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How does age affect the relationship between weight and health utility during the middle years of childhood?

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Title:	How does age affect the relationship between weight and health utility during the middle years of childhood?
Authors:	Eminson, Katie, Canaway, Alastair, Adab, Peymané, Lancashire, Emma, Pallan, Miranda, Frew, Emma
Source:	Quality of Life Research. Jun2018, Vol. 27 Issue 6, p1455-1462. 8p. 4 Charts.
Subjects:	Quality of life measurement, Body weight, Children's health, Well-being, Quality of life, Regression analysis, Prevention of childhood obesity, Age distribution, Chi-squared test, Confidence intervals, Health promotion, Medical care use, Questionnaires, Research funding, Statistical sampling, Multiple regression analysis, Body mass index, Descriptive statistics, Psychology
Geographic Terms:	England
Abstract:	Purpose: The limited literature examining weight status and preference-based health-related quality of life (HRQL) in young children is equivocal. This study aims to examine how the association between weight status and preference-based HRQL changes as children develop between the ages of 6 and 10 years old.Methods: The Child Health Utility 9D (CHU-9D) was used to determine preference-based HRQL. Height and weight data were also collected and used to calculate z-BMI adjusted for age and gender. 1467 children were recruited from 54 schools across the West Midlands. Data were collected at four time points over 5 years. Impact of weight on dimensions of HRQL was assessed via the distribution of responses to CHU-9D dimensions by weight status. Multi-level regression analysis controlling for ethnicity, deprivation and other relevant co-variates was conducted to examine the relationship between weight and HRQL.Results: There was no evidence to suggest that the weight status impacted upon the distribution of responses to CHU-9D dimensions. Correspondingly, the multi-level regression analysis found no statistically significant differences in CHU-9D scores between underweight, healthy weight, overweight and obese children.Conclusions: The evidence surrounding the link between preference-based HRQL and weight status in children is limited. This study found no association between weight status and HRQL as measured by the CHU-9D in children between the ages of 5 and 10 years in the UK. Given this, it is recommended that future studies aiming to prevent obesity in children in their middle years do not rely solely on preference-based measures for economic evaluation, and instead focus on capturing clinical or wellbeing outcomes. [ABSTRACT FROM AUTHOR]
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Database:	Psychology and Behavioral Sciences Collection
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