Skip to main content
Top
Gepubliceerd in: Quality of Life Research 2/2010

01-03-2010

The effect of body mass on health-related quality of life among Singaporean adolescents: results from the SCORM study

Auteurs: Truls Østbye, Rahul Malhotra, Hwee-Bee Wong, Say-Beng Tan, Seang-Mei Saw

Gepubliceerd in: Quality of Life Research | Uitgave 2/2010

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

To investigate the relationship between body mass and health-related quality of life (HRQOL) among Singaporean adolescents. Variation in this relationship by age, gender and ethnicity, and association of HRQOL with change in body mass over time and with demographic, socioeconomic and health variables were also assessed.

Methods

HRQOL was assessed for Singaporean adolescents aged 11–18 from their own (N = 1,249) and their parent’s (N = 948) perspective using PedsQL™ 4.0 generic core scales. Body mass, measured as body mass index z-score based on the WHO Reference 2007, was categorized as thin, healthy weight, overweight and obese. Multiple linear regression models assessed the relationship between current body mass and HRQOL, adjusting for demographic, socioeconomic and health variables. Differences between adolescent and parent-proxy reported HRQOL were also investigated.

Results

Obese adolescents (and their parents) reported significantly lower HRQOL, overall and in most domains, compared to healthy weight adolescents. Parents tended to report lower HRQOL for their adolescents than the adolescents did themselves; however, this difference was much larger and statistically significant for obese adolescents.

