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06-03-2019

Psychosocial measures and weight change in a clinical paediatric population with obesity

Auteurs: Brooke E. Harcourt, Anke Pons, Kung-Ting Kao, Celia Twindyakirana, Erin Alexander, Sarah Haberle, Zoe McCallum, Matthew A. Sabin

Gepubliceerd in: Quality of Life Research | Uitgave 6/2019

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Abstract

Purpose

Poor quality of life has been shown to occur in youth with obesity. This study aimed to assess associations between health-related quality of life, general mental health and general psychological distress measures, collectively termed psychosocial health questionnaires (PSH), with weight outcomes in a busy paediatric weight management service.

Methods

A cross-sectional longitudinal clinical cohort, ‘Childhood Overweight BioRepository of Australia (COBRA)’, was used (n = 250, median age 11, range 2–18 year, mean BMI z-score 2.5 ± 0.2). Clinical data were collected and HRQOL questionnaires; Pediatric Quality of Life 4.0 (PedsQL), ‘Sizing Me/Them Up’ (SMU/STU), and psychological well-being questionnaires; strengths and difficulties questionnaire (SDQ) and Kessler 10 (K10) were completed by the child and primary caregiver. PSH results were compared to age- and sex-adjusted BMI z-score at baseline and follow-up. Direct logistic regression modelling was performed to assess the impact of PSH factors on the likelihood of successful weight reduction over a period of ≥ 12 months.

Results

Mean self-report PSH scores were: 68.0 ± 15.28 (PedsQL, range 0-100), 64.8 ± 15.8, (SMU, range 0-100), 17.3 ± 4.4 (SDQ, range 0–40) and 20.0 ± 7.7 (K10, range 0–50). A significant negative correlation was observed between PSH scores and childhood obesity (baseline BMI z-scores (p < 0.01)). No correlations were observed between psychological well-being measures and BMI z-scores. Higher subscale scores of the PedsQL and SDQ, which measure impaired psychosocial health and more difficulties with hyperactivity and inattention, significantly predict weight loss in children with obesity after 12 months.

