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How does age affect the relationship between weight and health utility during the middle years of childhood?
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Eminson, Katie, Canaway, Alastair, Adab, Peymané, Lancashire, Emma, Pallan, Miranda and Frew, Emma (2018) How does age affect the relationship between weight and health utility during the middle years of childhood? Quality of Life Research, 27 (6). pp. 1455-1462. doi:10.1007/s11136-018-1790-y
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Official URL: http://dx.doi.org/10.1007/s11136-018-1790-y
Abstract
Purpose:
The 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.
Methods:
The 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.
Results:
There 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.
Conclusions:
The 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.
| Item Type: | Journal Article | ||||||||
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| Subjects: | R Medicine > RJ Pediatrics | ||||||||
| Divisions: | Faculty of Medicine > Warwick Medical School > Health Sciences > Clinical Trials Unit Faculty of Medicine > Warwick Medical School > Health Sciences Faculty of Medicine > Warwick Medical School |
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| Library of Congress Subject Headings (LCSH): | Children -- Health and hygiene -- Statistics -- West Midlands (England), Health status indicators | ||||||||
| Journal or Publication Title: | Quality of Life Research | ||||||||
| Publisher: | Springer Netherlands | ||||||||
| ISSN: | 0962-9343 | ||||||||
| Official Date: | June 2018 | ||||||||
| Dates: |
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| Date of first compliant deposit: | 4 April 2018 | ||||||||
| Volume: | 27 | ||||||||
| Number: | 6 | ||||||||
| Page Range: | pp. 1455-1462 | ||||||||
| DOI: | 10.1007/s11136-018-1790-y | ||||||||
| Status: | Peer Reviewed | ||||||||
| Publication Status: | Published | ||||||||
| Access rights to Published version: | Open Access | ||||||||
| RIOXX Funder/Project Grant: |
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