OBJECTIVES: Adolescent obesity is linked to metabolic and cardiovascular risk, but its associations with adolescents' experienced health and morbidity are less clear. Morbidities experienced by overweight/obese adolescents and associations between morbidities and timing of overweight/obesity were examined. METHODS: Data were from the Health of Young Victorians Study (HOYVS; 1997, 2000, 2005), a school-based longitudinal study. Outcomes were blood pressure, health status (Pediatric Quality of Life Inventory 4.0 (PedsQL), global health), mental health (Strengths and Difficulties Questionnaire), psychological distress (Kessler-10), physical symptoms, sleep, asthma, dieting, and healthcare needs and visits. Regression methods assessed associations with body mass index status and timing of overweight/obesity. RESULTS: Of the 923 adolescents (20.2% overweight, 6.1% obese), 63.5% were classified as "never" overweight/obese, 8.5% as "childhood only", 7.3% as "adolescence only" and 20.8% as "persistent". Compared to non-overweight, current obesity was associated with lower PedsQL physical summary scores (mean -6.58, 95% CI -9.52 to -3.63) and good/fair/poor global health (OR 3.52, 95% CI 1.95 to 6.36), hypertension (systolic 8.86, 95% CI 4.70 to 16.71; diastolic 5.29, 95% CI 2.74 to 10.20) and dieting (OR 5.79, 95% CI 3.28 to 10.23), with intermediate associations for overweight. Associations with psychosocial morbidity were weaker and inconsistent and there were few associations with health symptoms and problems. Only dieting (OR 2.30, 95% CI 1.36 to 3.89) was associated with resolved childhood overweight/obesity. CONCLUSIONS: Despite poorer overall health, overweight/obese adolescents were not more likely to report specific problems that might prompt health intervention. Morbidity was mainly associated with concurrent, rather than earlier, overweight/obesity.
OBJECTIVES:Adolescent obesity is linked to metabolic and cardiovascular risk, but its associations with adolescents' experienced health and morbidity are less clear. Morbidities experienced by overweight/obese adolescents and associations between morbidities and timing of overweight/obesity were examined. METHODS: Data were from the Health of Young Victorians Study (HOYVS; 1997, 2000, 2005), a school-based longitudinal study. Outcomes were blood pressure, health status (Pediatric Quality of Life Inventory 4.0 (PedsQL), global health), mental health (Strengths and Difficulties Questionnaire), psychological distress (Kessler-10), physical symptoms, sleep, asthma, dieting, and healthcare needs and visits. Regression methods assessed associations with body mass index status and timing of overweight/obesity. RESULTS: Of the 923 adolescents (20.2% overweight, 6.1% obese), 63.5% were classified as "never" overweight/obese, 8.5% as "childhood only", 7.3% as "adolescence only" and 20.8% as "persistent". Compared to non-overweight, current obesity was associated with lower PedsQL physical summary scores (mean -6.58, 95% CI -9.52 to -3.63) and good/fair/poor global health (OR 3.52, 95% CI 1.95 to 6.36), hypertension (systolic 8.86, 95% CI 4.70 to 16.71; diastolic 5.29, 95% CI 2.74 to 10.20) and dieting (OR 5.79, 95% CI 3.28 to 10.23), with intermediate associations for overweight. Associations with psychosocial morbidity were weaker and inconsistent and there were few associations with health symptoms and problems. Only dieting (OR 2.30, 95% CI 1.36 to 3.89) was associated with resolved childhood overweight/obesity. CONCLUSIONS: Despite poorer overall health, overweight/obese adolescents were not more likely to report specific problems that might prompt health intervention. Morbidity was mainly associated with concurrent, rather than earlier, overweight/obesity.
Authors: Brooke E Harcourt; Anke Pons; Kung-Ting Kao; Celia Twindyakirana; Erin Alexander; Sarah Haberle; Zoe McCallum; Matthew A Sabin Journal: Qual Life Res Date: 2019-03-06 Impact factor: 4.147
Authors: Amy J Kogon; Ji Young Kim; Nina Laney; Jerilynn Radcliffe; Stephen R Hooper; Susan L Furth; Erum A Hartung Journal: Pediatr Nephrol Date: 2019-05-02 Impact factor: 3.714
Authors: Meg H Zeller; Thomas H Inge; Avani C Modi; Todd M Jenkins; Marc P Michalsky; Michael Helmrath; Anita Courcoulas; Carroll M Harmon; Dana Rofey; Amy Baughcum; Heather Austin; Karin Price; Stavra A Xanthakos; Mary L Brandt; Mary Horlick; Ralph Buncher Journal: J Pediatr Date: 2014-12-30 Impact factor: 4.406
Authors: Alet H Wijga; Salome Scholtens; Wanda J E Bemelmans; Johan C de Jongste; Marjan Kerkhof; Maarten Schipper; Elisabeth A Sanders; Jorrit Gerritsen; Bert Brunekreef; Henriette A Smit Journal: BMC Public Health Date: 2010-04-09 Impact factor: 3.295