Health-related quality of life in overweight German children and adolescents: do treatment-seeking youth have lower quality of life levels? Comparison of a clinical sample with the general population using a multilevel model approach

Finne E, Reinehr T, Schaefer A, Winkel K, Kolip P (2013)
BMC Public Health 13(1).

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BACKGROUND: Health-related quality of life (HRQoL) is reduced in obese children and adolescents, especially in clinical samples. However, little is known regarding the HRQoL of moderately overweight youth. Moreover, several studies have indicated perceived overweight as a critical factor associated with lower HRQoL. Our main objective was to compare HRQoL between treatment-seeking overweight youth and the general adolescent population, whilst separating the effects of treatment-seeking status and perceived weight from those of objective weight status. METHODS: We compared the HRQoL of a clinical sample of overweight youth (N=137 patients, mean age±s.e.=11.24±0.15 years) with that of a representative population sample (N=6354, mean age=12.75±0.03 years). The population sample was subdivided into groups based on measured and perceived weight status. We used hierarchical linear models to compare HRQoL subscale scores (self- and parent-reported) between patients and population groups, adjusted for sociodemographic characteristics and taking into account clustering of the population sample. RESULTS: The parent-reported HRQoL of the treatment sample was significantly lower than that of other overweight youth perceived as 'too fat' on two subscales: 'self-esteem' and 'friends' (effect sizes: d=0.31 and 0.34, respectively). On other subscales, patients scored lower than adolescents perceived as having a 'proper weight' by their parents. The patterns for self-reported HRQoL in adolescents were different: patients reported higher self-esteem than other overweight youth feeling 'too fat' (d=-0.39). Female patients also reported higher physical well-being (d=-0.48), whereas males scored lowest among all compared groups (d=0.42-0.95). Patients did not differ from other overweight youth who felt 'too fat' with respect to other HRQoL dimensions. In general, lower HRQoL was primarily associated with a perceived, rather than actual, overweight status. CONCLUSIONS: The treatment-seeking status of overweight youth was notably associated with low social well-being, which may therefore be the main motive for seeking treatment. Other HRQoL domains were not consistently reduced in treatment-seekers. Our results further indicate that perceived overweight rather than actual overweight impacts HRQoL in youth with a modest excess weight. These results have implications for interventions in overweight youth and in individuals who are dissatisfied with their weight. TRIAL REGISTRATION: 'Obeldicks light' is registered at clinicaltrials.gov (NCT00422916).
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Article Processing Charge funded by the Deutsche Forschungsgemeinschaft and the Open Access Publication Fund of Bielefeld University.
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Finne E, Reinehr T, Schaefer A, Winkel K, Kolip P. Health-related quality of life in overweight German children and adolescents: do treatment-seeking youth have lower quality of life levels? Comparison of a clinical sample with the general population using a multilevel model approach. BMC Public Health. 2013;13(1).
Finne, E., Reinehr, T., Schaefer, A., Winkel, K., & Kolip, P. (2013). Health-related quality of life in overweight German children and adolescents: do treatment-seeking youth have lower quality of life levels? Comparison of a clinical sample with the general population using a multilevel model approach. BMC Public Health, 13(1).
Finne, E., Reinehr, T., Schaefer, A., Winkel, K., and Kolip, P. (2013). Health-related quality of life in overweight German children and adolescents: do treatment-seeking youth have lower quality of life levels? Comparison of a clinical sample with the general population using a multilevel model approach. BMC Public Health 13.
Finne, E., et al., 2013. Health-related quality of life in overweight German children and adolescents: do treatment-seeking youth have lower quality of life levels? Comparison of a clinical sample with the general population using a multilevel model approach. BMC Public Health, 13(1).
E. Finne, et al., “Health-related quality of life in overweight German children and adolescents: do treatment-seeking youth have lower quality of life levels? Comparison of a clinical sample with the general population using a multilevel model approach”, BMC Public Health, vol. 13, 2013.
Finne, E., Reinehr, T., Schaefer, A., Winkel, K., Kolip, P.: Health-related quality of life in overweight German children and adolescents: do treatment-seeking youth have lower quality of life levels? Comparison of a clinical sample with the general population using a multilevel model approach. BMC Public Health. 13, (2013).
Finne, Emily, Reinehr, Thomas, Schaefer, Anke, Winkel, Katrin, and Kolip, Petra. “Health-related quality of life in overweight German children and adolescents: do treatment-seeking youth have lower quality of life levels? Comparison of a clinical sample with the general population using a multilevel model approach”. BMC Public Health 13.1 (2013).
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2 Citations in Europe PMC

Data provided by Europe PubMed Central.

