Skip to main content
Top
Gepubliceerd in: Quality of Life Research 9/2014

01-11-2014

Quality of life and psychological functioning in pediatric obesity: the role of body image dissatisfaction between girls and boys of different ages

Auteurs: Maria João Gouveia, Roberta Frontini, Maria Cristina Canavarro, Helena Moreira

Gepubliceerd in: Quality of Life Research | Uitgave 9/2014

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Purpose

This study aims to explore the associations between weight status, body image dissatisfaction (BID), and psychosocial adjustment [quality of life (QOL), internalizing and externalizing problems] of normal-weight and obese youth. It aims to explore whether the associations between weight status and psychosocial adjustment are mediated by BID as well as the moderating role of youth’s age and gender on these associations.

Methods

The sample comprised 260 children and adolescents aged 8–18 years with normal weight (n = 128) and obesity (n = 132). All of the participants completed self-report instruments, including the KIDSCREEN-10, Strengths and Difficulties Questionnaire, and Collins Body Image scale.

Results

Obese youth, regardless of gender, reported poorer QOL, more internalizing/externalizing problems, and higher rates of BID compared with their normal-weight counterparts. BID mediated the relationship between weight status and QOL, but only for youth above 12-year old. The relationship between weight status and internalizing/externalizing problems was direct and independent of youth’s age and gender.