Conclusion

PSH questionnaires may be useful in identifying individuals who require additional support to achieve weight loss goals in a tertiary weight management service.
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Literatuur
1.
go back to reference Olds, T. S., et al. (2010). Trends in the prevalence of childhood overweight and obesity in Australia between 1985 and 2008. International Journal of Obesity, 34(1), 57–66.PubMedCrossRef Olds, T. S., et al. (2010). Trends in the prevalence of childhood overweight and obesity in Australia between 1985 and 2008. International Journal of Obesity, 34(1), 57–66.PubMedCrossRef
2.
go back to reference Organization, W. H., (2007). International classification of functioning, disability and health: Children and youth version: ICF-CY. Geneva: WHO Press. Organization, W. H., (2007). International classification of functioning, disability and health: Children and youth version: ICF-CY. Geneva: WHO Press.
3.
go back to reference Schwimmer, J. B., Burwinkle, T. M., & Varni, J. W. (2003). Health-related quality of life of severely obese children and adolescents. JAMA, 289(14), 1813–1819.PubMedCrossRef Schwimmer, J. B., Burwinkle, T. M., & Varni, J. W. (2003). Health-related quality of life of severely obese children and adolescents. JAMA, 289(14), 1813–1819.PubMedCrossRef
4.
go back to reference Stern, M., et al. (2007). Gender, ethnicity, psychosocial factors, and quality of life among severely overweight, treatment-seeking adolescents. Journal of Pediatric Psychology, 32(1), 90–94.PubMedCrossRef Stern, M., et al. (2007). Gender, ethnicity, psychosocial factors, and quality of life among severely overweight, treatment-seeking adolescents. Journal of Pediatric Psychology, 32(1), 90–94.PubMedCrossRef
5.
go back to reference Varni, J. W., Seid, M., & Kurtin, P. S. (2001). PedsQL 4.0: Reliability and validity of the pediatric quality of life inventory version 4.0 generic core scales in healthy and patient populations. Medical Care, 39(8), 800–812.PubMedCrossRef Varni, J. W., Seid, M., & Kurtin, P. S. (2001). PedsQL 4.0: Reliability and validity of the pediatric quality of life inventory version 4.0 generic core scales in healthy and patient populations. Medical Care, 39(8), 800–812.PubMedCrossRef
6.
go back to reference Goodman, A., & Goodman, R. (2009). Strengths and difficulties questionnaire as a dimensional measure of child mental health. Journal of the American Academy of Child & Adolescent Psychiatry, 48(4), 400–403.CrossRef Goodman, A., & Goodman, R. (2009). Strengths and difficulties questionnaire as a dimensional measure of child mental health. Journal of the American Academy of Child & Adolescent Psychiatry, 48(4), 400–403.CrossRef
7.
go back to reference Kessler, R. C., et al. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60(2), 184–189.PubMedCrossRef Kessler, R. C., et al. (2003). Screening for serious mental illness in the general population. Archives of General Psychiatry, 60(2), 184–189.PubMedCrossRef
8.
go back to reference Zeller, M. H., & Modi, A. C. (2009). Development and initial validation of an obesity-specific quality-of-life measure for children: Sizing me up. Obesity, 17(6), 1171–1177.PubMed Zeller, M. H., & Modi, A. C. (2009). Development and initial validation of an obesity-specific quality-of-life measure for children: Sizing me up. Obesity, 17(6), 1171–1177.PubMed
9.
go back to reference Kolotkin, R. L., & Crosby, R. D. (2002). Psychometric evaluation of the impact of weight on quality of life-lite questionnaire (IWQOL-lite) in a community sample. Quality of Life Research, 11(2), 157–171.PubMedCrossRef Kolotkin, R. L., & Crosby, R. D. (2002). Psychometric evaluation of the impact of weight on quality of life-lite questionnaire (IWQOL-lite) in a community sample. Quality of Life Research, 11(2), 157–171.PubMedCrossRef
10.
go back to reference de Beer, M., et al. (2007). Health-related-quality-of-life in obese adolescents is decreased and inversely related to BMI. Acta Paediatrica, 96(5), 710–714.PubMedCrossRef de Beer, M., et al. (2007). Health-related-quality-of-life in obese adolescents is decreased and inversely related to BMI. Acta Paediatrica, 96(5), 710–714.PubMedCrossRef
