Health-related quality-of-life model in adolescents with different body composition
- 131 Downloads
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.
KeywordsModel 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.
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.
The study was approved by the Bioetic Committee of the Centro Universitario del Sur of the Universidad de Guadalajara.
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.
- 6.Shiu ATY, Choi KC, Lee DTF, Yu DSF, Man Ng W (2014) Application of a health-related quality of life conceptual model in community-dwelling older Chinese people with diabetes to understand the relationships among clinical and psychological outcomes. J Diabetes Investig 5(6):677–686. https://doi.org/10.1111/jdi.12198 Google Scholar
- 7.Wyrwich K, Harnam N, Revicki DA, Locklear JC, Svedsäter H, Endicott J (2009) Assessing health-related quality of life in generalized anxiety disorder using the Quality of Life Enjoyment and Satisfaction Questionnaire. Int Clin Psychopharmacol 24(6):289–295. https://doi.org/10.1097/YIC.0b013e32832d6bf4 Google Scholar
- 8.World Health Organization. http://www.who.int/mediacentre/factsheets/fs311/es/. Accesed May 2017
- 9.Shamah T, Cuevas L, Rivera J, Hernández M (2016) Encuesta Nacional de Salud y Nutrición de Medio Camino 2016. Informe final de resultados. Instituto Nacional de Salud Pública, MéxicoGoogle Scholar
- 11.Ul-Haq Z, MacKay DF, Fenwick E, Pell JP (2013) Meta-analysis of the association between body mass index and health-related quality of life among children and adolescents, assessed using the pediatric quality of life inventory index. J Pediatr 162(2):280–286. https://doi.org/10.1016/j.jpeds.2012.07.049 Google Scholar
- 17.Hidalgo-Rasmussen C, Hidalgo-San-Martín A, Aguilera V (2012) Percepción del peso corporal, comportamientos alimentarios y calidad de vida en estudiantes mexicanos. Revista Mexicana de Investigación en Psicología 4(monographic number):80–90Google Scholar
- 18.Hidalgo-Rasmussen CA, Hidalgo-San Martín A, Rasmussen-Cruz B, Montaño-Espinoza R (2011) Calidad de vida, según percepción y comportamientos de control del peso por género, en estudiantes universitarios adolescentes en México. Cad Saude Publica 27(1):67–77. https://doi.org/10.1590/S0102-311X2011000100007 Google Scholar
- 20.Molina R, Sepúlveda R, Molina T, Martínez V, González E, Leal I et al (2014) Calidad de vida relacionada con la salud en adolescentes chilenos, según autopercepción de discapacidad, enfermedad o problemas de salud crónicos. Rev Chil Salud Pública 18(2):149–160Google Scholar
- 22.Petersen S, Moodie M, Mavoa H, Waqa G, Goundar R, Swinburn B (2014) Relationship between overweight and health-related quality of life in secondary school children in Fiji: results from a cross-sectional population based study. Int J Obes (Lond) 38(4):539–546. https://doi.org/10.1038/ijo.2013.212 Google Scholar
- 23.Ravens-Sieberer U, Karow A, Barthel D, Klasen F (2014) How to assess quality of life in child and adolescent psychiatry. Dialog Clin Neurosci 16(2):147–158Google Scholar
- 26.Escoto M, Camacho E (2008) Propiedades psicométricas del test infantil de actitudes alimentarias en una muestra mexicana. Rev Mex Psicol 25(1):99–106Google Scholar
- 27.Díaz-Reséndiz FJ, Franco-Paredes K, Hidalgo-Rasmussen C, Escoto M, Camacho E (in press) Measurement scale for estimation and consumption of food and beverages in children. Rev Mex Trastor AlimentGoogle Scholar
- 28.Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z et al (2002) 2000 CDC growth charts for the United States: methods and development. Vital Health Stat 11(246):1–190Google Scholar
- 29.Centers for Disease Control and Prevention (2015) Middle school youth risk behavior survey. http://ftp.cdc.gov/pub/data/yrbs/2015/2015_ms_questionnaire.pdf. Accessed Apr 2017
- 30.Brener ND, Collins JL, Kann L, Warren CW, Williams BI (1995) Reliability of the youth risk behavior survey questionnaire. Am J Epidemiol 141(6):575–580. https://doi.org/10.1093/oxfordjournals.aje.a117473 Google Scholar
- 33.Rivas-Torres R, Bianchi-Aguila R (1991) El nivel socioeconómico en la investigación. Rev AMMO 22(1):44–45Google Scholar
- 34.Sociedad Mexicana de Psicología (2010) Código ético del psicólogo. Trillas, MéxicoGoogle Scholar
- 35.American Psychological Association (2010) Ethical principles of psychologists and code of conduct. American Psychological Association, WashingtonGoogle Scholar
- 36.Bentler PM (2004) EQS 6 structural equation program manual. Multivariate Software, EncinoGoogle Scholar
- 39.Shumacker RGL, Lomax RG (1996) A beginner’s guide to structural equation modeling. Erlbaum, MahwahGoogle Scholar
- 40.Tabachnick BG, Fidell LS (2007) Using multivariate statistics. Allyn and Bacon, BostonGoogle Scholar