Poor Health Related Quality of Life and Unhealthy Lifestyle Habits in Weight-Loss Treatment-Seeking Youth

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...
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Autor*in:	Enza Mozzillo [verfasserIn] Eugenio Zito [verfasserIn] Valeria Calcaterra [verfasserIn] Nicola Corciulo [verfasserIn] Mario Di Pietro [verfasserIn] Anna Di Sessa [verfasserIn] Roberto Franceschi [verfasserIn] Maria Rosaria Licenziati [verfasserIn] Giulio Maltoni [verfasserIn] Giuseppe Morino [verfasserIn] Barbara Predieri [verfasserIn] Maria Elisabeth Street [verfasserIn] Giuliana Trifirò [verfasserIn] Francesca Gallè [verfasserIn] Adriana Franzese [verfasserIn] Giuliana Valerio [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2021

Schlagwörter:	adolescents KIDMED score mediterranean diet obesity overweight physical activity

Übergeordnetes Werk:	In: International Journal of Environmental Research and Public Health - MDPI AG, 2005, 18(2021), 9355, p 9355
Übergeordnetes Werk:	volume:18 ; year:2021 ; number:9355, p 9355

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc Journal toc

DOI / URN:	10.3390/ijerph18179355

Katalog-ID:	DOAJ071231900

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allfields	10.3390/ijerph18179355 doi (DE-627)DOAJ071231900 (DE-599)DOAJ9aea9cdccd674e8688c9b54520179af2 DE-627 ger DE-627 rakwb eng Enza Mozzillo verfasserin aut Poor Health Related Quality of Life and Unhealthy Lifestyle Habits in Weight-Loss Treatment-Seeking Youth 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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 (PedsQL™), 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. adolescents KIDMED score mediterranean diet obesity overweight physical activity Medicine R Eugenio Zito verfasserin aut Valeria Calcaterra verfasserin aut Nicola Corciulo verfasserin aut Mario Di Pietro verfasserin aut Anna Di Sessa verfasserin aut Roberto Franceschi verfasserin aut Maria Rosaria Licenziati verfasserin aut Giulio Maltoni verfasserin aut Giuseppe Morino verfasserin aut Barbara Predieri verfasserin aut Maria Elisabeth Street verfasserin aut Giuliana Trifirò verfasserin aut Francesca Gallè verfasserin aut Adriana Franzese verfasserin aut Giuliana Valerio verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 18(2021), 9355, p 9355 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:18 year:2021 number:9355, p 9355 https://doi.org/10.3390/ijerph18179355 kostenfrei https://doaj.org/article/9aea9cdccd674e8688c9b54520179af2 kostenfrei https://www.mdpi.com/1660-4601/18/17/9355 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2021 9355, p 9355
spelling	10.3390/ijerph18179355 doi (DE-627)DOAJ071231900 (DE-599)DOAJ9aea9cdccd674e8688c9b54520179af2 DE-627 ger DE-627 rakwb eng Enza Mozzillo verfasserin aut Poor Health Related Quality of Life and Unhealthy Lifestyle Habits in Weight-Loss Treatment-Seeking Youth 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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 (PedsQL™), 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. adolescents KIDMED score mediterranean diet obesity overweight physical activity Medicine R Eugenio Zito verfasserin aut Valeria Calcaterra verfasserin aut Nicola Corciulo verfasserin aut Mario Di Pietro verfasserin aut Anna Di Sessa verfasserin aut Roberto Franceschi verfasserin aut Maria Rosaria Licenziati verfasserin aut Giulio Maltoni verfasserin aut Giuseppe Morino verfasserin aut Barbara Predieri verfasserin aut Maria Elisabeth Street verfasserin aut Giuliana Trifirò verfasserin aut Francesca Gallè verfasserin aut Adriana Franzese verfasserin aut Giuliana Valerio verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 18(2021), 9355, p 9355 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:18 year:2021 number:9355, p 9355 https://doi.org/10.3390/ijerph18179355 kostenfrei https://doaj.org/article/9aea9cdccd674e8688c9b54520179af2 kostenfrei https://www.mdpi.com/1660-4601/18/17/9355 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2021 9355, p 9355
