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Overweight, obesity, and health-related quality of life among adolescents: the National Longitudinal Study of Adolescent Health.
Pediatrics 2005; 115(2):340-7Ped

Abstract

OBJECTIVE

Childhood and adolescent overweight and obesity have increased substantially in the past 2 decades, raising concerns about the physical and psychosocial consequences of childhood obesity. We investigated the association between obesity and health-related quality of life in a nationally representative sample of adolescents.

METHODS

A cross-sectional analysis was conducted using the 1996 National Longitudinal Study of Adolescent Health, a nationally representative sample of adolescents in grades 7 to 12 during the 1994-1995 school year, and 4743 adolescents with direct measures of height and weight. Using Centers for Disease Control and Prevention growth charts to determine percentiles, we used 5 body mass categories. Underweight was at or below the 5th percentile, normal BMI was between the 5th and 85th percentiles, at risk for overweight was between the 85th and 95th percentiles, overweight was between the 95th and 97th percentiles + 2 BMI units, and obese was at or above the 97th percentile + 2 BMI units. Four dimensions of health-related quality of life were measured: general health (self-reported general health), physical health (absence or presence of functional limitations and illness symptoms), emotional health (the Center for Epidemiologic Studies Depression Scale and Rosenberg's self-esteem scale), and a school and social functioning scale.

RESULTS

We found a statistically significant relationship between BMI and general and physical health but not psychosocial outcomes. Adolescents who were overweight had significantly worse self-reported health (odds ratio [OR]: 2.17; 95% confidence interval [CI]: 1.34-3.51), as did obese adolescents (OR: 4.49; 95% CI: 2.87-7.03). Overweight (OR: 1.81; 95% CI: 1.22-2.68) and obese (OR: 1.91; 95% CI: 1.24-1.95) adolescents were also more likely to have a functional limitation. Only among the youngest adolescents (ages 12-14) did we find a significant deleterious impact of overweight and obesity on depression, self-esteem, and school/social functioning.

CONCLUSIONS

Using a nationally representative sample, we found that obesity in adolescence is linked with poor physical quality of life. However, in the general population, adolescents with above normal body mass did not report poorer emotional, school, or social functioning.

Authors+Show Affiliations

Demography and Ecology, University of Wisconsin, Madison, Wisconsin 53705, USA. kswallen@ssc.wisc.eduNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Research Support, Non-U.S. Gov't
Research Support, U.S. Gov't, P.H.S.

Language

eng

PubMed ID

15687442

Citation

Swallen, Karen C., et al. "Overweight, Obesity, and Health-related Quality of Life Among Adolescents: the National Longitudinal Study of Adolescent Health." Pediatrics, vol. 115, no. 2, 2005, pp. 340-7.
Swallen KC, Reither EN, Haas SA, et al. Overweight, obesity, and health-related quality of life among adolescents: the National Longitudinal Study of Adolescent Health. Pediatrics. 2005;115(2):340-7.
Swallen, K. C., Reither, E. N., Haas, S. A., & Meier, A. M. (2005). Overweight, obesity, and health-related quality of life among adolescents: the National Longitudinal Study of Adolescent Health. Pediatrics, 115(2), pp. 340-7.
Swallen KC, et al. Overweight, Obesity, and Health-related Quality of Life Among Adolescents: the National Longitudinal Study of Adolescent Health. Pediatrics. 2005;115(2):340-7. PubMed PMID: 15687442.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Overweight, obesity, and health-related quality of life among adolescents: the National Longitudinal Study of Adolescent Health. AU - Swallen,Karen C, AU - Reither,Eric N, AU - Haas,Steven A, AU - Meier,Ann M, PY - 2005/2/3/pubmed PY - 2005/5/6/medline PY - 2005/2/3/entrez SP - 340 EP - 7 JF - Pediatrics JO - Pediatrics VL - 115 IS - 2 N2 - OBJECTIVE: Childhood and adolescent overweight and obesity have increased substantially in the past 2 decades, raising concerns about the physical and psychosocial consequences of childhood obesity. We investigated the association between obesity and health-related quality of life in a nationally representative sample of adolescents. METHODS: A cross-sectional analysis was conducted using the 1996 National Longitudinal Study of Adolescent Health, a nationally representative sample of adolescents in grades 7 to 12 during the 1994-1995 school year, and 4743 adolescents with direct measures of height and weight. Using Centers for Disease Control and Prevention growth charts to determine percentiles, we used 5 body mass categories. Underweight was at or below the 5th percentile, normal BMI was between the 5th and 85th percentiles, at risk for overweight was between the 85th and 95th percentiles, overweight was between the 95th and 97th percentiles + 2 BMI units, and obese was at or above the 97th percentile + 2 BMI units. Four dimensions of health-related quality of life were measured: general health (self-reported general health), physical health (absence or presence of functional limitations and illness symptoms), emotional health (the Center for Epidemiologic Studies Depression Scale and Rosenberg's self-esteem scale), and a school and social functioning scale. RESULTS: We found a statistically significant relationship between BMI and general and physical health but not psychosocial outcomes. Adolescents who were overweight had significantly worse self-reported health (odds ratio [OR]: 2.17; 95% confidence interval [CI]: 1.34-3.51), as did obese adolescents (OR: 4.49; 95% CI: 2.87-7.03). Overweight (OR: 1.81; 95% CI: 1.22-2.68) and obese (OR: 1.91; 95% CI: 1.24-1.95) adolescents were also more likely to have a functional limitation. Only among the youngest adolescents (ages 12-14) did we find a significant deleterious impact of overweight and obesity on depression, self-esteem, and school/social functioning. CONCLUSIONS: Using a nationally representative sample, we found that obesity in adolescence is linked with poor physical quality of life. However, in the general population, adolescents with above normal body mass did not report poorer emotional, school, or social functioning. SN - 1098-4275 UR - https://www.unboundmedicine.com/medline/citation/15687442/Overweight_obesity_and_health_related_quality_of_life_among_adolescents:_the_National_Longitudinal_Study_of_Adolescent_Health_ L2 - http://pediatrics.aappublications.org/cgi/pmidlookup?view=long&pmid=15687442 DB - PRIME DP - Unbound Medicine ER -