ABSTRACT
El objetivo del estudio fue identificar diferencias en los componentes de la calidad de vida relacionada con la salud (CVRS) según el estado ponderal en una muestra de adolescentes de tres ciudades localizadas en Argentina, Brasil y Chile. Se aplicó el cuestionario Kidscreen-52 a 1.357 adolescentes con edades comprendidas entre 12 y 17 años (48,6% chicos) en muestras seleccionadas en los tres países. El estado ponderal (eutrófico, sobrepeso y obesidad) fue definido mediante el índice de masa corporal, utilizándose los puntos de corte sugeridos por la International Obesity Task Force. Para establecer comparaciones entre los estratos formados, se utilizó el análisis de covarianza mediante el control de las puntuaciones asociadas a la ciudad/país de origen, sexo y edad. Considerando la totalidad de los adolescentes reunidos en el estudio, el 35,2% de las chicas y el 28,6% de los chicos presentaron exceso de peso corporal, de los cuales, 6,4% y el 4,7% respectivamente, mostraron ser obesos. Se observó aumento en las prevalencias de sobrepeso y obesidad con la edad, sobretodo en el grupo de los chicos. En comparación con los adolescentes eutróficos, los adolescentes obesos obtuvieron puntuaciones significativamente más comprometidas en los diez componentes de CVRS. Los adolescentes con sobrepeso mostraron valores significativamente menores que los adolescentes eutróficos en los componentes de Bienestar Físico, Bienestar Psicológico, Estado de Ánimo y Emociones, Autopercepción, Amigos y Apoyo Social, Entorno Escolar y Rechazo Social/Bullying. Además, en la comparación entre adolescentes con sobrepeso y obesos, las diferencias demostraron estadísticamente significativas para los componentes de Bienestar Físico, Autopercepción y Rechazo Social/Bullying. Por consiguiente, las evidencias encontradas apuntan hacia la importancia de monitorizar e intervenir en los componentes de CVRS relacionados con la propuesta de programas dirigidos la reversión del sobrepeso/obesidad y al control del peso corporal
The purpose of the study was to identify differences in the components of health-related quality of life (HRQL) across weight status in samples of adolescents from three cities in Argentina, Brazil, and Chile. The Kidscreen-52 questionnaire was administered to 1357 adolescents between 12 and 17 years of age (48.6% of them male) in selected samples in the three countries. To define the weight status (eutrophic, overweight, obesity) we used the gender-and-age-specific body mass index cut-offs recommended by theInternational Obesity Task Force - IOFT. Analysis of covariance was used to make comparisons between strata formed by controlling the scores associated with the city/country of origin, sex and age. Considering all adolescents in the study, 35.2% of girls and 28.6% of boys were overweight, of which 6.4% and 4.7%, respectively, showed to be obese. Magnitude of the prevalence increases with age, being these values more pronounced among the boys. Compared to eutrophic adolescents, the obese adolescents presented scores significantly more injured in the ten components of HRQL. The overweight adolescents showed significantly lower values than eutrophic adolescents in the components equivalent to Physical Well-being, Psychological Well-being, Moods and Emotions, Self-Perceptions, Social Support and Peers, School Environment, and Social Acceptance/Bullying. In addition, the comparison between overweight and obese adolescents showed statistically significant differences for the components of Physical Well-being, Self-Perceptions, and Social Acceptance/Bullying. Therefore the evidences found indicate to the importance of monitoring and intervening in HRQOL components related to the proposed programs for the reversal of overweight/obesity and weight control
Subject(s)
Humans , Male , Female , Adolescent , Overweight/epidemiology , Pediatric Obesity/epidemiology , Self Concept , Quality of Life , Latin America/epidemiology , Social Adjustment , Social Desirability , Overweight/psychology , Cross-Sectional Studies , Body Weights and Measures/statistics & numerical dataABSTRACT
OBJECTIVE: The objective of the present study was to find out if there are differences in terms of sex, age, or country of origin for the components of health-related quality of life (HRQL) in samples of adolescents from three cities-in Argentina, Brazil, and Chile, respectively-using data collected through an internationally recognized and validated survey questionnaire, KIDSCREEN-52. METHODS: The KIDSCREEN-52 questionnaire was administered to 1 357 adolescents between 12 and 17 years of age (48.6% of them male) in selected samples in the three countries. Univariate analysis of variation (ANCOVA) was used. Not only sex and age differences, but also differences for each component of HRQL, were found between the three country groups. RESULTS: The data showed significant differences between the three countries for each of the specific components of HRQL. Males scored significantly higher than females in the following components: Physical Well-being (P < 0.001), Psychological Well-being (P = 0.019), Moods and Emotions (P < 0.001), Self-perception (P = 0.001), Autonomy (P < 0.001), and Parent Relations and Home Life (P = 0.008). Furthermore, the average scores for Physical Well-being (P = 0.001), Psychological Well-being (P = 0.001), Self-Perception (P = 0.038), Autonomy (P = 0.001), Parent Relations and Home Life (P = 0.001), School Environment (P = 0.001), and Financial Resources (P = 0.022) showed a significantly declining trend with each advancing year, while average scores for the component Social Acceptance (Bullying) increased significantly with age (P < 0.001). CONCLUSIONS: The evidence suggests that interventions in disease prevention and health promotion should be developed for specific target groups, using appropriate actions depending on the sex and age of the adolescents.
