Li Ying, Jin Xiao-Yuan, Weng Yi-Qing, Edwards Todd C, Jiang Xiao-Ying, Chen Ying-Ping, Lv Yi-Ran, Wang Zhao-Chen, Wang Hong-Mei, Patrick Donald L
Department of Social Medicine of School of Public Health and Department of Pharmacy of the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, Zhejiang, 310058, People's Republic of China.
School of Public Health, Xi'an Medical University, Xi'an, Shaanxi, 710021, People's Republic of China.
Patient Prefer Adherence. 2023 Sep 18;17:2295-2309. doi: 10.2147/PPA.S417847. eCollection 2023.
This study implemented the individualized Youth Quality of Life Instrument-Research Version (YQOL-R) to estimate the quality of life (QoL) among Chinese adolescents with three different Body Mass Index (BMI) levels. The study aims to explore and provide a reference for developing individualized QoL (IQoL) measurements in China.
The sample consisted of 822 aged 11-18 from nine schools. The data collection included all participants' primary characters (age, sex, annual household income, parental education, and recruitment community) and their self-report QoL. Precisely, based on the generic measurement of YQOL-R, we developed IQoL measurements by asking adolescents' perceived five most important things to them (IQOL) and the aspects they most want to change (IQOL) from 19 facets, respectively. The one-way analysis of variance (ANOVA) was applied to compare total and subscale scores of IQOL, IQOL, and YQOL-R among adolescents with three different weight status. Also, the data analysis used multivariable linear regression modeling to test the effects on scores of IQOL and IQOL.
Overall, the obese adolescents identified "" as the most important (54.03%) and most like-to-change (42.65%); in contrast, the normal-weight group ranked "" as the top facet of IQOL (52.42%) and "" as the top facet of IQOL (43.12%). The obese adolescents' reported IQOL scores are significantly lower than those of the normal-weight group (=0.039). However, there is no significant difference in IQOL score among the three weight-status groups. The multivariable linear regression models indicated that adolescents who are girls (=0.035), have higher educated fathers (=0.049), and are overweight/obese (=0.041) self-reported worse IQOL score; yet, the girls (=0.023) and older adolescents (=0.004) answered lower IQOL scores. In addition, adolescents who had higher educated mothers (=0.047; 0.023) and responded with higher total YQOL-R scores (<0.001; <0.001) reported higher IQOL and IQOL scores.
In the current study, although the self-reported YQOL-R scores from different weight status did not present a significant difference, the obese group reported a statistical trend towards lower IQOL scores than the normal-weight and overweight adolescents. These findings emphasize that IQOL and IQOL could capture adolescents' perspectives with different weight statuses about their lives, which are unique as complementary health outcomes accompanying YQOL-R in health surveys and interventions among Chinese adolescents.
本研究采用个性化的青少年生活质量量表研究版（YQOL-R）来评估不同身体质量指数（BMI）水平的中国青少年的生活质量（QoL）。该研究旨在探索并为中国制定个性化生活质量（IQoL）测量方法提供参考。
样本包括来自9所学校的822名11至18岁的青少年。数据收集涵盖了所有参与者的基本特征（年龄、性别、家庭年收入、父母教育程度和招募社区）以及他们的自我报告生活质量。具体而言，基于YQOL-R的通用测量方法，我们通过分别询问青少年认为对他们最重要的五件事（IQOL）以及他们最想从19个方面改变的方面（IQOL）来制定IQoL测量方法。采用单因素方差分析（ANOVA）来比较三种不同体重状况青少年的IQOL、IQOL和YQOL-R的总分及子量表得分。此外，数据分析使用多变量线性回归模型来检验对IQOL和IQOL得分的影响。
总体而言，肥胖青少年认为“”是最重要的（54.03%）且最想改变的（42.65%）；相比之下，正常体重组将“”列为IQOL的首要方面（52.42%），将“”列为IQOL的首要方面（43.12%）。肥胖青少年报告的IQOL得分显著低于正常体重组（=0.039）。然而，三个体重状况组之间的IQOL得分没有显著差异。多变量线性回归模型表明，女孩（=0.035）、父亲受教育程度较高（=0.049）以及超重/肥胖（=0.041）的青少年自我报告的IQOL得分较差；然而，女孩（=0.023）和年龄较大的青少年（=0.004）回答的IQOL得分较低。此外，母亲受教育程度较高（=0.047；0.023）且YQOL-R总分较高（<0.001；<0.001）的青少年报告的IQOL和IQOL得分较高。
在本研究中，尽管不同体重状况的自我报告YQOL-R得分没有显著差异，但肥胖组报告的IQOL得分在统计学上有低于正常体重和超重青少年的趋势。这些发现强调，IQOL和IQOL能够捕捉不同体重状况青少年对其生活的看法，这些看法作为伴随YQOL-R在中国青少年健康调查和干预中的补充健康结果是独特的。
