Self-rated and parent-rated quality of life (QoL) for community-based obese and overweight children
Version of Record online: 27 DEC 2012
©2012 The Author(s)/Acta Pædiatrica ©2012 Foundation Acta Pædiatrica
Volume 102, Issue 3, pages e114–e119, March 2013
How to Cite
Lin, C.-Y., Su, C.-T., Wang, J.-D. and Ma, H.-I. (2013), Self-rated and parent-rated quality of life (QoL) for community-based obese and overweight children. Acta Paediatrica, 102: e114–e119. doi: 10.1111/apa.12108
- Issue online: 5 FEB 2013
- Version of Record online: 27 DEC 2012
- Accepted manuscript online: 12 DEC 2012 04:52PM EST
- Manuscript Accepted: 26 NOV 2012
- Manuscript Revised: 19 NOV 2012
- Manuscript Received: 7 SEP 2012
- Parent report;
- Quality of life;
To determine the effects of being obese or overweight on quality of life (QoL) of children from a community-based sample and to compare their self-ratings of QoL with their parents' ratings for their children's QoL.
Dyads of 8- to 12-year-old children [60 obese, 34 overweight and 127 normal weight (N = 221)] and their parents or caregivers were recruited from southern Taiwan. QoL was assessed by both parent proxy ratings and child self-ratings using the Pediatric Quality of Life Inventory (PedsQL) questionnaire.
Obese children reported significantly lower QoL than did their normal-weight counterparts (83 ± 15 vs. 88 ± 10; p = 0.04). Obese children rated their QoL lower than did their parents in all (Cohen's d = −0.38 to −0.22) but the school domain. Overweight children's and normal-weight children's self-reported QoL was not significantly different, nor were they different from parent-reported QoL.
Community-based obese children reported a lower QoL than did normal-weight children; however, their parents seemed unaware of their children's decreased QoL. Caution is required when using only parent proxy reports to assess the QoL of obese children. More effort is needed in Taiwan to improve parents' understanding of their obese children's QoL.