Health-related quality of life in children and adolescents with overweight and obesity: results from the German KIGGS survey
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Background: The well-being of persons with overweight and obesity, in particular of children and adolescents, may be impaired. The present study investigates the health-related quality of life (HRQoL) of girls and boys with overweight and obesity living in Germany as compared to those of normal-weight, while taking a selection of relevant determinants of HRQoL into account. Methods: The sample comprises 1771 children and adolescents aged 11 to 17 years that took part in the cross-sectional German Health Interview and Examination Survey for Children and Adolescents (KIGGS Wave 2, 2014–2017). Sex-and age-specific BMI (kg/m 2) percentiles were utilized to classify overweight and obesity. HRQoL was measured with the KIDSCREEN-27 questionnaire, which gathers detailed information about the five dimensions physical and psychological well-being, well-being regarding peers (i.e., social acceptance), parents (i.e., autonomy) and within the school environment. Multiple regression analyses were performed with HRQoL dimensions as outcomes to test for differences between children and adolescents with normal-weight vs. those with overweight and vs. those with obesity, separately for girls and boys. In a next step, age, physical activity, media consumption, social support and self-efficacy were considered as potential confounders in the analyses. Results: 18.7% of the children and adolescents under study were affected by overweight and among them 8.0% by obesity. After adjusting for potential confounders, overweight and obesity were associated with lower physical well-being as compared to normal weight in both sexes (boys with overweight: standardized beta [β] = −.14, standard error [SE] = .03, p < .001, and obesity: β = −.16, SE = .03, p < .001; girls with overweight: β = −.09, SE = .04, p = .011, and obesity: β = −.11, SE = .03, p = .003). Results moreover suggest lower levels of psychological (β = −.10, SE = .04, p = .002) and parent-related well-being (β = −.08, SE = .04, p = .036) of boys with obesity as compared to normal-weight peers. Conclusion: HRQoL of German children and adolescents with overweight and obesity is impaired according to physical well-being in general, while psychological and parent-related well-being is particularly affected in boys. Public health approaches should therefore promote children and adolescents with overweight and obesity by improving diverse facets of HRQoL as well as relevant associated factors (i.e., media consumption, self-efficacy) in general and in boys in particular.
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Overweight and underweight adolescents have an increased risk of psychological problems and reduced quality of life.
“Overweight and underweight adolescents have an increased risk of psychological problems and reduced quality of life.”
From Psychopathological symptoms and well-being in overweight and underweight adolescents: A network analysis (2021) · cites this paper as [11]
The Results report reduced physical well-being among children and adolescents with overweight or obesity, and reduced psychological well-being specifically among boys with obesity. Table 2 shows no significant reduction in physical or psychological well-being for underweight participants. The claim therefore extends the findings to underweight adolescents and overgeneralizes the psychological finding. (LLM, conf=0.90)
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- Authors
- Meixner, L., Cohrdes, C., Schienkiewitz, A., & Mensink, G. B. M.
- Affiliations
- Robert Koch Institute (DE)
- Corresponding author
- Cohrdes, Caroline
- Venue
- BMC Public Health
- Published
- 2020-11-16
- Volume
- 20
- Issue
- 1
- Pages
- 1722-1722
- ISSN
- 1471-2458 (ISSN-L)
- PMC
- PMC7670618
- OpenAlex
- W3100938244
- Cited by
- 61
- References
- 60
- Citations by year
- 2026: 4 · 2025: 16 · 2024: 12 · 2023: 8 · 2022: 8 · 2021: 13
- FWCI
- 5.44
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- BMC Public Health (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Publication server of the Robert Koch Institute (Robert Kock Institute) (submittedVersion, cc-by)
- Informationszentrum Lebenswissenschaften (ZB MED) (submittedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- Bundesministerium für Gesundheit (ZMV1-2516-FSB-703)
- 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
- health-related quality of life, childhood obesity, adolescent overweight, physical well-being, psychological well-being, social acceptance, sex differences, KIDSCREEN-27, KiGGS survey, physical activity, media use, self-efficacy, social support
- MeSH terms
- Adolescent, Child, Cross-Sectional Studies, Female, Germany, Humans, Male, Quality of Life, Surveys and Questionnaires, Pediatric Obesity
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