OBJECTIVE: To explore the relationship between overweight/obesity and utility in adolescents. METHODS: Data were collected from 2890 adolescents attending 13 secondary schools in the state of Victoria, Australia. The Assessment of Quality of Life 6-Dimension (AQoL-6D) questionnaire was used to measure individual utility. Adolescent's height and weight were measured and weight status categories assigned according to the World Health Organization adolescent growth standards. Multivariate linear regression analyses were undertaken for the whole population and subpopulations of boys and girls to estimate the mean differences in utility scores between 1) overweight and healthy weight and 2) obese and healthy weight adolescents, while controlling for demographic and socioeconomic status variables. RESULTS: The mean age of adolescents was 14.6 years, 56.2% were boys, 22.2% were overweight, and 9.4% were obese. The mean utility of healthy weight adolescents was 0.860. After adjustments, the overweight and obese groups reported significantly lower mean utility scores (differences: -0.018 and -0.059, respectively, relative to the healthy weight group). This can be interpreted as equivalent to a stated willingness to sacrifice 1.8% and 5.9% of a life in perfect health or 2.3% and 6.8% of a life at healthy weight. A significant utility difference associated with overweight was only experienced by girls (-0.039, P = 0.003). Both sexes experienced significant utility differences associated with obesity, but the magnitude was double for girls (-0.084, P < 0.001) relative to boys (-0.041, P = 0.022). CONCLUSION: Utility is lower among overweight and more so among obese adolescents.
OBJECTIVE: To explore the relationship between overweight/obesity and utility in adolescents. METHODS: Data were collected from 2890 adolescents attending 13 secondary schools in the state of Victoria, Australia. The Assessment of Quality of Life 6-Dimension (AQoL-6D) questionnaire was used to measure individual utility. Adolescent's height and weight were measured and weight status categories assigned according to the World Health Organization adolescent growth standards. Multivariate linear regression analyses were undertaken for the whole population and subpopulations of boys and girls to estimate the mean differences in utility scores between 1) overweight and healthy weight and 2) obese and healthy weight adolescents, while controlling for demographic and socioeconomic status variables. RESULTS: The mean age of adolescents was 14.6 years, 56.2% were boys, 22.2% were overweight, and 9.4% were obese. The mean utility of healthy weight adolescents was 0.860. After adjustments, the overweight and obese groups reported significantly lower mean utility scores (differences: -0.018 and -0.059, respectively, relative to the healthy weight group). This can be interpreted as equivalent to a stated willingness to sacrifice 1.8% and 5.9% of a life in perfect health or 2.3% and 6.8% of a life at healthy weight. A significant utility difference associated with overweight was only experienced by girls (-0.039, P = 0.003). Both sexes experienced significant utility differences associated with obesity, but the magnitude was double for girls (-0.084, P < 0.001) relative to boys (-0.041, P = 0.022). CONCLUSION: Utility is lower among overweight and more so among obese adolescents.
Authors: Tim Lobstein; Rachel Jackson-Leach; Marjory L Moodie; Kevin D Hall; Steven L Gortmaker; Boyd A Swinburn; W Philip T James; Youfa Wang; Klim McPherson Journal: Lancet Date: 2015-02-19 Impact factor: 79.321
Authors: Kristy Bolton; Peter Kremer; Naomi Rossthorn; Marj Moodie; Lisa Gibbs; Elizabeth Waters; Boyd Swinburn; Andrea de Silva Journal: BMC Public Health Date: 2014-09-01 Impact factor: 3.295
Authors: Eng Joo Tan; Victoria Brown; Stavros Petrou; Mario D'Souza; Marjory L Moodie; Li Ming Wen; Louise A Baur; Chris Rissel; Alison J Hayes Journal: Qual Life Res Date: 2018-07-10 Impact factor: 4.147
Authors: Joanne Allen; Kerry J Inder; Terry J Lewin; John R Attia; Brian J Kelly Journal: Health Qual Life Outcomes Date: 2013-04-17 Impact factor: 3.186