KMID : 0605620150220030128
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Journal of Korean Society of Biological Psychiatry 2015 Volume.22 No. 3 p.128 ~ p.134
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Impact of Obesity on Health-Related Quality of Life among Children
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Kwon Yon-Jung
Jeong Jo-Eun Huh Hyu-Jung Cho Hyun Kim Dai-Jin
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Abstract
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Objectives : To examine the relationship between health-related quality of life (HRQoL) and body mass index (BMI) of obese children.
Methods : This cross-sectional study included 387 children. HRQoL was measured with the PedsQLTM 4.0 Generic Core Scale. BMI was classified according to the World Health Organization Asia-Pacific obesity guidelines. Psychosocial factors (body image, self-esteem, and depression/anxiety) were also measured. Data were analyzed using one-way analysis of variance, Pearson¡¯s correlation and Path analysis.
Results : Obese participants reported lower score for physical evaluation, self-esteem, appearance evaluation component of body image, total HRQoL score, and physical/emotional/social function components of HRQoL ; they reported higher score for depression/anxiety. In addition, results indicated that as BMI increased, appearance evaluation, total HRQoL score, and social function component of HRQoL dropped. Path analysis revealed that BMI did not directly affect HRQoL ; however, BMI directly affects body image and self-esteem, indirectly mediates depression/anxiety, and thereby impacts on an individual¡¯s HRQoL.
Conclusions : Body image and self-esteem, rather than BMI itself, have more influence on HRQoL. This reinforces the importance of therapeutic intervention to enhance body image and self-esteem among obese children.
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KEYWORD
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Childhood obesity, Health-related quality of life, Body image, Self-esteem
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