Weight Status, Quality of Life, and Self‐concept in African American, Hispanic, and White Fifth‐grade Children

Obesity - Tập 17 Số 7 - Trang 1363-1368 - 2009
Jan L. Wallander1, Wendell C. Taylor2, Branko Grünbaum3, Frank A. Franklin4, Gail G. Harrison5, Steven H. Kelder6, Mark A. Schuster7
1Psychological Sciences Section, School of Social Sciences, Humanities and the Arts, University of California, Merced, California, USA
2Center for Health Promotion and Prevention Research, University of Texas School of Public Health, Houston, Texas, USA
3Prevention Research Center Program, Division of Adult and Community Health, Centers for Disease Control and Prevention, Atlanta, Georgia, USA
4Department of Maternal and Child Health, School of Public Health, University of Alabama at Birmingham, Alabama, USA
5Department of Community Health Sciences, School of Public Health, University of California, Los Angeles, California, USA
6The Michael and Susan Dell Center for Advancement of Healthy Living, University of Texas School of Public Health, Austin, Texas, USA
7Department of Pediatrics, Children's Hospital Boston, Harvard Medical School, and RAND, Boston, Massachusetts, USA

Tóm tắt

This study examined the association between weight status and quality of life (QOL) in fifth‐grade African American, Hispanic, and white children and the potential mediation of this relationship by self‐concept. A sample was recruited from fifth‐grade public school students in three sites, of whom 599 were African American (40%), Hispanic (34%), or white (26%). During a home interview, physical and psychosocial QOL and global and body‐specific self‐concept were measured. Measured height and weight were used to calculate BMI. In this sample, 57% were classified by BMI as not overweight, 17%, overweight, and 26%, obese. Although there was no significant interaction between weight classification and race/ethnicity for QOL, obese children reported significantly lower psychosocial but not physical QOL than those classified as not overweight. There was a significant association between BMI (measured continuously) and psychosocial QOL, but only 2% of the variance was accounted for. Both global self‐concept and body dissatisfaction independently mediated significant portions of the association between BMI and psychosocial QOL. Being obese in childhood may have negative psychosocial effects.

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