Skip to main content
SpringerLink
Log in

Health-related quality-of-life model in adolescents with different body composition

  • Original Article
  • Published:
Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity Aims and scope Submit manuscript

Abstract

The purpose of the present study was to develop and evaluate a causal model of health-related quality of life (HRQoL) in adolescents with different body composition. The participants were 209 adolescents (107 women and 102 men) ranging from 10 to 15 years of age. A model based on that proposed by Wilson and Cleary (JAMA 273(1):59–65, 1995) was elaborated. The body composition of the participants was analyzed. They were asked to complete a battery of questionnaires composed of the following factors: biological status (BS; included body mass index and weight), symptomatic psychological status (SPS; included the variables of drive for thinness and food concerns), functional status (FS; composed of physical activity, food consumption estimation, and socioeconomic status), and HRQoL, which included the dimensions of psychological well-being, autonomy and relationship with parents, social support and peers, and the academic environment. Structural equation modeling produced a model, which obtained an adequate fit for the prediction of HRQoL (χ2(38) = 51.88, p = .07; NNFI = 0.97, CFI = 0.98, GFI = 0.95, and RMSEA = 0.04). The main outcome demonstrated the indirect effect of BS (0.44) and SPS (− 0.45) as well as a direct effect of FS (0.21) on HRQoL. In addition, a second path was observed, BS has an indirect effect on FS (0.34) and FS on HRQoL (0.21). These results provide empirical support for the evaluated model.

Level of evidence: Level V, Descriptive study.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  1. Bakas T, Mclennon SM, Carpenter JS, Buelow JM, Otte JL et al (2012) Systematic review of health-related quality of life models. Health Qual Life Outcomes 10(134):1–13. https://doi.org/10.1186/1477-7525-10-134

    Article  Google Scholar 

  2. Tsiros M, Olds T, Buckley J, Grimshaw P, Brennan L, Walkley J et al (2009) Health-related quality of life in obese children and adolescents. Int J Obes (Lond) 33:387–400. https://doi.org/10.1038/ijo.2009.42

    Article  CAS  Google Scholar 

  3. Wilson IB, Cleary PD (1995) Linking clinical variables with health-related quality of life. A conceptual model of patient outcomes. JAMA 273(1):59–65. https://doi.org/10.1001/jama.273.1.59

    Article  CAS  PubMed  Google Scholar 

  4. Ferrans CE, Zerwic JJ, Wilbur JE, Larson JL (2005) Conceptual model of health-related quality of life. J Nurs Scholarsh 37(4):336–342. https://doi.org/10.1093/jncimonographs/lgm008

    Article  PubMed  Google Scholar 

  5. Sousa KH, Kwok O-M (2006) Putting Wilson and cleary to the test: analysis of a HRQOL conceptual model using structural equation modeling. Qual Life Res [Internet] 15(4):725–737. https://doi.org/10.1007/s11136-005-3975-4

    Article  Google Scholar 

  6. Shiu ATY, Choi KC, Lee DTF, Yu DSF, Man Ng W (2014) Application of a health-related quality of life conceptual model in community-dwelling older Chinese people with diabetes to understand the relationships among clinical and psychological outcomes. J Diabetes Investig 5(6):677–686. https://doi.org/10.1111/jdi.12198

    Article  PubMed  PubMed Central  Google Scholar 

  7. Wyrwich K, Harnam N, Revicki DA, Locklear JC, Svedsäter H, Endicott J (2009) Assessing health-related quality of life in generalized anxiety disorder using the Quality of Life Enjoyment and Satisfaction Questionnaire. Int Clin Psychopharmacol 24(6):289–295. https://doi.org/10.1097/YIC.0b013e32832d6bf4

    Article  PubMed  Google Scholar 

  8. World Health Organization. http://www.who.int/mediacentre/factsheets/fs311/es/. Accesed May 2017

  9. Shamah T, Cuevas L, Rivera J, Hernández M (2016) Encuesta Nacional de Salud y Nutrición de Medio Camino 2016. Informe final de resultados. Instituto Nacional de Salud Pública, México

    Google Scholar 

  10. Griffiths LJ, Parsons TJ, Hill AJ (2010) Self-esteem and quality of life in obese children and adolescents: a systematic review. Int J Pediatr Obes 5(4):282–304. https://doi.org/10.3109/17477160903473697