11.
go back to reference Hughes, A. R., et al. (2007). Quality of life in a clinical sample of obese children. International Journal of Obesity, 31(1), 39–44.PubMedCrossRef Hughes, A. R., et al. (2007). Quality of life in a clinical sample of obese children. International Journal of Obesity, 31(1), 39–44.PubMedCrossRef
12.
go back to reference Pinhas-Hamiel, O., et al. (2006). Health-related quality of life among children and adolescents: Associations with obesity. International Journal of Obesity, 30(2), 267–272.PubMedCrossRef Pinhas-Hamiel, O., et al. (2006). Health-related quality of life among children and adolescents: Associations with obesity. International Journal of Obesity, 30(2), 267–272.PubMedCrossRef
13.
go back to reference Swallen, K. C., et al. (2005). Overweight, obesity, and health-related quality of life among adolescents: The national longitudinal study of adolescent health. Pediatrics, 115(2), 340–347.PubMedCrossRef Swallen, K. C., et al. (2005). Overweight, obesity, and health-related quality of life among adolescents: The national longitudinal study of adolescent health. Pediatrics, 115(2), 340–347.PubMedCrossRef
14.
go back to reference Tyler, C., et al. (2007). Reduced quality of life in very overweight Mexican American adolescents. Journal of Adolescent Health, 40(4), 366–368.CrossRef Tyler, C., et al. (2007). Reduced quality of life in very overweight Mexican American adolescents. Journal of Adolescent Health, 40(4), 366–368.CrossRef
15.
go back to reference Zeller, M. H., & Modi, A. C. (2006). Predictors of health-related quality of life in obese youth. Obesity, 14(1), 122–130.PubMedCrossRef Zeller, M. H., & Modi, A. C. (2006). Predictors of health-related quality of life in obese youth. Obesity, 14(1), 122–130.PubMedCrossRef
16.
go back to reference Williams, J., et al. (2005). Health-related quality of life of overweight and obese children. JAMA, 293(1), 70–76.PubMedCrossRef Williams, J., et al. (2005). Health-related quality of life of overweight and obese children. JAMA, 293(1), 70–76.PubMedCrossRef
17.
go back to reference Ravens-Sieberer, U., Redegeld, M., & Bullinger, M. (2001). Quality of life after in-patient rehabilitation in children with obesity. International Journal of Obesity and Related Metabolic Disorders, 25(Suppl 1), S63–S65.PubMedCrossRef Ravens-Sieberer, U., Redegeld, M., & Bullinger, M. (2001). Quality of life after in-patient rehabilitation in children with obesity. International Journal of Obesity and Related Metabolic Disorders, 25(Suppl 1), S63–S65.PubMedCrossRef
19.
go back to reference Frohlich, G., et al. (2011). Conditions of long-term success in a lifestyle intervention for overweight and obese youths. Pediatrics, 128(4), e779–e785.PubMedCrossRef Frohlich, G., et al. (2011). Conditions of long-term success in a lifestyle intervention for overweight and obese youths. Pediatrics, 128(4), e779–e785.PubMedCrossRef
20.
go back to reference Reinehr, T., et al. (2007). Four-year follow-up of children and adolescents participating in an obesity intervention program. International Journal of Obesity, 31(7), 1074–1077.PubMedCrossRef Reinehr, T., et al. (2007). Four-year follow-up of children and adolescents participating in an obesity intervention program. International Journal of Obesity, 31(7), 1074–1077.PubMedCrossRef
21.
go back to reference van Egmond-Froehlich, A., et al. (2012). The hyperactivity/inattention subscale of the strengths and difficulties questionnaire predicts short- and long-term weight loss in overweight children and adolescents treated as outpatients. Obesity Facts, 5(6), 856–868.PubMedCrossRef van Egmond-Froehlich, A., et al. (2012). The hyperactivity/inattention subscale of the strengths and difficulties questionnaire predicts short- and long-term weight loss in overweight children and adolescents treated as outpatients. Obesity Facts, 5(6), 856–868.PubMedCrossRef
22.
