Assessing Weight-related Quality of Life in Adolescents

Overview

Journal Obesity (Silver Spring)

Specialties Endocrinology
Nutritional Sciences
Physiology

Date 2006 May 2

PMID 16648616

Citations 88

Authors

Ronette L Kolotkin

Meg Zeller

Avani C Modi

Gregory P Samsa

Nicole Polanichka Quinlan

Jack A Yanovski

Stephen K Bell

David M Maahs

Daniela Gonzales de Serna

Helmut R Roehrig

Affiliations

Soon will be listed here.

Abstract

Objective: The development of a new weight-related measure to assess quality of life in adolescents [Impact of Weight on Quality of Life (IWQOL)-Kids] is described.

Research Methods And Procedures: Using a literature search, clinical experience, and consultation with pediatric clinicians, 73 items were developed, pilot tested, and administered to 642 participants, 11 to 19 years old, recruited from weight loss programs/studies and community samples (mean z-BMI, 1.5; range, -1.2 to 3.4; mean age, 14.0; 60% female; 56% white). Participants completed the 73 items and the Pediatric Quality of Life Inventory and were weighed and measured.

Results: Four factors (27 items) were identified (physical comfort, body esteem, social life, and family relations), accounting for 71% of the variance. The IWQOL-Kids demonstrated excellent psychometric properties. Internal consistency coefficients ranged from 0.88 to 0.95 for scales and equaled 0.96 for total score. Convergent validity was demonstrated with strong correlations between IWQOL-Kids total score and the Pediatric Quality of Life Inventory (r = 0.76, p < 0.0001). Significant differences were found across BMI groups and between clinical and community samples, supporting the sensitivity of this measure. Participants in a weight loss camp demonstrated improved IWQOL-Kids scores, suggesting responsiveness of the IWQOL-Kids to weight loss/social support intervention.

Discussion: The present study provides preliminary evidence regarding the psychometric properties of the IWQOL-Kids, a weight-related quality of life measure for adolescents. Given the rise of obesity in youth, the development of a reliable and valid weight-related measure of quality of life is timely.

Citing Articles

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Li Y, Jin X, Weng Y, Edwards T, Jiang X, Chen Y Patient Prefer Adherence. 2023; 17:2295-2309.

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References

Neumark-Sztainer D, Story M, Faibisch L . Perceived stigmatization among overweight African-American and Caucasian adolescent girls. J Adolesc Health. 1998; 23(5):264-70. DOI: 10.1016/s1054-139x(98)00044-5. View

Duffy C, Arsenault L, Duffy K, Paquin J, STRAWCZYNSKI H . The Juvenile Arthritis Quality of Life Questionnaire--development of a new responsive index for juvenile rheumatoid arthritis and juvenile spondyloarthritides. J Rheumatol. 1997; 24(4):738-46. View

Jolliffe D . Extent of overweight among US children and adolescents from 1971 to 2000. Int J Obes Relat Metab Disord. 2003; 28(1):4-9. DOI: 10.1038/sj.ijo.0802421. View

Pearce M, Boergers J, Prinstein M . Adolescent obesity, overt and relational peer victimization, and romantic relationships. Obes Res. 2002; 10(5):386-93. DOI: 10.1038/oby.2002.53. View

Ogden C, Flegal K, Carroll M, Johnson C . Prevalence and trends in overweight among US children and adolescents, 1999-2000. JAMA. 2002; 288(14):1728-32. DOI: 10.1001/jama.288.14.1728. View

Isnard P, Michel G, Frelut M, Vila G, Falissard B, Naja W . Binge eating and psychopathology in severely obese adolescents. Int J Eat Disord. 2003; 34(2):235-43. DOI: 10.1002/eat.10178. View

Katz D, McHorney C, Atkinson R . Impact of obesity on health-related quality of life in patients with chronic illness. J Gen Intern Med. 2000; 15(11):789-96. PMC: 1495614. DOI: 10.1046/j.1525-1497.2000.90906.x. View

Hell E, Miller K, Moorehead M, Norman S . Evaluation of health status and quality of life after bariatric surgery: comparison of standard Roux-en-Y gastric bypass, vertical banded gastroplasty and laparoscopic adjustable silicone gastric banding. Obes Surg. 2000; 10(3):214-9. DOI: 10.1381/096089200321643485. View

Barofsky I, Fontaine K, Cheskin L . Pain in the obese: impact on health-related quality-of-life. Ann Behav Med. 1998; 19(4):408-10. DOI: 10.1007/BF02895160. View

10.

Ravens-Sieberer U, Bullinger M . Assessing health-related quality of life in chronically ill children with the German KINDL: first psychometric and content analytical results. Qual Life Res. 1998; 7(5):399-407. DOI: 10.1023/a:1008853819715. View

11.

Choban P, Onyejekwe J, Burge J, Flancbaum L . A health status assessment of the impact of weight loss following Roux-en-Y gastric bypass for clinically severe obesity. J Am Coll Surg. 1999; 188(5):491-7. DOI: 10.1016/s1072-7515(99)00030-7. View

12.

Whitaker R, Dietz W . Role of the prenatal environment in the development of obesity. J Pediatr. 1998; 132(5):768-76. DOI: 10.1016/s0022-3476(98)70302-6. View

13.

Israel A, Shapiro L . Behavior problems of obese children enrolling in a weight reduction program. J Pediatr Psychol. 1985; 10(4):449-60. DOI: 10.1093/jpepsy/10.4.449. View

14.

Kolotkin R, Westman E, Ostbye T, Crosby R, Eisenson H, Binks M . Does binge eating disorder impact weight-related quality of life?. Obes Res. 2004; 12(6):999-1005. DOI: 10.1038/oby.2004.122. View

15.

Swallen K, Reither E, Haas S, Meier A . Overweight, obesity, and health-related quality of life among adolescents: the National Longitudinal Study of Adolescent Health. Pediatrics. 2005; 115(2):340-7. DOI: 10.1542/peds.2004-0678. View

16.

Modi A, Quittner A . Validation of a disease-specific measure of health-related quality of life for children with cystic fibrosis. J Pediatr Psychol. 2003; 28(8):535-45. DOI: 10.1093/jpepsy/jsg044. View

17.

Strauss R . Childhood obesity and self-esteem. Pediatrics. 2000; 105(1):e15. DOI: 10.1542/peds.105.1.e15. View

18.

Kolotkin R, Head S, Hamilton M, Tse C . Assessing Impact of Weight on Quality of Life. Obes Res. 1995; 3(1):49-56. DOI: 10.1002/j.1550-8528.1995.tb00120.x. View

19.

Brown W, Dobson A, Mishra G . What is a healthy weight for middle aged women?. Int J Obes Relat Metab Disord. 1998; 22(6):520-8. DOI: 10.1038/sj.ijo.0800617. View

20.

Varni J, Seid M, Kurtin P . 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. DOI: 10.1097/00005650-200108000-00006. View