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Parental perception of child health status and quality of life associated with overweight and obesity in early childhood

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Abstract

Purpose

The aim was to assess perceived health status and health-related quality of life (HRQL) according to persistence of and variation in weight status among children from the age of 4 to 6 years.

Methods

Longitudinal study of 1883 participants in the ELOIN cohort (Madrid Region, Spain), with physical examination at ages 4 and 6 years. Perceived health status and HRQL were assessed using parent-reported Kidscreen-10 scores, with excess weight being defined on the basis of body mass index (BMI) using the WHO reference tables (z-BMI > 1 standard deviation), and abdominal obesity being defined on the basis of waist circumference (percentile ≥ 90) using the tables proposed by Fernández et al. Variation in these two parameters at age 6 years was associated with incident cases of suboptimal health by logistic regression, and with HRQL by linear regression.

Results

Compared to children without excess weight or abdominal obesity in both periods, incident cases of excess weight or abdominal obesity had odds ratios (ORs) of suboptimal health of 2.41 (95% CI 1.21 to 4.80) and 2.99 (95% CI 1.31 to 6.84) respectively. In terms of HRQL, children with remission of excess weight had a higher Kidscreen-10 score: β coefficient = 2.02 (95% CI 0.36 to 3.68), whereas new cases of abdominal obesity had a lower Kidscreen-10 score: β = − 2.22 (95% CI − 4.40 to − 0.03).

Conclusions

Incident cases of excess weight and abdominal obesity had a higher risk of suboptimal health. Incident cases of abdominal obesity were also associated with worse HRQL.

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Acknowledgements

We would like to thank all the following participants: the families; the paediatricians belonging to the Madrid Regional Sentinel Primary-care Physician Network and the staff of Demométrica SL and Sondaxe SL who conducted the family interviews.

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Authors and Affiliations

  1. Centro Nacional de Epidemiología, Instituto de Salud Carlos III, c/Monforte de Lemos 5, 28029, Madrid, Spain

    Maira Alejandra Ortiz-Pinto & Iñaki Galán

  2. Departamento de Medicina Preventiva y Salud Pública, Universidad Autónoma de Madrid/IdiPaz, Madrid, Spain

    Maira Alejandra Ortiz-Pinto & Iñaki Galán

  3. Departamento de Salud Pública, Universidad del Norte, Barranquilla, Colombia

    Maira Alejandra Ortiz-Pinto

  4. Servicio de Epidemiología, Consejería de Sanidad, Madrid, Spain

    Honorato Ortiz-Marrón & José I. Cuadrado-Gamarra

  5. Consejería de Sanidad, Centro de Salud Guadarrama, Madrid, Spain

    Ana Rodríguez-Rodríguez

  6. Consejería de Sanidad, Centro de Salud San Blas, Madrid, Spain

    Laura Casado-Sánchez

Authors
  1. Maira Alejandra Ortiz-Pinto
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  2. Honorato Ortiz-Marrón
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  3. Ana Rodríguez-Rodríguez
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  4. Laura Casado-Sánchez
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  5. José I. Cuadrado-Gamarra
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  6. Iñaki Galán
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Corresponding author

Correspondence to Iñaki Galán.

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Conflict of interest

All authors declare that they have no conflicts of interest.

Ethical approval

The study protocol was approved by the Ethics Committee of Madrid’s Ramón y Cajal Hospital, and informed consent in writing was given by the parents of all child participants.

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Ortiz-Pinto, M.A., Ortiz-Marrón, H., Rodríguez-Rodríguez, A. et al. Parental perception of child health status and quality of life associated with overweight and obesity in early childhood. Qual Life Res 29, 163–170 (2020). https://doi.org/10.1007/s11136-019-02313-7

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  • DOI: https://doi.org/10.1007/s11136-019-02313-7

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