Somatic complaints as a mediator in the association between body mass index and quality of life in children and adolescents

Abstract Background Children and adolescents with overweight are known to have lower Quality of Life (QoL) compared to peers with a normal weight. QoL is a broad concept and is associated with many factors. A better understanding of the factors associated with QoL in children and adolescents and their impact on the association between overweight/obesity and QoL, may help to develop and improve interventions that lead to an improvement in QoL in children/adolescents with a high body mass index (BMI > 25). This study investigated the possible mediating effects of somatic complaints and general practitioner consultations in the association between overweight/obesity and QoL in children and adolescents. Methods For the current study, cross-sectional data were used from a longitudinal study, the DOERAK cohort, collected from general practitioners’ medical files and through questionnaires. This cohort included 2-18 year olds with normal weight and overweight. Uni- and multivariate regression analyses were performed to gain more insight into variables associated with QoL. Mediation analyses were performed to investigate the possible mediating effects of somatic complaints and GP consultations in the association between overweight/obesity and QoL in children. Results In the total sample of 733 participants aged 2-18 years, participants with normal weight had a significantly higher QoL (83.64, SD10.65) compared to participants with overweight (78.61, SD14.34) and obesity (76.90, SD13.63) at baseline. The multivariate analyses showed that a lower socio-economic status (SES), higher BMIz, and the presence of somatic complaints are associated with a lower QoL. The mediation analysis showed a significant effect of the indirect pathway of BMIz on QoL through somatic complaints (β = − 0.46, 95% CI[− 0.90, − 0.06]). Conclusion BMIz has a direct impact on QoL in children and adolescents. Somatic complaints seem to mediate the effect of BMIz on QoL.

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Association Between Body Mass Index, Physical Activity, and Health-Related Quality of Life in Canadian Adults

Journal of Aging and Physical Activity ◽

10.1123/japa.2014-0169 ◽

2016 ◽

Vol 24 (1) ◽

pp. 32-38 ◽

Cited By ~ 5

Author(s):

Alina Cohen ◽

Joseph Baker ◽

Chris I. Ardern

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Body Mass Index ◽

Body Mass ◽

Linear Models ◽

Normal Weight ◽

Health Related Quality ◽

Related Quality ◽

Health Related

Background:Obesity is associated with impairments in health-related quality of life (HRQL), whereas physical activity (PA) is a promoter of HRQL.Purpose:The aim of this study was to investigate the interaction between BMI and PA with HRQL in younger and older Canadian adults.Methods:Data from the 2012 annual component of the Canadian Community Health Survey (N = 48,041; = 30 years) were used to capture self-reported body mass index (BMI-kg/m2), PA (kcal/kg/day, KKD), and HRQL. Interactions between PA and age on the BMI and HRQL relationship were assessed using general linear models and logistic regression.Results:Those younger (younger: μ = 0.79 ± 0.02; older: μ = 0.70 ± 0.02) and more active (active: μ = 0.82 ± 0.02; moderately active: μ = 0.77 ± 0.03; inactive: μ = 0.73 ± 0.01) reported higher HRQL. Older inactive underweight, normal weight, and overweight adults have lower odds of high HRQL.Conclusion:PA was associated with higher HRQL in younger adults. In older adults, BMI and PA influenced HRQL.

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Differences in exercise capacity and health-related quality of life according to the body mass index in patients with COPD

Pulmonology ◽

10.1016/j.pulmoe.2021.07.002 ◽

2021 ◽

Author(s):

Jhonatan Betancourt-Peña ◽

Juan Carlos Ávila-Valencia ◽

Diana Milena Diaz-Vidal ◽

Vicente Benavides-Córdoba

Keyword(s):

Quality Of Life ◽

Body Mass Index ◽

Exercise Capacity ◽

Body Mass ◽

The Body ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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Active Time in Cooperative Activities, Quality of Life and Body Mass Index in Individuals with Intellectual Disabilities. A Model of Structural Equations

Sustainability ◽

10.3390/su13042341 ◽

2021 ◽

Vol 13 (4) ◽

pp. 2341

Author(s):

Gabriel González-Valero ◽

Josep Vidal-Conti ◽

Félix Zurita-Ortega ◽

Pere Palou-Sampol

Keyword(s):

Quality Of Life ◽

Body Mass Index ◽

Cooperative Learning ◽

Intellectual Disabilities ◽

Body Mass ◽

Structural Equations ◽

Overweight And Obesity ◽

Active Time ◽

Individuals With Intellectual Disabilities

Current research shows that individuals with intellectual disabilities do not engage in enough physical activity to acquire health benefits. However, cooperative learning has been shown to be an effective tool for inclusion and for improving healthy physical habits. The aim of this study is to contrast an explanatory model which incorporates quality of life, active time in cooperative activities, body mass index and age, as well as to analyze, using multi-group structural equations, the existing associations according to the sex of subjects with intellectual disabilities. The convenience sampling used allowed the collection of data from a total of 156 subjects in Granada (Spain), aged between 18–55 years. In terms of gender, the sample was homogeneous, representing 52.6% (n = 82) for women and 47.4% (n = 74) for men. The active time during the cooperative learning was recorded with the Xiaomi Mi Band 2 activity band, for the quality of life scale (GENCAT) was used, and the body mass index was calculated through its standardized equation. Age was directly associated with body mass index in both sexes. Likewise, age was positively related to the active time of women. Quality of life was directly associated with active time and body mass index was inversely related to active time. This study shows the importance of active time during work and cooperative learning in individuals with intellectual disabilities, as it is associated with an improvement in the quality of life and a reduction in the problems of sedentarism, overweight, and obesity.

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