go back to reference van Egmond-Froehlich, A., et al. (2013). Parent reported inattention and hyperactivity/impulsivity as predictor of long-term weight loss after inpatient treatment in obese adolescents. International Journal of Eating Disorders, 46(1), 39–46.CrossRef van Egmond-Froehlich, A., et al. (2013). Parent reported inattention and hyperactivity/impulsivity as predictor of long-term weight loss after inpatient treatment in obese adolescents. International Journal of Eating Disorders, 46(1), 39–46.CrossRef
23.
go back to reference Ryder, J. R., et al. (2018). Factors associated with long-term weight-loss maintenance following bariatric surgery in adolescents with severe obesity. International Journal of Obesity, 42(1), 102–107.PubMedCrossRef Ryder, J. R., et al. (2018). Factors associated with long-term weight-loss maintenance following bariatric surgery in adolescents with severe obesity. International Journal of Obesity, 42(1), 102–107.PubMedCrossRef
24.
go back to reference Sabin, M. A., et al. (2010). New directions in childhood obesity research: How a comprehensive biorepository will allow better prediction of outcomes. BMC Medical Research Methodology, 10, 100.PubMedPubMedCentralCrossRef Sabin, M. A., et al. (2010). New directions in childhood obesity research: How a comprehensive biorepository will allow better prediction of outcomes. BMC Medical Research Methodology, 10, 100.PubMedPubMedCentralCrossRef
25.
go back to reference Cole, T. J. (1990). The LMS method for constructing normalized growth standards. European Journal of Clinical Nutrition, 44(1), 45–60.PubMed Cole, T. J. (1990). The LMS method for constructing normalized growth standards. European Journal of Clinical Nutrition, 44(1), 45–60.PubMed
26.
27.
28.
go back to reference Ogden, C. L., et al.(2004) Mean body weight, height, and body mass index, United States 1960–2002. Advance Data, 347(347), 1–17. Ogden, C. L., et al.(2004) Mean body weight, height, and body mass index, United States 1960–2002. Advance Data, 347(347), 1–17.
29.
go back to reference Modi, A. C., & Zeller, M. H. (2008). Validation of a parent-proxy, obesity-specific quality-of-life measure: Sizing them up. Obesity, 16(12), 2624–2633.PubMedCrossRef Modi, A. C., & Zeller, M. H. (2008). Validation of a parent-proxy, obesity-specific quality-of-life measure: Sizing them up. Obesity, 16(12), 2624–2633.PubMedCrossRef
30.
go back to reference Harris, P. A., et al. (2009). Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377–381.PubMedCrossRef Harris, P. A., et al. (2009). Research electronic data capture (REDCap)--a metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42(2), 377–381.PubMedCrossRef
32.
go back to reference Koch, F. S., Sepa, A., & Ludvigsson, J. (2008). Psychological stress and obesity. The Journal of pediatrics, 153(6), 839–844.PubMedCrossRef Koch, F. S., Sepa, A., & Ludvigsson, J. (2008). Psychological stress and obesity. The Journal of pediatrics, 153(6), 839–844.PubMedCrossRef
33.
go back to reference Tsiros, M. D., et al. (2009). Health-related quality of life in obese children and adolescents. International Journal of Obesity, 33(4), 387–400.PubMedCrossRef Tsiros, M. D., et al. (2009). Health-related quality of life in obese children and adolescents. International Journal of Obesity, 33(4), 387–400.PubMedCrossRef
34.
go back to reference Pratt, K. J., et al. (2012). The importance of assessing for depression with HRQOL in treatment seeking obese youth and their caregivers. Quality Life Research, 21(8), 1367–1377.CrossRef Pratt, K. J., et al. (2012). The importance of assessing for depression with HRQOL in treatment seeking obese youth and their caregivers. Quality Life Research, 21(8), 1367–1377.CrossRef
35.
go back to reference Riazi, A., et al. (2010). Health-related quality of life in a clinical sample of obese children and adolescents. Health and Quality of Life Outcomes, 8, 134.PubMedPubMedCentralCrossRef Riazi, A., et al. (2010). Health-related quality of life in a clinical sample of obese children and adolescents. Health and Quality of Life Outcomes, 8, 134.PubMedPubMedCentralCrossRef
36.
go back to reference Wake, M., et al. (2010). Comorbidities of overweight/obesity experienced in adolescence: Longitudinal study. Archives of Disease in Childhood, 95(3), 162–168.PubMedCrossRef Wake, M., et al. (2010). Comorbidities of overweight/obesity experienced in adolescence: Longitudinal study. Archives of Disease in Childhood, 95(3), 162–168.PubMedCrossRef