Conclusions

Obesity is associated with reduced HRQOL among adolescents. The effect in these Singaporean adolescents is similar to that in populations with higher rates of obesity. Awareness of this relationship can make it easier for health professionals, teachers, parents and peers to be supportive of obese adolescents.
Literatuur
1.
go back to reference Lobstein, T., Baur, L., & Uauy, R. (2004). Obesity in children and young people: A crisis in public health. Obesity Reviews, 5(Suppl 1), 4–104.CrossRefPubMed Lobstein, T., Baur, L., & Uauy, R. (2004). Obesity in children and young people: A crisis in public health. Obesity Reviews, 5(Suppl 1), 4–104.CrossRefPubMed
2.
go back to reference Hill, A. J., & Silver, E. K. (1995). Fat, friendless and unhealthy: 9-year old children’s perception of body shape stereotypes. International Journal of Obesity and Related Metabolic Disorders, 19(6), 423–430.PubMed Hill, A. J., & Silver, E. K. (1995). Fat, friendless and unhealthy: 9-year old children’s perception of body shape stereotypes. International Journal of Obesity and Related Metabolic Disorders, 19(6), 423–430.PubMed
3.
go back to reference Testa, M. A., & Simonson, D. C. (1996). Assessment of quality-of-life outcomes. New England Journal of Medicine, 334(13), 835–840.CrossRefPubMed Testa, M. A., & Simonson, D. C. (1996). Assessment of quality-of-life outcomes. New England Journal of Medicine, 334(13), 835–840.CrossRefPubMed
4.
go back to reference Arif, A. A., & Rohrer, J. E. (2006). The relationship between obesity, hyperglycemia symptoms, and health-related quality of life among Hispanic and non-Hispanic white children and adolescents. BMC Family Practice, 7, 3.CrossRefPubMed Arif, A. A., & Rohrer, J. E. (2006). The relationship between obesity, hyperglycemia symptoms, and health-related quality of life among Hispanic and non-Hispanic white children and adolescents. BMC Family Practice, 7, 3.CrossRefPubMed
5.
go back to reference de Beer, M., Hofsteenge, G. H., Koot, H. M., Hirasing, R. A., Delemarre-van de Waal, H. A., & Gemke, R. J. (2007). Health-related-quality-of-life in obese adolescents is decreased and inversely related to BMI. Acta Paediatrica, 96(5), 710–714.CrossRefPubMed de Beer, M., Hofsteenge, G. H., Koot, H. M., Hirasing, R. A., Delemarre-van de Waal, H. A., & Gemke, R. J. (2007). Health-related-quality-of-life in obese adolescents is decreased and inversely related to BMI. Acta Paediatrica, 96(5), 710–714.CrossRefPubMed
6.
go back to reference Fallon, E. M., Tanofsky-Kraff, M., Norman, A. C., McDuffie, J. R., Taylor, E. D., Cohen, M. L., et al. (2005). Health-related quality of life in overweight and nonoverweight black and white adolescents. Journal of Pediatrics, 147(4), 443–450.CrossRefPubMed Fallon, E. M., Tanofsky-Kraff, M., Norman, A. C., McDuffie, J. R., Taylor, E. D., Cohen, M. L., et al. (2005). Health-related quality of life in overweight and nonoverweight black and white adolescents. Journal of Pediatrics, 147(4), 443–450.CrossRefPubMed
7.
go back to reference Friedlander, S. L., Larkin, E. K., Rosen, C. L., Palermo, T. M., & Redline, S. (2003). Decreased quality of life associated with obesity in school-aged children. Archives of Pediatrics and Adolescent Medicine, 157(12), 1206–1211.CrossRefPubMed Friedlander, S. L., Larkin, E. K., Rosen, C. L., Palermo, T. M., & Redline, S. (2003). Decreased quality of life associated with obesity in school-aged children. Archives of Pediatrics and Adolescent Medicine, 157(12), 1206–1211.CrossRefPubMed
8.
go back to reference Hughes, A. R., Farewell, K., Harris, D., & Reilly, J. J. (2007). Quality of life in a clinical sample of obese children. Int J Obesity (London), 31(1), 39–44.CrossRef Hughes, A. R., Farewell, K., Harris, D., & Reilly, J. J. (2007). Quality of life in a clinical sample of obese children. Int J Obesity (London), 31(1), 39–44.CrossRef
9.
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. Int J Obesity (London), 30(2), 267–272.CrossRef 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. Int J Obesity (London), 30(2), 267–272.CrossRef
10.
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.CrossRefPubMed 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.CrossRefPubMed
11.
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(2), 340–347.CrossRefPubMed 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(2), 340–347.CrossRefPubMed
12.
go back to reference Tyler, C., Johnston, C. A., Fullerton, G., & Foreyt, J. P. (2007). Reduced quality of life in very overweight Mexican American adolescents. Journal of Adolescent Health, 40(4), 366–368.CrossRefPubMed Tyler, C., Johnston, C. A., Fullerton, G., & Foreyt, J. P. (2007). Reduced quality of life in very overweight Mexican American adolescents. Journal of Adolescent Health, 40(4), 366–368.CrossRefPubMed
13.
