Parental perception of child health status and quality of life associated with overweight and obesity in early childhood

Purpose The aim was to assess perceived health status and health-related quality of life (HRQL) according to persistence of and variation in weight status among children from the age of 4 to 6 years. Methods Longitudinal study of 1883 participants in the ELOIN cohort (Madrid Region, Spain), with phy...

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Veröffentlicht in:Quality of life research 2020, Vol.29 (1), p.163-170
Hauptverfasser: Ortiz-Pinto, Maira Alejandra, Ortiz-Marrón, Honorato, Rodríguez-Rodríguez, Ana, Casado-Sánchez, Laura, Cuadrado-Gamarra, José I., Galán, Iñaki
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container_end_page 170
container_issue 1
container_start_page 163
container_title Quality of life research
container_volume 29
creator Ortiz-Pinto, Maira Alejandra
Ortiz-Marrón, Honorato
Rodríguez-Rodríguez, Ana
Casado-Sánchez, Laura
Cuadrado-Gamarra, José I.
Galán, Iñaki
description Purpose The aim was to assess perceived health status and health-related quality of life (HRQL) according to persistence of and variation in weight status among children from the age of 4 to 6 years. Methods Longitudinal study of 1883 participants in the ELOIN cohort (Madrid Region, Spain), with physical examination at ages 4 and 6 years. Perceived health status and HRQL were assessed using parent-reported Kidscreen-10 scores, with excess weight being defined on the basis of body mass index (BMI) using the WHO reference tables ( z -BMI > 1 standard deviation), and abdominal obesity being defined on the basis of waist circumference (percentile ≥ 90) using the tables proposed by Fernández et al. Variation in these two parameters at age 6 years was associated with incident cases of suboptimal health by logistic regression, and with HRQL by linear regression. Results Compared to children without excess weight or abdominal obesity in both periods, incident cases of excess weight or abdominal obesity had odds ratios (ORs) of suboptimal health of 2.41 (95% CI 1.21 to 4.80) and 2.99 (95% CI 1.31 to 6.84) respectively. In terms of HRQL, children with remission of excess weight had a higher Kidscreen-10 score: β coefficient = 2.02 (95% CI 0.36 to 3.68), whereas new cases of abdominal obesity had a lower Kidscreen-10 score: β  = − 2.22 (95% CI − 4.40 to − 0.03). Conclusions Incident cases of excess weight and abdominal obesity had a higher risk of suboptimal health. Incident cases of abdominal obesity were also associated with worse HRQL.
doi_str_mv 10.1007/s11136-019-02313-7
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Methods Longitudinal study of 1883 participants in the ELOIN cohort (Madrid Region, Spain), with physical examination at ages 4 and 6 years. Perceived health status and HRQL were assessed using parent-reported Kidscreen-10 scores, with excess weight being defined on the basis of body mass index (BMI) using the WHO reference tables ( z -BMI &gt; 1 standard deviation), and abdominal obesity being defined on the basis of waist circumference (percentile ≥ 90) using the tables proposed by Fernández et al. Variation in these two parameters at age 6 years was associated with incident cases of suboptimal health by logistic regression, and with HRQL by linear regression. Results Compared to children without excess weight or abdominal obesity in both periods, incident cases of excess weight or abdominal obesity had odds ratios (ORs) of suboptimal health of 2.41 (95% CI 1.21 to 4.80) and 2.99 (95% CI 1.31 to 6.84) respectively. In terms of HRQL, children with remission of excess weight had a higher Kidscreen-10 score: β coefficient = 2.02 (95% CI 0.36 to 3.68), whereas new cases of abdominal obesity had a lower Kidscreen-10 score: β  = − 2.22 (95% CI − 4.40 to − 0.03). Conclusions Incident cases of excess weight and abdominal obesity had a higher risk of suboptimal health. Incident cases of abdominal obesity were also associated with worse HRQL.</description><identifier>ISSN: 0962-9343</identifier><identifier>EISSN: 1573-2649</identifier><identifier>DOI: 10.1007/s11136-019-02313-7</identifier><identifier>PMID: 31583617</identifier><language>eng</language><publisher>Cham: Springer International Publishing</publisher><subject>Abdomen ; Adolescent ; Body mass index ; Child ; Child, Preschool ; Childhood ; Childrens health ; Cohort Studies ; Female ; Health risk assessment ; Humans ; Longitudinal Studies ; Male ; Medicine ; Medicine &amp; Public Health ; Obesity ; Obesity - psychology ; Obesity, Abdominal - psychology ; Overweight ; Overweight - psychology ; Parents - psychology ; Perception ; Public Health ; Quality of life ; Quality of Life - psychology ; Quality of Life Research ; Sociology</subject><ispartof>Quality of life research, 2020, Vol.29 (1), p.163-170</ispartof><rights>Springer Nature Switzerland AG 2019</rights><rights>Quality of Life Research is a copyright of Springer, (2019). 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Methods Longitudinal study of 1883 participants in the ELOIN cohort (Madrid Region, Spain), with physical examination at ages 4 and 6 years. Perceived health status and HRQL were assessed using parent-reported Kidscreen-10 scores, with excess weight being defined on the basis of body mass index (BMI) using the WHO reference tables ( z -BMI &gt; 1 standard deviation), and abdominal obesity being defined on the basis of waist circumference (percentile ≥ 90) using the tables proposed by Fernández et al. Variation in these two parameters at age 6 years was associated with incident cases of suboptimal health by logistic regression, and with HRQL by linear regression. Results Compared to children without excess weight or abdominal obesity in both periods, incident cases of excess weight or abdominal obesity had odds ratios (ORs) of suboptimal health of 2.41 (95% CI 1.21 to 4.80) and 2.99 (95% CI 1.31 to 6.84) respectively. In terms of HRQL, children with remission of excess weight had a higher Kidscreen-10 score: β coefficient = 2.02 (95% CI 0.36 to 3.68), whereas new cases of abdominal obesity had a lower Kidscreen-10 score: β  = − 2.22 (95% CI − 4.40 to − 0.03). Conclusions Incident cases of excess weight and abdominal obesity had a higher risk of suboptimal health. 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subjects Abdomen
Adolescent
Body mass index
Child
Child, Preschool
Childhood
Childrens health
Cohort Studies
Female
Health risk assessment
Humans
Longitudinal Studies
Male
Medicine
Medicine & Public Health
Obesity
Obesity - psychology
Obesity, Abdominal - psychology
Overweight
Overweight - psychology
Parents - psychology
Perception
Public Health
Quality of life
Quality of Life - psychology
Quality of Life Research
Sociology
title Parental perception of child health status and quality of life associated with overweight and obesity in early childhood
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