Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Health and Quality of Life Outcomes
Published in: Health and Quality of Life Outcomes 1/2019

Open Access 01-12-2019 | Obesity | Research

Weight associated factors in relation to health-related quality of life (HRQoL) in Iranian adolescents

Authors: Sara Jalali-Farahani, Behnood Abbasi, Mahdis Daniali

Published in: Health and Quality of Life Outcomes | Issue 1/2019

Login to get access

Abstract

Objective

This study aimed to explore body weight factors associated with HRQoL of Iranian adolescents.

Methods

A total of 584 adolescents (12–18 years) were included in this cross-sectional study. Participants were selected using a multi-stage sampling method from schools located in Isfahan city in Iran. Body weight, height and waist circumference of adolescents were measured according to standard protocol and body mass index-for-age was determined using Anthroplus software. Adolescents completed a set of self-administered questionnaires which included questions about perceptions of adolescents regarding their body weight status and adolescents’ satisfaction regarding their body weight. To assess HRQoL, adolescents completed the Iranian version of the Pediatric Quality of Life Inventory™ version 4.0 (PedsQL™ 4.0).

Results

The mean age of participants was 15.1 ± 1.3 years. The overall prevalence of overweight and obesity were higher in boys compared to girls (34.5 vs. 26.7% respectively). More boys (49.5%) had incorrect perceptions regarding their body weight status compared to girls (37.0%), and more girls (39.0%) were dissatisfied with their body weight compared to boys (28.8%). HRQoL scores were not significantly different among body weight status groups except for significantly lower physical functioning scores in underweight adolescents compared to their counterparts (p = 0.049; power = 64%). Based on perception of body weight status, only boys who perceived themselves as underweight or overweight reported lower scores in different subscales of HRQoL compared to those who perceived themselves as normal weight (p < 0.05; power > 85%). In girls, body weight dissatisfaction was significantly associated with poorer HRQoL in psychosocial dimensions, while in boys, body weight dissatisfaction was significantly associated with poorer HRQoL in physical and social functioning subscales (p < 0.05; power > 85%).

