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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

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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
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
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:
DateEvent
June 2018Published
5 February 2018Available
17 January 2018Accepted
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:
Project/Grant IDRIOXX Funder NameFunder ID
06/85/11Health Technology Assessment programmehttp://dx.doi.org/10.13039/501100000664

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