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01-01-2015

Influence of specific individual and environmental variables on the relationship between body mass index and health-related quality of life in overweight and obese adolescents

Auteurs: Julia K. Kolodziejczyk, Kyle Gutzmer, Shana M. Wright, Elva M. Arredondo, Linda Hill, Kevin Patrick, Jeannie S. Huang, Michael Gottschalk, Gregory J. Norman

Gepubliceerd in: Quality of Life Research | Uitgave 1/2015

Abstract

Purpose

Overweight and obese adolescents are at risk for low health-related quality of life (HRQOL). We examined the role of individual- and environmental-level variables on the relationship between body mass index (BMI kg/m²) and HRQOL in adolescents.

Methods

Linear regressions were performed to conduct mediation and moderation analyses on the relationship between BMI and HRQOL in overweight and obese adolescents (N = 205). HRQOL was measured by the Pediatric Quality of Life Inventory. Hypothesized mediators included depression, measured by the Center for Epidemiologic Studies Depression Scale; body image, measured by the gender-specific body dissatisfaction subscale of the Eating Disorder Inventory; and self-esteem, measured by the Rosenberg Self-Esteem Scale. Mediation was assessed using Baron and Kenny’s approach and Sobel’s test of indirect effects. Anglo-acculturation, measured by the Short Acculturation Scale for Hispanics-Youth, and environmental perception, measured by parent-proxy report of the Neighborhood Environment Walkability Scale, were hypothesized moderators.

Results

Body image mediated the relationship between BMI and HRQOL (b = −0.34, SE = 0.17, adj R ² = 0.19, p = .051), and self-esteem was a partial mediator (b = −0.37, SE = 0.17, adj R ² = 0.24, p = .027). Sobel’s test confirmed these results (p < .05). No significant moderation effects were found.

Conclusions

The finding that individual-level factors, such as body image and self-esteem, influence the relationship between BMI and HRQOL while environmental factors, such as neighborhood environment and acculturation, do not extends previous research. The finding that body image and self-esteem partially mediate this relationship presents new areas to investigate in interventions that address BMI in youth.

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Titel: Influence of specific individual and environmental variables on the relationship between body mass index and health-related quality of life in overweight and obese adolescents
Auteurs: Julia K. Kolodziejczyk
Kyle Gutzmer
Shana M. Wright
Elva M. Arredondo
Linda Hill
Kevin Patrick
Jeannie S. Huang
Michael Gottschalk
Gregory J. Norman
Publicatiedatum: 01-01-2015
Uitgeverij: Springer International Publishing
Gepubliceerd in: Quality of Life Research / Uitgave 1/2015
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI: https://doi.org/10.1007/s11136-014-0745-1

Bohn Stafleu van Loghum

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Abstract

Purpose

Methods

Results

Conclusions

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