Universidade Federal do Rio Grande do Sul (UFRGS), Programa de Pós-Graduação em Saúde da Criança e do Adolescente, Porto Alegre, RS, Brazil.
Universidade de Santa Cruz do Sul (UNISC), Departamento de Educação Física e Saúde, Santa Cruz do Sul, RS, Brazil.
J Pediatr (Rio J). 2019 Jul-Aug;95(4):495-501. doi: 10.1016/j.jped.2018.05.005. Epub 2018 Jun 27.
To identify health-related quality of life in adolescents with excess weight and associated factors, such as gender, age, and weight categories.
A cross-sectional study with collected and secondary data from 276 adolescents aged between 10 and 19 years with overweight and obesity, and whose parents or guardians authorized their participation. Anthropometric data, pubertal development, and the PedsQL 4.0 questionnaire were collected for the health-related quality of life assessment. Categorical data were described as numbers and percentages. For the description of health-related quality of life subscales, medians and the 25 and 75 percentiles were used, as well as the Mann-Whitney test for comparisons between age group, gender, and weight categories.
The median health-related quality of life total score was 78.3 (68.5-87.4). The lowest scale was the "emotional score", 65 (50-80). Higher health-related quality of life was found in boys in most of the scores (p<0.05), except for the "school score" (p=0.09). Regarding the age group, the median of the "physical scores" (p=0.03) and "social score" (p=0.02) were significantly lower in the group younger than 14 years. When separated according to weight categories, it was verified that obese adolescents differed significantly in relation to the "physical score" (p=0.00), "school score" (p=0.04), and "total score" (p=0.02) of the health-related quality of life. However, there was no significant difference between the emotional, social, and psychosocial scores.
Adolescents with overweight and obesity show losses in the health-related quality of life and also between the different domains, when separated by age, gender, and weight categories.
确定超重青少年的健康相关生活质量及其相关因素，如性别、年龄和体重类别。
这是一项横断面研究，收集了 276 名年龄在 10 至 19 岁之间超重和肥胖的青少年及其父母或监护人授权参与的数据。收集了体格测量数据、青春期发育和 PedsQL 4.0 问卷，以评估健康相关的生活质量。分类数据以数字和百分比表示。对于健康相关生活质量子量表的描述，使用中位数和 25 和 75 百分位数，以及年龄组、性别和体重类别的曼-惠特尼检验进行比较。
健康相关生活质量总分的中位数为 78.3（68.5-87.4）。最低的量表是“情感得分”，为 65（50-80）。在大多数评分中，男孩的健康相关生活质量更高（p<0.05），除了“学校评分”（p=0.09）。关于年龄组，14 岁以下组的“身体评分”（p=0.03）和“社会评分”（p=0.02）中位数显著较低。根据体重类别进行分组时，发现肥胖青少年在“身体评分”（p=0.00）、“学校评分”（p=0.04）和“总分”（p=0.02）方面存在显著差异。然而，在情感、社会和心理社会评分方面没有显著差异。
超重和肥胖的青少年在健康相关的生活质量方面存在损失，并且在按年龄、性别和体重类别分组时，在不同领域之间也存在差异。
