John B Dixon1,2, Toni L Rice3,4, Elisabeth A Lambert3,4,5, Gavin W Lambert4,6. 1. Clinical Obesity Research, Baker IDI Heart & Diabetes Institute, 75 Commercial Road, PO Box 6492, Melbourne, VIC, 3004, Australia. John.Dixon@bakeridi.edu.au. 2. Primary Care Research Unit, Monash University, Melbourne, Australia. John.Dixon@bakeridi.edu.au. 3. Clinical Obesity Research, Baker IDI Heart & Diabetes Institute, 75 Commercial Road, PO Box 6492, Melbourne, VIC, 3004, Australia. 4. Human Neurotransmitters Laboratory, Baker IDI Heart & Diabetes Institute, Melbourne, Australia. 5. Department of Physiology, Monash University, Melbourne, Australia. 6. Department of Medicine, Monash University, Melbourne, Australia.
Abstract
BACKGROUND: Impairment in health-related quality of life (HRQOL) is described as a major concern for severely obese adolescents seeking intentional weight loss. We aimed to compare HRQOL in obese adolescents seeking weight loss with body mass index (BMI)-matched younger adults and community norms. METHODS: Eighty-one adolescents (14-18.8 years) with BMI 30-60 kg/m(2) completed the Short Form (SF)-36 prior to commencing a weight loss program. Each adolescent was matched for BMI and gender with two obese adults seeking weight loss, 10 and 20 years older, respectively. The groups were compared across all eight scale scores and mental and physical component summary scores (MCS and PCS). Summary scores were also compared to community norms. RESULTS: The adolescents had higher scores than those in their 20s for all SF-36 scales and summary scores, indicating better HRQOL. Compared with community norms, obese adolescents had lower PCS and comparable MCS scores. Both groups of adults had lower PCS scores, but MCS was lower in those in their 20s compared with both adolescents and those in their 30s. There were no gender differences in patterns of responses across the three age groups. CONCLUSIONS: Obese adolescents seeking intentional weight loss have significant impairment in physical aspects of HRQOL, but self-reported mental HRQOL appears to be similar to community controls. In contrast, obese participants in their 20s report clinically significant impairment in mental HRQOL. When considering adolescents for bariatric surgery, careful assessment is needed. We need a greater understanding of the emotional distress reported by those in their 20s.
BACKGROUND: Impairment in health-related quality of life (HRQOL) is described as a major concern for severely obese adolescents seeking intentional weight loss. We aimed to compare HRQOL in obese adolescents seeking weight loss with body mass index (BMI)-matched younger adults and community norms. METHODS: Eighty-one adolescents (14-18.8 years) with BMI 30-60 kg/m(2) completed the Short Form (SF)-36 prior to commencing a weight loss program. Each adolescent was matched for BMI and gender with two obese adults seeking weight loss, 10 and 20 years older, respectively. The groups were compared across all eight scale scores and mental and physical component summary scores (MCS and PCS). Summary scores were also compared to community norms. RESULTS: The adolescents had higher scores than those in their 20s for all SF-36 scales and summary scores, indicating better HRQOL. Compared with community norms, obese adolescents had lower PCS and comparable MCS scores. Both groups of adults had lower PCS scores, but MCS was lower in those in their 20s compared with both adolescents and those in their 30s. There were no gender differences in patterns of responses across the three age groups. CONCLUSIONS:Obese adolescents seeking intentional weight loss have significant impairment in physical aspects of HRQOL, but self-reported mental HRQOL appears to be similar to community controls. In contrast, obeseparticipants in their 20s report clinically significant impairment in mental HRQOL. When considering adolescents for bariatric surgery, careful assessment is needed. We need a greater understanding of the emotional distress reported by those in their 20s.
Authors: John B Dixon; Jessica L Browne; Gavin W Lambert; Kay M Jones; Prasuna Reddy; Frans Pouwer; Jane Speight Journal: Diabetes Res Clin Pract Date: 2013-06-24 Impact factor: 5.602
Authors: Lindel C Dewberry; Anahita Jalivand; Resmi Gupta; Todd M Jenkins; Andrew Beamish; Thomas H Inge; Anita Courcoulas; Michael Helmrath; Mary L Brandt; Carroll M Harmon; Mike Chen; John B Dixon; Margaret Zeller; Marc P Michalsky Journal: Obes Surg Date: 2020-06 Impact factor: 4.129
Authors: J Felix; R Stark; C Teuner; R Leidl; B Lennerz; S Brandt; J von Schnurbein; A Moss; E Bollow; E Sergeyev; Y Mühlig; S Wiegand; R W Holl; T Reinehr; W Kiess; A Scherag; J Hebebrand; M Wabitsch; R Holle Journal: Health Qual Life Outcomes Date: 2020-03-05 Impact factor: 3.186