Impaired Health-Related Quality of Life in Preschoolers With Obesity

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Department of Pediatrics, College of Medicine, Texas A&M University, and Department of Landscape Architecture and Urban Planning, College of Architecture, Texas A&M University.
Journal of Pediatric Psychology (Impact Factor: 2.91). 09/2012; 37(10). DOI: 10.1093/jpepsy/jss090
Source: PubMed


To examine whether health-related quality of life (HRQOL) for treatment-seeking preschoolers with obesity (N = 60) differed from preschoolers in a nonclinical comparison sample (N = 457).Methods
Parents in both samples completed the parent-proxy form of the Pediatric Quality of Life Inventory (PedsQL). Between-group comparisons were conducted to examine differences for all scales and summary scores of the PedsQL.ResultsParent proxy-reported HRQOL was significantly lower for treatment-seeking preschoolers with obesity for all scales and summary scores except School Functioning. Differences on the Total Scale score met the criterion for being a clinically important difference. Conclusions
Our study suggests treatment-seeking families perceive worse HRQOL for children with obesity as early as the preschool years. Discussion of HRQOL may be a more effective strategy for health care professionals in broaching the topic of weight with parents and identifying families who may be more receptive to weight management suggestions for preschoolers. © 2012 The Author 2012. Published by Oxford University Press on behalf of the Society of Pediatric Psychology. All rights reserved.

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    • "Obesity has been shown to be a cause for teasing and bullying in children, and these in turn can contribute to the development of psychological consequences like a depression [23]. Depressive symptoms themselves contribute to lower quality of life [69], just as obesity itself too [16]. Therefore, improvement of health-related quality of life is an important result beyond the mere weight reduction and associated health benefits. "
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