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目的探讨超重和肥胖儿童青少年生活质量自评与家长评估的差异,为实施儿童青少年肥胖干预提供依据。方法 2013年10月期间,采用两阶段分层整群抽样方法,选取盐城市8~18岁儿童青少年1 857名,先进行超重、肥胖筛查,再采用儿童生活质量普适性核心量表4.0进行自我评估与家长评估。结果儿童组生活质量自评,超重、肥胖患儿躯体功能得分(87.2±2.5,83.5±3.3)低于正常儿童(92.5±3.2)(P值均<0.05)。青少年组自评,超重、肥胖患儿总分(82.5±2.6,80.3±2.8)、躯体功能得分(85.7±2.8,81.6±2.3)均低于正常儿童(86.9±3.3,91.9±3.6);肥胖患儿社会心理维度得分(79.6±2.4)低于正常儿童(83.2±2.8)。家长评估,超重、肥胖儿童青少年躯体功能得分(92.1±2.6,88.5±2.8)均低于正常儿童(95.3±2.5)。超重、肥胖儿童青少年生活质量家长评估得分均高于患儿自评,差异均有统计学意义(P值均<0.05)。结论超重、肥胖儿童青少年生活质量存在不同程度下降,家长对患儿生活质量评估得分偏高。应重视提高家长对肥胖儿童青少年生活质量的关注。
Objective To explore the differences of self-assessment of quality of life between adolescents with overweight and obesity and their parents, and to provide basis for the implementation of obesity intervention among children and adolescents. Methods During October 2013, a total of 1 857 adolescents aged 8 to 18 years in Yancheng City were enrolled in the two-stage stratified cluster sampling method. Overweight and obesity screening was performed before using the universal core quality of life scale for children 4.0 Self-assessment and parental assessment. Results The self-assessment of children’s quality of life, overweight and obesity in children with physical function score (87.2 ± 2.5,83.5 ± 3.3) was lower than the normal children (92.5 ± 3.2) (P <0.05). The scores of self-rated, overweight and obese children in adolescent group were significantly lower than those in normal children (82.5 ± 2.6, 80.3 ± 2.8) and body function scores (85.7 ± 2.8, 81.6 ± 2.3) Children’s psychosocial dimension score (79.6 ± 2.4) was lower than that of normal children (83.2 ± 2.8). Parents assessed that overweight, obese children and adolescents had lower body function scores (92.1 ± 2.6, 88.5 ± 2.8) than normal children (95.3 ± 2.5). Overweight, obese children and adolescents quality of life assessment of parents were higher than children with self-evaluation, the differences were statistically significant (P <0.05). Conclusion The quality of life of overweight and obese children and adolescents has decreased to varying degrees, and the parents have higher scores on children’s quality of life assessment. Emphasis should be placed on raising parents’ concerns about the quality of life of obese children and adolescents.