37.
go back to reference Williams, J. W., et al. (2011). Changes in body mass index and health related quality of life from childhood to adolescence. International Journal of Pediatric obesity, 6(2–2), e442–e448.PubMedCrossRef Williams, J. W., et al. (2011). Changes in body mass index and health related quality of life from childhood to adolescence. International Journal of Pediatric obesity, 6(2–2), e442–e448.PubMedCrossRef
38.
go back to reference Black, W. R., et al. (2014). Health-related quality of life in obese and overweight, treatment-seeking youth. Ethnicity & Disease, 24(3), 321–327. Black, W. R., et al. (2014). Health-related quality of life in obese and overweight, treatment-seeking youth. Ethnicity & Disease, 24(3), 321–327.
39.
go back to reference Guilfoyle, S. M., Zeller, M. H., & Modi, A. C. (2010). Parenting stress impacts obesity-specific health-related quality of life in a pediatric obesity treatment-seeking sample. Journal of Developmental and Behavioral Pediatrics: JDBP, 31(1), 17–25.PubMedCrossRef Guilfoyle, S. M., Zeller, M. H., & Modi, A. C. (2010). Parenting stress impacts obesity-specific health-related quality of life in a pediatric obesity treatment-seeking sample. Journal of Developmental and Behavioral Pediatrics: JDBP, 31(1), 17–25.PubMedCrossRef
40.
go back to reference Nir, Z., & Neumann, L. (1995). Relationship among self-esteem, internal-external locus of control, and weight change after participation in a weight reduction program. Journal of Clinical Psychology, 51(4), 482–490.PubMedCrossRef Nir, Z., & Neumann, L. (1995). Relationship among self-esteem, internal-external locus of control, and weight change after participation in a weight reduction program. Journal of Clinical Psychology, 51(4), 482–490.PubMedCrossRef
41.
go back to reference Ingerski, L. M., Janicke, D. M., & Silverstein, J. H. (2007). Brief report: quality of life in overweight youth-the role of multiple informants and perceived social support. Journal of Pediatric Psychology, 32(7), 869–874.PubMedCrossRef Ingerski, L. M., Janicke, D. M., & Silverstein, J. H. (2007). Brief report: quality of life in overweight youth-the role of multiple informants and perceived social support. Journal of Pediatric Psychology, 32(7), 869–874.PubMedCrossRef
42.
go back to reference Fonseca, H., et al. (2009). Are overweight and obese adolescents different from their peers? International Journal of Pediatric Obesity, 4(3), 166–174.PubMedCrossRef Fonseca, H., et al. (2009). Are overweight and obese adolescents different from their peers? International Journal of Pediatric Obesity, 4(3), 166–174.PubMedCrossRef
43.
go back to reference Zeller, M. H., Reiter-Purtill, J., & Ramey, C. (2008). Negative peer perceptions of obese children in the classroom environment. Obesity, 16(4), 755–762.PubMedCrossRef Zeller, M. H., Reiter-Purtill, J., & Ramey, C. (2008). Negative peer perceptions of obese children in the classroom environment. Obesity, 16(4), 755–762.PubMedCrossRef
44.
go back to reference Strauss, R. S., & Pollack, H. A. (2003). Social marginalization of overweight children. Archives of Pediatrics & Adolescent Medicine, 157(8), 746–752.CrossRef Strauss, R. S., & Pollack, H. A. (2003). Social marginalization of overweight children. Archives of Pediatrics & Adolescent Medicine, 157(8), 746–752.CrossRef
46.
go back to reference Puhl, R. M., & Heuer, C. A. (2010). Obesity stigma: important considerations for public health. American Journal of Public Health, 100(6), 1019–1028.PubMedPubMedCentralCrossRef Puhl, R. M., & Heuer, C. A. (2010). Obesity stigma: important considerations for public health. American Journal of Public Health, 100(6), 1019–1028.PubMedPubMedCentralCrossRef
Metagegevens
Titel
Psychosocial measures and weight change in a clinical paediatric population with obesity
Auteurs
Brooke E. Harcourt
Anke Pons
Kung-Ting Kao
Celia Twindyakirana
Erin Alexander
Sarah Haberle
Zoe McCallum
Matthew A. Sabin
Publicatiedatum
06-03-2019
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 6/2019
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-019-02155-3