Farajpour Kh Mostafa, PishgahRoodsari Mohadeseh, Salehiniya Hamid, Soheilipour Fahimeh
Minimally Invasive Surgery Research Center, Iran University of Medical Sciences, Tehran, Iran.
Zabol Medical Science University, Zabol, Iran - Epidemiology and Biostatistics Department, School of Public Health, Tehran University of Medical Sciences, Tehran, Iran.
Biomedicine (Taipei). 2018 Mar;8(1):3. doi: 10.1051/bmdcn/2018080103. Epub 2018 Feb 26.
This study aimed to investigate the relationship between Body Mass Index (BMI) and quality of life in primary school students in Tehran.
In this cross-sectional study 829 primary school children and their parents participated. Healthrelated quality of life (HROOL) was evaluated with the Persian version of Pediatric Quality of Life Inventory (PedsQL4.0) questionnaire. According to objective measures of height and weight, children BMI computed, and adapted for age and gender. For data analysis we used Pearson correlation test, Independentsample t-test and ANOVA using SPSS version 18.
Mean of children self-reported HRQOL total score was 82.05 ± 12.04 and mean of parent proxyreported HRQOL total score was 81.66 ± 12.81. Based on HRQOL subscale scores, social functioning was the highest subscale score of HRQOL (84.67 ± 15.07) and the emotional subscale score was the lowest (77.79 ± 17.26). Lower HRQOL scores were significantly correlated with Higher BMI and normal weight children had significantly higher HRQOL total score than obese children (P < 0.05). The difference between normal weight and overweight children in HRQOL total scores were not significant. Same results were obtained from parent proxy-reports and a good harmony between children self-report and parent proxy-report of HRQOL was perceived.
This study showed that HRQOL of obese children were at the lower level in comparison to normal weight and overweight children. At further interventional studies these outcomes can be very important for improving quality of life in obese children.
本研究旨在调查德黑兰小学生体重指数(BMI)与生活质量之间的关系。
在这项横断面研究中,829名小学生及其家长参与其中。使用波斯语版儿童生活质量量表(PedsQL4.0)问卷评估健康相关生活质量(HROOL)。根据身高和体重的客观测量数据,计算儿童的BMI,并根据年龄和性别进行调整。我们使用SPSS 18版软件进行Pearson相关检验、独立样本t检验和方差分析来进行数据分析。
儿童自我报告的HRQOL总分平均值为82.05±12.04,家长代理报告的HRQOL总分平均值为81.66±12.81。根据HRQOL子量表得分,社会功能是HRQOL中得分最高的子量表(84.67±15.07),情感子量表得分最低(77.79±17.26)。较低的HRQOL得分与较高的BMI显著相关,正常体重儿童的HRQOL总分显著高于肥胖儿童(P<0.05)。正常体重和超重儿童在HRQOL总分上的差异不显著。家长代理报告也得到了相同的结果,并且儿童自我报告和家长代理报告的HRQOL之间存在良好的一致性。
本研究表明,与正常体重和超重儿童相比,肥胖儿童的HRQOL处于较低水平。在进一步的干预研究中,这些结果对于改善肥胖儿童的生活质量可能非常重要。