    Article  PubMed  Google Scholar 

  11. Ul-Haq Z, MacKay DF, Fenwick E, Pell JP (2013) Meta-analysis of the association between body mass index and health-related quality of life among children and adolescents, assessed using the pediatric quality of life inventory index. J Pediatr 162(2):280–286. https://doi.org/10.1016/j.jpeds.2012.07.049

    Article  PubMed  Google Scholar 

  12. Hay P (2003) Quality of life and bulimic eating disorder behaviors: findings from a community-based sample. Int J Eat Disord 33(4):434–442. https://doi.org/10.1002/eat.10162

    Article  PubMed  Google Scholar 

  13. Chen Y-P, Wang H-M, Edwards TC, Wang T, Jiang X-Y, Lv Y-R et al (2015) Factors influencing quality of life of obese students in Hangzhou, China. PLoS One 10(3):e0121144. https://doi.org/10.1371/journal.pone.0121144

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  14. Kolotkin RL, Zeller M, Modi AC, Samsa GP, Quinlan NP, Yanovski JA et al (2006) Assessing weight-related quality of life in adolescents. Obesity (Silver Spring) 14(3):448–457. https://doi.org/10.1038/oby.2006.59

    Article  Google Scholar 

  15. Khairy SA, Eid SR, El Hadidy LM, Gebril OH, Megawer AS (2016) The health-related quality of life in normal and obese children. Gaz Egypt Paediatr Assoc 64(2):53–60. https://doi.org/10.1016/j.epag.2016.05.001

    Article  Google Scholar 

  16. Rajmil L, Roizen M, Urzúa A, Hidalgo-Rasmussen C, Fernández G, Dapueto JJ (2012) Health-related quality of life measurement in children and adolescents in Ibero-American countries, 2000 to 2010. Value Health 15(2):312–322. https://doi.org/10.1016/j.jval.2011.11.028

    Article  PubMed  Google Scholar 

  17. Hidalgo-Rasmussen C, Hidalgo-San-Martín A, Aguilera V (2012) Percepción del peso corporal, comportamientos alimentarios y calidad de vida en estudiantes mexicanos. Revista Mexicana de Investigación en Psicología 4(monographic number):80–90

    Google Scholar 

  18. Hidalgo-Rasmussen CA, Hidalgo-San Martín A, Rasmussen-Cruz B, Montaño-Espinoza R (2011) Calidad de vida, según percepción y comportamientos de control del peso por género, en estudiantes universitarios adolescentes en México. Cad Saude Publica 27(1):67–77. https://doi.org/10.1590/S0102-311X2011000100007

    Article  PubMed  Google Scholar 

  19. Hidalgo-Rasmussen CA, Ramírez-López G, Hidalgo-San Martín A (2013) Actividad física, conductas sedentarias y calidad de vida en adolescentes universitarios de Ciudad Guzmán, Jalisco, México. Cien Saude Colet 18(7):1943–1952. https://doi.org/10.1590/S1413-81232013000700009

    Article  PubMed  Google Scholar 

  20. Molina R, Sepúlveda R, Molina T, Martínez V, González E, Leal I et al (2014) Calidad de vida relacionada con la salud en adolescentes chilenos, según autopercepción de discapacidad, enfermedad o problemas de salud crónicos. Rev Chil Salud Pública 18(2):149–160

    Article  Google Scholar 

  21. Urzúa A, Cortés E, Prieto L, Vega S, Tapia K (2009) Autoreporte de la Calidad de Vida en Niños y Adolescentes Escolarizados. Rev Chil Pediatr 80(3):238–244. https://doi.org/10.4067/S0370-41062009000300005

    Article  Google Scholar 

  22. Petersen S, Moodie M, Mavoa H, Waqa G, Goundar R, Swinburn B (2014) Relationship between overweight and health-related quality of life in secondary school children in Fiji: results from a cross-sectional population based study. Int J Obes (Lond) 38(4):539–546. https://doi.org/10.1038/ijo.2013.212

