Evidence map›Paper›PMID 28794060›Full record

Observational studyBMJ open2017

Assessment of health-related quality of life and psychological well-being of children and adolescents with obesity enrolled in a New Zealand community-based intervention programme: an observational study.

Yvonne C Anderson, Lisa E Wynter, Katharine F Treves, Cameron C Grant, Joanna M Stewart, Tami L Cave, Trecia A Wouldes, José G B Derraik, Wayne S Cutfield, Paul L Hofman

Open access · goldAbstract readObservational Study
In one paragraph

Observational study in BMJ open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.

0numbers the graph read from it
0cells of the map it votes in
21citing papers in PubMed
6.5field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

21 citing papers in PubMed, 39 citations in OpenAlex.

  1. Trial
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  6. Observational
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  17. Review
  18. Type 1 Diabetes Mellitus in Pediatric Patients and Its Impact on Relationships in the Family Environment.Diabetes, metabolic syndrome and obesity : targets and therapy · 2020
    Article
  19. Childhood obesity in New Zealand.World journal of pediatrics : WJP · 2019
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 1 country.

Yvonne C AndersonDepartment of Paediatrics, Taranaki District Health Board, New Plymouth, Taranaki, New Zealand.ORCID 0000-0003-2054-338X
Lisa E WynterDepartment of Paediatrics, Taranaki District Health Board, New Plymouth, Taranaki, New Zealand.
Katharine F TrevesDepartment of Paediatrics, Taranaki District Health Board, New Plymouth, Taranaki, New Zealand.
Cameron C GrantDepartment of Paediatrics, Child and Youth Health, University of Auckland, Auckland, New Zealand.
Joanna M StewartDepartment of Epidemiology and Biostatistics, University of Auckland, Auckland, New Zealand.
Tami L CaveLiggins Institute, University of Auckland, Auckland, New Zealand.
Trecia A WouldesFaculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand.
José G B DerraikLiggins Institute, University of Auckland, Auckland, New Zealand.
Wayne S CutfieldLiggins Institute, University of Auckland, Auckland, New Zealand.
Paul L HofmanLiggins Institute, University of Auckland, Auckland, New Zealand.
University of Auckland · NZTaranaki Base Hospital · NZ

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo describe health-related quality of life (HRQOL) and psychological well-being of children and adolescents at enrolment in a multidisciplinary community-based obesity programme and to determine association with ethnicity. This programme targeted indigenous people and those from most deprived households. Further, this cohort was compared with other populations/normative data.

methodsThis study examines baseline demographic data of an unblinded randomised controlled clinical trial. Participants (recruited from January 2012-August 2014) resided in Taranaki, New Zealand, and for this study we only included those with a body mass index (BMI) ≥98th percentile (obese). HRQOL and psychological well-being were assessed using the Pediatric Quality of Life Inventory (PedsQL V.4.0

resultsAssessments were undertaken for 233 participants (45% Māori, 45% New Zealand European, 10% other ethnicities, 52% female, 30% from the most deprived household quintile), mean age 10.6 years. The mean BMI SD score (SDS) was 3.12 (range 2.01-5.34). Total PedsQL generic scaled score (parent) was lower (mean=63.4, SD 14.0) than an age-matched group of Australian children without obesity from the Health of Young Victorians study (mean=83.1, SD 12.5). In multivariable models, child and parental generic scaled scores decreased in older children (β=-0.70 and p=0.031, β=-0.64 and p=0.047, respectively). Behavioural difficulties (CBCL/YSR total score) were reported in 43.5% of participants, with the rate of emotional/behavioural difficulties six times higher than reported norms (p<0.001).

conclusionsIn this cohort, children and adolescents with obesity had a low HRQOL, and a concerning level of psychological difficulties, irrespective of ethnicity. Obesity itself rather than ethnicity or deprivation appeared to contribute to lower HRQOL scores. This study highlights the importance of psychologist involvement in obesity intervention programmes. TRIAL REGISTRATION NUMBER: Australian NZ Clinical Trials Registry ANZCTR 12611000862943; Pre-results.

Indexed as

Pediatric ObesityQuality of LifeAdolescentCase-Control StudiesChildChild Behavior DisordersChild, PreschoolCohort StudiesDiabetes Mellitus, Type 1FemaleHumansMaleNew ZealandParentsPovertyRandomized Controlled Trials as Topicadolescentlifestyle interventionobesitypaediatricquality of lifeWhānau Pakari

Identifiers

PMID28794060
PMCPMC5629647
OpenAlexW2743284297

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.