Health-related quality of life in overweight and nonoverweight black and white adolescents.

Journal Article (Journal Article)

OBJECTIVES: To assess the impact of obesity on quality of life (QOL) in black and white adolescents. STUDY DESIGN: One hundred ten overweight (body mass index [BMI], 41.7 +/- 8.9 kg/m2) and 34 nonoverweight adolescents (BMI, 20.6 +/- 2.9 kg/m2) and their parents completed measures of QOL. RESULTS: Overweight was associated with poorer adolescent-reported QOL and parent reports of their children's QOL. Examining groups by weight status and race, overweight whites reported the greatest impairment on Social/Interpersonal, Self-Esteem, and Physical Appearance QOL (all P < .01), whereas parents of overweight blacks reported the poorest General Health Perceptions scores regarding their children. Interactions between BMI z-score and race were detected for Social/Interpersonal, Self-esteem, Daily Living, Self-Efficacy, Self-regard, and Physical Appearance QOL (all P < .05): Higher BMI in whites was associated with greater impairments in QOL than in blacks. Parents reported similar relations for their children. CONCLUSIONS: According to adolescent and parent reports, overweight is associated with poorer QOL in adolescence, regardless of race; however, compared with overweight white adolescents, blacks report less impairment in QOL. Future research is required to determine whether differences in QOL are predictive of treatment success.

Full Text

Duke Authors

Cited Authors

  • Fallon, EM; Tanofsky-Kraff, M; Norman, A-C; McDuffie, JR; Taylor, ED; Cohen, ML; Young-Hyman, D; Keil, M; Kolotkin, RL; Yanovski, JA

Published Date

  • October 2005

Published In

Volume / Issue

  • 147 / 4

Start / End Page

  • 443 - 450

PubMed ID

  • 16227028

Pubmed Central ID

  • PMC2266889

International Standard Serial Number (ISSN)

  • 0022-3476

Digital Object Identifier (DOI)

  • 10.1016/j.jpeds.2005.05.039


  • eng

Conference Location

  • United States