{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T07:47:55Z","timestamp":1774424875982,"version":"3.50.1"},"reference-count":32,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2026,3,12]],"date-time":"2026-03-12T00:00:00Z","timestamp":1773273600000},"content-version":"vor","delay-in-days":11,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,3,1]],"date-time":"2026-03-01T00:00:00Z","timestamp":1772323200000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["FRN#123505"],"award-info":[{"award-number":["FRN#123505"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100030936","name":"Population Health Research Institute","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100030936","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100009776","name":"McMaster University","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100009776","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Obesity"],"published-print":{"date-parts":[[2026,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Health\u2010related quality of life (HRQoL) can be impaired in children with obesity. Utilising data from the CANadian Paediatric Weight Management Registry (CANPWR), we examined changes in HRQoL up to 3\u2010year after enrollment in paediatric weight management programs (PWMP) and demographic, socioeconomic, behavioural and health\u2010related factors associated with it.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Data were collected from 2013 to 2020. Child (\u2265\u20098\u2009years) and parent\u2010reported HRQoL data were assessed via questionnaire (PedsQL4.0) at baseline, 6\u2010month, 1\u2010, 2\u2010 and 3\u2010year post\u2010baseline in PWMP. Over time, HRQoL and associations with demographic, anthropometric, behavioural and health services data were examined using linear effects and mixed effects models.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Findings<\/jats:title>\n                    <jats:p>\n                      A total of 1145 participants were included at baseline (47.8% male; age 12.4\u2009\u00b1\u20093.3\u2009years; BMI\n                      <jats:italic>z<\/jats:italic>\n                      \u2010score: 3.5\u2009\u00b1\u20091.2; 68.8% White), 793 (69%) at 1\u2010 and 615 (54%) at 3\u2010year post\u2010baseline. Total HRQoL improved from baseline to 6\u2010month and was higher at 3\u2010year (child\u2010total score: 69.9\u2009\u00b1\u200915.2 vs. 74.6\u2009\u00b1\u200914.5,\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001; parent\u2010total score: 64.6\u2009\u00b1\u200917.4 vs. 68.6\u2009\u00b1\u200917.0;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.001). Total child\u2010reported HRQoL was higher in boys (\u00df: 2.71, CI: 1.2\u20134.2;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), children who identified as non\u2010White (\u00df: 2.63, CI: 0.8\u20134.5;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), and those with higher household incomes (\u00df: 3.65, CI: 1.6\u20135.7;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01), independent of BMI\n                      <jats:italic>z<\/jats:italic>\n                      \u2010score. Higher total child\u2010reported HRQoL scores were positively related to higher hours of clinic attendance (\u00df: 0.09 CI: 0.06\u20130.12;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.01). In contrast, sleep disturbance, lower physical activity, and higher screen time were associated with lower total child\u2010reported HRQoL independent of BMI\n                      <jats:italic>z<\/jats:italic>\n                      \u2010score.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Both child\u2010 and parent\u2010reported HRQoL scores improved over 3\u2009years, and these changes were associated positively with clinic attendance and negatively with unhealthy behaviours.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/ijpo.70100","type":"journal-article","created":{"date-parts":[[2026,3,13]],"date-time":"2026-03-13T04:30:42Z","timestamp":1773376242000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Longitudinal Improvements in Health\u2010Related Quality of Life Among Children Enrolled in the\n                    <scp>CANadian<\/scp>\n                    Paediatric Weight Management Registry (\n                    <scp>CANPWR<\/scp>\n                    ) Over 3\u2009Years"],"prefix":"10.1111","volume":"21","author":[{"given":"Marina","family":"Ybarra","sequence":"first","affiliation":[{"name":"Department of Pediatrics\u2014Children's Hospital London Health Science Center\u2014Western University  London Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Grace","family":"Rebekah","sequence":"additional","affiliation":[{"name":"Department of Statistics\u2014Population Health Research Institute McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Geoff D. C.","family":"Ball","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Alberta  Edmonton Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2598-3368","authenticated-orcid":false,"given":"Annick","family":"Buchholz","sequence":"additional","affiliation":[{"name":"Children's Hospital of Eastern Ontario Research Institute  Ottawa Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jill","family":"Hamilton","sequence":"additional","affiliation":[{"name":"Department of Pediatrics \u2010 Hospital for Sick Children University of Toronto  Toronto Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0379-4427","authenticated-orcid":false,"given":"Josephine","family":"Ho","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, Alberta Children's Hospital University of Calgary  Calgary Alberta Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ian","family":"Zenlea","sequence":"additional","affiliation":[{"name":"Institute for Better Health, Trillium Health Partners  Mississagua Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajibul","family":"Mian","sequence":"additional","affiliation":[{"name":"Department of Statistics\u2014Population Health Research Institute McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lehana","family":"Thabane","sequence":"additional","affiliation":[{"name":"Department of Health Research Methods, Evidence and Impact McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katherine M.","family":"Morrison","sequence":"additional","affiliation":[{"name":"Department of Pediatrics, McMaster Children's Hospital, co\u2010Director Centre for Metabolism, Obesity and Diabetes Research McMaster University  Hamilton Ontario Canada"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the CANPWR Investigators","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,3,12]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(14)61746-3"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2022-060640"},{"key":"e_1_2_9_4_1","unstructured":"Statistics Canada Overweight and Obesity Based on Measured Body Mass Index by Age Group and Sex 2019 https:\/\/www150.statcan.gc.ca\/t1\/tbl1\/en\/tv.action?pid=1310037301."},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2017-3034"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12887-020-02264-w"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1093\/tbm\/iby115"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.289.14.1813"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1503\/cmaj.241456"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1093\/pch\/pxz088"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1177\/1357633X18816254"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1159\/000487328"},{"key":"e_1_2_9_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.physbeh.2019.05.010"},{"key":"e_1_2_9_14_1","doi-asserted-by":"publisher","DOI":"10.1111\/cob.12606"},{"key":"e_1_2_9_15_1","doi-asserted-by":"publisher","DOI":"10.1111\/ijpo.13193"},{"key":"e_1_2_9_16_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2458-14-898"},{"key":"e_1_2_9_17_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2004-0678"},{"key":"e_1_2_9_18_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471-2431-14-161"},{"key":"e_1_2_9_19_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41366-021-00959-3"},{"key":"e_1_2_9_20_1","unstructured":"Pediatric Quality of Life Inventory TM (PedsQL TM) http:\/\/www.pedsql.org\/pedsqladmin.html."},{"key":"e_1_2_9_21_1","volume-title":"Minimal Clinically Important Differences for Patient\/PArent\u2010Reported Outcome Measures in Pediatric Obesity","author":"Esmaeilinezhad Z. 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