Conclusions

Pediatric obesity is associated with poorer psychosocial outcomes, which underlines the need for preventive and early interventions. An important target in psychological interventions seems to be BID, which proved to be an important mechanism linking obesity and decreased QOL among adolescents.
Literatuur
1.
go back to reference Currie, C., Zanotti, C., Morgan, A., Currie, D., Looze, M., Roberts, C., et al. (Eds.). (2012). Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: International report from the 2009/2010 survey. Copenhagen: WHO Regional Office for Europe (Health Policy for Children and Adolescents, No. 6). Currie, C., Zanotti, C., Morgan, A., Currie, D., Looze, M., Roberts, C., et al. (Eds.). (2012). Social determinants of health and well-being among young people. Health Behaviour in School-aged Children (HBSC) study: International report from the 2009/2010 survey. Copenhagen: WHO Regional Office for Europe (Health Policy for Children and Adolescents, No. 6).
2.
go back to reference Steele, R. G., Nelson, T. D., & Jelalian, E. (2008). Pediatric obesity: Trends and epidemiology. In E. Jelalian & R. Steele (Eds.), Handbook of childhood and adolescent obesity (pp. 3–10). New York: Springer. Steele, R. G., Nelson, T. D., & Jelalian, E. (2008). Pediatric obesity: Trends and epidemiology. In E. Jelalian & R. Steele (Eds.), Handbook of childhood and adolescent obesity (pp. 3–10). New York: Springer.
3.
go back to reference Vivier, P., & Tompkins, C. (2008). Health consequences of obesity in children and adolescents. In E. Jelalian & R. Steele (Eds.), Handbook of childhood and adolescent obesity (pp. 11–24). New York: Springer. Vivier, P., & Tompkins, C. (2008). Health consequences of obesity in children and adolescents. In E. Jelalian & R. Steele (Eds.), Handbook of childhood and adolescent obesity (pp. 11–24). New York: Springer.
5.
go back to reference Wille, N., Bullinger, M., Holl, R., Hoffmeister, U., Mann, R., Goldapp, C., et al. (2010). Health-related quality of life in overweight and obese youths: Results of a multicenter study. Health and Quality of Life Outcomes, 8, 1–8. doi:10.1186/1477-7525-8-36.CrossRef Wille, N., Bullinger, M., Holl, R., Hoffmeister, U., Mann, R., Goldapp, C., et al. (2010). Health-related quality of life in overweight and obese youths: Results of a multicenter study. Health and Quality of Life Outcomes, 8, 1–8. doi:10.​1186/​1477-7525-8-36.CrossRef
6.
go back to reference Zeller, M. H., & Modi, A. C. (2008). Psychosocial factors related to obesity in children and adolescents. In E. Jelalian & R. Steele (Eds.), Handbook of childhood and adolescent obesity (pp. 25–42). New York: Springer. Zeller, M. H., & Modi, A. C. (2008). Psychosocial factors related to obesity in children and adolescents. In E. Jelalian & R. Steele (Eds.), Handbook of childhood and adolescent obesity (pp. 25–42). New York: Springer.
9.
go back to reference Jelalian, E., & Hart, C. N. (2009). Pediatric obesity. In M. C. Roberts & R. G. Steele (Eds.), Handbook of pediatric psychology (pp. 446–463). New York: The Guilford Press. Jelalian, E., & Hart, C. N. (2009). Pediatric obesity. In M. C. Roberts & R. G. Steele (Eds.), Handbook of pediatric psychology (pp. 446–463). New York: The Guilford Press.
12.
go back to reference Ottova, V., Erhart, M., Rajmil, L., Dettenborn-Betz, L., & Ravens-Sieberer, U. (2012). Overweight and its impact on the health-related quality of life in children and adolescents: Results from the European KIDSCREEN survey. Quality of Life Research, 21, 59–69. doi:10.1007/s11136-011-9922-7.PubMedCrossRef Ottova, V., Erhart, M., Rajmil, L., Dettenborn-Betz, L., & Ravens-Sieberer, U. (2012). Overweight and its impact on the health-related quality of life in children and adolescents: Results from the European KIDSCREEN survey. Quality of Life Research, 21, 59–69. doi:10.​1007/​s11136-011-9922-7.PubMedCrossRef
13.
go back to reference Pinhas-Hamiel, O., Singer, S., Pilpel, N., Fradkin, A., Modan, D., & Reichman, B. (2006). Health-related quality of life among children and adolescents: Associations with obesity. International Journal of Obesity, 30, 267–272. doi:10.1038/sj.ijo.0803107.PubMedCrossRef Pinhas-Hamiel, O., Singer, S., Pilpel, N., Fradkin, A., Modan, D., & Reichman, B. (2006). Health-related quality of life among children and adolescents: Associations with obesity. International Journal of Obesity, 30, 267–272. doi:10.​1038/​sj.​ijo.​0803107.PubMedCrossRef
14.
go back to reference Swallen, K. C., Reither, E. N., Haas, S. A., & Meier, A. M. (2005). Overweight, obesity, and health-related quality of life among adolescents: The national longitudinal study of adolescent health. Pediatrics, 115, 340–347. doi:10.1542/peds.2004-0678.PubMedCrossRef Swallen, K. C., Reither, E. N., Haas, S. A., & Meier, A. M. (2005). Overweight, obesity, and health-related quality of life among adolescents: The national longitudinal study of adolescent health. Pediatrics, 115, 340–347. doi:10.​1542/​peds.​2004-0678.PubMedCrossRef
16.
