How does age affect the relationship between weight and health utility during the middle years of childhood?

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@article{042c431440144d7ea750a5d4ec8b2b50,
title = "How does age affect the relationship between weight and health utility during the middle years of childhood?",
abstract = "PurposeThe limited literature examining weight status and preference-based health-related quality of life (HRQL) in young children is equivocal. This study aims to examine how the association between weight status and preference-based HRQL changes as children develop between the ages of 6 and 10 years old.MethodsThe Child Health Utility 9D (CHU-9D) was used to determine preference-based HRQL. Height and weight data were also collected and used to calculate z-BMI adjusted for age and gender. 1467 children were recruited from 54 schools across the West Midlands. Data were collected at four time points over 5 years. Impact of weight on dimensions of HRQL was assessed via the distribution of responses to CHU-9D dimensions by weight status. Multi-level regression analysis controlling for ethnicity, deprivation and other relevant co-variates was conducted to examine the relationship between weight and HRQL.ResultsThere was no evidence to suggest that the weight status impacted upon the distribution of responses to CHU-9D dimensions. Correspondingly, the multi-level regression analysis found no statistically significant differences in CHU-9D scores between underweight, healthy weight, overweight and obese children.ConclusionsThe evidence surrounding the link between preference-based HRQL and weight status in children is limited. This study found no association between weight status and HRQL as measured by the CHU-9D in children between the ages of 5 and 10 years in the UK. Given this, it is recommended that future studies aiming to prevent obesity in children in their middle years do not rely solely on preference-based measures for economic evaluation, and instead focus on capturing clinical or wellbeing outcomes.",
keywords = "Health-related quality of life, Child health, Obesity, CHU-9D, Utility, Child weight status",
author = "Katie Eminson and Alastair Canaway and Peymane Adab and Emma Lancashire and Miranda Pallan and Emma Frew",
year = "2018",
month = feb,
day = "5",
doi = "10.1007/s11136-018-1790-y",
language = "English",
journal = "Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation",
issn = "0962-9343",
publisher = "Springer",

}

RIS

TY - JOUR

T1 - How does age affect the relationship between weight and health utility during the middle years of childhood?

AU - Eminson, Katie

AU - Canaway, Alastair

AU - Adab, Peymane

AU - Lancashire, Emma

AU - Pallan, Miranda

AU - Frew, Emma

PY - 2018/2/5

Y1 - 2018/2/5

N2 - PurposeThe limited literature examining weight status and preference-based health-related quality of life (HRQL) in young children is equivocal. This study aims to examine how the association between weight status and preference-based HRQL changes as children develop between the ages of 6 and 10 years old.MethodsThe Child Health Utility 9D (CHU-9D) was used to determine preference-based HRQL. Height and weight data were also collected and used to calculate z-BMI adjusted for age and gender. 1467 children were recruited from 54 schools across the West Midlands. Data were collected at four time points over 5 years. Impact of weight on dimensions of HRQL was assessed via the distribution of responses to CHU-9D dimensions by weight status. Multi-level regression analysis controlling for ethnicity, deprivation and other relevant co-variates was conducted to examine the relationship between weight and HRQL.ResultsThere was no evidence to suggest that the weight status impacted upon the distribution of responses to CHU-9D dimensions. Correspondingly, the multi-level regression analysis found no statistically significant differences in CHU-9D scores between underweight, healthy weight, overweight and obese children.ConclusionsThe evidence surrounding the link between preference-based HRQL and weight status in children is limited. This study found no association between weight status and HRQL as measured by the CHU-9D in children between the ages of 5 and 10 years in the UK. Given this, it is recommended that future studies aiming to prevent obesity in children in their middle years do not rely solely on preference-based measures for economic evaluation, and instead focus on capturing clinical or wellbeing outcomes.

AB - PurposeThe limited literature examining weight status and preference-based health-related quality of life (HRQL) in young children is equivocal. This study aims to examine how the association between weight status and preference-based HRQL changes as children develop between the ages of 6 and 10 years old.MethodsThe Child Health Utility 9D (CHU-9D) was used to determine preference-based HRQL. Height and weight data were also collected and used to calculate z-BMI adjusted for age and gender. 1467 children were recruited from 54 schools across the West Midlands. Data were collected at four time points over 5 years. Impact of weight on dimensions of HRQL was assessed via the distribution of responses to CHU-9D dimensions by weight status. Multi-level regression analysis controlling for ethnicity, deprivation and other relevant co-variates was conducted to examine the relationship between weight and HRQL.ResultsThere was no evidence to suggest that the weight status impacted upon the distribution of responses to CHU-9D dimensions. Correspondingly, the multi-level regression analysis found no statistically significant differences in CHU-9D scores between underweight, healthy weight, overweight and obese children.ConclusionsThe evidence surrounding the link between preference-based HRQL and weight status in children is limited. This study found no association between weight status and HRQL as measured by the CHU-9D in children between the ages of 5 and 10 years in the UK. Given this, it is recommended that future studies aiming to prevent obesity in children in their middle years do not rely solely on preference-based measures for economic evaluation, and instead focus on capturing clinical or wellbeing outcomes.

KW - Health-related quality of life

KW - Child health

KW - Obesity

KW - CHU-9D

KW - Utility

KW - Child weight status

U2 - 10.1007/s11136-018-1790-y

DO - 10.1007/s11136-018-1790-y

M3 - Article

JO - Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation

JF - Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation

SN - 0962-9343

ER -