Conclusion

In conclusion, impairment in HRQoL mainly depends on adolescents’ perception and dissatisfaction regarding their body weight and less on their actual body weight status. These findings implying that more attention should be paid to body image as an important target for interventions aiming at promoting HRQoL during early years of life.
Literature
1.
Michel G, Bisegger C, Fuhr DC, Abel T. Age and gender differences in health-related quality of life of children and adolescents in Europe: a multilevel analysis. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2009;18(9):1147–57.CrossRef
2.
von Rueden U, Gosch A, Rajmil L, Bisegger C, Ravens-Sieberer U. Socioeconomic determinants of health related quality of life in childhood and adolescence: results from a European study. J Epidemiol Community Health. 2006;60(2):130–5.CrossRef
3.
Varni JW, Limbers CA, Burwinkle TM. Impaired health-related quality of life in children and adolescents with chronic conditions: a comparative analysis of 10 disease clusters and 33 disease categories/severities utilizing the PedsQL 4.0 generic Core scales. Health Qual Life Outcomes. 2007;5:43.CrossRef
4.
Nieman P, Leblanc CM. Psychosocial aspects of child and adolescent obesity. Paediatr Child Health. 2012;17(4):205–8.CrossRef
5.
Halfon N, Larson K, Slusser W. Associations between obesity and comorbid mental health, developmental, and physical health conditions in a nationally representative sample of US children aged 10 to 17. Acad Pediatr. 2013;13(1):6–13.CrossRef
6.
Ottova V, Erhart M, Rajmil L, Dettenborn-Betz L, Ravens-Sieberer U. Overweight and its impact on the health-related quality of life in children and adolescents: results from the European KIDSCREEN survey. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2012;21(1):59–69.CrossRef
7.
Riazi A, Shakoor S, Dundas I, Eiser C, McKenzie SA. Health-related quality of life in a clinical sample of obese children and adolescents. Health Qual Life Outcomes. 2010;8:134.CrossRef
8.
Pinhas-Hamiel O, Singer S, Pilpel N, Fradkin A, Modan D, Reichman B. Health-related quality of life among children and adolescents: associations with obesity. International journal of obesity (2005). 2006;30(2):267–72.CrossRef
9.
Lee PY, Cheah W, Chang CT, Siti Raudzah G. Childhood obesity, self-esteem and health-related quality of life among urban primary schools children in Kuching, Sarawak, Malaysia. Malays J Nutr. 2012;18(2):207–19.PubMed
10.
Boodai SA, Reilly JJ. Health related quality of life of obese adolescents in Kuwait. BMC Pediatr. 2013;13:105.CrossRef
11.
Petersen S, Moodie M, Mavoa H, Waqa G, Goundar R, Swinburn B. Relationship between overweight and health-related quality of life in secondary school children in Fiji: results from a cross-sectional population-based study. Int J Obes. 2014;38(4):539–46.CrossRef
12.
Mond J, Van den Berg P, Boutelle K, Hannan P, Neumark-Sztainer D. Obesity, body dissatisfaction, and emotional well-being in early and late adolescence: findings from the project EAT study. J Adolesc Health. 2011;48(4):373–8.CrossRef
13.
Wallander JL, Taylor WC, Grunbaum JA, Franklin FA, Harrison GG, Kelder SH, Schuster MA. Weight status, quality of life, and self-concept in African American, Hispanic, and white fifth-grade children. Obesity (Silver Spring, Md). 2009;17(7):1363–8.
14.
Kurth B-M, Ellert U. Gefühltes oder tatsächliches Übergewicht: Worunter leiden Jugendliche mehr? Ergebnisse des Kinder-und Jugendgesundheitssurveys KiGGS; 2008.
15.
Kurth BM, Ellert U. Perceived or true obesity: which causes more suffering in adolescents? Findings of the German health interview and examination survey for children and adolescents (KiGGS). Deutsches Arzteblatt international. 2008;105(23):406–12.PubMedPubMedCentral
16.
Richards MH, Boxer AW, Petersen AC, Albrecht R. Relation of weight to body image in pubertal girls and boys from two communities. Dev Psychol. 1990;26(2):313.CrossRef
17.
Presnell K, Bearman SK, Stice E. Risk factors for body dissatisfaction in adolescent boys and girls: a prospective study. Int J Eat Disord. 2004;36(4):389–401.CrossRef
18.