go back to reference Zeller, M. H., Saelens, B. E., Roehrig, H., Kirk, S., & Daniels, S. R. (2004). Psychological adjustment of obese youth presenting for weight management treatment. Obesity Research, 12, 1576–1586.PubMedCrossRef Zeller, M. H., Saelens, B. E., Roehrig, H., Kirk, S., & Daniels, S. R. (2004). Psychological adjustment of obese youth presenting for weight management treatment. Obesity Research, 12, 1576–1586.PubMedCrossRef
18.
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. Journal of the American Medical Association, 289, 1813–1819.PubMedCrossRef Schwimmer, J. B., Burwinkle, T. M., & Varni, J. W. (2003). Health-related quality of life of severely obese children and adolescents. Journal of the American Medical Association, 289, 1813–1819.PubMedCrossRef
19.
go back to reference Zeller, M. H., Roehrig, H. R., Modi, A. C., Daniels, S. R., & Inge, T. H. (2006). Health-related quality of life and depressive symptoms in adolescents with extreme obesity presenting for bariatric surgery. Pediatrics, 117, 1155–1161. doi:10.1542/peds.2005-1141.PubMedCrossRef Zeller, M. H., Roehrig, H. R., Modi, A. C., Daniels, S. R., & Inge, T. H. (2006). Health-related quality of life and depressive symptoms in adolescents with extreme obesity presenting for bariatric surgery. Pediatrics, 117, 1155–1161. doi:10.​1542/​peds.​2005-1141.PubMedCrossRef
20.
go back to reference Moreira, H., Carona, C., Silva, N., Frontini, R., Bullinger, M., & Canavarro, M. C. (in press). Psychological and quality of life outcomes in pediatric populations: A parent–child perspective. Journal of Pediatrics. doi:10.1016/j.jpeds.2013.06.028. Moreira, H., Carona, C., Silva, N., Frontini, R., Bullinger, M., & Canavarro, M. C. (in press). Psychological and quality of life outcomes in pediatric populations: A parent–child perspective. Journal of Pediatrics. doi:10.​1016/​j.​jpeds.​2013.​06.​028.
21.
go back to reference Braet, C., Mervielde, I., & Vandereycken, W. (1997). Psychological aspects of childhood obesity: A controlled study in a clinical and nonclinical sample. Journal of Pediatric Psychology, 22, 59–71.PubMedCrossRef Braet, C., Mervielde, I., & Vandereycken, W. (1997). Psychological aspects of childhood obesity: A controlled study in a clinical and nonclinical sample. Journal of Pediatric Psychology, 22, 59–71.PubMedCrossRef
22.
go back to reference Britz, B., Siegfried, W., Ziegler, A., Lamertz, C., Herpertz-Dahlamann, B. H., Remschmidt, H., et al. (2000). Rates of psychiatric disorders in a clinical study group of adolescents with extreme obesity and in obese adolescents ascertained via a population based study. International Journal of Obesity, 24, 1707–1714.PubMedCrossRef Britz, B., Siegfried, W., Ziegler, A., Lamertz, C., Herpertz-Dahlamann, B. H., Remschmidt, H., et al. (2000). Rates of psychiatric disorders in a clinical study group of adolescents with extreme obesity and in obese adolescents ascertained via a population based study. International Journal of Obesity, 24, 1707–1714.PubMedCrossRef
23.
go back to reference Vila, G., Zipper, E., Dabbas, M., Bertrand, C., Robert, J. J., Ricour, C., et al. (2004). Mental disorders in obese children and adolescents. Psychosomatic Medicine, 66, 387–394.PubMed Vila, G., Zipper, E., Dabbas, M., Bertrand, C., Robert, J. J., Ricour, C., et al. (2004). Mental disorders in obese children and adolescents. Psychosomatic Medicine, 66, 387–394.PubMed
24.
go back to reference Lawlor, D. A., Mamum, A. A., O’Callaghan, M. J., Bor, W., Williams, G. M., & Najman, J. M. (2005). Is being overweight associated with behavioral problems in childhood and adolescence? Findings from the mater-university study of pregnancy and its outcomes. Archives of Disease in Childhood, 90, 692–697. doi:10.1136/adc.2004.062919.PubMedCrossRefPubMedCentral Lawlor, D. A., Mamum, A. A., O’Callaghan, M. J., Bor, W., Williams, G. M., & Najman, J. M. (2005). Is being overweight associated with behavioral problems in childhood and adolescence? Findings from the mater-university study of pregnancy and its outcomes. Archives of Disease in Childhood, 90, 692–697. doi:10.​1136/​adc.​2004.​062919.PubMedCrossRefPubMedCentral
27.
go back to reference Falkner, N. H., Neumark-Sztainer, D., Story, M., Jeffery, R. W., Beuhring, T., & Resnick, M. D. (2001). Social, educational and psychological correlates of weight status in adolescents. Obesity Research, 9, 32–42. doi:10.1038/oby.2001.5.PubMedCrossRef Falkner, N. H., Neumark-Sztainer, D., Story, M., Jeffery, R. W., Beuhring, T., & Resnick, M. D. (2001). Social, educational and psychological correlates of weight status in adolescents. Obesity Research, 9, 32–42. doi:10.​1038/​oby.​2001.​5.PubMedCrossRef
28.
29.
go back to reference Neumark-Sztainer, D. (2011). Obesity and body image in youth. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice and prevention (pp. 180–189). New York: The Guilford Press. Neumark-Sztainer, D. (2011). Obesity and body image in youth. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice and prevention (pp. 180–189). New York: The Guilford Press.
32.
