Child-rated versus parent-rated quality of life of community-based obese children across gender and grade

Health and Quality of Life Outcomes

Chung-Ying Lin³  Jung-Der Wang²  Chia-Ting Su¹ 

[1] Department of Occupational Therapy, College of Medicine, Fu Jen Catholic University, New Taipei, Taiwan;Departments of Internal Medicine and Occupational and Environmental Medicine, National Cheng Kung University Hospital, Tainan, Taiwan;Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University, 1 University Road, Tainan 70101, Taiwan

关键词: Proxy report;    Self-report;    Quality of life;    Pediatric;    Obese;   

Others  :  822015
DOI  :  10.1186/1477-7525-11-206

 received in 2013-06-23, accepted in 2013-12-03,  发布年份 2013

【 摘 要 】

Background

Quality of life (QoL), which can be examined using self-reports or parental reports, might help healthcare providers understand obese children’s subjective well-being in several domains of life. Community-based obese children report their QoL lower than their parents do. However, the differences between child- and parent-reported QoL have neither been tested across gender and grade nor analyzed by item. This study probed the relationship between obesity and QoL item scores in children, and compared child-reported with parent-reported QoL stratified by gender and grade.

Methods

One hundred eighty-seven dyads of 8- to 12-year-old children (60 obese, 127 normal-weight) and their parents were recruited. QoL was assessed using both child- and parent-reported Pediatric Quality of Life Inventory 4.0 (PedsQL) questionnaires.

Results

Regression analyses showed specific difficulties with physical and emotional QoL in third- and fourth-grade obese boys (β = 0.278-0.620), and specific problems with social functioning in fifth- and sixth-grade obese girls (β = 0.337-0.411). Moreover, parents seemed unaware of the specific difficulties that their children faced (β = 0.274-0.435).

Conclusions

Obese children seemed to have their difficulties from third to fifth grade, respectively, and their parents seemed unaware of them. Thus, parents need to be more aware of specific difficulties related to childhood obesity.

