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Poor health related quality of life and unhealthy lifestyle habits in weight-loss treatment-seeking youth

Title: Poor health related quality of life and unhealthy lifestyle habits in weight-loss treatment-seeking youth
Authors: Mozzillo E.; Zito E.; Calcaterra V.; Corciulo N.; Di Pietro M.; Di Sessa A.; Franceschi R.; Licenziati M. R.; Maltoni G.; Morino G.; Predieri B.; Street M. E.; Trifiro G.; Galle F.; Franzese A.; Valerio G.
Contributors: Mozzillo, E.; Zito, E.; Calcaterra, V.; Corciulo, N.; Di Pietro, M.; Di Sessa, A.; Franceschi, R.; Licenziati, M. R.; Maltoni, G.; Morino, G.; Predieri, B.; Street, M. E.; Trifiro, G.; Galle, F.; Franzese, A.; Valerio, G.
Publication Year: 2021
Collection: Archivio della ricerca dell'Università di Modena e Reggio Emilia (Unimore: IRIS)
Subject Terms: Adolescent; KIDMED score; Mediterranean diet; Obesity; Overweight; Physical activity; Physical functioning; Psychological functioning
Description: Obesity is associated with unhealthy lifestyle behaviors and poor Health Related Quality of Life (HRQOL). The cumulative effect of lifestyle behaviors on HRQOL has been demonstrated in chronically ill adolescents, but not in adolescents with obesity. The present study aimed to assess the association between HRQOL and adherence to the Mediterranean Diet (MD) and/or low levels of physical activity (PA) in a large sample of outpatient adolescents with overweight or obesity seeking weight loss treatment. Four-hundred-twenty participants were enrolled from 10 Italian outpatient clinics. The demographics and anthropometric features, KIDMED scores, and exercise levels of the participants were collected, together with parental features. The HRQOL was assessed by the Pediatric Quality of Life Inventory (PedsQLTM), Adolescents Version 4.0. PedsQL total score and functioning subscales were lower in adolescents who reported one or two unhealthy habits. Compared with the high/intermediate groups, the risk of low HRQOL was twice as high for each unit increase in BMI SDS, while the percentage was reduced by 12.2% for every unit increase in the KIDMED score and by 32.3% for each hour increase of exercise. The clustering of these two unhealthy behaviors conferred a 120% higher risk of low HRQOL. Similarly, adolescents displaying better diet quality and/or a physically more active lifestyle have better physical and psychological functioning. Further studies are needed to disclose whether these characteristics may be predictive of better adherence to weight loss treatment.
Document Type: article in journal/newspaper
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/34501945; info:eu-repo/semantics/altIdentifier/wos/WOS:000694194600001; volume:18; issue:17; firstpage:1; lastpage:14; journal:INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH; https://hdl.handle.net/11380/1253161
DOI: 10.3390/ijerph18179355
Availability: https://hdl.handle.net/11380/1253161; https://doi.org/10.3390/ijerph18179355; https://www.mdpi.com/1660-4601/18/17/9355
Rights: info:eu-repo/semantics/openAccess ; license:[IR] creative-commons ; license uri:http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.263D9FAA
Database: BASE