go back to reference Williams, J., Wake, M., Hesketh, K., Maher, E., & Waters, E. (2005). Health-related quality of life of overweight and obese children. JAMA, 293(1), 70–76.CrossRefPubMed Williams, J., Wake, M., Hesketh, K., Maher, E., & Waters, E. (2005). Health-related quality of life of overweight and obese children. JAMA, 293(1), 70–76.CrossRefPubMed
14.
go back to reference Zhang, L., Fos, P., Johnson, W., Kamali, V., Cox, R., Zuniga, M., et al. (2008). Body mass index and health related quality of life in elementary school children: A pilot study. Health and Quality of Life Outcomes, 6(1), 77.CrossRefPubMed Zhang, L., Fos, P., Johnson, W., Kamali, V., Cox, R., Zuniga, M., et al. (2008). Body mass index and health related quality of life in elementary school children: A pilot study. Health and Quality of Life Outcomes, 6(1), 77.CrossRefPubMed
15.
go back to reference Saw, S. M., Chua, W. H., Hong, C. Y., Wu, H. M., Chia, K. S., Stone, R. A., et al. (2002). Height and its relationship to refraction and biometry parameters in Singapore Chinese children. Investigative Ophthalmology and Visual Science, 43(5), 1408–1413.PubMed Saw, S. M., Chua, W. H., Hong, C. Y., Wu, H. M., Chia, K. S., Stone, R. A., et al. (2002). Height and its relationship to refraction and biometry parameters in Singapore Chinese children. Investigative Ophthalmology and Visual Science, 43(5), 1408–1413.PubMed
16.
go back to reference Saw, S. M., Wu, H. M., Hong, C. Y., Chua, W. H., Chia, K. S., & Tan, D. (2001). Myopia and night lighting in children in Singapore. British Journal of Ophthalmology, 85(5), 527–528.CrossRefPubMed Saw, S. M., Wu, H. M., Hong, C. Y., Chua, W. H., Chia, K. S., & Tan, D. (2001). Myopia and night lighting in children in Singapore. British Journal of Ophthalmology, 85(5), 527–528.CrossRefPubMed
17.
go back to reference Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007). Parent proxy-report of their children’s health-related quality of life: An analysis of 13, 878 parents’ reliability and validity across age subgroups using the PedsQL 4.0 Generic Core Scales. Health Quality Life Outcomes, 5, 2.CrossRef Varni, J. W., Limbers, C. A., & Burwinkle, T. M. (2007). Parent proxy-report of their children’s health-related quality of life: An analysis of 13, 878 parents’ reliability and validity across age subgroups using the PedsQL 4.0 Generic Core Scales. Health Quality Life Outcomes, 5, 2.CrossRef
18.
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.CrossRefPubMed 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.CrossRefPubMed
19.
go back to reference Varni, J. W., Burwinkle, T. M., Rapoff, M. A., Kamps, J. L., & Olson, N. (2004). The PedsQL in pediatric asthma: Reliability and validity of the Pediatric Quality of Life Inventory generic core scales and asthma module. Journal of Behavioral Medicine, 27(3), 297–318.CrossRefPubMed Varni, J. W., Burwinkle, T. M., Rapoff, M. A., Kamps, J. L., & Olson, N. (2004). The PedsQL in pediatric asthma: Reliability and validity of the Pediatric Quality of Life Inventory generic core scales and asthma module. Journal of Behavioral Medicine, 27(3), 297–318.CrossRefPubMed
21.
go back to reference World Health Organization. (1995). Physical status, the use and interpretation of anthropometry., in WHO Technical Report Series No. 854. Geneva: WHO. World Health Organization. (1995). Physical status, the use and interpretation of anthropometry., in WHO Technical Report Series No. 854. Geneva: WHO.
22.
go back to reference Flegal, K. M., Tabak, C. J., & Ogden, C. L. (2006). Overweight in children: Definitions and interpretation. Health Education Research, 21(6), 755–760.CrossRefPubMed Flegal, K. M., Tabak, C. J., & Ogden, C. L. (2006). Overweight in children: Definitions and interpretation. Health Education Research, 21(6), 755–760.CrossRefPubMed
23.
go back to reference de Onis, M., Onyango, A. W., Borghi, E., Siyam, A., Nishida, C., & Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization, 85(9), 660–667.CrossRefPubMed de Onis, M., Onyango, A. W., Borghi, E., Siyam, A., Nishida, C., & Siekmann, J. (2007). Development of a WHO growth reference for school-aged children and adolescents. Bulletin of the World Health Organization, 85(9), 660–667.CrossRefPubMed
28.
go back to reference Varni, J. W., Burwinkle, T. M., & Seid, M. (2006). The PedsQL 4.0 as a school population health measure: Feasibility, reliability, and validity. Quality of Life Research, 15(2), 203–215.CrossRefPubMed Varni, J. W., Burwinkle, T. M., & Seid, M. (2006). The PedsQL 4.0 as a school population health measure: Feasibility, reliability, and validity. Quality of Life Research, 15(2), 203–215.CrossRefPubMed
29.
go back to reference Cole, T. J., Flegal, K. M., Nicholls, D., & Jackson, A. A. (2007). Body mass index cut offs to define thinness in children and adolescents: International survey. BMJ, 335(7612), 194.CrossRefPubMed Cole, T. J., Flegal, K. M., Nicholls, D., & Jackson, A. A. (2007). Body mass index cut offs to define thinness in children and adolescents: International survey. BMJ, 335(7612), 194.CrossRefPubMed
