Background
Methods
Participants and Procedures
Assessment instruments
Body Mass Index (BMI) and zBMI
Socioeconomic status (SES)
KIDSCREEN-27
KIDSCREEN-52 Self-perception dimension
KINDLR obesity module
Statistical analysis
Results
Sample Characteristics
N | Gender n (%) | Age m (SD) | zBMIa
m (SD) | |
---|---|---|---|---|
Inpatients
|
871
| |||
Girls | 510 (58.6%) | 13.5 (2.0) | 2.6 (0.6) | |
Boys | 361 (41.4%) | 13.5 (1.8) | 2.5 (0.5) | |
Outpatients
|
1045
| |||
Girls | 577 (56.2%) | 11.9 (2.1) | 2.3 (0.5) | |
Boys | 468 (44.8%) | 11.7 (1.9) | 2.3 (0.4) | |
Children (aged 8 to 11) |
775
| |||
Girls | 427 (55.1%) | 10.4 (1.1) | 2.3 (0.5) | |
Boys | 348 (44.9%) | 10.4 (1.1) | 2.3 (0.4) | |
Adolescents (aged 12 to 16) |
1141
| |||
Girls | 660 (57.8%) | 14.1 (1.3) | 2.6 (0.6) | |
Boys | 481 (42.2%) | 13.9 (1.3) | 2.4 (0.5) | |
Total
|
1916
| |||
Girls | 1087 (56.7%) | 12.7 (2.2) | 2.5 (0.5) | |
Boys | 829 (43.3%) | 12.5 (2.1) | 2.4 (0.5) |
Generic HRQOL in children and adolescents with overweight and obesity
Girls 8 - 11 | Girls 12 - 16 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
KIDSCREEN-scale
|
Norm
(n = 295)
m (SE)
|
Patients
(n = 427)
m (SE)
|
F
|
p
|
d
|
Norm
(n = 465)
m (SE)
|
Patients
(n = 660)
m (SE)
|
F
|
p
|
d
|
Physical Well-being |
54.9 (0.5) |
45.4 (0.4) | 200.5 | <.001 | 0.94 |
50.4 (0.4) |
41.3 (0.3) | 321.8 | <.001 | 0.98 |
Psychol. Well-being |
55.5 (0.5) |
48.4 (0.5) | 102.2 | <.001 | 0.72 |
49.7 (0.4) |
44.5 (0.4) | 86.0 | <.001 | 0.56 |
Parents |
53.8 (0.6) |
51.1 (0.5) | 14.2 | <.001 | 0.29 |
51.4 (0.4) |
50.2 (0.4) | 4.6 | 0.03 | 0.14 |
Peers |
51.5 (0.6) |
50.1 (0.5) | 3.0 | 0.08 | nsb
|
50.7 (0.5) |
50.1 (0.4) | 1.1 | 0.31 | nsb
|
School |
56.0 (0.6) |
54.5 (0.5) | 3.8 | 0.05 | nsb
|
50.1 (0.4) |
49.7 (0.4) | 0.7 | 0.41 | nsb
|
KIDSCREEN-Index |
55.8 (0.6) |
50.4 (0.5) | 50.2 | <.001 | 0.53 |
49.8 (0.4) |
46.7 (0.3) | 35.9 | <.001 | 0.37 |
Self-perception |
54.7 (0.5) |
42.8 (0.4) | 338.1 | <.001 | 1.12 |
47.0 (0.4) |
38.0 (0.3) | 344.4 | <.001 | 1.01 |
Boys 8 - 11 | Boys 12 - 16 | |||||||||
---|---|---|---|---|---|---|---|---|---|---|
KIDSCREEN-scale
|
Norm
(n = 305)
m (SE)
|
Patients
(n = 348)
m (SE)
|
F
|
p
|
d
|
Norm
(n = 419)
m (SE)
|
Patients
(n = 481)
m (SE)
|
F
|
p
|
d
|
Physical Well-being |
55.7 (0.5) |
