TY - JOUR
T1 - Health-related quality of life in overweight and nonoverweight black and white adolescents
AU - Fallon, Erica M.
AU - Tanofsky-Kraff, Marian
AU - Norman, Anne Caroline
AU - McDuffie, Jennifer R.
AU - Taylor, Erica D.
AU - Cohen, Marc L.
AU - Young-Hyman, Deborah
AU - Keil, Margaret
AU - Kolotkin, Ronette L.
AU - Yanovski, Jack A.
PY - 2005/10
Y1 - 2005/10
N2 - Objectives: To assess the impact of obesity on quality of life (QOL) in black and white adolescents. Study design: One hundred ten overweight (body mass index [BMI], 41.7 ± 8.9 kg/m 2) and 34 nonoverweight adolescents (BMI, 20.6 ± 2.9 kg/m 2) and their parents completed measures of QOL. Results: Overweight was associated with poorer adolescent-reported QOL and parent reports of their children's QOL. Examining groups by weight status and race, overweight whites reported the greatest impairment on Social/Interpersonal, Self-Esteem, and Physical Appearance QOL (all P < .01), whereas parents of overweight blacks reported the poorest General Health Perceptions scores regarding their children. Interactions between BMI z-score and race were detected for Social/Interpersonal, Self-esteem, Daily Living, Self-Efficacy, Self-regard, and Physical Appearance QOL (all P < .05): Higher BMI in whites was associated with greater impairments in QOL than in blacks. Parents reported similar relations for their children. Conclusions: According to adolescent and parent reports, overweight is associated with poorer QOL in adolescence, regardless of race; however, compared with overweight white adolescents, blacks report less impairment in QOL. Future research is required to determine whether differences in QOL are predictive of treatment success.
AB - Objectives: To assess the impact of obesity on quality of life (QOL) in black and white adolescents. Study design: One hundred ten overweight (body mass index [BMI], 41.7 ± 8.9 kg/m 2) and 34 nonoverweight adolescents (BMI, 20.6 ± 2.9 kg/m 2) and their parents completed measures of QOL. Results: Overweight was associated with poorer adolescent-reported QOL and parent reports of their children's QOL. Examining groups by weight status and race, overweight whites reported the greatest impairment on Social/Interpersonal, Self-Esteem, and Physical Appearance QOL (all P < .01), whereas parents of overweight blacks reported the poorest General Health Perceptions scores regarding their children. Interactions between BMI z-score and race were detected for Social/Interpersonal, Self-esteem, Daily Living, Self-Efficacy, Self-regard, and Physical Appearance QOL (all P < .05): Higher BMI in whites was associated with greater impairments in QOL than in blacks. Parents reported similar relations for their children. Conclusions: According to adolescent and parent reports, overweight is associated with poorer QOL in adolescence, regardless of race; however, compared with overweight white adolescents, blacks report less impairment in QOL. Future research is required to determine whether differences in QOL are predictive of treatment success.
UR - http://www.scopus.com/inward/record.url?scp=26844490166&partnerID=8YFLogxK
U2 - 10.1016/j.jpeds.2005.05.039
DO - 10.1016/j.jpeds.2005.05.039
M3 - Article
C2 - 16227028
AN - SCOPUS:26844490166
SN - 0022-3476
VL - 147
SP - 443
EP - 450
JO - Journal of Pediatrics
JF - Journal of Pediatrics
IS - 4
ER -