Quality of life and associated factors among preschool overweight and obese children

doi:10.11852/zgetbjzz2022-0890

Abstract

Abstract: Objective To investigate the quality of life (QOL) of preschool overweight and obese children aged 5 - 6, and to analyze the associated factors of QOL using the structural equation model. Methods Using the multi-stage cluster sampling method, a total of 2 256 children aged 5 - 6 were surveyed from January to March 2021.Height and weight were measured to assess overweight and obesity.The survey was conducted using the Paediatric QOL Inventory 4.0, Family Social Capital Scale and Family Cultural Capital Scale. Results Totally 294(13.03%) children were detected with overweight and 241(10.68%) children were detected with obesity.The QOL of preschool children with overweight and obesity was significantly lower than that of normal children in Nantong City.The results of the structure equation model showed that the family social capital had a direct (β=0.160, P<0.05) and indirect (β=0.159, P<0.05) positive influence on the QOL of preschool children with overweight and obesity.Family cultural capital directly influenced the QOL (β=0.264, P<0.05).The type of obesity(β=-0.104), parental marital relationship(β=0.143), and only-child or not (β=0.094) directly affected the QOL of preschool overweight and obese children(P<0.05). Conclusions The QOL of overweight and obese children in Nantong is relatively low.Among them, non-only child and children with moderate to severe obesity need more extensive attention from society.Improving family social capital, family cultural capital and parental marital relationship can effectively improve the QOL of overweight and obese children.

Key words: preschool children, overweight and obesity, quality of life

摘要： 目的了解南通市学龄前超重肥胖儿童的生存质量(QOL),并利用结构方程模型探讨QOL的影响因素。方法 2021年1—6月随机整群抽取南通市6所托幼机构的2 256名学龄前儿童为研究对象,对儿童进行身高、体重测量并开展超重肥胖评价,采用生存质量、家庭社会资本和家庭文化资本相关量表进行调查。结果共筛选出超重儿童294例(13.03%),肥胖儿童241例(10.68%)。南通市学龄前超重肥胖儿童的生存质量明显低于正常儿童。结构方程模型显示,家庭社会资本对学龄前超重和肥胖儿童生存质量有直接正向影响(β=0.160,P<0.05)和间接正向影响(β=0.159,P<0.05)。家庭文化资本直接影响生存质量(β=0.264,P<0.05)。肥胖类型、父母婚姻关系、儿童是否为独生子女直接影响学龄前超重和肥胖儿童(标准化直接效应分别为-0.104、0.143、0.094,P<0.05)。结论南通市超重肥胖儿童生存质量相对较低,其中非独生子女、中重度肥胖儿童更需要受到社会的广泛关注。提高家庭社会资本、家庭文化资本、改善父母婚姻关系能有效改善超重肥胖儿童生存质量。

关键词: 学龄前儿童, 超重肥胖, 生存质量

CLC Number:

R723.14

LIU Weiwei, LOU Haiqin, FU Lu, DAI Qianqian. Quality of life and associated factors among preschool overweight and obese children[J]. Chinese Journal of Child Health Care, 2023, 31(4): 385-389.

刘维韦, 娄海琴, 付路, 代倩倩. 学龄前超重肥胖儿童生存质量现状及影响因素分析[J]. 中国儿童保健杂志, 2023, 31(4): 385-389.

