Quality of Life Research

, Volume 21, Issue 1, pp 59–69

Overweight and its impact on the health-related quality of life in children and adolescents: results from the European KIDSCREEN survey

  • Veronika Ottova
  • Michael Erhart
  • Luis Rajmil
  • Lucia Dettenborn-Betz
  • Ulrike Ravens-Sieberer

DOI: 10.1007/s11136-011-9922-7

Cite this article as:
Ottova, V., Erhart, M., Rajmil, L. et al. Qual Life Res (2012) 21: 59. doi:10.1007/s11136-011-9922-7



To analyse the impact of overweight on HRQoL in a European sample of children and adolescents.


Analyses were conducted using data on 17,159 children and adolescents aged 8–18 from 10 European countries (Germany, Spain, France, Netherlands, Austria, United Kingdom, Switzerland, Hungary, Czech Republic and Poland) participating in the KIDSCREEN Health Interview Survey. In the studied sample (N = 13,041), there were slightly more girls (52.6%) than boys (47.4%). Gender- and age-specific cut-offs of Cole et al. (BMJ 320:1240, 2000) were used to define overweight and obesity. The two groups were collapsed into one ‘overweight’ category. HRQoL was assessed on 10 dimensions using the KIDSCREEN-52. Univariate analysis of covariance (ANCOVA) was performed for group comparisons (normal weight vs. overweight). Partial eta squared (ηp2) was used as a measure of effect strength.


Overall, 14.2% (N = 1,849) of the sample was overweight, with prevalence rates ranging between 9.4% in France and 17.6% in Spain. Across all countries, overweight children and adolescents had lower mean HRQoL scores than normal weight children and adolescents. The strongest HRQoL impairments emerged on the physical well-being (ηp2 = 0.012) and self-perception dimensions (ηp2 = 0.021), both P < 0.001.


This is one of the first studies comparing the impact of HRQoL at European level using a generic and internationally valid HRQoL instrument, and the results show that, irrespective of national background, overweight children and adolescents are significantly impaired on their HRQoL, in particular on the physical well-being and the self-perception domain.


Health-related quality of life Overweight Child Adolescent Europe 



Body mass index


Family affluence scale


Health-related quality of life

Copyright information

© Springer Science+Business Media B.V. 2011

Authors and Affiliations

  • Veronika Ottova
    • 1
  • Michael Erhart
    • 1
  • Luis Rajmil
    • 2
    • 3
  • Lucia Dettenborn-Betz
    • 1
  • Ulrike Ravens-Sieberer
    • 1
  1. 1.Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, Research Unit Child Public HealthUniversity Medical Center Hamburg-EppendorfHamburgGermany
  2. 2.Agency for Health Information, Assessment and QualityBarcelonaSpain
  3. 3.Health Services Research UnitBarcelonaSpain

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