The effect of gender and age on the association between weight status and health-related quality of life in Australian adolescents

BMC Public Health

Andrea de Silva²  Boyd Swinburn⁶  Elizabeth Waters¹  Lisa Gibbs¹  Marj Moodie⁷  Naomi Rossthorn⁴  Peter Kremer³  Kristy Bolton⁵ 

[1] Jack Brockhoff Child Health and Wellbeing Program, Melbourne School of Population and Global Health, The University of Melbourne, Carlton, Australia;Melbourne Dental School, The University of Melbourne, Carlton, Australia;School of Exercise and Nutrition Sciences, Deakin University, Geelong, Australia;School of Psychology, Deakin University, Geelong, Australia;WHO Collaborating Centre for Obesity Prevention, Deakin University, Geelong, Australia;School of Population Health, University of Auckland, Auckland, New Zealand;Deakin Health Economics, Deakin University, Burwood, Australia

关键词: Obesity;    Adolescents;    Gender;    Age;    Weight status;    Health-related quality of life;   

Others  :  1128107
DOI  :  10.1186/1471-2458-14-898

 received in 2014-04-01, accepted in 2014-08-21,  发布年份 2014

【 摘 要 】

Background

Evidence suggests an inverse relationship between excess weight and health-related quality of life (HRQoL) in children and adolescents, however little is known about whether this association is moderated by variables such as gender and age. This study aimed to investigate these relationships.

Methods

Participants were secondary school students (818 females, 52% and 765 males, 48%) from 23 secondary schools in Victoria, Australia. Age ranged from 11.0 to 19.6 years (mean age 14.5 years). The adolescent version of the Assessment of Quality of Life (AQoL) Instrument (AQoL-6D) which is a self-reported measure of adolescent quality of life was administered and anthropometric measures (height and weight) were taken. Assessment of weight status was categorized using the Body Mass Index (BMI).

Results

HRQoL was associated with gender and age, but not weight status or socio-economic status; with males and younger adolescents having higher HRQoL scores than their female and older adolescent counterparts (both p < 0.05). There was also a significant interaction of weight status by gender whereby overweight females had poorer HRQoL (-.06 units) relative to healthy weight females (p < 0.05).

Conclusions

This study contributes to the evidence base around factors associated with adolescent HRQoL and reveals that gender and age are important correlates of HRQoL in an Australian adolescent population. This knowledge is critical to inform the design of health promotion initiatives so they can be tailored to be gender- and age-specific.

Trial registration

Australian Clinical Trials Registration Number12609000892213.