[Health-related quality of life of overweight and obese adolescents: what differences can be seen by socio-economic status and education?].
Krause L, Ellert U, Kroll LE, Lampert T., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 57(4), 2014
PMID: 24658674

46 References

Data provided by Europe PubMed Central.


AUTHOR UNKNOWN, 2008
An effective lifestyle intervention in overweight children: findings from a randomized controlled trial on "Obeldicks light".
Reinehr T, Schaefer A, Winkel K, Finne E, Toschke AM, Kolip P., Clin Nutr 29(3), 2010
PMID: 20106567
Development and evaluation of the lifestyle intervention “obeldicks light” for overweight children and adolescents
AUTHOR UNKNOWN, 2011
Perzentile für den Body-mass-Index für das Kindes- und Jugendalter unter Heranziehung verschiedener deutscher Stichproben [percentiles of body mass index in children and adolescents evaluated from different regional German studies]
AUTHOR UNKNOWN, 2001
The challenge of comprehensively mapping children's health in a nation-wide health survey: design of the German KiGGS-Study.
Kurth BM, Kamtsiuris P, Holling H, Schlaud M, Dolle R, Ellert U, Kahl H, Knopf H, Lange M, Mensink GB, Neuhauser H, Rosario AS, Scheidt-Nave C, Schenk L, Schlack R, Stolzenberg H, Thamm M, Thierfelder W, Wolf U., BMC Public Health 8(), 2008
PMID: 18533019
[Social class index in the Federal Health Survey]
Winkler J, Stolzenberg H., Gesundheitswesen 61 Spec No(), 1999
PMID: 10726418
[Sociodemographic characteristics in the German Health Interview and Examination Survey for Children and Adolescents (KiGGS) - operationalisation and public health significance, taking as an example the assessment of general state of health]
Lange M, Kamtsiuris P, Lange C, Schaffrath Rosario A, Stolzenberg H, Lampert T., Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz 50(5-6), 2007
PMID: 17514442
Decreased quality of life associated with obesity in school-aged children.
Friedlander SL, Larkin EK, Rosen CL, Palermo TM, Redline S., Arch Pediatr Adolesc Med 157(12), 2003
PMID: 14662577

AUTHOR UNKNOWN, 2000
Quality of life after in-patient rehabilitation in children with obesity
AUTHOR UNKNOWN, 2001
Health-related quality of life in children and adolescents in Germany: results of the BELLA study.
Ravens-Sieberer U, Erhart M, Wille N, Bullinger M; BELLA study group, Ravens-Sieberer U, Barkmann C, Bettge S, Bullinger M, Dopfner M, Erhart M, Herpertz-Dahlmann B, Holling H, Resch F, Rothenberger A, Schulte-Markwort M, Wille N, Wittchen HU., Eur Child Adolesc Psychiatry 17 Suppl 1(), 2008
PMID: 19132314
Quality of life in a clinical sample of obese children
AUTHOR UNKNOWN, 2006
The impact of overweight and obesity on health-related quality of life in childhood--results from an intervention study.
Wille N, Erhart M, Petersen C, Ravens-Sieberer U., BMC Public Health 8(), 2008
PMID: 19105812
Health-related quality of life of severely obese children and adolescents.
Schwimmer JB, Burwinkle TM, Varni JW., JAMA 289(14), 2003
PMID: 12684360
Effects of a multidisciplinary inpatient intervention on body composition, aerobic fitness, and quality of life in severely obese girls and boys.
Knopfli BH, Radtke T, Lehmann M, Schatzle B, Eisenblatter J, Gachnang A, Wiederkehr P, Hammer J, Brooks-Wildhaber J., J Adolesc Health 42(2), 2008
PMID: 18207089
The influence of diet and/or exercise and parental compliance on health-related quality of life in obese children.
Yackobovitch-Gavan M, Nagelberg N, Phillip M, Ashkenazi-Hoffnung L, Hershkovitz E, Shalitin S., Nutr Res 29(6), 2009
PMID: 19628106
Health-related quality of life in overweight and nonoverweight black and white adolescents.
Fallon EM, Tanofsky-Kraff M, Norman AC, McDuffie JR, Taylor ED, Cohen ML, Young-Hyman D, Keil M, Kolotkin RL, Yanovski JA., J. Pediatr. 147(4), 2005
PMID: 16227028
Gender, ethnicity, psychosocial factors, and quality of life among severely overweight, treatment-seeking adolescents.
Stern M, Mazzeo SE, Gerke CK, Porter JS, Bean MK, Laver JH., J Pediatr Psychol 32(1), 2007
PMID: 16818482

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