Pediatric obesity · 2026
Longitudinal Improvements in Health-Related Quality of Life Among Children Enrolled in the CANadian Paediatric Weight Management Registry (CANPWR) Over 3 Years.
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Ybarra Marina, Rebekah Grace, Ball Geoff D C, Buchholz Annick, Hamilton Jill, Ho Josephine, Zenlea Ian, Mian Rajibul, Thabane Lehana, Morrison Katherine M, CANPWR Investigators
Аннотация
BACKGROUND: Health-related quality of life (HRQoL) can be impaired in children with obesity. Utilising data from the CANadian Paediatric Weight Management Registry (CANPWR), we examined changes in HRQoL up to 3-year after enrollment in paediatric weight management programs (PWMP) and demographic, socioeconomic, behavioural and health-related factors associated with it.
METHODS: Data were collected from 2013 to 2020. Child (≥ 8 years) and parent-reported HRQoL data were assessed via questionnaire (PedsQL4.0) at baseline, 6-month, 1-, 2- and 3-year post-baseline in PWMP. Over time, HRQoL and associations with demographic, anthropometric, behavioural and health services data were examined using linear effects and mixed effects models.
FINDINGS: A total of 1145 participants were included at baseline (47.8% male; age 12.4 ± 3.3 years; BMI z-score: 3.5 ± 1.2; 68.8% White), 793 (69%) at 1- and 615 (54%) at 3-year post-baseline. Total HRQoL improved from baseline to 6-month and was higher at 3-year (child-total score: 69.9 ± 15.2 vs. 74.6 ± 14.5, p < 0.001; parent-total score: 64.6 ± 17.4 vs. 68.6 ± 17.0; p < 0.001). Total child-reported HRQoL was higher in boys (ß: 2.71, CI: 1.2-4.2; p < 0.01), children who identified as non-White (ß: 2.63, CI: 0.8-4.5; p < 0.01), and those with higher household incomes (ß: 3.65, CI: 1.6-5.7; p < 0.01), independent of BMI z-score. Higher total child-reported HRQoL scores were positively related to higher hours of clinic attendance (ß: 0.09 CI: 0.06-0.12; p < 0.01). In contrast, sleep disturbance, lower physical activity, and higher screen time were associated with lower total child-reported HRQoL independent of BMI z-score.
CONCLUSIONS: Both child- and parent-reported HRQoL scores improved over 3 years, and these changes were associated positively with clinic attendance and negatively with unhealthy behaviours.
METHODS: Data were collected from 2013 to 2020. Child (≥ 8 years) and parent-reported HRQoL data were assessed via questionnaire (PedsQL4.0) at baseline, 6-month, 1-, 2- and 3-year post-baseline in PWMP. Over time, HRQoL and associations with demographic, anthropometric, behavioural and health services data were examined using linear effects and mixed effects models.
FINDINGS: A total of 1145 participants were included at baseline (47.8% male; age 12.4 ± 3.3 years; BMI z-score: 3.5 ± 1.2; 68.8% White), 793 (69%) at 1- and 615 (54%) at 3-year post-baseline. Total HRQoL improved from baseline to 6-month and was higher at 3-year (child-total score: 69.9 ± 15.2 vs. 74.6 ± 14.5, p < 0.001; parent-total score: 64.6 ± 17.4 vs. 68.6 ± 17.0; p < 0.001). Total child-reported HRQoL was higher in boys (ß: 2.71, CI: 1.2-4.2; p < 0.01), children who identified as non-White (ß: 2.63, CI: 0.8-4.5; p < 0.01), and those with higher household incomes (ß: 3.65, CI: 1.6-5.7; p < 0.01), independent of BMI z-score. Higher total child-reported HRQoL scores were positively related to higher hours of clinic attendance (ß: 0.09 CI: 0.06-0.12; p < 0.01). In contrast, sleep disturbance, lower physical activity, and higher screen time were associated with lower total child-reported HRQoL independent of BMI z-score.
CONCLUSIONS: Both child- and parent-reported HRQoL scores improved over 3 years, and these changes were associated positively with clinic attendance and negatively with unhealthy behaviours.