30.
go back to reference Fontaine, K. R., & Barofsky, I. (2001). Obesity and health-related quality of life. Obesity Reviews, 2(3), 173–182.CrossRefPubMed Fontaine, K. R., & Barofsky, I. (2001). Obesity and health-related quality of life. Obesity Reviews, 2(3), 173–182.CrossRefPubMed
31.
go back to reference Upton, P., Lawford, J., & Eiser, C. (2008). Parent-child agreement across child health-related quality of life instruments: A review of the literature. Quality of Life Research, 17(6), 895–913.CrossRefPubMed Upton, P., Lawford, J., & Eiser, C. (2008). Parent-child agreement across child health-related quality of life instruments: A review of the literature. Quality of Life Research, 17(6), 895–913.CrossRefPubMed
32.
go back to reference Chang, P. C., & Yeh, C. H. (2005). Agreement between child self-report and parent proxy-report to evaluate quality of life in children with cancer. Psychooncology, 14(2), 125–134.CrossRefPubMed Chang, P. C., & Yeh, C. H. (2005). Agreement between child self-report and parent proxy-report to evaluate quality of life in children with cancer. Psychooncology, 14(2), 125–134.CrossRefPubMed
33.
go back to reference Quek, C. M., Koh, K., & Lee, J. (1993). Parental body mass index: A predictor of childhood obesity? Annals of the Academy of Medicine, Singapore, 22(3), 342–347.PubMed Quek, C. M., Koh, K., & Lee, J. (1993). Parental body mass index: A predictor of childhood obesity? Annals of the Academy of Medicine, Singapore, 22(3), 342–347.PubMed
34.
go back to reference Campo, J. V., Comer, D. M., Jansen-Mcwilliams, L., Gardner, W., & Kelleher, K. J. (2002). Recurrent pain, emotional distress, and health service use in childhood. Journal of Pediatrics, 141(1), 76–83.CrossRefPubMed Campo, J. V., Comer, D. M., Jansen-Mcwilliams, L., Gardner, W., & Kelleher, K. J. (2002). Recurrent pain, emotional distress, and health service use in childhood. Journal of Pediatrics, 141(1), 76–83.CrossRefPubMed
35.
go back to reference Janicke, D. M., Finney, J. W., & Riley, A. W. (2001). Children’s health care use: A prospective investigation of factors related to care-seeking. Medical Care, 39(9), 990–1001.CrossRefPubMed Janicke, D. M., Finney, J. W., & Riley, A. W. (2001). Children’s health care use: A prospective investigation of factors related to care-seeking. Medical Care, 39(9), 990–1001.CrossRefPubMed
36.
go back to reference Ng, T. P., Lim, L. C., Jin, A., & Shinfuku, N. (2005). Ethnic differences in quality of life in adolescents among Chinese, Malay and Indians in Singapore. Quality of Life Research, 14(7), 1755–1768.CrossRefPubMed Ng, T. P., Lim, L. C., Jin, A., & Shinfuku, N. (2005). Ethnic differences in quality of life in adolescents among Chinese, Malay and Indians in Singapore. Quality of Life Research, 14(7), 1755–1768.CrossRefPubMed
37.
go back to reference Kolotkin, R. L., Zeller, M., Modi, A. C., Samsa, G. P., Quinlan, N. P., Yanovski, J. A., et al. (2006). Assessing weight-related quality of life in adolescents. Obesity (Silver Spring), 14(3), 448–457.CrossRef Kolotkin, R. L., Zeller, M., Modi, A. C., Samsa, G. P., Quinlan, N. P., Yanovski, J. A., et al. (2006). Assessing weight-related quality of life in adolescents. Obesity (Silver Spring), 14(3), 448–457.CrossRef
38.
go back to reference Ismail, A., Campbell, M. J., Ibrahim, H. M., & Jones, G. L. (2006). Health related quality of life in Malaysian children with thalassaemia. Health Quality Life Outcomes, 4, 39.CrossRef Ismail, A., Campbell, M. J., Ibrahim, H. M., & Jones, G. L. (2006). Health related quality of life in Malaysian children with thalassaemia. Health Quality Life Outcomes, 4, 39.CrossRef
39.
go back to reference Wee, H. L., Chua, H. X., & Li, S. C. (2006). Meaning of health-related quality of life among children and adolescents in an Asian country: A focus group approach. Quality of Life Research, 15(5), 821–831.CrossRefPubMed Wee, H. L., Chua, H. X., & Li, S. C. (2006). Meaning of health-related quality of life among children and adolescents in an Asian country: A focus group approach. Quality of Life Research, 15(5), 821–831.CrossRefPubMed
40.
go back to reference WHO Expert Consultation. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363(9403), 157–163.CrossRef WHO Expert Consultation. (2004). Appropriate body-mass index for Asian populations and its implications for policy and intervention strategies. Lancet, 363(9403), 157–163.CrossRef
Metagegevens
Titel
The effect of body mass on health-related quality of life among Singaporean adolescents: results from the SCORM study
Auteurs
Truls Østbye
Rahul Malhotra
Hwee-Bee Wong
Say-Beng Tan
Seang-Mei Saw
Publicatiedatum
01-03-2010
Uitgeverij
Springer Netherlands
Gepubliceerd in
Quality of Life Research / Uitgave 2/2010
Print ISSN: 0962-9343
Elektronisch ISSN: 1573-2649
DOI
https://doi.org/10.1007/s11136-009-9578-8

Andere artikelen Uitgave 2/2010

Quality of Life Research 2/2010 Naar de uitgave