Journal of the Korean Academy of Child and Adolescent Psychiatry

Korean Academy of Child and Adolescent Psychiatry (대한소아청소년정신의학회)
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RELATIONSHIP BETWEEN QUALITY OF LIFE AND BODY MASS INDEX IN MIDDLE SCHOOL STUDENTS

중학생들에서의 체 질량 지수와 삶의 질의 관계

  • Jang Won-Seok (Division of Child and Adolescent Psychiatry, Department of Psychiatry, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Yang Jae-Won (Division of Child and Adolescent Psychiatry, Department of Psychiatry, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Joung Yoo-Sook (Division of Child and Adolescent Psychiatry, Department of Psychiatry, Sungkyunkwan University School of Medicine, Samsung Medical Center) ;
  • Hong Sung-Do (Division of Child and Adolescent Psychiatry, Department of Psychiatry, Sungkyunkwan University School of Medicine, Samsung Medical Center)
  • 장원석 (성균관대학교 의과대학 삼성서울병원 정신과학교실) ;
  • 양재원 (성균관대학교 의과대학 삼성서울병원 정신과학교실) ;
  • 정유숙 (성균관대학교 의과대학 삼성서울병원 정신과학교실) ;
  • 홍성도 (성균관대학교 의과대학 삼성서울병원 정신과학교실)
  • Published : 2006.03.01
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Abstract

Objectives: Obesity is one of risk factors for psychological and social adjustment problems (depression, low self esteem, low school function etc). Quality of life(QOL) is comprehensive and multidimensional construct including physical, emotional, social and school functioning. Some authors reported that child and adolescent obesity is associated with impaired QOL. This study was to examine the association between QOL and body mass index (BMI) in middle school students. Methods : Cross sectional analysis of 471 adolescents between the ages of 13 and 14 years ($mean{\pm}SD,\;13.4{\pm}0.6$), who attended one of middle schools in Seoul, Korea. Participants' QOL were scored by using Korean version of pediatric QOL inventory generic score scale ($PedsQL^{TM}$ 4.0). Participants had a $mean{\pm}SD\;BMI\;of\;21.3{\pm}4.0$. Self reports and parent proxy reports using $PedsQL^{TM}$ 4.0 were administered to measure participant's QOL. Participants were divided into four groups by BMI (Male: obesity group >26.5, at risk group 23.2-26.5, normal weight group 15.8-23.1, underweight group <15.8, Female : obesity group >25.2, at risk group 22.9-25.2, normal weight group 16.0-22.8, underweight group <16.0). Results : Compared with other groups, obese adolescents reported significantly(p<0.01) love. QOL in all domains. Obese adolescents were more likely to have impaired QOL than normal weight adolescents (Odds Ratio, 8.3, 95% confidence interval, 4.0-16.7). Conclusion : Obese adolescents have lower QOL than normal weight adolescents. Psychiatrist, parents, and teachers need to be informed of the risk fur impaired QOL in obese adolescents to target interventions that could enhance health outcomes.

비만이 청소년에 미칠 수 있는 사회 심리적 영향을 평가하기 위하여 471명의 중학생에서의 체 질량 지수와 삶의 질의 관계를 알아보았다. 연구 참여 학생 중 우울 위해 CDI검사를 성향을 보이는 학생들을 배제하기 실시하였고 삶의 질을 평가하기 위한 도구로 $PedsQL^{TM}$ 4.0을 사용하였다. 체 질량 지수를 기준으로 저 체중 군, 정상 체중 군, 비만위험 군으로 나누어 삶의 질을 비교하였다. 중학생에서의 체 질량 지수는 삶의 질과 관계가 있으며 비만 중학생들의 경우 정상 체중 중학생들에 비해 자신의 삶의 질을 낮게 평가한다.

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