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Health-Related Quality of Life across Recent Pediatric Obesity Classification Recommendations

Extreme body mass index (BMI) values (i.e., above the 97th and below the 3rd percentiles) are inaccurately represented on the Centers for Disease Control and Prevention’s growth curves, which may limit the utility of BMI percentile and BMI z-score for capturing changes in clinical outcomes for patie...

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Autores principales: Black, William R., Borner, Kelsey B., Beauchamp, Marshall T., Davis, Ann M., Dreyer Gillette, Meredith L., Sweeney, Brooke, Hampl, Sarah E.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8071434/
https://www.ncbi.nlm.nih.gov/pubmed/33921016
http://dx.doi.org/10.3390/children8040303
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author Black, William R.
Borner, Kelsey B.
Beauchamp, Marshall T.
Davis, Ann M.
Dreyer Gillette, Meredith L.
Sweeney, Brooke
Hampl, Sarah E.
author_facet Black, William R.
Borner, Kelsey B.
Beauchamp, Marshall T.
Davis, Ann M.
Dreyer Gillette, Meredith L.
Sweeney, Brooke
Hampl, Sarah E.
author_sort Black, William R.
collection PubMed
description Extreme body mass index (BMI) values (i.e., above the 97th and below the 3rd percentiles) are inaccurately represented on the Centers for Disease Control and Prevention’s growth curves, which may limit the utility of BMI percentile and BMI z-score for capturing changes in clinical outcomes for patients at extreme weights. Modeling child obesity severity based upon the percentage of BMI in excess of the 95th percentile (BMI95pct) has been proposed as an improved metric to better capture variability in weight at extreme ends of growth curves, which may improve our understanding of relationships between weight status and changes in clinical outcomes. However, few studies have evaluated whether the use of BMI95pct would refine our understanding of differences in clinical psychosocial constructs compared to previous methods for categorization. This cross-sectional study evaluated child obesity severity based on BMI95pct to examine potential group differences in a validated, obesity-specific measure of Health-Related Quality of Life (HRQoL). Four hundred and sixty-five children with obesity completed Sizing Me Up, a self-report measure of HRQoL. Children were classified into categories based on BMI95pct (i.e., class I: ≥100% and <120%; class II: ≥120% and <140%; class III: ≥140%). The results indicate that children with class III obesity reported lower HRQoL than children with class I and class II obesity; however, there were no differences between Class II and Class I. In much of the previous literature, children with class II and class III obesity are often combined under the category “Severe Obesity” based upon BMI above the 99th percentile. This study suggests that grouping children from various classes together would neglect to capture critical differences in HRQoL. Future research including children with severe obesity should consider obesity classes to best account for functioning and clinical outcomes.
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spelling pubmed-80714342021-04-26 Health-Related Quality of Life across Recent Pediatric Obesity Classification Recommendations Black, William R. Borner, Kelsey B. Beauchamp, Marshall T. Davis, Ann M. Dreyer Gillette, Meredith L. Sweeney, Brooke Hampl, Sarah E. Children (Basel) Article Extreme body mass index (BMI) values (i.e., above the 97th and below the 3rd percentiles) are inaccurately represented on the Centers for Disease Control and Prevention’s growth curves, which may limit the utility of BMI percentile and BMI z-score for capturing changes in clinical outcomes for patients at extreme weights. Modeling child obesity severity based upon the percentage of BMI in excess of the 95th percentile (BMI95pct) has been proposed as an improved metric to better capture variability in weight at extreme ends of growth curves, which may improve our understanding of relationships between weight status and changes in clinical outcomes. However, few studies have evaluated whether the use of BMI95pct would refine our understanding of differences in clinical psychosocial constructs compared to previous methods for categorization. This cross-sectional study evaluated child obesity severity based on BMI95pct to examine potential group differences in a validated, obesity-specific measure of Health-Related Quality of Life (HRQoL). Four hundred and sixty-five children with obesity completed Sizing Me Up, a self-report measure of HRQoL. Children were classified into categories based on BMI95pct (i.e., class I: ≥100% and <120%; class II: ≥120% and <140%; class III: ≥140%). The results indicate that children with class III obesity reported lower HRQoL than children with class I and class II obesity; however, there were no differences between Class II and Class I. In much of the previous literature, children with class II and class III obesity are often combined under the category “Severe Obesity” based upon BMI above the 99th percentile. This study suggests that grouping children from various classes together would neglect to capture critical differences in HRQoL. Future research including children with severe obesity should consider obesity classes to best account for functioning and clinical outcomes. MDPI 2021-04-15 /pmc/articles/PMC8071434/ /pubmed/33921016 http://dx.doi.org/10.3390/children8040303 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Black, William R.
Borner, Kelsey B.
Beauchamp, Marshall T.
Davis, Ann M.
Dreyer Gillette, Meredith L.
Sweeney, Brooke
Hampl, Sarah E.
Health-Related Quality of Life across Recent Pediatric Obesity Classification Recommendations
title Health-Related Quality of Life across Recent Pediatric Obesity Classification Recommendations
title_full Health-Related Quality of Life across Recent Pediatric Obesity Classification Recommendations
title_fullStr Health-Related Quality of Life across Recent Pediatric Obesity Classification Recommendations
title_full_unstemmed Health-Related Quality of Life across Recent Pediatric Obesity Classification Recommendations
title_short Health-Related Quality of Life across Recent Pediatric Obesity Classification Recommendations
title_sort health-related quality of life across recent pediatric obesity classification recommendations
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8071434/
https://www.ncbi.nlm.nih.gov/pubmed/33921016
http://dx.doi.org/10.3390/children8040303
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