Comorbidities of overweight/obesity experienced in adolescence: longitudinal study.
OBJECTIVES: Adolescent obesity is linked to metabolic and cardiovascular risk, but its associations with adolescents' experienced health and morbidity are less clear. Morbidities experienced by overweight/obese adolescents and associations between morbidities and timing of overweight/obesity w...
| Main Authors: | , , , , , , , |
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| Format: | Journal article |
| Language: | English |
| Published: |
2010
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| _version_ | 1797074435425959936 |
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| author | Wake, M Canterford, L Patton, G Hesketh, K Hardy, P Williams, J Waters, E Carlin, J |
| author_facet | Wake, M Canterford, L Patton, G Hesketh, K Hardy, P Williams, J Waters, E Carlin, J |
| author_sort | Wake, M |
| collection | OXFORD |
| description | OBJECTIVES: Adolescent obesity is linked to metabolic and cardiovascular risk, but its associations with adolescents' experienced health and morbidity are less clear. Morbidities experienced by overweight/obese adolescents and associations between morbidities and timing of overweight/obesity were examined. METHODS: Data were from the Health of Young Victorians Study (HOYVS; 1997, 2000, 2005), a school-based longitudinal study. Outcomes were blood pressure, health status (Pediatric Quality of Life Inventory 4.0 (PedsQL), global health), mental health (Strengths and Difficulties Questionnaire), psychological distress (Kessler-10), physical symptoms, sleep, asthma, dieting, and healthcare needs and visits. Regression methods assessed associations with body mass index status and timing of overweight/obesity. RESULTS: Of the 923 adolescents (20.2% overweight, 6.1% obese), 63.5% were classified as "never" overweight/obese, 8.5% as "childhood only", 7.3% as "adolescence only" and 20.8% as "persistent". Compared to non-overweight, current obesity was associated with lower PedsQL physical summary scores (mean -6.58, 95% CI -9.52 to -3.63) and good/fair/poor global health (OR 3.52, 95% CI 1.95 to 6.36), hypertension (systolic 8.86, 95% CI 4.70 to 16.71; diastolic 5.29, 95% CI 2.74 to 10.20) and dieting (OR 5.79, 95% CI 3.28 to 10.23), with intermediate associations for overweight. Associations with psychosocial morbidity were weaker and inconsistent and there were few associations with health symptoms and problems. Only dieting (OR 2.30, 95% CI 1.36 to 3.89) was associated with resolved childhood overweight/obesity. CONCLUSIONS: Despite poorer overall health, overweight/obese adolescents were not more likely to report specific problems that might prompt health intervention. Morbidity was mainly associated with concurrent, rather than earlier, overweight/obesity. |
| first_indexed | 2024-03-06T23:36:07Z |
| format | Journal article |
| id | oxford-uuid:6db8b71a-1bb7-4c08-ae1d-1e85293d43c9 |
| institution | University of Oxford |
| language | English |
| last_indexed | 2024-03-06T23:36:07Z |
| publishDate | 2010 |
| record_format | dspace |
| spelling | oxford-uuid:6db8b71a-1bb7-4c08-ae1d-1e85293d43c92022-03-26T19:19:36ZComorbidities of overweight/obesity experienced in adolescence: longitudinal study.Journal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:6db8b71a-1bb7-4c08-ae1d-1e85293d43c9EnglishSymplectic Elements at Oxford2010Wake, MCanterford, LPatton, GHesketh, KHardy, PWilliams, JWaters, ECarlin, J OBJECTIVES: Adolescent obesity is linked to metabolic and cardiovascular risk, but its associations with adolescents' experienced health and morbidity are less clear. Morbidities experienced by overweight/obese adolescents and associations between morbidities and timing of overweight/obesity were examined. METHODS: Data were from the Health of Young Victorians Study (HOYVS; 1997, 2000, 2005), a school-based longitudinal study. Outcomes were blood pressure, health status (Pediatric Quality of Life Inventory 4.0 (PedsQL), global health), mental health (Strengths and Difficulties Questionnaire), psychological distress (Kessler-10), physical symptoms, sleep, asthma, dieting, and healthcare needs and visits. Regression methods assessed associations with body mass index status and timing of overweight/obesity. RESULTS: Of the 923 adolescents (20.2% overweight, 6.1% obese), 63.5% were classified as "never" overweight/obese, 8.5% as "childhood only", 7.3% as "adolescence only" and 20.8% as "persistent". Compared to non-overweight, current obesity was associated with lower PedsQL physical summary scores (mean -6.58, 95% CI -9.52 to -3.63) and good/fair/poor global health (OR 3.52, 95% CI 1.95 to 6.36), hypertension (systolic 8.86, 95% CI 4.70 to 16.71; diastolic 5.29, 95% CI 2.74 to 10.20) and dieting (OR 5.79, 95% CI 3.28 to 10.23), with intermediate associations for overweight. Associations with psychosocial morbidity were weaker and inconsistent and there were few associations with health symptoms and problems. Only dieting (OR 2.30, 95% CI 1.36 to 3.89) was associated with resolved childhood overweight/obesity. CONCLUSIONS: Despite poorer overall health, overweight/obese adolescents were not more likely to report specific problems that might prompt health intervention. Morbidity was mainly associated with concurrent, rather than earlier, overweight/obesity. |
| spellingShingle | Wake, M Canterford, L Patton, G Hesketh, K Hardy, P Williams, J Waters, E Carlin, J Comorbidities of overweight/obesity experienced in adolescence: longitudinal study. |
| title | Comorbidities of overweight/obesity experienced in adolescence: longitudinal study. |
| title_full | Comorbidities of overweight/obesity experienced in adolescence: longitudinal study. |
| title_fullStr | Comorbidities of overweight/obesity experienced in adolescence: longitudinal study. |
| title_full_unstemmed | Comorbidities of overweight/obesity experienced in adolescence: longitudinal study. |
| title_short | Comorbidities of overweight/obesity experienced in adolescence: longitudinal study. |
| title_sort | comorbidities of overweight obesity experienced in adolescence longitudinal study |
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