go back to reference Smolak, L., & Levine, M. P. (2001). Body image in children. In J. K. Thompson & L. Smolak (Eds.), Body image, eating disorders, and obesity in youth: Assessment, prevention, and treatment (pp. 41–66). Washington, DC: American Psychological Association.CrossRef Smolak, L., & Levine, M. P. (2001). Body image in children. In J. K. Thompson & L. Smolak (Eds.), Body image, eating disorders, and obesity in youth: Assessment, prevention, and treatment (pp. 41–66). Washington, DC: American Psychological Association.CrossRef
33.
go back to reference Smolak, L. (2011). Body image development in childhood. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice and prevention (pp. 180–189). New York: The Guilford Press. Smolak, L. (2011). Body image development in childhood. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice and prevention (pp. 180–189). New York: The Guilford Press.
34.
go back to reference Wertheim, E. H., & Paxton, S. J. (2011). Body image development in adolescent girls. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice and prevention (pp. 76–84). New York: The Guilford Press. Wertheim, E. H., & Paxton, S. J. (2011). Body image development in adolescent girls. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice and prevention (pp. 76–84). New York: The Guilford Press.
35.
go back to reference Ricciardelli, L. A., & McCabe, M. P. (2011). Body image development in adolescent boys. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice and prevention (pp. 85–92). New York: The Guilford Press. Ricciardelli, L. A., & McCabe, M. P. (2011). Body image development in adolescent boys. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice and prevention (pp. 85–92). New York: The Guilford Press.
36.
go back to reference Rosenblum, G. D., & Lewis, M. (1999). The relations among body image, physical attractiveness, and body mass in adolescence. Child Development, 70, 50–64.PubMedCrossRef Rosenblum, G. D., & Lewis, M. (1999). The relations among body image, physical attractiveness, and body mass in adolescence. Child Development, 70, 50–64.PubMedCrossRef
37.
go back to reference Wertheim, E. H., Paxton, S. P., & Blaney, S. (2009). Body image in girls. In L. Smolak & J. K. Thompson (Eds.), Body image, eating disorders, and obesity in youth: Assessment, prevention, and treatment (pp. 47–76). Washington, DC: American Psychological Association. Wertheim, E. H., Paxton, S. P., & Blaney, S. (2009). Body image in girls. In L. Smolak & J. K. Thompson (Eds.), Body image, eating disorders, and obesity in youth: Assessment, prevention, and treatment (pp. 47–76). Washington, DC: American Psychological Association.
41.
go back to reference Smolak, L., & Thompson, J. K. (2009). Body image, eating disorders, and obesity in children and adolescents: Introduction to the second edition. In L. Smolak & J. K. Thompson (Eds.), Body image, eating disorders, and obesity in youth: Assessment, prevention, and treatment (pp. 1–14). Washington, DC: American Psychological Association. Smolak, L., & Thompson, J. K. (2009). Body image, eating disorders, and obesity in children and adolescents: Introduction to the second edition. In L. Smolak & J. K. Thompson (Eds.), Body image, eating disorders, and obesity in youth: Assessment, prevention, and treatment (pp. 1–14). Washington, DC: American Psychological Association.
42.
go back to reference Kostanski, M., & Gullone, E. (1998). Adolescent body image dissatisfaction: Relationships with self-esteem, anxiety, and depression controlling for body mass. Journal of Child Psychology and Psychiatry, 39, 255–262. doi:10.1111/1469-7610.00319.PubMedCrossRef Kostanski, M., & Gullone, E. (1998). Adolescent body image dissatisfaction: Relationships with self-esteem, anxiety, and depression controlling for body mass. Journal of Child Psychology and Psychiatry, 39, 255–262. doi:10.​1111/​1469-7610.​00319.PubMedCrossRef
43.
44.
go back to reference Allen, K. L., Byrne, S. M., Blair, E. M., & Davis, E. A. (2006). Why do some overweight children experience psychological problems? The role of weight and shape concern. International Journal of Pediatric Obesity, 1, 239–247. doi:10.1080/17477160600913552.PubMedCrossRef Allen, K. L., Byrne, S. M., Blair, E. M., & Davis, E. A. (2006). Why do some overweight children experience psychological problems? The role of weight and shape concern. International Journal of Pediatric Obesity, 1, 239–247. doi:10.​1080/​1747716060091355​2.PubMedCrossRef
45.
go back to reference Kuczmarski, R. J., Ogden, C. L., Guo, S. S., Grummer-Strawn, L. M., Flegal, K. M., Mei, Z., et al. (2002). 2000 CDC growth charts for the United States: Methods and development. Vital Health Statistics, 11(246), 1–190. Kuczmarski, R. J., Ogden, C. L., Guo, S. S., Grummer-Strawn, L. M., Flegal, K. M., Mei, Z., et al. (2002). 2000 CDC growth charts for the United States: Methods and development. Vital Health Statistics, 11(246), 1–190.
46.
go back to reference Gaspar, T., & Matos, M. G. (2008). Qualidade de vida em crianças e adolescentes: Versão portuguesa dos instrumentos KIDSCREEN-52 [quality of life in children and adolescents: Portuguese version of the instruments KIDSCREEN-52]. Cruz Quebrada: Aventura Social e Saúde. Gaspar, T., & Matos, M. G. (2008). Qualidade de vida em crianças e adolescentes: Versão portuguesa dos instrumentos KIDSCREEN-52 [quality of life in children and adolescents: Portuguese version of the instruments KIDSCREEN-52]. Cruz Quebrada: Aventura Social e Saúde.
