Maternal emotional states in relation to their offspring weight status and health-related quality of life: Tehran Lipid and Glucose Study

Abstract Background: Maternal characteristics have been known to be associated with parenting practices that could eventually influence their child’s weight and health-related quality of life (HRQoL). This study aimed to assess the direct and indirect associations of maternal emotional states (depression, anxiety and stress) with body mass index (BMI) and HRQoL in their children. Methods: This study was conducted within the framework of Tehran Lipid and Glucose Study (TLGS). Participants were children (n=231) who participated in the TLGS during 2014-2016 with complete data on maternal emotional states. Body weight and height of children were measured using standard protocol and BMI-Z scores were determined using Anthroplus. HRQoL in children and emotional states in mothers were assessed using the Iranian version of the pediatric quality of life inventory (PedsQL TM 4.0) and the depression, anxiety and stress scales (DASS-21) respectively. Structural equations modeling (SEM) was used to assess the direct and indirect relations of maternal emotional states with children’s BMI Z score and HRQoL. Results: Mean age, BMI Z-score and HRQoL total score in children were 13.8±3.1 years, 0.74±1.5 and 84.7±11.3 respectively. In mothers, median scores (Interquartile ranges) of DASS-21 in three scales including depression, anxiety and stress were 4(0-10), 6(2-12) and 14(8-20) respectively. Maternal level of education was significantly associated with DASS-21 scores (β=-0.23, 95% CI: -0.37,-0.07). Maternal DASS-21 scores were significantly associated with BMI Z scores only in girls (β=0.25, 95% CI: 0.06, 0.53). Significant determinants of HRQoL in boys were child’s age (β=-0.21, 95% CI: -0.40, -0.01), maternal education (β=-0.24, 95%CI: -0.44, -0.02) and emotional state (β=-0.24, 95% CI: -0.44, -0.03). Child’s age (β=-0.33, 95%-CI: -0.53, -0.10) and maternal emotional state (β=-0.31, 95% CI: -0.54, -0.08) were significantly associated with HRQoL in girls. Conclusion: Our results indicate maternal emotional states to be the important determinants of HRQoL in children, regardless of their weight status. Further research is recommended to examine the current hypothesized model in rural and sub-urban populations taking ino consideration more influential factors.

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Maternal Emotional States in Relation to Offspring Weight and Health-Related Quality of Life: Tehran Lipid and Glucose Study

International Journal of Endocrinology and Metabolism ◽

10.5812/ijem.113107 ◽

2021 ◽

Vol In Press (In Press) ◽

Author(s):

Parnian Parvin ◽

Parisa Amiri ◽

Sara Jalali-Farahani ◽

Mehrdad Karimi ◽

Mina Moein Eslam ◽

...

Keyword(s):

Quality Of Life ◽

Emotional State ◽

Structural Equations ◽

The Body ◽

Emotional States ◽

Z Score ◽

Health Related Quality ◽

Related Quality ◽

Health Related

Background: Maternal characteristics have been known to be associated with parenting practices, which could eventually influence their child’s weight and health-related quality of life (HRQoL). Objectives: This study aimed to assess the direct and indirect associations of maternal emotional states (depression, anxiety, and stress) with body mass index (BMI) and HRQoL in their children. Methods: This study was conducted within the framework of the Tehran lipid and glucose study (TLGS). Participants were the children (n = 231) enrolled in TLGS during 2014 - 2016, who had complete data on maternal emotional states. The body weight and height of children were measured using the standard protocol, and BMI Z-score was determined using Anthroplus. Also, HRQoL in children and emotional states in mothers were assessed using the Iranian version of the pediatric quality of life inventory (PedsQLTM4.0) and the depression, anxiety, and stress scale (DASS-21), respectively. Structural equations modeling (SEM) was used to assess the direct and indirect relations of maternal emotional states with children’s BMI Z-score and HRQoL. Results: Mean age, BMI Z-score, and HRQoL total score in children were 13.8 ± 3.1 years, 0.74 ± 1.5, and 84.7 ± 11.3, respectively. In the mothers, median DASS-21 scores (interquartile ranges) in the three scales of depression, anxiety, and stress were 4 (0 - 10), 6 (2 - 12), and 14 (8 - 20), respectively. Maternal level of education was significantly associated with the DASS-21 score (β = -0.23, 95% CI: -0.37,-0.07). Maternal DASS-21 score was significantly associated with BMI Z-score only in girls (β = 0.25, 95% CI: 0.06, 0.53). Significant determinants of HRQoL in boys were the child’s age (β = -0.21, 95% CI: -0.40, -0.01) and maternal education (β = -0.24, 95%CI: -0.44, -0.02) and emotional state (β = -0.24, 95% CI: -0.44, -0.03). The child’s age (β = -0.33, 95% CI: -0.53, -0.10) and maternal emotional state (β = -0.31, 95% CI: -0.54, -0.08) were significantly associated with HRQoL in girls. Conclusions: Our results indicated that the maternal emotional state was an important determinant of HRQoL in children, regardless of their weight status. Further research is recommended to examine the current hypothesized model in rural and suburban populations, taking into consideration more influential factors.

