Factors influencing health-related quality of life of children with overweight and obesity in Kuala Lumpur, Malaysia.

IF 2.4 Q2 PSYCHOLOGY, CLINICAL Health Psychology and Behavioral Medicine Pub Date : 2024-10-16 eCollection Date: 2024-01-01 DOI:10.1080/21642850.2024.2413980
Shazana Rifham Abdullah, Hoe Victor Chee Wai, Zahari Ishak, Siti Sarah Hamzah, Ahmad Kamil Nur Zati Iwani, Ruziana Mona Wan Mohd Zin, Abqariyah Yahya
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Abstract

Introduction: Overweight and obesity among children may have psychological consequences, with potentially lasting effects on health-related quality of life (HRQOL). The aims of this study were to compare HRQOL across weight status among children and to determine the factors influencing HRQOL among children with overweight and obesity.

Methods: This cross-sectional study involved school children aged 9-16 years that were recruited from eight randomly selected primary and secondary schools in Kuala Lumpur. The validated Malay version of Pediatric Quality of Life Inventory (PedsQL) was used to measure HRQOL. Complex sample general linear model was used to determine the significant factors associated with HRQOL among children with overweight and obesity.

Results: From 928 students, 41.2% (n= 375) of them had either overweight or obesity. Children with obesity reported lower overall HRQOL, physical functioning, social functioning, and psychosocial health summary, compared to normal weight children. In the final model, children with obesity had significantly lower HRQOL and physical functioning compared to children who were overweight, while those who lived with a single parent reported poorer HRQOL compared to children who lived with both parents. Children with history of being bullied had lower HRQOL and psychosocial health. Whereas those with lower self-esteem reported significantly lower scores in all three domains.

Conclusion: Overweight and obesity have negative impacts on HRQOL of children. Among children with overweight and obesity, factors such as degree of obesity, family structure, history of being bullied, and self-esteem were found to be significantly associated with HRQOL. Therefore, assessing and managing HRQOL should be included as a part of the obesity prevention programme.

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影响马来西亚吉隆坡超重和肥胖儿童健康相关生活质量的因素。
导言:儿童超重和肥胖可能会造成心理后果,并对健康相关生活质量(HRQOL)产生潜在的持久影响。本研究旨在比较不同体重状况儿童的 HRQOL,并确定影响超重和肥胖儿童 HRQOL 的因素:这项横断面研究涉及从吉隆坡随机挑选的八所中小学中招募的 9-16 岁学龄儿童。采用经过验证的马来语版儿科生活质量量表(PedsQL)来测量HRQOL。复杂样本一般线性模型用于确定与超重和肥胖儿童的 HRQOL 相关的重要因素:在 928 名学生中,41.2%(n = 375)的学生患有超重或肥胖症。与体重正常的儿童相比,肥胖儿童的总体 HRQOL、身体功能、社会功能和社会心理健康总结均较低。在最终模型中,与超重儿童相比,肥胖儿童的 HRQOL 和身体机能明显较低,而与单亲生活的儿童相比,与双亲生活的儿童的 HRQOL 较差。曾受欺凌的儿童的 HRQOL 和社会心理健康水平较低。结论:超重和肥胖会对儿童的健康产生负面影响:结论:超重和肥胖对儿童的 HRQOL 有负面影响。在超重和肥胖儿童中,肥胖程度、家庭结构、受欺负史和自尊等因素与 HRQOL 有显著相关性。因此,应将评估和管理 HRQOL 作为预防肥胖计划的一部分。
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来源期刊
CiteScore
3.50
自引率
3.70%
发文量
57
审稿时长
24 weeks
期刊介绍: Health Psychology and Behavioral Medicine: an Open Access Journal (HPBM) publishes theoretical and empirical contributions on all aspects of research and practice into psychosocial, behavioral and biomedical aspects of health. HPBM publishes international, interdisciplinary research with diverse methodological approaches on: Assessment and diagnosis Narratives, experiences and discourses of health and illness Treatment processes and recovery Health cognitions and behaviors at population and individual levels Psychosocial an behavioral prevention interventions Psychosocial determinants and consequences of behavior Social and cultural contexts of health and illness, health disparities Health, illness and medicine Application of advanced information and communication technology.
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