How does age affect the relationship between weight and health utility during the middle years of childhood?

Katie Eminson1, Alastair Canaway2, Peymané Adab3

  • 1UK Centre for Tobacco and Alcohol Studies, University of Nottingham, Nottingham, NG7 2QL, UK.

Insights

This study found no link between children's weight status and their quality of life. Researchers recommend focusing on clinical outcomes, not just preference-based measures, for future obesity prevention economic evaluations.

Area of Science:

  • Pediatric Health
  • Quality of Life Research
  • Obesity Studies

Background:

  • Limited research exists on the connection between weight status and preference-based health-related quality of life (HRQL) in young children.
  • Existing literature on this topic is often contradictory, necessitating further investigation.

Purpose of the Study:

  • To investigate the association between weight status and preference-based HRQL in children aged 6–10 years.
  • To determine how this association evolves during childhood development.

Main Methods:

  • Utilized the Child Health Utility 9D (CHU-9D) to assess preference-based HRQL.
  • Collected height and weight data to calculate age- and gender-adjusted z-BMI for 1467 children over 5 years.
  • Employed multi-level regression analysis, controlling for covariates, to examine weight status and HRQL relationships.

Main Results:

  • No significant impact of weight status on the distribution of CHU-9D dimensions was observed.
  • Multi-level regression analysis revealed no statistically significant differences in CHU-9D scores across weight categories (underweight, healthy, overweight, obese).

Conclusions:

  • This study found no association between weight status and HRQL, as measured by the CHU-9D, in UK children aged 5–10 years.
  • Future economic evaluations for childhood obesity prevention should consider clinical or wellbeing outcomes alongside preference-based measures.
Abstract

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