Health-related quality of life in children under treatment for overweight, obesity or severe obesity: a cross-sectional study in the Netherlands

Bibian van der Voorn; R. Camfferman; J. C. Seidell; J. Halberstadt

doi:10.1186/s12887-023-03973-8

Health-related quality of life in children under treatment for overweight, obesity or severe obesity: a cross-sectional study in the Netherlands

Bibian van der Voorn^*, R. Camfferman, J. C. Seidell, J. Halberstadt

^*Corresponding author for this work

Research output: Contribution to Journal › Article › Academic › peer-review

Abstract

Background: It is unknown whether weight class is associated with impairment of health-related quality of life (HRQOL) for children in the Netherlands. The aim of this study was to explore generic and weight-specific HRQOL in a clinical cohort of children with overweight, obesity or severe obesity aged 5–19 years in the Netherlands. Methods: 803 children from three clinical cohorts participated: mean age 11.5 (SD 2.9) years, 61.1% girls. The influence of weight class was explored in a subgroup of 425 children (25.2% with overweight, 32.5% obesity and 42.3% severe obesity), of whom the exact International Obesity Task Force (IOTF) BMI class was known. Generic HRQOL was measured by the PedsQL child report. Weight-specific HRQOL was measured by the IWQOL-Kids child or parent report. Average total, subscale and item scores were reported and the influence of the IOTF BMI class analyzed by multiple linear regression, corrected for age and sex. Results: Children with severe obesity had lower generic and weight-specific HRQOL scores than those with obesity or overweight. IOTF BMI class was negatively associated with item scores from all subscales, especially physical, social and emotional functioning. Children with overweight reported similar HRQOL total, subscale and item scores to children with obesity. Conclusions: In the Netherlands, children treated for overweight, obesity or severe obesity experience problems on the majority of items within all subscales of generic and weight-specific HRQOL. Children with severe obesity especially report significantly more challenges due to their weight than children with obesity or overweight.

Original language	English
Article number	167
Pages (from-to)	1-10
Number of pages	10
Journal	BMC Pediatrics
Volume	23
DOIs	https://doi.org/10.1186/s12887-023-03973-8
Publication status	Published - 11 Apr 2023

Bibliographical note

Funding Information:
We would first like to thank all children and parents who participated in this study. We also wish to thank everyone who helped us recruit children and parents for participation in this study, all professionals who have worked on the interventions of LEFF and HELIOS, and all other professionals involved. We are also thankful to Hanneke Noordam and Minke Eilander for their work on health-related quality of life in the Netherlands, and to Lamyae Boutalab and Trynke Hoekstra for their help with the analyses.

Funding Information:
This work was supported by the Dutch Ministry of Health, Welfare and Sport [grant no. VWS: 324043]. The funding party had no role in the study design; the collection, analysis and interpretation of data; the writing of the report; or the decision to submit the article for publication.

Publisher Copyright:
© 2023, The Author(s).

Keywords

Europe
Overweight
Patient-reported outcome measures
Pediatric obesity
Quality of life

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

Access to Document

10.1186/s12887-023-03973-8

Persistent URL (handle)

Copy link address

Cite this

@article{fe6880fc2e6e435982455cb197fb34ff,

title = "Health-related quality of life in children under treatment for overweight, obesity or severe obesity: a cross-sectional study in the Netherlands",

abstract = "Background: It is unknown whether weight class is associated with impairment of health-related quality of life (HRQOL) for children in the Netherlands. The aim of this study was to explore generic and weight-specific HRQOL in a clinical cohort of children with overweight, obesity or severe obesity aged 5–19 years in the Netherlands. Methods: 803 children from three clinical cohorts participated: mean age 11.5 (SD 2.9) years, 61.1% girls. The influence of weight class was explored in a subgroup of 425 children (25.2% with overweight, 32.5% obesity and 42.3% severe obesity), of whom the exact International Obesity Task Force (IOTF) BMI class was known. Generic HRQOL was measured by the PedsQL child report. Weight-specific HRQOL was measured by the IWQOL-Kids child or parent report. Average total, subscale and item scores were reported and the influence of the IOTF BMI class analyzed by multiple linear regression, corrected for age and sex. Results: Children with severe obesity had lower generic and weight-specific HRQOL scores than those with obesity or overweight. IOTF BMI class was negatively associated with item scores from all subscales, especially physical, social and emotional functioning. Children with overweight reported similar HRQOL total, subscale and item scores to children with obesity. Conclusions: In the Netherlands, children treated for overweight, obesity or severe obesity experience problems on the majority of items within all subscales of generic and weight-specific HRQOL. Children with severe obesity especially report significantly more challenges due to their weight than children with obesity or overweight.",

keywords = "Europe, Overweight, Patient-reported outcome measures, Pediatric obesity, Quality of life",

author = "{van der Voorn}, Bibian and R. Camfferman and Seidell, {J. C.} and J. Halberstadt",

note = "Funding Information: We would first like to thank all children and parents who participated in this study. We also wish to thank everyone who helped us recruit children and parents for participation in this study, all professionals who have worked on the interventions of LEFF and HELIOS, and all other professionals involved. We are also thankful to Hanneke Noordam and Minke Eilander for their work on health-related quality of life in the Netherlands, and to Lamyae Boutalab and Trynke Hoekstra for their help with the analyses. Funding Information: This work was supported by the Dutch Ministry of Health, Welfare and Sport [grant no. VWS: 324043]. The funding party had no role in the study design; the collection, analysis and interpretation of data; the writing of the report; or the decision to submit the article for publication. Publisher Copyright: {\textcopyright} 2023, The Author(s).",

year = "2023",

month = apr,

day = "11",

doi = "10.1186/s12887-023-03973-8",

language = "English",

volume = "23",

pages = "1--10",

journal = "BMC Pediatrics",

issn = "1471-2431",

publisher = "BioMed Central",

}

TY - JOUR

T1 - Health-related quality of life in children under treatment for overweight, obesity or severe obesity