【 授权许可】

   
2014 Bolton et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]Lobstein T, Baur L, Uauy R: Obesity in children and young people: a crisis in public health. Obes Rev 2004, 5(Suppl 1):4-104.
• [2]Australian Bureau of Statistics: Australian Health Survey: First Results, 2011-12 report 2011. Catalogue number 4364.055.001. Canberra: Australian Bureau of Statistics; 2011.
• [3]Seidell JC: The epidemiology of obesity: a global perspective. In Obesity prevention and public health. Edited by Crawford D, Jeffery RW. Oxford: Oxford University Press; 2005:3-19.
• [4]Visscher TL, Seidell JC: The public health impact of obesity. Annu Rev Public Health 2001, 22:355-375.
• [5]Crawford D, Jeffery RW: Obesity prevention and public health. London: Oxford University Press; 2005.
• [6]Shoup JA, Gattshall M, Dandamudi P, Estabrooks P: Physical activity, quality of life and weight status in overweight children. Qual Life Res 2008, 17:407-412.
• [7]Bonsergent E, Benie-Bi J, Baumann C, Agrinier N, Tessier S, Thilly N, Briancon S: Effect of gender on the association between weight status and health-related quality of life in adolescents. BMC Public Health 2012, 12:997. BioMed Central Full Text
• [8]Constitution of the World Health Organisation: Constitution of the World Health Organisation. http://www.who.int/governance/eb/constitution/en/ webcite
• [9]Tsiros MD, Olds T, Buckley JD, Grimshaw P, Brennan L, Walkley J, Hills AP, Howe PR, Coates AM: Health-related quality of life in obese children and adolescents. Int J Obes 2009, 33(4):387-400.
• [10]Fontaine KR, Barofsky I: Obesity and health-related quality of life. Obes Rev 2001, 2(3):173-182.
• [11]Michel G, Bisegger C, Fuhr DC, Abel T: Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis. Qual Life Res 2009, 18(9):1147-1157.
• [12]Keating CL, Moodie ML, Swinburn BA: The health-related quality of life of overweight and obese adolescents–a study measuring body mass index and adolescent-reported perceptions. Int J Pediatr Obes 2011, 6(5–6):434-441.
• [13]Ul-Haq Z, Mackay DF, Fenwick E, Pell JP: Meta-analysis of the association between body mass index and health-related quality of life among children and adolescents, assessed using the pediatric quality of life inventory index. J Pediatr 2013, 162(2):280-286. e281
• [14]Kihm HS: Child weight status and young adult quality of life: is there a reason for concern? Fam Cons Sci Res 2008, 37:6-15.
• [15]Schwimmer JB, Burwinkle TM, Varni JW: Health-related quality of life of severely obese children and adolescents. J Amer Med Assoc 2003, 289(14):1813-1815.
• [16]Wake M, Canterford L, Patton GC, Hesketh K, Hardy P, Williams J, Waters E, Carlin JB: Comorbidities of overweight/obesity experienced in adolescence: longitudinal study. Arch Dis Child 2010, 95(3):162-168.
• [17]Williams J, Wake M, Hesketh K, Maher E, Waters E: Health-related quality of life of overweight and obese children. JAMA 2005, 293(1):70-76.
• [18]Wake M, Clifford SA, Patton GC, Waters E, Williams J, Canterford L, Carlin JB: Morbidity patterns among the underweight, overweight and obese between 2 and 18 years: population-based cross-sectional analyses. Int J Obes 2013, 37(1):86-93.
• [19]Bisegger C, Cloetta B, Von Rueden U, Abel T, Ravens-Sieberer U: Health-related quality of life: gender differences in childhood and adolescence. Soz Praventivmed 2005, 50(5):281-291.
• [20]Wille N, Bullinger M, Holl R, Hoffmeister U, Mann R, Goldapp C, Reinehr T, Westenhofer J, Egmond-Froehlich A, Ravens-Sieberer U: Health-related quality of life in overweight and obese youths: results of a multicenter study. Health Qual Life Outcomes 2010, 8:36. BioMed Central Full Text
• [21]Kunkel N, Oliveira WF, Peres MA: Overweight and health-related quality of life in adolescents of Florianopolis, Southern Brazil. Rev Saude Publica 2009, 43(2):226-235.
• [22]Petersen S, Moodie M, Mavoa H, Waqa G, Goundar R, Swinburn B: Relationship between overweight and health-related quality of life in secondary school children in Fiji: results from a cross-sectional population-based study. Int J Obes 2013.
• [23]Williams JW, Canterford L, Hesketh KD, Hardy P, Waters EB, Patton GC, Wake M: Changes in body mass index and health related quality of life from childhood to adolescence. Int J Pediatr Obes 2011, 6(2–2):e442-e448.