    Article  CAS  Google Scholar 

  23. Ravens-Sieberer U, Karow A, Barthel D, Klasen F (2014) How to assess quality of life in child and adolescent psychiatry. Dialog Clin Neurosci 16(2):147–158

    Google Scholar 

  24. Hidalgo-Rasmussen CA, Rajmil L, Espinoza RM (2014) Adaptación transcultural del cuestionario KIDSCREEN para medir calidad de vida relacionada con la salud en población mexicana de 8 a 18 años. Cien Saude Colet 19(7):2215–2224. https://doi.org/10.1590/1413-81232014197.09682013

    Article  PubMed  Google Scholar 

  25. Garner M, Olmstead P, Bohr Y, Garfinkel E (1982) The eating attitudes test: psychometric features and clinical correlates. Psychol Med 12:871–878. https://doi.org/10.1017/S0033291700049163

    Article  CAS  PubMed  Google Scholar 

  26. Escoto M, Camacho E (2008) Propiedades psicométricas del test infantil de actitudes alimentarias en una muestra mexicana. Rev Mex Psicol 25(1):99–106

    Google Scholar 

  27. Díaz-Reséndiz FJ, Franco-Paredes K, Hidalgo-Rasmussen C, Escoto M, Camacho E (in press) Measurement scale for estimation and consumption of food and beverages in children. Rev Mex Trastor Aliment

  28. Kuczmarski RJ, Ogden CL, Guo SS, Grummer-Strawn LM, Flegal KM, Mei Z et al (2002) 2000 CDC growth charts for the United States: methods and development. Vital Health Stat 11(246):1–190

    Google Scholar 

  29. Centers for Disease Control and Prevention (2015) Middle school youth risk behavior survey. http://ftp.cdc.gov/pub/data/yrbs/2015/2015_ms_questionnaire.pdf. Accessed Apr 2017

  30. Brener ND, Collins JL, Kann L, Warren CW, Williams BI (1995) Reliability of the youth risk behavior survey questionnaire. Am J Epidemiol 141(6):575–580. https://doi.org/10.1093/oxfordjournals.aje.a117473

    Article  CAS  PubMed  Google Scholar 

  31. Brener ND, Kann L, McManus T, Kinchen SA, Sundberg EC, Ross JG (2002) Reliability of the 1999 youth risk behavior survey questionnaire. J Adolesc Health 31(4):336–342. https://doi.org/10.1016/s1054-139x(02)00339-7

    Article  PubMed  Google Scholar 

  32. Brener ND, Billy JOG, Grady WR (2003) Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. J Adolesc Health 33(6):436–457. https://doi.org/10.1016/s1054-139x(03)00052-1

    Article  PubMed  Google Scholar 

  33. Rivas-Torres R, Bianchi-Aguila R (1991) El nivel socioeconómico en la investigación. Rev AMMO 22(1):44–45

    Google Scholar 

  34. Sociedad Mexicana de Psicología (2010) Código ético del psicólogo. Trillas, México

    Google Scholar 

  35. American Psychological Association (2010) Ethical principles of psychologists and code of conduct. American Psychological Association, Washington

    Google Scholar 

  36. Bentler PM (2004) EQS 6 structural equation program manual. Multivariate Software, Encino

    Google Scholar 

  37. Finch JF, West SG (1997) The investigation of personality structure: statistical models. J Res Pers 31(4):439–485. https://doi.org/10.1006/jrpe.1997.2194

    Article  Google Scholar 

  38. Hu L, Bentler PM (1999) Cutoff criteria for fit indexes in covariance structure analysis: Conventional criteria versus new alternatives. Struct Equ Model Multidiscip J 6(19):1–55. https://doi.org/10.1080/10705519909540118

    Article  Google Scholar 

  39. Shumacker RGL, Lomax RG (1996) A beginner’s guide to structural equation modeling. Erlbaum, Mahwah

    Google Scholar 

  40. Tabachnick BG, Fidell LS (2007) Using multivariate statistics. Allyn and Bacon, Boston

    Google Scholar 

  41. Gowey MA, Lim CS, Clifford LM, Janicke DM (2014) Disordered eating and health-related quality of life in overweight and obese children. J Pediatr Psychol 39(5):552–561. https://doi.org/10.1093/jpepsy/jsu012

