Department of Public Health, Erasmus MC University Medical Center, P.O. Box 2040, 3000 CA, Rotterdam, The Netherlands.
Qual Life Res. 2013 May;22(4):917-28. doi: 10.1007/s11136-012-0211-x. Epub 2012 Jun 14.
Examine the health-related quality of life of 5-6-year-old underweight, overweight and obese children.
Our cross-sectional study included 3,227 parent-child dyads from the "Be active, eat right" study. Parents completed questionnaires regarding child and parental characteristics. Health-related quality of life of the child was measured using the Child Health Questionnaire Parent Form 28. Children were classified normal weight, overweight, obese, severely obese, and underweight according to the international age and gender BMI cutoff points. Bootstrap analyses were performed for general linear models corrected for potential confounding variables.
Severely obese children (β, -2.60; 95% CI, -4.80 to -0.57, p < 0.01) and underweight children (β, -1.11; 95% CI, -1.85 to -0.39, p < 0.01) had lower parent-reported scores on the physical summary scale. On the physical functioning profile scale parents of overweight and severely obese children also reported statistically significant lower scores (p < 0.05 and p < 0.01, respectively).There were no significant differences regarding the psychosocial summary scale scores between the different weight categories.
Underweight and overweight children experience impaired health-related quality of life on the physical functioning domain. Physicians, teachers and parents should be aware of the possible negative impact on health-related quality of life in underweight and overweight 5-6-year-old children.
研究 5-6 岁体重不足、超重和肥胖儿童的健康相关生活质量。
我们的横断面研究包括来自“积极活动，健康饮食”研究的 3227 对亲子。父母完成了有关儿童和父母特征的问卷。使用儿童健康问卷家长形式 28 测量儿童的健康相关生活质量。根据国际年龄和性别 BMI 切点，将儿童分为正常体重、超重、肥胖、严重肥胖和体重不足。对一般线性模型进行了引导分析，以校正潜在的混杂变量。
严重肥胖儿童（β，-2.60；95%CI，-4.80 至-0.57，p <0.01）和体重不足儿童（β，-1.11；95%CI，-1.85 至-0.39，p <0.01）的家长报告的身体总分较低。超重和严重肥胖儿童的家长在身体功能量表上的得分也存在统计学意义上的显著降低（p <0.05 和 p <0.01，分别）。在心理社会总分方面，不同体重组之间没有显著差异。
体重不足和超重的儿童在身体功能领域的健康相关生活质量受损。医生、教师和家长应意识到体重不足和超重的 5-6 岁儿童健康相关生活质量可能受到负面影响。