allfields_unstemmed	10.3390/ijerph18179355 doi (DE-627)DOAJ071231900 (DE-599)DOAJ9aea9cdccd674e8688c9b54520179af2 DE-627 ger DE-627 rakwb eng Enza Mozzillo verfasserin aut Poor Health Related Quality of Life and Unhealthy Lifestyle Habits in Weight-Loss Treatment-Seeking Youth 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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 (PedsQL™), 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. adolescents KIDMED score mediterranean diet obesity overweight physical activity Medicine R Eugenio Zito verfasserin aut Valeria Calcaterra verfasserin aut Nicola Corciulo verfasserin aut Mario Di Pietro verfasserin aut Anna Di Sessa verfasserin aut Roberto Franceschi verfasserin aut Maria Rosaria Licenziati verfasserin aut Giulio Maltoni verfasserin aut Giuseppe Morino verfasserin aut Barbara Predieri verfasserin aut Maria Elisabeth Street verfasserin aut Giuliana Trifirò verfasserin aut Francesca Gallè verfasserin aut Adriana Franzese verfasserin aut Giuliana Valerio verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 18(2021), 9355, p 9355 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:18 year:2021 number:9355, p 9355 https://doi.org/10.3390/ijerph18179355 kostenfrei https://doaj.org/article/9aea9cdccd674e8688c9b54520179af2 kostenfrei https://www.mdpi.com/1660-4601/18/17/9355 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2021 9355, p 9355
allfieldsGer	10.3390/ijerph18179355 doi (DE-627)DOAJ071231900 (DE-599)DOAJ9aea9cdccd674e8688c9b54520179af2 DE-627 ger DE-627 rakwb eng Enza Mozzillo verfasserin aut Poor Health Related Quality of Life and Unhealthy Lifestyle Habits in Weight-Loss Treatment-Seeking Youth 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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 (PedsQL™), 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. adolescents KIDMED score mediterranean diet obesity overweight physical activity Medicine R Eugenio Zito verfasserin aut Valeria Calcaterra verfasserin aut Nicola Corciulo verfasserin aut Mario Di Pietro verfasserin aut Anna Di Sessa verfasserin aut Roberto Franceschi verfasserin aut Maria Rosaria Licenziati verfasserin aut Giulio Maltoni verfasserin aut Giuseppe Morino verfasserin aut Barbara Predieri verfasserin aut Maria Elisabeth Street verfasserin aut Giuliana Trifirò verfasserin aut Francesca Gallè verfasserin aut Adriana Franzese verfasserin aut Giuliana Valerio verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 18(2021), 9355, p 9355 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:18 year:2021 number:9355, p 9355 https://doi.org/10.3390/ijerph18179355 kostenfrei https://doaj.org/article/9aea9cdccd674e8688c9b54520179af2 kostenfrei https://www.mdpi.com/1660-4601/18/17/9355 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2021 9355, p 9355
allfieldsSound	10.3390/ijerph18179355 doi (DE-627)DOAJ071231900 (DE-599)DOAJ9aea9cdccd674e8688c9b54520179af2 DE-627 ger DE-627 rakwb eng Enza Mozzillo verfasserin aut Poor Health Related Quality of Life and Unhealthy Lifestyle Habits in Weight-Loss Treatment-Seeking Youth 2021 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier 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 (PedsQL™), 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. adolescents KIDMED score mediterranean diet obesity overweight physical activity Medicine R Eugenio Zito verfasserin aut Valeria Calcaterra verfasserin aut Nicola Corciulo verfasserin aut Mario Di Pietro verfasserin aut Anna Di Sessa verfasserin aut Roberto Franceschi verfasserin aut Maria Rosaria Licenziati verfasserin aut Giulio Maltoni verfasserin aut Giuseppe Morino verfasserin aut Barbara Predieri verfasserin aut Maria Elisabeth Street verfasserin aut Giuliana Trifirò verfasserin aut Francesca Gallè verfasserin aut Adriana Franzese verfasserin aut Giuliana Valerio