47.
go back to reference Ravens-Sieberer, U., Erhart, M., Rajmil, L., Herdman, M., Auquier, P., Bruil, J., et al. (2010). Reliability, construct and criterion validity of the KIDSCREEN-10 score: A short measure for children and adolescents’ well-being and health-related quality of life. Quality of Life Research, 19, 1487–1500. doi:10.1007/s11136-010-9706-5.PubMedCrossRefPubMedCentral Ravens-Sieberer, U., Erhart, M., Rajmil, L., Herdman, M., Auquier, P., Bruil, J., et al. (2010). Reliability, construct and criterion validity of the KIDSCREEN-10 score: A short measure for children and adolescents’ well-being and health-related quality of life. Quality of Life Research, 19, 1487–1500. doi:10.​1007/​s11136-010-9706-5.PubMedCrossRefPubMedCentral
48.
go back to reference Fleitlich, B., Loureiro, M., Fonseca, A., & Gaspar, M. (2005). Questionário de capacidades e de dificuldades (SDQ-Por) [strenghts and difficulties questionnaire, Portuguese version]. Retrived from www.sdqinfo.org. Fleitlich, B., Loureiro, M., Fonseca, A., & Gaspar, M. (2005). Questionário de capacidades e de dificuldades (SDQ-Por) [strenghts and difficulties questionnaire, Portuguese version]. Retrived from www.​sdqinfo.​org.
50.
go back to reference Goodman, A., Lamping, D., & Ploubidis, G. B. (2010). When to use broader internalizing and externalizing subscales instead of the hypothesized five subscales on the strengths and difficulties questionnaire (SDQ): Data from British parents, teachers and children. Journal of Abnormal Child Psychology, 38, 1179–1191. doi:10.1007/s10802-010-9434-x.PubMedCrossRef Goodman, A., Lamping, D., & Ploubidis, G. B. (2010). When to use broader internalizing and externalizing subscales instead of the hypothesized five subscales on the strengths and difficulties questionnaire (SDQ): Data from British parents, teachers and children. Journal of Abnormal Child Psychology, 38, 1179–1191. doi:10.​1007/​s10802-010-9434-x.PubMedCrossRef
51.
go back to reference Collins, M. E. (1991). Body figure perceptions and preferences among preadolescent children. International Journal of Eating Disorders, 10, 199–208. doi:10.1002/1098-108X(199103). Collins, M. E. (1991). Body figure perceptions and preferences among preadolescent children. International Journal of Eating Disorders, 10, 199–208. doi:10.​1002/​1098-108X(199103).
52.
go back to reference Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: The Guilford Press. Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: The Guilford Press.
53.
go back to reference Cantin, S., & Boivan, M. (2004). Change and stability in children’s special network and self-perceptions during transition from elementary to junior high school. International Journal of Behavioral Development, 28, 561–570. doi:10.1080/01650250444000289.CrossRef Cantin, S., & Boivan, M. (2004). Change and stability in children’s special network and self-perceptions during transition from elementary to junior high school. International Journal of Behavioral Development, 28, 561–570. doi:10.​1080/​0165025044400028​9.CrossRef
54.
56.
go back to reference Beck, J., Schaefer, C. A., Nace, H., Steffen, A. D., Nigg, C., Brink, L., et al. (2012). Peer reviewed: Accuracy of self-reported height and weight in children aged 6 to 11 years. Preventing Chronic Disease, 9, E119. doi:10.5888/pcd9.120021.PubMedPubMedCentral Beck, J., Schaefer, C. A., Nace, H., Steffen, A. D., Nigg, C., Brink, L., et al. (2012). Peer reviewed: Accuracy of self-reported height and weight in children aged 6 to 11 years. Preventing Chronic Disease, 9, E119. doi:10.​5888/​pcd9.​120021.PubMedPubMedCentral
57.
go back to reference Hill, A. J. (2011). Body image assessment of children. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice and prevention (pp. 138–145). New York: The Guilford Press. Hill, A. J. (2011). Body image assessment of children. In T. F. Cash & L. Smolak (Eds.), Body image: A handbook of science, practice and prevention (pp. 138–145). New York: The Guilford Press.
59.
go back to reference Gardner, R. M., Sorter, R. G., & Friedman, B. N. (1997). Developmental changes in children’s body images. Journal of Social Behavior and Personality, 12, 1019–1036. Gardner, R. M., Sorter, R. G., & Friedman, B. N. (1997). Developmental changes in children’s body images. Journal of Social Behavior and Personality, 12, 1019–1036.
Metagegevens
Titel
Quality of life and psychological functioning in pediatric obesity: the role of body image dissatisfaction between girls and boys of different ages
Auteurs
Maria João Gouveia
Roberta Frontini
Maria Cristina Canavarro
Helena Moreira
Publicatiedatum
01-11-2014
Uitgeverij
Springer International Publishing
Gepubliceerd in
Quality of Life Research / Uitgave 9/2014
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-014-0711-y

Andere artikelen Uitgave 9/2014

Quality of Life Research 9/2014 Naar de uitgave