【 授权许可】

   
2013 Su et al.; licensee BioMed Central Ltd.

【 参考文献 】

• [1]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, 33:387-400.
• [2]Chen W, Lin CC, Peng CT, Li CI, Wu HC, Chiang J, Wu JY, Huang PC: Approaching healthy body mass index norms for children and adolescents from health-related physical fitness. Obes Rev 2002, 3:225-232.
• [3]Danielsen YS, Stormark KM, Nordhus IH, Mæhle M, Sand L, Ekornås B, Pallesen S: Factors associated with Low self-esteem in children with overweight. Obes Facts 2012, 5:722-733.
• [4]Shaya FT, Flores D, Gbarayor CM, Wang J: School-based obesity interventions: a literature review. J Sch Health 2008, 78:189-196.
• [5]Hartmann T, Zahner L, Puhse U, Puder JJ, Kriemler S: Effects of a school-based physical activity program on physical and psychosocial quality of life in elementary school children: a cluster-randomized trial. Pediatr Exerc Sci 2010, 22:511-522.
• [6]Oliver M, Schofield G, McEvoy E: An integrated curriculum approach to increasing habitual physical activity in children: a feasibility study. J Sch Health 2006, 76:74-79.
• [7]Lin C-Y, Su C-T, Ma H-I: Objectively measured physical activity patterns and quality of life of overweight boys: a preliminary study. Hong Kong J Occup Ther 2012, 22:31-37.
• [8]Friedlander SL, Larkin EK, Rosen CL, Palermo TM, Redline S: Decreased quality of life associated with obesity in school-aged children. Arch Pediatr Adolesc Med 2003, 157:1206-1211.
• [9]Swallen KC, Reither EN, Haas SA, Meier AM: Overweight, obesity and health-related quality of life among adolescents: the national longitudinal study of adolescent health. Pediatrics 2005, 115:340-347.
• [10]Williams J, Wake M, Hesketh K, Maher E, Waters E: Health-related quality of life of overweight and obese children. JAMA 2005, 293:70-76.
• [11]Hughes AR, Farewell K, Harris D, Reilly JJ: Quality of life in a clinical sample of obese children. Int J Obes 2007, 31:39-44.
• [12]Schwimmer JB, Burwinkle TM, Varni JW: Health-related quality of life of severely obese children and adolescents. JAMA 2003, 289:1813-1819.
• [13]Zeller MH, Modi AC: Predictors of health-related quality of life in obese youth. Obesity 2006, 14:122-130.
• [14]Pinhas-Hamiel O, Singer S, Pilpel N, Fradkin A, Modan D, Reichman B: Health-related quality of life among children and adolescents: associations with obesity. Int J Obes 2006, 30:267-272.
• [15]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, 15:1799-1807.
• [16]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, 32:869-874.
• [17]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, 162:280-286.
• [18]Upton P, Lawford J, Eiser C: Parent–child agreement across child health-related quality of life instruments: a review of the literature. Qual Life Res 2008, 17:895-913.
• [19]Lin C-Y, Su C-T, Wang J-D, Ma H-I: Self-rated and parent-rated quality of life for community-based obese and overweight children. Acta Paediatr 2013, 102:e114-e119.
• [20]Cremeens J, Eiser C, Blades M: Factors influencing agreement between child self-report and parent proxy-reports on the Pediatric Quality of Life Inventory 4.0 (PedsQL) generic core scales. Health Qual Life Outcomes 2006, 4:58. BioMed Central Full Text
• [21]Jozefiak T, Larsson B, Wichstrom L, Mattejat F, Ravens-Sieberer U: Quality of life as reported by school children and their parents: a cross-sectional survey. Health Qual Life Outcomes 2008, 6:34. BioMed Central Full Text
• [22]Annett RD, Bender BG, DuHamel TR, Lapidus J: Factors influencing parent reports on quality of life for children with asthma. J Asthma 2003, 40:577-587.
• [23]Ronen GM, Streiner DL, Rosenbaum P: Canadian pediatric epilepsy network: health-related quality of life in children with epilepsy: development and validation of self-report and parent proxy measures. Epilepsia 2003, 44:598-612.
• [24]Varni JW, Burwinkle TM, Seid M, Skarr D: The PedsQL 4.0 as a pediatric population health measure: feasibility, reliability, and validity. Ambul Pediatr 2003, 3:329-341.
• [25]Varni JW, Seid M, Knight TS, Uzark K, Szer IS: The PedsQL 4.0 Generic Core Scales: sensitivity, responsiveness, and impact on clinical decision-making. J Behav Med 2002, 25:175-193.
• [26]Varni JW, Seid M, Kurtin PS: PedsQL 4.0: reliability and validity of the pediatric quality of life inventory version 4.0 Generic core scales in healthy and patient populations. Med Care 2001, 39:800-812.
• [27]Lin C-Y, Luh W-M, Yang A-L, Su C-T, Wang J-D, Ma H-I: Psychometric properties and gender invariance of the Chinese version of the self-report pediatric quality of life inventory version 4.0: short form is acceptable. Qual Life Res 2012, 21:177-182.
• [28]Lin C-Y, Luh W-M, Cheng C-P, Yang A-L, Su C-T, Ma H-I: Measurement equivalence across child self-reports and parent-proxy reports in the Chinese version of the pediatric quality of life inventory version 4.0. Child Psychiatry Hum Dev 2013, 44:583-590.
• [29]Jafari P, Bagheri Z, Ayatollahi SMT, Soltani Z: Using Rasch rating scale model to reassess the psychometric properties of the Persian version of the PedsQL 4.0 Generic Core Scales in school children. Health Qual Life Outcomes 2012, 10(Jafari P, Bagheri Z, Ayatollahi SMT, Soltani Z):27.
• [30]Kook SH, Varni JW: Validation of the Korean version of the pediatric quality of life inventory 4.0 generic core scales in school children and adolescents using the Rasch model. Health Qual Life Outcomes 2008, 6:41. BioMed Central Full Text
• [31]Chu N-F, Pan W-H: Prevalence of obesity and its comorbidities among schoolchildren in Taiwan. Asia Pac J Clin Nutr 2007, 16(Suppl 2):601-607.
• [32]Portney LG, Watkins MP: Foundations of Clinical Research: Applications to Practice. Upper Saddle River, NJ: Prentice Hall Health; 2000.
• [33]Robitail S, Simeoni MC, Ravens-Sieberer U, Bruil J, Auquier P: Children proxies’ quality-of-life agreement depended on the country using the European KIDSCREEN-52 questionnaire. J Clin Epidemiol 2007, 60:469-478.
• [34]Kline RB: Principles and Practice of Structural Equation Modeling. New York: Guilford Press; 1998.
• [35]Eiser C, Morse R: Can parents rate their child’s health-related quality of life? results of a systematic review. Qual Life Res 2001, 10:347-357.
• [36]Puhl RM, Latner JD: Stigma, obesity, and the health of the nation’s children. Psychol Bull 2007, 133:557-580.
• [37]Steinsbekk S, Jozefiak T, Ødegård R, Wichstrøm L: Impaired parent-reported quality of life in treatment-seeking children with obesity is mediated by high levels of psychopathology. Qual Life Res 2009, 18:1159-1167.
• [38]Adler PA, Kless S, Adler P: Socialization to gender roles: popularity among elementary school boys and girls. Sociol Educ 1992, 65:169-188.
• [39]Ricciardelli LA, McCabe MP: Body image development in adolescent boys. In Body Image: A Handbook of Science, Practice, and Prevention. Edited by Cash TF, Smolak L. New York: Guilford Press; 2011:85-92.
• [40]Davis SN: Sex stereotypes in commercials targeted toward children: a content analysis. Sociol Spectrum 2003, 23:407-424.
• [41]Neumark-Sztainer D: Obesity and body image in youth. In Body Image: A Handbook of Science, Practice, and Prevention. Edited by Cash TF, Smolak L. New York: Guilford Press; 2011:180-188.
• [42]Wertheim EH, Paxton SJ: Body image development in adolescent girls. In Body Image: A Handbook of Science, Practice, and Prevention. Edited by Cash TF, Smolak L. New York: Guilford Press; 2011:76-84.
• [43]Child Welfare League Foundation: Love children 333: a survey of children’s perceived family warmth. Article in Chinese. Child Welfare League Found Bimonthly J 2011, 138:1-8. Available at http://www.children.org.tw/upload/doc/138.pdf webcite. Accessed 20 June 2013
• [44]Lin C-Y, Luh W-M, Cheng C-P, Yang A-L, Ma H-I: Evaluating the wording effect and psychometric properties of the kid-KINDL: using the multitrait-multimethod approach. Eur J Psychol AssessIn press
• [45]Howell DC: Multiple regression. In Statistical Methods for Psychology. Belmont, CA: Thomson Wadsworth; 2007:506.