Gandhi PK, Revicki DA, Huang I-C. Adolescent body weight and health-related quality of life rated by adolescents and parents: the issue of measurement bias. BMC Public Health. 2015;15(1):1192.CrossRef
19.
Grogan S. Body image: understanding body dissatisfaction in men, women and children. London: Routledge; 2016.
20.
Neumark-Sztainer D, Hannan PJ. Weight-related behaviors among adolescent girls and boys: results from a national survey. Archives of pediatrics & adolescent medicine. 2000;154(6):569–77.CrossRef
21.
Jalali-Farahani S, Chin YS, Amiri P, Mohd Taib MN. Body mass index (BMI)-for-age and health-related quality of life (HRQOL) among high school students in Tehran. Child Care Health Dev. 2014;40(5):731–9.CrossRef
22.
Jalali-Farahani S, Alamdari S, Karimi M, Amiri P. Is overweight associated with health-related quality of life (HRQoL) among Tehranian school children? SpringerPlus. 2016;5:313.CrossRef
23.
Heshmat R, Kelishadi R, Motamed-Gorji N, Motlagh ME, Ardalan G, Arifirad T, Rastad H, Asayesh H, Djalalinia S, Larijani B, et al. Association between body mass index and perceived weight status with self-rated health and life satisfaction in Iranian children and adolescents: the CASPIAN-III study. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2015;24(1):263–72.CrossRef
24.
World Health Organization: Waist circumference and waist-hip ratio: report of a WHO expert consultation, Geneva, 8–11 December 2008. 2011.
25.
Varni JW, Seid M, Kurtin PS. PedsQL 4.0: reliability and validity of the pediatric quality of life inventory version 4.0 generic core scales in healthy and patient populations. Med Care. 2001;39(8):800–12.CrossRef
26.
Amiri P, E MA, Jalali-Farahani S, Hosseinpanah F, Varni JW, Ghofranipour F, Montazeri A, Azizi F. Reliability and validity of the Iranian version of the pediatric quality of life inventory 4.0 generic Core scales in adolescents. Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation. 2010;19(10):1501–8.CrossRef
27.
Heidari K, Minasian V, Marandi SM, Kelishadi R, Khalighinejad P, Davari H. Prevalence of obesity and overweight in 12-14-year-old students in Isfahan-Iran. Int J Prev Med. 2014;5(Suppl 2):S120–5.CrossRef
28.
Fisher JO, Birch LL. Restricting access to foods and children's eating. Appetite. 1999;32(3):405–19.CrossRef
29.
Gubbels JS, Kremers SP, Stafleu A, de Vries SI, Goldbohm RA, Dagnelie PC, de Vries NK, van Buuren S, Thijs C. Association between parenting practices and children's dietary intake, activity behavior and development of body mass index: the KOALA birth cohort study. Int J Behav Nutr Phys Act. 2011;8(1):18.CrossRef
30.
Tiggemann M, Lowes J. Predictors of maternal control over children's eating behaviour. Appetite. 2002;39(1):1–7.CrossRef
31.
Crespo CJ, Smit E, Troiano RP, Bartlett SJ, Macera CA, Andersen RE. Television watching, energy intake, and obesity in US children: results from the third National Health and nutrition examination survey, 1988-1994. Archives of pediatrics & adolescent medicine. 2001;155(3):360–5.CrossRef
32.
Al Sabbah H, Vereecken CA, Elgar FJ, Nansel T, Aasvee K, Abdeen Z, Ojala K, Ahluwalia N, Maes L. Body weight dissatisfaction and communication with parents among adolescents in 24 countries: international cross-sectional survey. BMC Public Health. 2009;9:52.CrossRef
33.
Tsiros MD, Olds T, Buckley JD, Grimshaw P, Brennan L, Walkley J, Hills AP, Howe PR, Coates AM. Health-related quality of life in obese children and adolescents. International journal of obesity (2005). 2009;33(4):387–400.CrossRef
34.
Gopinath B, Baur LA, Burlutsky G, Mitchell P. Adiposity adversely influences quality of life among adolescents. The Journal of adolescent health : official publication of the Society for Adolescent Medicine. 2013;52(5):649–53.CrossRef
35.
Laxy M, Teuner C, Holle R, Kurz C. The association between BMI and health-related quality of life in the US population: sex, age and ethnicity matters. Int J Obes. 2018;42(3):318–26.CrossRef
36.
de Wit LM, van Straten A, van Herten M, Penninx BW, Cuijpers P. Depression and body mass index, a u-shaped association. BMC Public Health. 2009;9:14.CrossRef
37.