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Fitness as mediator between weight status and dimensions of health-related quality of life

Health and Quality of Life Outcomes ◽

10.1186/s12955-018-0981-0 ◽

2018 ◽

Vol 16 (1) ◽

Cited By ~ 2

Author(s):

Miguel A. Perez-Sousa ◽

Pedro R. Olivares ◽

Juan A. Escobar-Alvarez ◽

Jose A. Parraça ◽

Narcis Gusi

Keyword(s):

Quality Of Life ◽

Weight Status ◽

Health Related Quality ◽

Related Quality ◽

Health Related

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The Impact of BMI-Z Score Changes on the Effects of a Multidisciplinary Program of Obesity Treatment on Health-Related Quality of Life (HRQoL) in Brazilian Adolescents

Canadian Journal of Diabetes ◽

10.1016/j.jcjd.2015.01.161 ◽

2015 ◽

Vol 39 ◽

pp. S42

Author(s):

Josiane A. Bianchini ◽

Danilo F. Da Silva ◽

Rafaela P. Dada ◽

Carlos A. Lopera ◽

Jessica McNeil ◽

...

Keyword(s):

Quality Of Life ◽

Obesity Treatment ◽

Z Score ◽

Health Related Quality ◽

Multidisciplinary Program ◽

Related Quality ◽

Health Related ◽

The Impact

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Disparities in health-related quality of life among healthy adolescents in a developing country - the impact of gender, ethnicity, socio-economic status and weight status

Child Care Health and Development ◽

10.1111/cch.12252 ◽

2015 ◽

Vol 41 (6) ◽

pp. 1216-1226 ◽

Cited By ~ 6

Author(s):

D. A. Loh ◽

F. M. Moy ◽

N. L. Zaharan ◽

Z. Mohamed

Keyword(s):

Quality Of Life ◽

Developing Country ◽

Weight Status ◽

Economic Status ◽

Health Related Quality ◽

Socio Economic Status ◽

Related Quality ◽

Health Related ◽

The Impact

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Child-related characteristics predicting subsequent health-related quality of life in 8- to 14-year-old children with and without cerebellar tumors: a prospective longitudinal study

Neuro-Oncology Practice ◽

10.1093/nop/npu016 ◽

2014 ◽

Vol 1 (3) ◽

pp. 114-122 ◽

Cited By ~ 5

Author(s):

Kim S. Bull ◽

Christina Liossi ◽

David Culliford ◽

Janet L. Peacock ◽

Colin R. Kennedy ◽

...

Keyword(s):

Quality Of Life ◽

Parent Report ◽

Regression Modeling ◽

Self Report ◽

Health Related Quality ◽

Emotional Function ◽

Related Quality ◽

Health Related ◽

Z Scores

Abstract Background We identified child-related determinants of health-related quality of life (HRQoL) in children aged 8–14 years who were treated for 2 common types of pediatric brain tumors. Methods Questionnaire measures of HRQoL and psychometric assessments were completed by 110 children on 3 occasions over 24 months. Of these 110, 72 were within 3 years of diagnosis of a cerebellar tumor (37 standard-risk medulloblastoma, 35 low-grade cerebellar astrocytoma), and 38 were in a nontumor group. HRQoL, executive function, health status, and behavioral difficulties were also assessed by parents and teachers as appropriate. Regression modeling was used to relate HRQoL z scores to age, sex, socioeconomic status, and 5 domains of functioning: Cognition, Emotion, Social, Motor and Sensory, and Behavior. Results HRQoL z scores were significantly lower after astrocytoma than those in the nontumor group and significantly lower again in the medulloblastoma group, both by self-report and by parent-report. In regression modeling, significant child-related predictors of poorer HRQoL z scores by self-report were poorer cognitive and emotional function (both z scores) and greater age (years) at enrollment (B = 0.038, 0.098, 0.136, respectively). By parent-report, poorer cognitive, emotional and motor or sensory function (z score) were predictive of lower subsequent HRQoL of the child (B = 0.043, 0.112, 0.019, respectively), while age at enrollment was not. Conclusions Early screening of cognitive and emotional function in this age group, which are potentially amenable to change, could identify those at risk of poor HRQoL and provide a rational basis for interventions to improve HRQoL.

