Health-related quality-of-life model in adolescents with different body composition

  • Karina Franco-ParedesEmail author
  • Felipe J. Díaz-Reséndiz
  • Carlos Alejandro Hidalgo-Rasmussen
  • Lilián Elizabeth Bosques-Brugada
Original Article


The purpose of the present study was to develop and evaluate a causal model of health-related quality of life (HRQoL) in adolescents with different body composition. The participants were 209 adolescents (107 women and 102 men) ranging from 10 to 15 years of age. A model based on that proposed by Wilson and Cleary (JAMA 273(1):59–65, 1995) was elaborated. The body composition of the participants was analyzed. They were asked to complete a battery of questionnaires composed of the following factors: biological status (BS; included body mass index and weight), symptomatic psychological status (SPS; included the variables of drive for thinness and food concerns), functional status (FS; composed of physical activity, food consumption estimation, and socioeconomic status), and HRQoL, which included the dimensions of psychological well-being, autonomy and relationship with parents, social support and peers, and the academic environment. Structural equation modeling produced a model, which obtained an adequate fit for the prediction of HRQoL (χ2(38) = 51.88, p = .07; NNFI = 0.97, CFI = 0.98, GFI = 0.95, and RMSEA = 0.04). The main outcome demonstrated the indirect effect of BS (0.44) and SPS (− 0.45) as well as a direct effect of FS (0.21) on HRQoL. In addition, a second path was observed, BS has an indirect effect on FS (0.34) and FS on HRQoL (0.21). These results provide empirical support for the evaluated model.

Level of evidence: Level V, Descriptive study.


Model HRQoL Body composition Adolescents 



We would like to express our gratitude for the funding provided by the Programa para el Desarrollo Profesional Docente [Teacher Professional Development Program], for the Superior Course Type (PRODEP 20799) approved the members of the Behavior, Health, and Quality of Life academic group (UDG-CA764). The authors would also like to thank Maricela Alonso Picasso and Yareli Rodríguez Preciado for their support in collecting the data and preparing the database.

Compliance with ethical standards

Conflict of interest

The authors declare that they have not found conflict of interest.

Ethical standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Ethical approval

The study was approved by the Bioetic Committee of the Centro Universitario del Sur of the Universidad de Guadalajara.

Informed consent

Informed consent was obtained from the parents of the participants included in the study and all of the participants accepted to take part in the study.


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Cuerpo Académico Comportamiento, Salud y Calidad de Vida, Centro de Investigación en Riesgos y Calidad de Vida, Centro Universitario del SurUniversidad de GuadalajaraCiudad GuzmánMéxico
  2. 2.Laboratorio de Análisis Conductual, Centro Universitario del SurUniversidad de GuadalajaraCiudad GuzmánMéxico
  3. 3.Centro de Estudios AvanzadosUniversidad de Playa AnchaValparaísoChile
  4. 4.Instituto de Ciencias de la SaludUniversidad Autónoma del Estado de HidalgoPachucaMéxico

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