How does age affect the relationship between weight and health utility during the middle years of childhood?

Autor:	Miranda Pallan, Emma R Lancashire, Alastair Canaway, Emma Frew, Katie Eminson, Peymane Adab
Rok vydání:	2018
Předmět:	Male medicine.medical_specialty Pediatric Obesity RJ Health-related quality of life Ethnic group Overweight Affect (psychology) Article 03 medical and health sciences 0302 clinical medicine Quality of life Thinness Utility Medicine Humans CHU-9D 030212 general & internal medicine Obesity Child Child health business.industry 030503 health policy & services Public health Public Health Environmental and Occupational Health Age Factors Reproducibility of Results Regression analysis medicine.disease humanities Body Height Child weight status Child Preschool Quality of Life Female Underweight medicine.symptom 0305 other medical science business Demography
Zdroj:	Quality of Life Research
ISSN:	1573-2649 0962-9343
Popis:	Purpose The limited literature examining weight status and preference-based health-related quality of life (HRQL) in young children is equivocal. This study aims to examine how the association between weight status and preference-based HRQL changes as children develop between the ages of 6 and 10 years old. Methods The Child Health Utility 9D (CHU-9D) was used to determine preference-based HRQL. Height and weight data were also collected and used to calculate z-BMI adjusted for age and gender. 1467 children were recruited from 54 schools across the West Midlands. Data were collected at four time points over 5 years. Impact of weight on dimensions of HRQL was assessed via the distribution of responses to CHU-9D dimensions by weight status. Multi-level regression analysis controlling for ethnicity, deprivation and other relevant co-variates was conducted to examine the relationship between weight and HRQL. Results There was no evidence to suggest that the weight status impacted upon the distribution of responses to CHU-9D dimensions. Correspondingly, the multi-level regression analysis found no statistically significant differences in CHU-9D scores between underweight, healthy weight, overweight and obese children. Conclusions The evidence surrounding the link between preference-based HRQL and weight status in children is limited. This study found no association between weight status and HRQL as measured by the CHU-9D in children between the ages of 5 and 10 years in the UK. Given this, it is recommended that future studies aiming to prevent obesity in children in their middle years do not rely solely on preference-based measures for economic evaluation, and instead focus on capturing clinical or wellbeing outcomes. Electronic supplementary material The online version of this article (10.1007/s11136-018-1790-y) contains supplementary material, which is available to authorized users.
Databáze:	OpenAIRE
Externí odkaz:	https://explore.openaire.eu/search/publication?articleId=doi_dedup___::7c53395d61c2e40f49e360ba3fdb601d https://pubmed.ncbi.nlm.nih.gov/29404925 Zobrazit plný text záznamu Plný text ve formátu PDF Plný text ve formátu HTML
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