Body mass index ( BMI )‐for‐age and health‐related quality of life ( HRQOL ) among high school students in T ehran
Abstract Background The study aimed to determine the association between body mass index ( BMI )‐for‐age and health‐related quality of life ( HRQOL ) among high school students in Tehran. Methods A total of 465 high school students (227 girls and 238 boys) and their parents were participated in this...
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Published in | Child : care, health & development Vol. 40; no. 5; pp. 731 - 739 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
Published |
01.09.2014
|
Online Access | Get full text |
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Summary: | Abstract
Background
The study aimed to determine the association between body mass index (
BMI
)‐for‐age and health‐related quality of life (
HRQOL
) among high school students in Tehran.
Methods
A total of 465 high school students (227 girls and 238 boys) and their parents were participated in this cross‐sectional study. Body weight and height of the students were measured. For assessing
HRQOL
, both adolescent self‐report and parent proxy‐report of the
P
ersian version of
P
ediatric
Q
uality of
L
ife
I
nventory (
P
eds
QL
™4.0) questionnaire were completed by adolescents and their parents respectively.
Results
The prevalence of overweight and obesity (38.5%) was higher than severe thinness and thinness (2.8%). Mean of adolescent self‐reported and parent proxy‐reported
HRQOL
total score were 80.26 ± 12.07 and 81.30 ± 14.08 respectively. In terms of
HRQOL
subscale scores, the highest subscale score of
HRQOL
was reported in social functioning (87.27 ± 14.40) and the lowest score was reported in emotional functioning (69.83 ± 18.69). Based on adolescent self‐report, adolescent boys had significantly higher mean score for total and all subscale scores of
HRQOL
compared with girls (
P
< 0.05).
BMI
‐for‐age was inversely correlated to adolescent self‐reported
HRQOL
total score (
r
= −0.25,
P
< 0.05). Based on adolescents self‐report,
HRQOL
total score was significantly different by body weight status (
F
= 16.16,
P
< 0.05). Normal weight adolescents had significantly higher
HRQOL
total score compared with overweight (mean difference: 7.32;
P
< 0.05) and obese adolescents (mean difference: 9.10,
P
< 0.05). The
HRQOL
total score was not significantly different between normal weight and underweight adolescents (mean difference: 1.65,
P
= 0.96). However, based on parent proxy‐reports,
HRQOL
total score was not significantly different by body weight status (
F
= 2.64,
P
= 0.059).
Conclusion
More than one‐third of adolescents were overweight and obese.
BMI
‐for‐age was inversely correlated to adolescent self‐reported
HRQOL
. Based on adolescents' perspective, overweight and obese adolescents had poorer
HRQOL
compared with normal weight adolescents. Intervention studies are needed to improve the
HRQOL
of overweight and obese adolescents in Tehran. |
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ISSN: | 0305-1862 1365-2214 |
DOI: | 10.1111/cch.12103 |