Longitudinal Improvements in Health-Related Quality of Life Among Children Enrolled in the CANadian Paediatric Weight Management Registry (CANPWR) Over 3 Years

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2026-03-12 DOI:10.1111/ijpo.70100

Marina Ybarra, Grace Rebekah, Geoff D. C. Ball, Annick Buchholz, Jill Hamilton, Josephine Ho, Ian Zenlea, Rajibul Mian, Lehana Thabane, Katherine M. Morrison, the CANPWR Investigators

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引用次数: 0

Abstract

Background

Health-related quality of life (HRQoL) can be impaired in children with obesity. Utilising data from the CANadian Paediatric Weight Management Registry (CANPWR), we examined changes in HRQoL up to 3-year after enrollment in paediatric weight management programs (PWMP) and demographic, socioeconomic, behavioural and health-related factors associated with it.

Methods

Data were collected from 2013 to 2020. Child (≥ 8 years) and parent-reported HRQoL data were assessed via questionnaire (PedsQL4.0) at baseline, 6-month, 1-, 2- and 3-year post-baseline in PWMP. Over time, HRQoL and associations with demographic, anthropometric, behavioural and health services data were examined using linear effects and mixed effects models.

Findings

A total of 1145 participants were included at baseline (47.8% male; age 12.4 ± 3.3 years; BMI z-score: 3.5 ± 1.2; 68.8% White), 793 (69%) at 1- and 615 (54%) at 3-year post-baseline. Total HRQoL improved from baseline to 6-month and was higher at 3-year (child-total score: 69.9 ± 15.2 vs. 74.6 ± 14.5, p < 0.001; parent-total score: 64.6 ± 17.4 vs. 68.6 ± 17.0; p < 0.001). Total child-reported HRQoL was higher in boys (ß: 2.71, CI: 1.2–4.2; p < 0.01), children who identified as non-White (ß: 2.63, CI: 0.8–4.5; p < 0.01), and those with higher household incomes (ß: 3.65, CI: 1.6–5.7; p < 0.01), independent of BMI z-score. Higher total child-reported HRQoL scores were positively related to higher hours of clinic attendance (ß: 0.09 CI: 0.06–0.12; p < 0.01). In contrast, sleep disturbance, lower physical activity, and higher screen time were associated with lower total child-reported HRQoL independent of BMI z-score.

Conclusions

Both child- and parent-reported HRQoL scores improved over 3 years, and these changes were associated positively with clinic attendance and negatively with unhealthy behaviours.

Abstract Image

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在加拿大儿童体重管理登记中心（CANPWR）登记3年以上儿童健康相关生活质量的纵向改善

背景：肥胖儿童的健康相关生活质量（HRQoL）可能受损。利用加拿大儿科体重管理登记处（CANPWR）的数据，我们检查了儿童体重管理项目（PWMP）注册后3年内HRQoL的变化以及与之相关的人口统计学、社会经济、行为和健康相关因素。方法：收集2013 - 2020年的数据。儿童（≥8岁）和家长报告的HRQoL数据通过问卷（PedsQL4.0）在PWMP基线后、6个月、1年、2年和3年进行评估。随着时间的推移，使用线性效应和混合效应模型检查了HRQoL及其与人口、人体测量学、行为和卫生服务数据的关联。结果：基线时共纳入1145名参与者（47.8%为男性，年龄12.4±3.3岁；BMI z-score: 3.5±1.2；68.8%为白人），基线后1年793人（69%），3年615人（54%）。从基线到6个月，总HRQoL有所改善，3岁时更高（儿童总分：69.9±15.2比74.6±14.5,p）。结论：儿童和家长报告的HRQoL评分在3年内均有所改善，这些变化与就诊次数呈正相关，与不健康行为负相关。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.