Dixon John B, Rice Toni L, Lambert Elisabeth A, Lambert Gavin W
Clinical Obesity Research, Baker IDI Heart & Diabetes Institute, 75 Commercial Road, PO Box 6492, Melbourne, VIC, 3004, Australia.
Primary Care Research Unit, Monash University, Melbourne, Australia.
Obes Surg. 2015 Nov;25(11):2135-42. doi: 10.1007/s11695-015-1677-8.
Impairment in health-related quality of life (HRQOL) is described as a major concern for severely obese adolescents seeking intentional weight loss. We aimed to compare HRQOL in obese adolescents seeking weight loss with body mass index (BMI)-matched younger adults and community norms.
Eighty-one adolescents (14-18.8 years) with BMI 30-60 kg/m(2) completed the Short Form (SF)-36 prior to commencing a weight loss program. Each adolescent was matched for BMI and gender with two obese adults seeking weight loss, 10 and 20 years older, respectively. The groups were compared across all eight scale scores and mental and physical component summary scores (MCS and PCS). Summary scores were also compared to community norms.
The adolescents had higher scores than those in their 20s for all SF-36 scales and summary scores, indicating better HRQOL. Compared with community norms, obese adolescents had lower PCS and comparable MCS scores. Both groups of adults had lower PCS scores, but MCS was lower in those in their 20s compared with both adolescents and those in their 30s. There were no gender differences in patterns of responses across the three age groups.
Obese adolescents seeking intentional weight loss have significant impairment in physical aspects of HRQOL, but self-reported mental HRQOL appears to be similar to community controls. In contrast, obese participants in their 20s report clinically significant impairment in mental HRQOL. When considering adolescents for bariatric surgery, careful assessment is needed. We need a greater understanding of the emotional distress reported by those in their 20s.
健康相关生活质量（HRQOL）受损被描述为寻求有意减肥的重度肥胖青少年的一个主要担忧。我们旨在比较寻求减肥的肥胖青少年与体重指数（BMI）匹配的年轻成年人以及社区标准的HRQOL。
81名BMI为30 - 60 kg/m²的青少年（14 - 18.8岁）在开始减肥计划之前完成了简短形式（SF）- 36问卷。每个青少年在BMI和性别方面与两名分别年长10岁和20岁的寻求减肥的肥胖成年人相匹配。对所有八个量表得分以及心理和身体成分汇总得分（MCS和PCS）进行组间比较。汇总得分也与社区标准进行比较。
青少年在所有SF - 36量表和汇总得分上的得分均高于20多岁的成年人，表明HRQOL更好。与社区标准相比，肥胖青少年的PCS得分较低，而MCS得分相当。两组成年人的PCS得分均较低，但20多岁成年人的MCS得分低于青少年和30多岁的成年人。三个年龄组的反应模式在性别上没有差异。
寻求有意减肥的肥胖青少年在HRQOL的身体方面有显著损害，但自我报告的心理HRQOL似乎与社区对照组相似。相比之下，20多岁的肥胖参与者报告在心理HRQOL方面有临床显著损害。在考虑为青少年进行减肥手术时，需要仔细评估。我们需要更深入了解20多岁人群报告的情绪困扰。
