Assessment of health-related quality of life and psychological well-being of children and adolescents with obesity enrolled in a New Zealand community-based intervention programme: An observational study
Open accessAbstract
Objective To describe health-related quality of life (HRQOL) and psychological well-being of children and adolescents at enrolment in a multidisciplinary community-based obesity programme and to determine association with ethnicity. This programme targeted indigenous people and those from most deprived households. Further, this cohort was compared with other populations/normative data. Methods This study examines baseline demographic data of an unblinded randomised controlled clinical trial. Participants (recruited from January 2012-August 2014) resided in Taranaki, New Zealand, and for this study we only included those with a body mass index (BMI) ≥98th percentile (obese). HRQOL and psychological well-being were assessed using the Pediatric Quality of Life Inventory (PedsQL V.4.0 TM ) (parent and child reports), and Achenbach’s Child Behavior Checklist (CBCL)/Youth Self Report (YSR). Results Assessments were undertaken for 233 participants (45% Māori, 45% New Zealand European, 10% other ethnicities, 52% female, 30% from the most deprived household quintile), mean age 10.6 years. The mean BMI SD score (SDS) was 3.12 (range 2.01–5.34). Total PedsQL generic scaled score (parent) was lower (mean=63.4, SD 14.0) than an age-matched group of Australian children without obesity from the Health of Young Victorians study (mean=83.1, SD 12.5). In multivariable models, child and parental generic scaled scores decreased in older children (β=−0.70 and p=0.031, β=−0.64 and p=0.047, respectively). Behavioural difficulties (CBCL/YSR total score) were reported in 43.5% of participants, with the rate of emotional/behavioural difficulties six times higher than reported norms (p<0.001). Conclusions In this cohort, children and adolescents with obesity had a low HRQOL, and a concerning level of psychological difficulties, irrespective of ethnicity. Obesity itself rather than ethnicity or deprivation appeared to contribute to lower HRQOL scores. This study highlights the importance of psychologist involvement in obesity intervention programmes. Trial registration number Australian NZ Clinical Trials Registry ANZCTR 12611000862943; Pre-results.
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Obesity in childhood and adolescence is associated with poor body image, low self-esteem, and low quality of life and well-being.
“Moreover, obesity in childhood and adolescence is associated with poor body image, low self-esteem [10], and low quality of life and well-being [11].”
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- Authors
- Anderson, Y. C., Wynter, L. E., Treves, K. F., Grant, C. C., Stewart, J. M., Cave, T. L., Wouldes, T. A., Derraik, J. G. B., Cutfield, W. S., & Hofman, P. L.
- Affiliations
- University of Auckland (NZ)
- Department of Paediatrics, Taranaki District Health Board, New Plymouth, Taranaki, New Zealand
- Corresponding author
- Anderson, Yvonne C
- ORCID
- Venue
- BMJ Open
- Publisher
- BMJ
- Published
- 2017-08
- Volume
- 7
- Issue
- 8
- Pages
- e015776
- ISSN
- 2044-6055 (ISSN-L)
- PMC
- PMC5629647
- OpenAlex
- W2743284297
- Cited by
- 39
- References
- 40
- Citations by year
- 2025: 4 · 2024: 4 · 2023: 5 · 2022: 3 · 2021: 7 · 2020: 6 · 2019: 6 · 2018: 3 · 2017: 1
- FWCI
- 4.11
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- cc-by-nc
- Locations
- BMJ Open (publishedVersion, cc-by-nc)
- PubMed Central (publishedVersion, cc-by-nc)
- PubMed (publishedVersion)
- ResearchSpace (University of Auckland) (submittedVersion, cc-by-nc)
- Funders
- Royal Australasian College of Physicians
- Taranaki Medical Foundation
- Health Research Council of New Zealand
- Lotteries Health Research
- Maurice and Phyllis Paykel Trust
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Keywords
- childhood obesity, adolescent obesity, health-related quality of life, psychological well-being, emotional and behavioral problems, Māori, ethnicity, socioeconomic deprivation, body mass index, PedsQL, Child Behavior Checklist
- MeSH terms
- Adolescent, Child, Child Behavior Disorders, Child, Preschool, Diabetes Mellitus, Type 1, Female, Humans, Male, New Zealand, Parents, Poverty, Quality of Life, Cohort Studies, Case-Control Studies, Randomized Controlled Trials as Topic, Native Hawaiian or Other Pacific Islander, Self Report, Pediatric Obesity
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