Health Related Quality of Life and Weight Self-Efficacy of Life Style among Normal-Weight, Overweight and Obese Iranian Adolescents: A Case Control Study

  • سال انتشار: 1396
  • محل انتشار: مجله بین المللی کودکان، دوره: 5، شماره: 11
  • کد COI اختصاصی: JR_INJPM-5-11_001
  • زبان مقاله: انگلیسی
  • تعداد مشاهده: 465
دانلود فایل این مقاله

نویسندگان

Seyedeh Fatemeh Miri

Social Determinants of Health Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.

Maryam Javadi

Children Growth Research Center, Qazvin University of Medical Sciences, Qazvin, Iran.

Chung-Ying Lin

Department of Rehabilitation Sciences, Faculty of Health and Social Sciences, Hong Kong Polytechnic University, Hung Hom, Hong Kong.

Khadijeh Irandoost

Department of Physical Education, Imam Khomeini International University: Qazvin ۳۴۱۴۹-۱۶۸۱۸, Iran.

چکیده

Background: Identifying and investigating the factors influencing self-efficacy and eventually health related quality of life (HRQoL) can be an important step toward the prevention and treatment of the obesity. The aim of the study was to compare weight self-efficacy and HRQoL among normal-weight, overweight and obese Iranian adolescents. Materials and Methods In this case-control study, 118 obese and overweight adolescents (case group) and 118 adolescents with normal weight (control group) were recruited. Adolescent s anthropometric characteristics were measured. The Weight Efficacy Lifestyle Questionnaire (WEL), pediatric quality of life inventory (PedsQLTM 4.0) and self-reported physical activity were completed by the adolescents. Results: Multivariate logistic regression adjusting for various confounders indicated that overweight and obese adolescents were less likely to be physically active (adjusted odds ratio, AOR= 0.66; 95% confidence interval [CI], 0.48 to 0.911), had lower ability to cope with social pressure (AOR= 0.54; 95% CI, 0.32 to 0.93), involved in less positive activities (AOR= 0.53; 95% CI, 0.37 to 0.75), and felt more negative emotions (AOR= 0.23; 95% CI, 0.14 to 0.36) than their normal-weight counterparts. Moreover, obese and overweight adolescents were more likely to report deteriorated quality of life in all PedsQL subscales than those with normal weight P< 0.05). The results of the mediation analysis indicated that negative emotions mediated the relationship between adolescents’ weight status and HRQoL (Z =-5.79, P< 0.001).  Conclusion: Weight management programs should focus on increasing adolescent’s control on situations related to negative emotions to improve their HRQoL.

کلیدواژه ها

Adolescent, Emotions, Obesity, Quality of life, Self-efficacy

اطلاعات بیشتر در مورد COI

COI مخفف عبارت CIVILICA Object Identifier به معنی شناسه سیویلیکا برای اسناد است. COI کدی است که مطابق محل انتشار، به مقالات کنفرانسها و ژورنالهای داخل کشور به هنگام نمایه سازی بر روی پایگاه استنادی سیویلیکا اختصاص می یابد.

کد COI به مفهوم کد ملی اسناد نمایه شده در سیویلیکا است و کدی یکتا و ثابت است و به همین دلیل همواره قابلیت استناد و پیگیری دارد.