Quality of life among obese and non-obese early adolescents
Abstract: Obesity in
adolescents adversely affects both their psychological as well as their
physical health.
Objective To compare the quality of life between obese and non-obese
early adolescents, using the PedsQL inventory.
Methods A cross-sectional study was carried out on early adolescents aged
10-12 years among several elementary schools in Denpasar, Bali. Body mass index
(BMI) percentiles for age and sex were categorized as obese (BMI ≥95th
percentile) and non-obese (BMI <95th percentile). Data on quality of life
were collected using PedsQL Generic Core Scales version 4.0 inventory, filled
by the children and their parents separately.
Results Total PedsQL score in obese and non-obese group were
significantly difference in both reports [child report: mean difference of 9.59
(95%CI 7.14 to 12.05; P<0.05) and parent-proxy report: mean difference at
8.95(95%CI6.64 to 11.26; P<0.05)]. After classifying subjects into impaired
and not impaired quality of life based on a total score cut-off <78 as well
as other cut-off points for each domain, the individual domains of physical,
social, and school function were also significantly associated with obesity
(child report: P=0.02, P< 0.001, P=0.018, respectively, and parent-proxy
report:P=0.007, P<0.001, P<0.001, respectively). However, emotional
function was not significantly associated with obesity (P>0.05). After
adjusting for age, gender, and parental education, obesity was significantly
associated with PedsQL scores in the child report (OR 7.25; 95%CI 2.94 to
17.89; P<0.05) and the parent-proxy report (OR 10.87; 95%CI 3.83 to 30.84;
P<0.05).
Conclusion Obese early adolescents reported significantly poorer quality
of life with regards to the physical, social, school function domains and total
quality of life than those who were classified into non-obese.
Keywords: obese; early
adolescent; health-related quality of life; PedsQL
Author: Putu Vivi Paryati, I.
G. Lanang Sidiartha, I. G. Ayu Trisna Windiani, I. G. A. N. Sugitha Adnyana
Journal Code: jpkedokterangg170195
