Quality of Life Research

, Volume 29, Issue 1, pp 163–170 | Cite as

Parental perception of child health status and quality of life associated with overweight and obesity in early childhood

  • Maira Alejandra Ortiz-Pinto
  • Honorato Ortiz-Marrón
  • Ana Rodríguez-Rodríguez
  • Laura Casado-Sánchez
  • José I. Cuadrado-Gamarra
  • Iñaki GalánEmail author



The aim was to assess perceived health status and health-related quality of life (HRQL) according to persistence of and variation in weight status among children from the age of 4 to 6 years.


Longitudinal study of 1883 participants in the ELOIN cohort (Madrid Region, Spain), with physical examination at ages 4 and 6 years. Perceived health status and HRQL were assessed using parent-reported Kidscreen-10 scores, with excess weight being defined on the basis of body mass index (BMI) using the WHO reference tables (z-BMI > 1 standard deviation), and abdominal obesity being defined on the basis of waist circumference (percentile ≥ 90) using the tables proposed by Fernández et al. Variation in these two parameters at age 6 years was associated with incident cases of suboptimal health by logistic regression, and with HRQL by linear regression.


Compared to children without excess weight or abdominal obesity in both periods, incident cases of excess weight or abdominal obesity had odds ratios (ORs) of suboptimal health of 2.41 (95% CI 1.21 to 4.80) and 2.99 (95% CI 1.31 to 6.84) respectively. In terms of HRQL, children with remission of excess weight had a higher Kidscreen-10 score: β coefficient = 2.02 (95% CI 0.36 to 3.68), whereas new cases of abdominal obesity had a lower Kidscreen-10 score: β = − 2.22 (95% CI − 4.40 to − 0.03).


Incident cases of excess weight and abdominal obesity had a higher risk of suboptimal health. Incident cases of abdominal obesity were also associated with worse HRQL.


Childhood Body Mass Index Abdominal obesity Quality of life 



We would like to thank all the following participants: the families; the paediatricians belonging to the Madrid Regional Sentinel Primary-care Physician Network and the staff of Demométrica SL and Sondaxe SL who conducted the family interviews.

Compliance with ethical standards

Conflict of interest

All authors declare that they have no conflicts of interest.

Ethical approval

The study protocol was approved by the Ethics Committee of Madrid’s Ramón y Cajal Hospital, and informed consent in writing was given by the parents of all child participants.


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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Maira Alejandra Ortiz-Pinto
    • 1
    • 2
    • 3
  • Honorato Ortiz-Marrón
    • 4
  • Ana Rodríguez-Rodríguez
    • 5
  • Laura Casado-Sánchez
    • 6
  • José I. Cuadrado-Gamarra
    • 4
  • Iñaki Galán
    • 1
    • 2
    Email author
  1. 1.Centro Nacional de EpidemiologíaInstituto de Salud Carlos IIIMadridSpain
  2. 2.Departamento de Medicina Preventiva y Salud PúblicaUniversidad Autónoma de Madrid/IdiPazMadridSpain
  3. 3.Departamento de Salud PúblicaUniversidad del NorteBarranquillaColombia
  4. 4.Servicio de EpidemiologíaConsejería de SanidadMadridSpain
  5. 5.Consejería de SanidadCentro de Salud GuadarramaMadridSpain
  6. 6.Consejería de SanidadCentro de Salud San BlasMadridSpain

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