Keywords
physical factors
psychoemotional factors
limitations
comprehensive assessment
How to Cite
Abstract
The aim of the study is to study and evaluate the quality of life in obese children. The study was performed in two stages, using statistical and sociological methods and conducted: a study of the prevalence of overweight and obesity and assessment of the quality of life of obese children. The following results were obtained during the study: during the first stage of the study, obesity and overweight were found in 280 (58.4±3.4‰) and 440 (91.9±4.2‰) persons, respectively. When assessing the quality of life of 280 obese children on second stage, it was found that the corresponding average value (60.7±0.5%) was in the range from 39.3% to 90.6% and corresponded to the average level of variability (CV=12.9%). There was a significant difference in the quality-of-life average values in patients with complicated forms of the disease than without complications – 48.3±1.0% and 62.6±0.43% (p<0.001), respectively. In a separate study of the limitations that affect the quality of life of obese children, it was found that the most significant were the limitations in the physical Rxy=(-6.83) and psychoemotional Rxy=(-4.42) areas, namely such factors as: restrictions in the performance of heavy physical activity (67.9±3%), when climbing stairs (56.1±3.2%), complaints of rapid fatigue (37.8±3.2%), feelings of anxiety (39.7±3.2%), depression (41.4±3.2%), irritability (36.3±3.1%) and low self-esteem (51.5±3.3%). As a result of the study, we came to the following conclusions: the use of the quality-of-life assessment methodology has made it possible to conduct a comprehensive study of the health status of obese children and adolescents. Data on quality-of-life relative value is recommended to be included into the child's development anamnesis (form No.112/o, which is designed to keep records of the development and state of children’s health and medical care from birth to 17 years, including in children's clinics, primary health care centers, orphanages, outpatient clinics) or into the electronic database to improve dynamic monitoring.
Keywords: quality of life, physical factors, psychoemotional factors, limitations, comprehensive assessment.
References
Hussein R, Mohammed RAE, Ahmed IH. Psychological impact of obesity in children. Sci. J. Al-Azhar Med. Fac. Girls. 2020;4(1):17–21. Available from: https://www.sjamf.eg.net/text.asp?2020/4/1/17/282869
Dolapciu E, Revenco N. Factorii de risc în dezvoltarea excesului de masă corporală la copii în perioada de pubertate: studiu retrospectiv, de tip caz-control [Risk factors in the development of excess body mass in children during puberty: a retrospective, case-control study]. Revista de Stiințe ale Sănătății din Moldova [Moldovan Journal of Health Sciences]. 2017;14(4):62–71. Available from: https://core.ac.uk/download/pdf/335259515.pdf [in Romanian].
Rajjo T, Mohammed K, Alsawas M, Ahmed AT, Farah W, Asi N, et al. Treatment of Pediatric Obesity: An Umbrella Systematic Review. J Clin Endocrinol Metab. 2017;102(3):763–75. DOI: 10.1210/jc.2016-2574. PMID: 28359101.
Gunawardana S, Gunasinghe CB, Harshani MS, Seneviratne SN. Physical and psychosocial quality of life in children with overweight and obesity from Sri Lanka. BMC Public Health. 2021;21(1):86. DOI: 10.1186/s12889-020-10104-w. PMID: 33413215.
Tsyunchyk YuG. The clinical significance of psychoзemotional factors during the children's obesity. Sovremennaya pediatriya [Modern Pediatrics]. 2016;5(77):98–101. DOI: 10.15574/SP.2016.77.98. [In Ukrainian].
D'avila HF, Poll FA, Reuter CP, Burgos MS, Mello ED. Health-related quality of life in adolescents with excess weight. J. Pediatr. (Rio J.). 2019;95(4):495–501. DOI: 10.1016/j.jped.2018.05.005. PMID: 29957249. [In Portuguese].
Moeijes J, van Busschbach JT, Bosscher RJ, Twisk JWR. Sports participation and health-related quality of life: a longitudinal observational study in children. Qual. Life Res. 2019;28(9):2453–69. DOI: 10.1007/s11136- 019-02219-4. PMID: 31161332.
Radhakishun NN, de Wit M, van Vliet M, von Rosenstiel IA, Beijnen JH, Brandjes DP, Diamant M. Impaired quality of life in treatment-seeking obese children of Dutch, Moroccan, Turkish and Surinamese descent. Public Health Nutr. 2016;19(5):796–803. DOI: 10.1017/S1368980015002074. PMID: 26205554.
Jalali-Farahani S, Shojaei FA, Parvin P, Amiri P. Comparison of health-related quality of life (HRQoL) among healthy, obese and chronically ill Iranian children. BMC Public Health. 2018;18(1):1337. DOI: 10.1186/s12889-018-6239-2. PMID: 30509220.
Chan CM, Wang WC. Quality of life in overweight and obese young Chinese children: a mixed-method study. Health Qual Life Outcomes. 2013;11:33. DOI: 10.1186/1477-7525-11-33. PMID: 23496917.
Mastorci F, Piaggi P, Doveri C, Trivellini G, Marinaro I, Casu A, et al. Relationship between Weight Status and Health-Related Quality of Life in a Sample of Early Adolescents from Central and Northern Italy: A Cross-Sectional Study of the AVATAR Project Participants. Int J Environ Res Public Health. 2021;18(16):8782. DOI: 10.3390/ijerph18168782. PMID: 34444531.
Nascimento MM, Melo TR, Pinto RM, Morales NM, Mendonça TM, Paro HB, Silva CH. Parents' perception of health-related quality of life in children and adolescents with excess weight. J Pediatr (Rio J). 2016;92(1):65–72. DOI: 10.1016/j.jped.2015.04.006. PMID: 26397741.
Petersen S, Moodie M, Mavoa H, Waqa G, Goundar R, Swinburn B. 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). 2014;38(4):539–46. DOI: 10.1038/ijo.2013.212. PMID: 24232500.