Subject(s)
Quality of Life , Adolescent , Argentina , Brazil , Chile , Diagnostic Self Evaluation , Female , Humans , Male , Surveys and QuestionnairesABSTRACT
OBJETIVO: El objetivo del presente trabajo es determinar diferencias en relación con el sexo, la edad y el país de origen, en los componentes de la calidad de vida relacionada con la salud (CVRS), en una muestra de adolescentes de tres ciudades localizadas en Argentina, Brasil y Chile, utilizando datos recogidos mediante un cuestionario validado y reconocido internacionalmente: el KIDSCREEN-52. MÉTODOS: Se aplicó el cuestionario KIDSCREEN-52 a 1 357 adolescentes con edades comprendidas entre 12 y 17 años (48,6% varones) en muestras seleccionadas en los tres países. Se utilizó el análisis de varianza univariada (ANCOVA) y se identificaron diferencias entre países de los adolescentes, sexo y edad en cada componente de CVRS. RESULTADOS: Los datos indican diferencias significativas en componentes específicos de CVRS entre los tres países. Los varones consiguieron puntuaciones significativamente más elevadas que las mujeres en los componentes Bienestar físico (P < 0,001), Bienestar psicológico (P = 0,019), Estado de ánimo y emociones (P < 0,001), Autopercepción (P = 0,001), Autonomía (P < 0,001) y Relación con los padres y vida familiar (P = 0,008). Las puntuaciones medias atribuidas a los componentes Bienestar físico (P = 0,001), Bienestar psicológico (P = 0,001), Autopercepción (P = 0,038), Autonomía (P = 0,001), Relación con los padres y vida familiar (P = 0,001), Entorno escolar (P = 0,001) y Recursos económicos (P = 0,022) muestran un descenso significativo con el avance de la edad; en cuanto al componente Rechazo (social/bullying), los puntajes medios encontrados aumentaron significativamente con la edad (P < 0,001). CONCLUSIONES: Las evidencias encontradas sugieren que las intervenciones en prevención y promoción de la salud deberían ser concebidas para llegar a los grupos-objetivo específicos y tendrían que contemplar acciones de acuerdo con el sexo y la edad de los adolescentes.
OBJECTIVE: The objective of the present study was to find out if there are differences in terms of sex, age, or country of origin for the components of health-related quality of life (HRQL) in samples of adolescents from three cities-in Argentina, Brazil, and Chile, respectively-using data collected through an internationally recognized and validated survey questionnaire, KIDSCREEN-52. METHODS: The KIDSCREEN-52 questionnaire was administered to 1 357 adolescents between 12 and 17 years of age (48.6% of them male) in selected samples in the three countries. Univariate analysis of variation (ANCOVA) was used. Not only sex and age differences, but also differences for each component of HRQL, were found between the three country groups. RESULTS: The data showed significant differences between the three countries for each of the specific components of HRQL. Males scored significantly higher than females in the following components: Physical Well-being (P < 0.001), Psychological Well-being (P = 0.019), Moods and Emotions (P < 0.001), Self-perception (P = 0.001), Autonomy (P < 0.001), and Parent Relations and Home Life (P = 0.008). Furthermore, the average scores for Physical Well-being (P = 0.001), Psychological Well-being (P = 0.001), Self-Perception (P = 0.038), Autonomy (P = 0.001), Parent Relations and Home Life (P = 0.001), School Environment (P = 0.001), and Financial Resources (P = 0.022) showed a significantly declining trend with each advancing year, while average scores for the component Social Acceptance (Bullying) increased significantly with age (P < 0.001). CONCLUSIONS: The evidence suggests that interventions in disease prevention and health promotion should be developed for specific target groups, using appropriate actions depending on the sex and age of the adolescents.