46.4 (0.5) | 195.2 | <.001 | 0.96 |
52.8 (0.4) |
42.8 (0.4) | 293.3 | <.001 | 1.04 |
Psychol. Well-being |
55.8 (0.5) |
49.9 (0.5) | 59.7 | <.001 | 0.58 |
52.7 (0.4) |
47.5 (0.4) | 69.7 | <.001 | 0.57 |
Parents |
52.4 (0.5) |
49.9 (0.5) | 10.9 | <.001 | 0.27 |
51.8 (0.4) |
51.5 (0.4) | 0.2 | 0.62 | nsb
|
Peers |
50.3 (0.6) |
49.1 (0.6) | 2.3)
| 0.13 | nsb
|
49.3 (0.5) |
49.1 (0.5) | 0.6 | 0.80 | nsb
|
School |
53.1 (0.6) |
52.0 (0.6) | 2.1 | 0.15 | nsb
|
49.8 (0.5) |
49.3 (0.4) | 0.5 | 0.48 | nsb
|
KIDSCREEN-Index |
54.9 (0.5) |
49.9 (0.5) | 43.4 | <.001 | 0.51 |
51.8 (0.4) |
49.0 (0.4) | 23.5 | <.001 | 0.34 |
Self-perception |
57.3 (0.5) |
45.3 (0.5) | 294.2 | <.001 | 1.10 |
52.0 (0.4) |
42.3 (0.4) | 310.8 | <.001 | 1.06 |
Disease-specific HRQOL in overweight and obese children and adolescents
Differences in generic and disease-specific HRQOL across treatment modalities
Total (n = 1916) | Inpatients (n = 871) | Outpatients (n = 1045) | F | pc
| d | |
---|---|---|---|---|---|---|
KIDSCREEN-subscale
| m (SE) | m (SE) | m (SE) | |||
Physical Well-being
| ||||||
Unadjusteda
| 43.5 (0.2) | 41.3 (0.3) | 45.3 (0.3) | 98.3 | <.001 | 0.46 |
Adjustedb
| 42.4 (0.3) | 44.4 (0.3) | 22.1 | <.001 | 0.23 | |
Psychological Well-being
| ||||||
Unadjusteda
| 47.1 (0.2) | 45.4 (0.3) | 48.4 (0.3) | 48.5 | <.001 | 0.32 |
Adjustedb
| 46.2 (0.3) | 47.7 (0.3) | 10.7 | <.001 | 0.16 | |
Parents
| ||||||
Unadjusteda
| 50.6 (0.3) | 50.9 (0.3) | 50.3 (0.3) | 1.9 | 0.17 | nsc
|
Adjustedb
| 50.9 (0.3) | 50.2 (0.3) | 2.2 | 0.14 | nsc
| |
Peers
| ||||||
Unadjusteda
| 49.6 (0.3) | 49.5 (0.4) | 49.7 (0.4) | 0.2 | 0.69 | nsc
|
Adjustedb
| 49.5 (0.4) | 49.7 (0.4) | 0.04 | 0.82 | nsc
| |
School
| ||||||
Unadjusteda
| 51.0 (0.2) | 49.4 (0.3) | 52.4 (0.3) | 42.1 | <.001 | 0.30 |
Adjustedb
| 50.1 (0.4) | 51.8 (0.3) | 11.4 | <.001 | 0.17 | |
KIDSCREEN-Index
| ||||||
Unadjusteda
| 48.6 (0.2) | 47.3 (0.3) | 49.7 (0.3) | 35.0 | <.001 | 0.28 |
Adjustedb
| 48.0 (0.3) | 49.2 (0.3) | 7.8 | 0.01 | 0.14 | |
Self-perception
| ||||||
Unadjusteda
| 41.4 (0.2) | 39.8 (0.3) | 42.7 (0.2) | 70.3 | <.001 | 0.39 |
Adjustedb
| 40.9 (0.3) | 41.8 (0.2) | 6.7 | 0.01 | 0.13 | |
KINDL
R
obesity module
| ||||||
Unadjusteda
| 64.4 (0.4) | 60.6 (0.6) | 67.5 (0.5) | 74.5 | <.001 | 0.39 |
Adjustedb
| 61.3 (0.6) | 66.9 (0.5) | 42.7 | <.001 | 0.32 |