Abdel-Aziz EA, Hamza RT, Youssef AM, Mohammed FM. Health related quality of life and psychological problems in Egyptian children with simple obesity in relation to body mass index. Egyptian Journal of Medical Human Genetics. 2014;15(2):149–54.CrossRef
38.
Kesztyus D, Schreiber A, Kobel S, Wartha O, Kesztyus T, Kilian R, Steinacker JM: Illness and determinants of health-related quality of life in a cross-sectional sample of schoolchildren in different weight categories. German medical science : GMS e-journal 2014, 12:Doc04.
39.
Makkes S, Renders CM, Bosmans JE, Van der Baan-Slootweg OH, Seidell JC. Cardiometabolic risk factors and quality of life in severely obese children and adolescents in the Netherlands. BMC Pediatr. 2013;13:62.CrossRef
40.
Kostanski M, Fisher A, Gullone E. Current conceptualisation of body image dissatisfaction: have we got it wrong? Journal of child psychology and psychiatry, and allied disciplines. 2004;45(7):1317–25.CrossRef
41.
Austin SB, Haines J, Veugelers PJ. Body satisfaction and body weight: gender differences and sociodemographic determinants. BMC Public Health. 2009;9:313.CrossRef
42.
Dion J, Blackburn ME, Auclair J, Laberge L, Veillette S, Gaudreault M, Vachon P, Perron M, Touchette E. Development and aetiology of body dissatisfaction in adolescent boys and girls. Int J Adolesc Youth. 2015;20(2):151–66.CrossRef
43.
Paxton SJ, Neumark-Sztainer D, Hannan PJ, Eisenberg ME. Body dissatisfaction prospectively predicts depressive mood and low self-esteem in adolescent girls and boys. J Clin Child Adolesc Psychol. 35(4):539–49.
44.
Ozmen D, Ozmen E, Ergin D, Cetinkaya AC, Sen N, Dundar PE, Taskin EO. The association of self-esteem, depression and body satisfaction with obesity among Turkish adolescents. BMC Public Health. 2007;7:80.CrossRef
45.
Webb HJ, Zimmer-Gembeck MJ. The role of friends and peers in adolescent body dissatisfaction: a review and critique of 15 years of research. J Res Adolesc. 2014;24(4):564–90.CrossRef
46.
Clay D, Vignoles VL, Dittmar H. Body image and self-esteem among adolescent girls: testing the influence of sociocultural factors. J Res Adolesc. 2005;15(4):451–77.CrossRef
47.
Yates A, Edman J, Aruguete M. Ethnic differences in BMI and body/self-dissatisfaction among whites, Asian subgroups, Pacific islanders, and African-Americans. J Adolesc Health. 2004;34(4):300–7.CrossRef
48.
Newman DL, Moffitt TE, Caspi A, Magdol L, Silva PA, Stanton WR. Psychiatric disorder in a birth cohort of young adults: prevalence, comorbidity, clinical significance, and new case incidence from ages 11 to 21. J Consult Clin Psychol. 1996;64(3):552.CrossRef
49.
Stice E, Shaw HE. Role of body dissatisfaction in the onset and maintenance of eating pathology: a synthesis of research findings. J Psychosom Res. 2002.
Metadata
Title
Weight associated factors in relation to health-related quality of life (HRQoL) in Iranian adolescents
Authors
Sara Jalali-Farahani
Behnood Abbasi
Mahdis Daniali
Publication date
01-12-2019
Publisher
BioMed Central
Published in
Health and Quality of Life Outcomes / Issue 1/2019
Electronic ISSN: 1477-7525
DOI
https://doi.org/10.1186/s12955-018-1074-9

Other articles of this Issue 1/2019

Health and Quality of Life Outcomes 1/2019 Go to the issue

Research

Well-being and health-related quality of life in new-generation migrant workers in Zhejiang province, China

Research

Measurement equivalence of the English, Chinese and Malay versions of the World Health Organization quality of life (WHOQOL-BREF) questionnaires

Research

Idelalisib addition has neutral to beneficial effects on quality of life in bendamustine/rituximab-treated patients: results of a phase 3, randomized, controlled trial

Research

Investigation of swallowing function and swallowing-related quality of life after partial laryngectomy in Chinese patients with laryngeal carcinoma

Research

The collaboration and reporting quality of social welfare systematic reviews in the Campbell Collaboration online library

Research

Validation of the Italian version of the abbreviated expanded prostate Cancer index composite (EPIC-26) in men with prostate Cancer