Childhood Obesity, Self-Esteem and Health-Related Quality Of Life among Urban Primary Schools Children in Kuching, Sarawak, Malaysia
Introduction: There is limited data on childhood obesity and its impact on children from diverse cultural backgrounds. This study is aimed at determining the association between obesity, self-esteem and health-related quality of life (HRQOL) among Malaysian urban primary school children of differ...
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Main Authors: | , , , |
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Format: | E-Article |
Language: | English |
Published: |
Nutrition Society of Malaysia
2012
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Subjects: | |
Online Access: | http://ir.unimas.my/id/eprint/11066/1/IR19.pdf http://ir.unimas.my/id/eprint/11066/ |
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Summary: | Introduction: There is limited data on childhood obesity and its impact on children
from diverse cultural backgrounds. This study is aimed at determining the
association between obesity, self-esteem and health-related quality of life
(HRQOL) among Malaysian urban primary school children of different ethnicity.
Methods: A cross-sectional study was conducted involving 311 children aged 11-
13 years from primary schools in Kuching, Sarawak. Self-esteem and healthrelated
quality of life (HRQOL) were measured using the Lawrence Self-esteem
Questionnaire (LAWSEQ) questionnaire and the Paediatric Quality of Life
Inventory (PedsQL), respectively. Body weight and height were taken and body
mass index for age calculated. Results: The prevalence of overweight and obesity
among the children were 18.2% and 15.2% respectively. Parent-proxy and child
self-reported PedsQL scores were higher for normal weight children compared
to thin and obese children, but lower than overweight children. At the subscale
level, only parent-proxy PedsQL scores in psychosocial health and emotional
component were significantly different between overweight and obese children
(p=0.019, p=0.02). The Self-esteem score was significantly correlated with parent
and child PedsQL scores. Although obesity was associated with lower HRQOL
among children, both parent and child PedsQL scores among the overweight
group were higher than that for the normal weight group. Overweight and
obesity did affect quality of life and self-esteem of children in this study,
particularly in the areas of psychosocial and emotional health. Conclusion:
Policy makers and programme managers should take into consideration the
impact of obesity on children and parents in designing intervention programmes. |
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