Health-Related Quality of Life in Obese Children and Adolescents
Prosperity is accompanied by a rapidly increasing prevalence of overweight and obesity, especially among children and adolescents. This has major implications for the occurrence of cardiovascular (e.g., hypertension, stroke) and metabolic (e.g., insulin r
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Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2504
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Concepts and Definitions of HRQOL Instruments for Children and Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2505 2.1 Generic HRQOL Measures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2505 2.2 (Disease) Specific Instruments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2507 3 Obesity and HRQOL in Children and Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2508 3.1 Summary of Effect of Interventions on HRQOL of Obese Children and Adolescents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2510 4
Directions for Further Research . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2513 Summary Points . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2514
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Springer Science+Business Media LLC 2010 (USA)
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Health-Related Quality of Life in Obese Children and Adolescents
Abstract: Prosperity is accompanied by a rapidly increasing prevalence of overweight and obesity, especially among children and adolescents. This has major implications for the occurrence of cardiovascular (e.g., hypertension, stroke) and metabolic (e.g., insulin resistance and dyslipidemia) diseases in adulthood, not only regarding their prevalence but also as they increasingly occur at a relatively younger (adult of even adolescent) age. Obesity is not only responsible for these slowly and sub clinically presenting somatic conditions but is also closely associated with development of adverse psychological and social conditions. This burden of obesity has both short and long term effects while children and adolescents are particularly vulnerable for adverse psychosocial consequences. Health related quality of life is a concept that enables to assess overall well-being in large groups of healthy subjects and those with a (acute or chronic) condition. In this chapter the concepts of measuring health related quality of life in children and adolescents will be reviewed followed by the introduction and discussion of generic and condition (obesity) specific measures for assessment of health related quality of life. Subsequently the relation of obesity with (impairment of) health related quality of life will be reviewed by a number of relevant studies. Rather than to provide an exhaustive review we sought to provide a representative sample of studies that (1) were methodologically sound; (2) comprised an adequate sample size; (3) comprised individuals across a broad range of relative body weight (body mass index, > BMI [kg/m2];) and (
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