verfasserin aut In International Journal of Environmental Research and Public Health MDPI AG, 2005 18(2021), 9355, p 9355 (DE-627)477992463 (DE-600)2175195-X 16604601 nnns volume:18 year:2021 number:9355, p 9355 https://doi.org/10.3390/ijerph18179355 kostenfrei https://doaj.org/article/9aea9cdccd674e8688c9b54520179af2 kostenfrei https://www.mdpi.com/1660-4601/18/17/9355 kostenfrei https://doaj.org/toc/1661-7827 Journal toc kostenfrei https://doaj.org/toc/1660-4601 Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_70 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_224 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_370 GBV_ILN_602 GBV_ILN_2014 GBV_ILN_2153 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2021 9355, p 9355
language	English
source	In International Journal of Environmental Research and Public Health 18(2021), 9355, p 9355 volume:18 year:2021 number:9355, p 9355
sourceStr	In International Journal of Environmental Research and Public Health 18(2021), 9355, p 9355 volume:18 year:2021 number:9355, p 9355
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	adolescents KIDMED score mediterranean diet obesity overweight physical activity Medicine R
isfreeaccess_bool	true
container_title	International Journal of Environmental Research and Public Health
authorswithroles_txt_mv	Enza Mozzillo @@aut@@ Eugenio Zito @@aut@@ Valeria Calcaterra @@aut@@ Nicola Corciulo @@aut@@ Mario Di Pietro @@aut@@ Anna Di Sessa @@aut@@ Roberto Franceschi @@aut@@ Maria Rosaria Licenziati @@aut@@ Giulio Maltoni @@aut@@ Giuseppe Morino @@aut@@ Barbara Predieri @@aut@@ Maria Elisabeth Street @@aut@@ Giuliana Trifirò @@aut@@ Francesca Gallè @@aut@@ Adriana Franzese @@aut@@ Giuliana Valerio @@aut@@
publishDateDaySort_date	2021-01-01T00:00:00Z
hierarchy_top_id	477992463
id	DOAJ071231900
language_de	englisch
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author	Enza Mozzillo
spellingShingle	Enza Mozzillo misc adolescents misc KIDMED score misc mediterranean diet misc obesity misc overweight misc physical activity misc Medicine misc R Poor Health Related Quality of Life and Unhealthy Lifestyle Habits in Weight-Loss Treatment-Seeking Youth
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topic_title	Poor Health Related Quality of Life and Unhealthy Lifestyle Habits in Weight-Loss Treatment-Seeking Youth adolescents KIDMED score mediterranean diet obesity overweight physical activity
topic	misc adolescents misc KIDMED score misc mediterranean diet misc obesity misc overweight misc physical activity misc Medicine misc R
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title	Poor Health Related Quality of Life and Unhealthy Lifestyle Habits in Weight-Loss Treatment-Seeking Youth
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author_browse	Enza Mozzillo Eugenio Zito Valeria Calcaterra Nicola Corciulo Mario Di Pietro Anna Di Sessa Roberto Franceschi Maria Rosaria Licenziati Giulio Maltoni Giuseppe Morino Barbara Predieri Maria Elisabeth Street Giuliana Trifirò Francesca Gallè Adriana Franzese Giuliana Valerio
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title_sort	poor health related quality of life and unhealthy lifestyle habits in weight-loss treatment-seeking youth
title_auth	Poor Health Related Quality of Life and Unhealthy Lifestyle Habits in Weight-Loss Treatment-Seeking Youth
abstract	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 (PedsQL™), 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.
abstractGer	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 (PedsQL™), 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.
abstract_unstemmed	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 (PedsQL™), 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.
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Poor Health Related Quality of Life and Unhealthy Lifestyle Habits in Weight-Loss Treatment-Seeking Youth

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