References

[1] Heijden L, Feskens E, Raat H, et al.Quality of life of children and adolescents with clinical obesity, perspectives of children and parents[J].Obes Res Clin Pract, 2021(10):466-472.
[2] 周林, 何玉秀, 梁玉.肥胖对儿童动作能力影响的研究进展[J].中国儿童保健杂志, 2022, 30(1):57-61.
Zhou L, He YX, Liang Y.Progress in the influence of obesity on motor competence of children[J].Chin J Child Health Care, 2022, 30(1):57-61.
[3] 邢鹏飞, 王杭州, 陈民,等.儿童低级别胶质瘤术后放疗生存状态及生存质量分析[J].中华放射肿瘤学杂志, 2020, 29(2):93-95.
Xing PF, Wang HZ, Chen M, et al.Survival analysis and quality of life of pediatric low grade glioma treated by postoperative radiotherapy[J].Chin J Radiation Oncology, 2020, 29(2):93-95.
[4] Puka K, Conway L, Smith ML.Quality of life of children and families[J].Handb Clin Neurol, 2020(174):379-388.
[5] 杨迪.哈尔滨市城区3～6岁学前儿童忽视现状及其与家庭资本关系研究[D].哈尔滨:哈尔滨师范大学,2011.
Yang D.Invertigation of child neglect among 3-6 year-old children in Harbin urban areas and the relationship with family capital[D].Haerbin:Harbin Normal University, 2011.
[6] 陈荣华, 赵正言, 刘湘云,等.儿童保健学[M].5版.南京:江苏科学技术出版社, 2017:601-602.
Chen RH, Zhao ZY, Liu XY, et al.Child health care[M].5th ed.Nanjing:Jiangsu Science and Technology Publishing House, 2017:601-602.
[7] 陈裕明, 何丽萍, 麦锦城,等.儿童青少年生存质量普适性核心量表信度效度评价[J].中华流行病学杂志, 2008, 29(6):560-563.
Chen YM, He LP, Mai JC, et al.Validity and reliability of Pediatric Quality of Life Inventory Version 4.0 Generic Core Scales in Chinese children and adolescents[J].Chinese Journal of Epidemiology, 2008, 29(6):560-563.
[8] 霍言言, 吴丹, 汪秀莲,等.上海静安区学龄前儿童超重肥胖及高血压流行现状[J].中国儿童保健杂志, 2019, 27(7):758-760.
Huo YY, Wu D, Wang XL, et al.Epidemiology of overwight, obesity and hypertemsion among preschool children in Jing'an district of Shanghai[J].Chin J Child Health Care, 2019, 27(7):758-760.
[9] 王付曼, 姚屹, 杨琦.中国七个城市学龄前儿童消瘦、超重和肥胖状况的队列研究[J].中华疾病控制杂志, 2019,23(5):522-526.
Wang FM, Yao Y, Yang Q.Cohort study on thin, overweight and obesity of preschool children among 7 cities in China[J].Chinese Journal of Disease Control & Prevention, 2019, 23(5):522-526.
[10] 李文幸.超重/肥胖儿童青少年生存质量影响因素研究[D].杭州:杭州师范大学, 2019.
Li WX.Study on factors influencing quality of life of overweight/obese children and adolescents[D].Hangzhou:Hangzhou Normal University, 2019.
[11] Chan CM, Wang WC.Quality of life in overweight and obese young chinese children:A mixed-method study[J].Health Qual Life Outcomes, 2013, 11(1):33.
[12] 杨蓓,姬成伟,王宏,等.太原市初一学生健康相关生存质量影响因素研究[J].中国学校卫生, 2015, 36(12):1811-1813.
Yang B, Ji CW, Wang H, et al.Influencing factors regarding health-related quality of life among junior middle school students[J].Chin J Sch Health, 2015, 36(12):1811-1813.
[13] Sorek Y.Children of divorce evaluate their quality of life:The moderating effect of psychological processes[J].Child Youth Serv Rev, 2019(107):104533.
[14] Story WT, Carpiano RM.Household social capital and socioeconomic inequalities in child undernutrition in rural india[J].Soc Sci Med,2017(181):112-121.
[15] Liu YF.The associated factors of children social interaction on family social capital[J].Agro Food Ind Hi Tech,2017(28):3358-3361.
[16] Steinbeqg L.Adolescence[M].7st ed.New York:The Mc Graw-Hill Companies, 2005.
[17] Jia S, Wang L, Shi Y, Li P.Family risk factors associated with aggressive behavior in chinese preschool children[J].J Pediatr Nurs,2016,31(6):e367-e374.
[18] Langlotz A, Locher MA.The role of emotions in relational work[J].J Pragmat, 2013, 58(58):87-107.
[19] Lareau A.Home advantage:Social class and parental intervention in elementary education[M].New York:Falmer, 1989.