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Impaired quality of life in treatment-seeking obese children of Dutch, Moroccan, Turkish and Surinamese descent

Radhakishun, Nalini NE, de Wit, Maartje, van Vliet, Mariska, von Rosenstiel, Ines A, Beijnen, Jos H, Brandjes, Dees PM, Diamant, Michaela
Public health nutrition 2016 v.19 no.5 pp. 796-803
Whites, aggression, body mass index, childhood obesity, children, emotions, multivariate analysis, normal values, parents, quality of life, questionnaires, self-perception, waist circumference
To determine the health-related quality of life (HRQOL) of overweight and obese multi-ethnic children compared with normal-weight children; and to investigate differences in HRQOL between self- and parent-proxy reports and ethnic groups. Prospective cross-sectional study. Out-patient clinic where children and their parents filled out a validated HRQOL questionnaire (KIDSCREEN-52) and height, weight, waist circumference and fat percentage were measured. Overweight and obese children, aged 8–18 years (mean BMI Z-score 3·2 (sd 0·6)), from the obesity out-patient clinic. Three hundred and eight self- and 213 parent-proxy reported questionnaires were completed. Global HRQOL and the Physical Wellbeing, Moods & Emotions and Self-Perception subscales were markedly reduced in our multi-ethnic obese cohort, relative to the Dutch reference values. Parent proxies reported significantly lower on the global HRQOL and the Physical Wellbeing, Moods & Emotions and Bullying subscales. In Caucasian children, multivariate analyses showed that BMI was associated with the quality-of-life subscales Moods & Emotions, Self-Perception and Bullying. HRQOL was markedly reduced in our multi-ethnic overweight and obese out-patient clinic cohort, with significantly lower parent-proxy scores compared with self-reported scores. We believe intervention programmes aiming to improve HRQOL should be directed to both parents and children, while ethnic-specific programmes to enhance HRQOL seem of less importance.