal weight. However, only extremely obese children reported significantly lower physical HRQOL. Differences among weight classes remained when adjusting for SES and were independent of race/ethnicity. Underweight children generally reported HRQOL that was not significantly different from normal weight children. Overweight, obese and extremely obese 5th graders on average experience worse HRQOL than normal weight children, especially in psychosocial domains including self-worth and peer relationships, regardless of race/ethnicity. If messages can be conveyed in a sensitive and supportive manner, the desire to improve HRQOL could provide additional motivation for children and their parents in addressing unhealthy weight.
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影响因子：
2.9
作者：
Arif AA;Rohrer JE
通讯作者：
Rohrer JE
影响因子：
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作者：
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作者：
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作者：
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