How does age affect the relationship between weight and health utility during the middle years of childhood?

Purpose: The limited literature examining weight status and preference-based health-related quality of life (HRQL) in young children is equivocal. This study aims to examine how the association between weight status and preference-based HRQL changes as children develop between the ages of 6 and 10 y...

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Publicado en:Quality of Life Research Vol. 27; no. 6; pp. 1455 - 1463
Autores principales: Eminson, Katie, Canaway, Alastair, Adab, Peymané, Lancashire, Emma, Pallan, Miranda, Frew, Emma
Formato: research tables/charts Journal Article
Publicado: Springer Nature Jun2018
Acceso en línea:Ver este registro en EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        atl: How does age affect the relationship between weight and health utility during the middle years of childhood?
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          Eminson, Katie
          Canaway, Alastair
          Adab, Peymané
          Lancashire, Emma
          Pallan, Miranda
          Frew, Emma
        affil: UK Centre for Tobacco and Alcohol Studies, University of Nottingham, NG7 2QL, Nottingham, UK
      sug:
        subj:
          Body Weight Psychosocial Factors
          Health Resource Utilization Evaluation
          Age Factors
          Quality of Life
          Funding Source
          Human
          Male
          Female
          Child, Preschool
          Child
          England
          Questionnaires
          Multiple Regression
          Random Sample
          Body Mass Index
          Descriptive Statistics
          Chi Square Test
          Confidence Intervals
          Pediatric Obesity Prevention and Control
          Health Promotion
          Child, Preschool: 2-5 years
          Child: 6-12 years
          Male
          Female
      ab: Purpose: The limited literature examining weight status and preference-based health-related quality of life (HRQL) in young children is equivocal. This study aims to examine how the association between weight status and preference-based HRQL changes as children develop between the ages of 6 and 10 years old.Methods: The Child Health Utility 9D (CHU-9D) was used to determine preference-based HRQL. Height and weight data were also collected and used to calculate z-BMI adjusted for age and gender. 1467 children were recruited from 54 schools across the West Midlands. Data were collected at four time points over 5 years. Impact of weight on dimensions of HRQL was assessed via the distribution of responses to CHU-9D dimensions by weight status. Multi-level regression analysis controlling for ethnicity, deprivation and other relevant co-variates was conducted to examine the relationship between weight and HRQL.Results: There was no evidence to suggest that the weight status impacted upon the distribution of responses to CHU-9D dimensions. Correspondingly, the multi-level regression analysis found no statistically significant differences in CHU-9D scores between underweight, healthy weight, overweight and obese children.Conclusions: The evidence surrounding the link between preference-based HRQL and weight status in children is limited. This study found no association between weight status and HRQL as measured by the CHU-9D in children between the ages of 5 and 10 years in the UK. Given this, it is recommended that future studies aiming to prevent obesity in children in their middle years do not rely solely on preference-based measures for economic evaluation, and instead focus on capturing clinical or wellbeing outcomes.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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