T2 - a cross-sectional study in the Netherlands

AU - van der Voorn, Bibian

AU - Camfferman, R.

AU - Seidell, J. C.

AU - Halberstadt, J.

N1 - Funding Information: We would first like to thank all children and parents who participated in this study. We also wish to thank everyone who helped us recruit children and parents for participation in this study, all professionals who have worked on the interventions of LEFF and HELIOS, and all other professionals involved. We are also thankful to Hanneke Noordam and Minke Eilander for their work on health-related quality of life in the Netherlands, and to Lamyae Boutalab and Trynke Hoekstra for their help with the analyses. Funding Information: This work was supported by the Dutch Ministry of Health, Welfare and Sport [grant no. VWS: 324043]. The funding party had no role in the study design; the collection, analysis and interpretation of data; the writing of the report; or the decision to submit the article for publication. Publisher Copyright: © 2023, The Author(s).

PY - 2023/4/11

Y1 - 2023/4/11

N2 - Background: It is unknown whether weight class is associated with impairment of health-related quality of life (HRQOL) for children in the Netherlands. The aim of this study was to explore generic and weight-specific HRQOL in a clinical cohort of children with overweight, obesity or severe obesity aged 5–19 years in the Netherlands. Methods: 803 children from three clinical cohorts participated: mean age 11.5 (SD 2.9) years, 61.1% girls. The influence of weight class was explored in a subgroup of 425 children (25.2% with overweight, 32.5% obesity and 42.3% severe obesity), of whom the exact International Obesity Task Force (IOTF) BMI class was known. Generic HRQOL was measured by the PedsQL child report. Weight-specific HRQOL was measured by the IWQOL-Kids child or parent report. Average total, subscale and item scores were reported and the influence of the IOTF BMI class analyzed by multiple linear regression, corrected for age and sex. Results: Children with severe obesity had lower generic and weight-specific HRQOL scores than those with obesity or overweight. IOTF BMI class was negatively associated with item scores from all subscales, especially physical, social and emotional functioning. Children with overweight reported similar HRQOL total, subscale and item scores to children with obesity. Conclusions: In the Netherlands, children treated for overweight, obesity or severe obesity experience problems on the majority of items within all subscales of generic and weight-specific HRQOL. Children with severe obesity especially report significantly more challenges due to their weight than children with obesity or overweight.

AB - Background: It is unknown whether weight class is associated with impairment of health-related quality of life (HRQOL) for children in the Netherlands. The aim of this study was to explore generic and weight-specific HRQOL in a clinical cohort of children with overweight, obesity or severe obesity aged 5–19 years in the Netherlands. Methods: 803 children from three clinical cohorts participated: mean age 11.5 (SD 2.9) years, 61.1% girls. The influence of weight class was explored in a subgroup of 425 children (25.2% with overweight, 32.5% obesity and 42.3% severe obesity), of whom the exact International Obesity Task Force (IOTF) BMI class was known. Generic HRQOL was measured by the PedsQL child report. Weight-specific HRQOL was measured by the IWQOL-Kids child or parent report. Average total, subscale and item scores were reported and the influence of the IOTF BMI class analyzed by multiple linear regression, corrected for age and sex. Results: Children with severe obesity had lower generic and weight-specific HRQOL scores than those with obesity or overweight. IOTF BMI class was negatively associated with item scores from all subscales, especially physical, social and emotional functioning. Children with overweight reported similar HRQOL total, subscale and item scores to children with obesity. Conclusions: In the Netherlands, children treated for overweight, obesity or severe obesity experience problems on the majority of items within all subscales of generic and weight-specific HRQOL. Children with severe obesity especially report significantly more challenges due to their weight than children with obesity or overweight.

KW - Europe

KW - Overweight

KW - Patient-reported outcome measures

KW - Pediatric obesity

KW - Quality of life

UR - http://www.scopus.com/inward/record.url?scp=85152095411&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85152095411&partnerID=8YFLogxK

U2 - 10.1186/s12887-023-03973-8

DO - 10.1186/s12887-023-03973-8

M3 - Article

C2 - 37038145

AN - SCOPUS:85152095411

SN - 1471-2431

VL - 23

SP - 1

EP - 10

JO - BMC Pediatrics

JF - BMC Pediatrics

M1 - 167

ER -

Health-related quality of life in children under treatment for overweight, obesity or severe obesity: a cross-sectional study in the Netherlands

Abstract

Bibliographical note

Keywords

UN SDGs

Access to Document

Persistent URL (handle)

Other files and links

Fingerprint

Cite this