Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, 1 University Road,Tainan, Taiwan.
Acta Paediatr. 2013 Mar;102(3):e114-9. doi: 10.1111/apa.12108. Epub 2012 Dec 27.
To determine the effects of being obese or overweight on quality of life (QoL) of children from a community-based sample and to compare their self-ratings of QoL with their parents' ratings for their children's QoL.
Dyads of 8- to 12-year-old children [60 obese, 34 overweight and 127 normal weight (N = 221)] and their parents or caregivers were recruited from southern Taiwan. QoL was assessed by both parent proxy ratings and child self-ratings using the Pediatric Quality of Life Inventory (PedsQL) questionnaire.
Obese children reported significantly lower QoL than did their normal-weight counterparts (83 ± 15 vs. 88 ± 10; p = 0.04). Obese children rated their QoL lower than did their parents in all (Cohen's d = -0.38 to -0.22) but the school domain. Overweight children's and normal-weight children's self-reported QoL was not significantly different, nor were they different from parent-reported QoL.
Community-based obese children reported a lower QoL than did normal-weight children; however, their parents seemed unaware of their children's decreased QoL. Caution is required when using only parent proxy reports to assess the QoL of obese children. More effort is needed in Taiwan to improve parents' understanding of their obese children's QoL.
从社区样本中确定肥胖或超重对儿童生活质量（QoL）的影响，并比较他们对 QoL 的自我评估与父母对孩子 QoL 的评估。
从中国台湾南部招募了 8 至 12 岁的儿童及其父母或照顾者的对偶组（60 名肥胖，34 名超重和 127 名正常体重（N=221））。使用儿科生活质量量表（PedsQL）问卷，由父母代表评估和儿童自我评估来评估 QoL。
肥胖儿童的 QoL 明显低于正常体重儿童（83±15 与 88±10；p=0.04）。肥胖儿童在所有（Cohen's d=-0.38 至-0.22）但学校领域的自我评估 QoL 均低于父母。超重儿童和正常体重儿童的自我报告 QoL 无显著差异，也与父母报告的 QoL 无差异。
来自社区的肥胖儿童报告的 QoL 低于正常体重儿童；然而，他们的父母似乎没有意识到他们的孩子的 QoL 下降。在评估肥胖儿童的 QoL 时，仅使用父母代理报告需要谨慎。台湾需要更多的努力来提高父母对肥胖儿童 QoL 的认识。