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Comparison of Two Measures of Weight Criticism in Youth: Associations With Physical Activity Engagement and Attitudes, Weight Status, and Health-Related Quality of Life

Journal of Pediatric Psychology ◽

10.1093/jpepsy/jsu080 ◽

2014 ◽

Vol 40 (2) ◽

pp. 228-237 ◽

Cited By ~ 4

Author(s):

L. A. Gayes ◽

R. G. Steele

Keyword(s):

Quality Of Life ◽

Physical Activity ◽

Weight Status ◽

Health Related Quality ◽

Activity Engagement ◽

Related Quality ◽

Health Related ◽

Two Measures

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THE VIBRATION DISEASE IN WORKERS OF THE AIRCRAFT ENTERPRISE: FACTORS OF THE FORMATION, CLINICAL MANIFESTATIONS, SOCIAL-PSYCHOLOGICAL FEATURES (DYNAMIC FOLLOWING-UP)

Hygiene and Sanitation ◽

10.18821/0016-9900-2018-97-10-915-920 ◽

2018 ◽

Vol 97 (10) ◽

pp. 915-920 ◽

Cited By ~ 4

Author(s):

Marina V. Kuleshova ◽

V. A. Pankov ◽

M. P. Dyakovich ◽

V. S. Rukavishnikov ◽

N. V. Slivnitsyna ◽

...

Keyword(s):

Quality Of Life ◽

Emotional State ◽

Clinical Manifestations ◽

Health Related Quality ◽

Local Vibration ◽

Vibration Disease ◽

Study Results ◽

Related Quality ◽

Health Related

Introduction. The vibration disease takes one of the leading places in the structure of the occupational morbidity in the Irkutsk region, its specific weight accounted of 21.1-35.9% of all newly revealed cases of occupational diseases in different years. The purpose of the study is to investigate the socio-psychological features and manifestations of the vibration disease clinical syndromes in local vibration-exposed employees in the dynamic of observation. Material and methods. The assessment of working conditions of employees in the aircraft enterprise, a coherent dynamic clinical and sociopsychological examination in employees with the occupational disease which continuing their work was carried out. Results. Working conditions have not been changed; the levels of the occupational and labor process factors have remained the same in the dynamic. Clinical manifestations of vibration disease and neurosensory hearing loss, which is the second (accompanying) occupational disease, were shown to be aggravated in patients continuing to work in contact with local vibration. A significant prevalence of diseases of the musculoskeletal system and the circulatory system has been revealed. High levels of the personal and situational anxiety, hypochondriacal traits, instability of emotional state, the rigid stereotype of behavior-oriented to caring about physical well-being are registered in patients. A reduction of health-related quality of life scores characterizing the role of physical and emotional functioning has been established, that indicates the limitations in the performance of daily work due to the deterioration of the emotional state. Discussion. The significant prevalence of diseases of the musculoskeletal and circulatory systems in vibration disease patients is associated with both the irritating effect of the actual vibration and the severity of the work process and significant physical overloads. The study results of the psycho-emotional status, the health-related quality of life in vibration disease patients allow assuming a significant effect of the pain syndrome on the emotional state, decrease of the health-related quality of life, which is consistent with the other authors’ studies. Conclusion. The study results show that it is necessary to remove workers from contact with vibration if the initial manifestations of vibration disease appear. Also, it is necessary to revise approaches to the secondary prevention of vibration disease, which should be aimed at preserving residual work capacity and medical and psychological adaptation of patients.

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Fatigue after acquired brain injury impacts health-related quality of life: an exploratory cohort study

Scientific Reports ◽

10.1038/s41598-021-01617-4 ◽

2021 ◽

Vol 11 (1) ◽

Author(s):

Elisabeth Åkerlund ◽

Katharina S. Sunnerhagen ◽

Hanna C. Persson

Keyword(s):

Quality Of Life ◽

Brain Injury ◽

Emotional State ◽

Acquired Brain Injury ◽

Executive Dysfunction ◽

Health Related Quality ◽

Related Quality ◽

Health Related ◽

Lower Hrqol

AbstractThis study aimed to identify the consequences of fatigue, fatigability, cognitive and executive functioning, and emotional state on health-related quality of life (HRQoL) in a clinical group of outpatients after acquired brain injury (ABI). This cross-sectional retrospective study included assessing outpatients at a rehabilitation clinic with WAIS-III working memory and coding subtests, and self-rating scales (Fatigue Impact Scale, Dysexecutive Questionnaire, Hospital Anxiety and Depression Scale, and the dimension of health-related quality of life from EQ-5D-3L). The predictive variables were investigated using a binary logistic regression with HRQoL as the dependent variable. Descriptive statistics and correlations were analyzed. Participants reported a lower than average HRQoL (95%), fatigue (90%), and executive dysfunction (75%). Fatigue had a significant impact and explained 20–33% of the variance in HRQoL with a moderate significance on depression (p = 0.579) and executive dysfunction (p = 0.555). Cognitive and executive function and emotional state showed no association with HRQoL. A lower HRQoL, as well as fatigue and cognitive and executive dysfunctions, are common after ABI, with fatigue is a partial explanation of a lower HRQoL.

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