    Article  PubMed  PubMed Central  Google Scholar 

  42. Farhat T, Iannotti RJ, Simons-Morton B (2010) Overweight, obesity, youth, and health-risk behaviors. Am J Prev Med 38(3):258–267. https://doi.org/10.1016/j.amepre.2009.10.038

    Article  PubMed  PubMed Central  Google Scholar 

  43. Fan Y, Li Y, Liu A, Hu X, Ma G, Xu G (2010) Associations between body mass index, weight control concerns and behaviors, and eating disorder symptoms among non-clinical Chinese adolescents. BMC Public Health 10(1):1–12. https://doi.org/10.1186/1471-2458-10-314

    Article  Google Scholar 

  44. de Melo R, Araujo RP, Pacheco I, Heineck L, da Silva M (2017) Weight loss interventions for overweight and obese adolescents: A systematic review. Eat Weight Disord 22(2):211–229. https://doi.org/10.1007/s40519-016-0309-1

    Article  Google Scholar 

  45. Sahoo K, Sahoo B, Choudhury A, Sufi N, Kumar R. Bhadoria AS (2015) Childhood obesity: Causes and consequences. J Fam Med Prim Care 4(2):187–192. https://doi.org/10.4103/2249-4863.154628

    Article  Google Scholar 

  46. Trasande L, Chatterjee S (2009) The impact of obesity on health service utilization and costs in childhood. Obesity (Silver Spring) 17(9):1749–1754. https://doi.org/10.1038/oby.2009.67

    Article  Google Scholar 

  47. Kyle UG, Earthman CP, Pichard C, Coss-Bu JA (2015) Body composition during growth in children: Limitations and perspectives of bioelectrical impedance analysis. Eur J Clin Nutr [Internet] 69(12):1298–1305. https://doi.org/10.1038/ejcn.2015.86

    Article  CAS  Google Scholar 

Download references

Acknowledgements

We would like to express our gratitude for the funding provided by the Programa para el Desarrollo Profesional Docente [Teacher Professional Development Program], for the Superior Course Type (PRODEP 20799) approved the members of the Behavior, Health, and Quality of Life academic group (UDG-CA764). The authors would also like to thank Maricela Alonso Picasso and Yareli Rodríguez Preciado for their support in collecting the data and preparing the database.

Author information

Authors and Affiliations

  1. Cuerpo Académico Comportamiento, Salud y Calidad de Vida, Centro de Investigación en Riesgos y Calidad de Vida, Centro Universitario del Sur, Universidad de Guadalajara, Av. Enrique Arreola Silva 883, Colonia Centro, Ciudad Guzmán, C.P. 49000, Jalisco, México

    Karina Franco-Paredes, Felipe J. Díaz-Reséndiz & Carlos Alejandro Hidalgo-Rasmussen

  2. Laboratorio de Análisis Conductual, Centro Universitario del Sur, Universidad de Guadalajara, Ciudad Guzmán, México

    Felipe J. Díaz-Reséndiz

  3. Centro de Estudios Avanzados, Universidad de Playa Ancha, Valparaíso, Chile

    Carlos Alejandro Hidalgo-Rasmussen

  4. Instituto de Ciencias de la Salud, Universidad Autónoma del Estado de Hidalgo, Pachuca, México

    Lilián Elizabeth Bosques-Brugada

Authors
  1. Karina Franco-Paredes
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Felipe J. Díaz-Reséndiz
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Carlos Alejandro Hidalgo-Rasmussen
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Lilián Elizabeth Bosques-Brugada
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Karina Franco-Paredes.

Ethics declarations

Conflict of interest

The authors declare that they have not found conflict of interest.

Ethical standards

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

Ethical approval

The study was approved by the Bioetic Committee of the Centro Universitario del Sur of the Universidad de Guadalajara.

Informed consent

Informed consent was obtained from the parents of the participants included in the study and all of the participants accepted to take part in the study.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Franco-Paredes, K., Díaz-Reséndiz, F.J., Hidalgo-Rasmussen, C.A. et al. Health-related quality-of-life model in adolescents with different body composition. Eat Weight Disord 24, 143–150 (2019). https://doi.org/10.1007/s40519-018-0501-6

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s40519-018-0501-6

Keywords

Search

Navigation