• [24]McCabe MP, Ricciardelli LA, Holt K: A longitudinal study to explain strategies to change weight and muscles among normal weight and overweight children. Appetite 2005, 45:225-234.
• [25]Berk LE: Child Development. 6th edition. Boston: Allyn and Bacon; 2003.
• [26]Meulener LB, Lee AH, Binns CW, Lower A: Quality of life for adolescents: assessing measurement properties using structural equation modelling. Qual Life Res 2003, 12:283-290.
• [27]Tsiros MD, Sinn N, Coates AM, Howe PR, Buckley JD: Treatment of adolescent overweight and obesity. Eur J Pediatr 2008, 167:9-16.
• [28]De Silva-Sanigorski AM, Bolton K, Haby M, Kremer P, Gibbs L, Waters E, Swinburn B: Scaling up community-based obesity prevention in Australia: background and evaluation design of the health promoting communities: being active eating well initiative. BMC Public Health 2010, 10:65. BioMed Central Full Text
• [29]Pink B: Information Paper. An Introduction to Socio-Economic Indexes for Areas (SEIFA). Catalogue number 2039.0. Canberra: Australian Bureau of Statistics; 2008.
• [30]Pink B: Socio-Economic Indexes for Areas (SEIFA) - Technical Paper 2006. Catalogue number 2039.0.55.001. Canberra: Australian Bureau of Statistics; 2008.
• [31]Australian Bureau of Statistics: Socio-Economic Indexes for Areas (SEIFA) Australia - Data Only, 2006. Canberra: Australian Bureau of Statistics; 2006.
• [32]Richardson J, Atherton Day N, Peacock S, Iezzi A: Measurement of the quality of life for economic evaluation and the assessment of quality of life (AQoL) Mark 2 instrument. Aust Econ Rev 2004, 37:62-88.
• [33]Allen J, Inder KJ, Lewin TJ, Attia JR, Kelly BJ: Construct validity of the assessment of quality of life - 6D (AQoL-6D) in community samples. Health Qual Life Outcomes 2013, 11:61. BioMed Central Full Text
• [34]Moodie M, Richardson J, Rankin B, Iezzi A, Sinha K: Predicting time trade-off health state valuations of adolescents in four Pacific countries using the assessment of quality-of-life (AQoL-6D) instrument. Value Health 2010, 13(8):1014-1027.
• [35]Hawthorne G, Osborne R: Population norms and meaningful differences for the assessment of quality of life (AQoL) measure. Aust NZ J Publ Heal 2005, 29:136-142.
• [36]AQoL-6D http://www.aqol.com.au/aqolquestionnaires/56.html webcite
• [37]De Onis M, Onyango AW, Borghi E, Siyam A, Nishida C, Siekmann J: Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 2007, 85(9):660-667.
• [38]AQoL-6D utility algorithms http://www.aqol.com.au/index.php/scoring-algorithm webcite
• [39]Keating CL, Moodie ML, Richardson J, Swinburn BA: Utility-based quality of life of overweight and obese adolescents. Value Health 2011, 14(5):752-758.
• [40]Ottova V, Erhart M, Rajmil L, Dettenborn-Betz L, Ravens-Sieberer U: Overweight and its impact on the health-related quality of life in children and adolescents: results from the European KIDSCREEN survey. Qual Life Res 2012, 21(1):59-69.
• [41]Tsiros MD, Buckley JD, Howe PR, Olds T, Walkley J, Taylor L, Mallows R, Hills AP, Kagawa M, Coates AM: Day-to-day physical functioning and disability in obese 10- to 13-year-olds. Pediatr Obes 2012, 8(1):31-41.
• [42]Stern M, Mazzeo SE, Gerke CK, Porter JS, Bean MK, Laver JH: Gender, ethnicity, psychosocial factors, and quality of life among severely overweight, treatment-seeking adolescents. J Pediatr Psychol 2007, 32(1):90-94.
• [43]Ingerski LM, Janicke DM, Silverstein JH: Brief report: quality of life in overweight youth-the role of multiple informants and perceived social support. J Pediatr Psychol 2007, 32(7):869-874.
• [44]Janicke DM, Marciel KK, Ingerski LM, Novoa W, Lowry KW, Sallinen BJ, Silverstein JH: Impact of psychosocial factors on quality of life in overweight youth. Obesity 2007, 15(7):1799-1807.
• [45]Waters E, Ashbolt R, Gibbs L, Booth M, Magarey A, Gold L, Kai Lo S, Gibbons K, Green J, O'Connor T, Garrard J, Swinburn B: Double disadvantage: the influence of ethnicity over socioeconomic position on childhood overweight and obesity: findings from an inner urban population of primary school children. Int J Pediatr Obes 2008, 3(4):196-204.