Weight Misperception and Health-Related Quality of Life in Appalachian Adolescents in the United States
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Weight Misperception and Health-Related Quality of Life in Appalachian Adolescents in the United States Jodi L. Southerland1 • Liang Wang2 • Deborah L. Slawson1
Ó Springer Science+Business Media New York 2016
Abstract Introduction There is limited research on the relation between weight misperceptions and health-related quality of life (HRQoL) among U.S. adolescents. Methods Baseline data (n = 1509) collected in 2012 from the Team Up for Healthy Living project were used. Measures included BMI percentiles calculated from measured height and weight; self-perception of weight status; and the 23-item PedsQLTM Inventory. Multiple linear regression was performed after adjustment for covariates to examine associations between weight misperception and HRQoL. Results Compared to accurate weight perception, weight underestimation was associated with higher total HRQoL (b = 2.41), physical health (b = 2.77), and emotional (b = 2.83), social (b = 2.47) and psychosocial functioning (b = 2.38) (all p \ 0.05). Weight overestimation was associated with lower social functioning (b = -13.13, p \ 0.05). Stratified by gender, associations were observed only in males. Discussion Weight underestimation had greater association with HRQoL than weight overestimation; and varied by gender. Better understanding of these
& Jodi L. Southerland [email protected] Liang Wang [email protected] Deborah L. Slawson [email protected] 1
Department of Community and Behavioral Health, College of Public Health, East Tennessee State University, P.O. Box 70674, Johnson City, TN 37614, USA
2
Department of Biostatistics and Epidemiology, College of Public Health, East Tennessee State University, P.O. Box 70259, Johnson City, TN 37614, USA
associations will assist in improving the health of adolescents in Southern Appalachia. Keywords Weight perception Quality of life Adolescents Cross-sectional
Significance What is already known on this subject? There is limited research on the relationship between weight misperception and health-related quality of life (HRQoL) among adolescents. The few studies that exist were conducted among obese adolescents or non-U.S. samples. These studies have yielded mixed results. What this study adds? This study uses a non-clinical sample of U.S. adolescents to assess associations between weight misperception and HRQoL. In contrast to prior research, our study found minimal support for the relationship between weight overestimation and HRQoL. Rather, we found a significant, positive association between weight underestimation and dimensions of HRQoL. Stratified by gender, these associations were observed only in adolescent males.
Introduction The prevalence of adolescent obesity has reached epidemic proportions in the U.S. and disparities persist across racial and socioeconomic categories (Martin et al. 2014; Ogden et al. 2014). Health-related quality of life (HRQoL) is important for assessing the disease burden of obesity on an individual’s perceived physical and mental health (CDC 2014; Ul-Haq et al. 2013). From a t
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