Magiera Agnieszka, Sochacka-Tatara Elżbieta, Sowa Agata, Jacek Ryszard, Pac Agnieszka
Katedra Epidemiologii i Medycyny Zapobiegawczej, Wydział Lekarski, Uniwersytet Jagielloński, Collegium Medicum, Kraków, Polska.
Dev Period Med. 2018;22(2):160-170. doi: 10.34763/devperiodmed.20182202.160170.
The aim of this study was to assess the relationship between body weight and the quality of life among adolescents in Krakow, Poland.
The study comprised 1291 pupils - 632 girls and 659 boys from 17 Krakow middle schools. Their quality of life (QoL) was assessed by means of the Polish version of the KIDSCREEN-27 questionnaire. Five dimensions of QoL were analyzed as low, average and high QoL according to Polish cut-off points. The body mass index (BMI) of the adolescents was classified as underweight, normal weight, or excessive weight according to Polish growth charts.
Low QoL was observed significantly more often in girls than in boys. Excessive weight among both girls and boys was found to be a risk factor for low QoL in the "Physical Well-being" dimension as compared to normal weight adolescents. Additionally, boys with excessive weight had a two-fold higher risk of low QoL in the "Social Support % Peers" dimension (OR=2.00; 95%CI:1.14-3.50). Underweight was associated with higher risk of low QoL in the "Physical Well-being", "Autonomy & Parents", and "Social Support % Peers" dimensions, but only among boys.
Both, underweight and excessive weight were associated with low QoL. Excessive weight in youth was linked mainly with lower physical well-being. Underweight was a predictor of low QoL only among boys in the dimensions related to physical health, as well as relations with family and peers.
本研究旨在评估波兰克拉科夫青少年的体重与生活质量之间的关系。
该研究包括来自克拉科夫17所中学的1291名学生——632名女生和659名男生。他们的生活质量(QoL)通过波兰语版的KIDSCREEN - 27问卷进行评估。根据波兰的临界值,将生活质量的五个维度分析为低、中、高生活质量。根据波兰生长图表,将青少年的体重指数(BMI)分为体重过轻、正常体重或超重。
观察到女生的低生活质量发生率明显高于男生。与正常体重的青少年相比,发现女生和男生的超重都是“身体健康”维度低生活质量的一个风险因素。此外,超重男生在“社会支持%同龄人”维度的低生活质量风险高出两倍(OR = 2.00;95%CI:1.14 - 3.50)。体重过轻与“身体健康”、“自主性与父母”以及“社会支持%同龄人”维度的低生活质量风险较高相关,但仅在男生中如此。
体重过轻和超重均与低生活质量相关。青少年超重主要与较低的身体健康状况有关。体重过轻仅是与身体健康以及与家人和同龄人关系相关维度中男生低生活质量的一个预测因素。