{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,1,23]],"date-time":"2026-01-23T12:24:52Z","timestamp":1769171092771,"version":"3.49.0"},"reference-count":43,"publisher":"BMJ","issue":"8","funder":[{"DOI":"10.13039\/501100001232","name":"Royal Australasian College of Physicians","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001232","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Taranaki Medical Foundation"},{"DOI":"10.13039\/501100001505","name":"Health Research Council of New Zealand","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001505","id-type":"DOI","asserted-by":"publisher"}]},{"name":"Lotteries Health Research"},{"DOI":"10.13039\/501100001518","name":"Maurice and Phyllis Paykel Trust","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001518","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Open"],"accepted":{"date-parts":[[2017,5,16]]},"published-print":{"date-parts":[[2017,8]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>To describe health-related quality of life (HRQOL) and psychological well-being of children and adolescents at enrolment in a multidisciplinary community-based obesity programme and to determine association with ethnicity. This programme targeted indigenous people and those from most deprived households. Further, this cohort was compared with other populations\/normative data.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study examines baseline demographic data of an unblinded randomised controlled clinical trial. Participants (recruited from January 2012-August 2014) resided in Taranaki, New Zealand, and for this study we only included those with a body mass index (BMI) \u226598th percentile (obese). HRQOL and psychological well-being were assessed using the Pediatric Quality of Life Inventory (PedsQL V.4.0\n                      <jats:sup>TM<\/jats:sup>\n                      ) (parent and child reports), and Achenbach\u2019s Child Behavior Checklist (CBCL)\/Youth Self Report (YSR).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Assessments were undertaken for 233 participants (45% M\u0101ori, 45% New Zealand European, 10% other ethnicities, 52% female, 30% from the most deprived household quintile), mean age 10.6 years. The mean BMI SD score (SDS) was 3.12 (range 2.01\u20135.34). Total PedsQL generic scaled score (parent) was lower (mean=63.4, SD 14.0) than an age-matched group of Australian children without obesity from the Health of Young Victorians study (mean=83.1, SD 12.5). In multivariable models, child and parental generic scaled scores decreased in older children (\u03b2=\u22120.70\u2009and p=0.031, \u03b2=\u22120.64\u2009and p=0.047, respectively). Behavioural difficulties (CBCL\/YSR total score) were reported in 43.5% of participants, with the rate of emotional\/behavioural difficulties six times higher than reported norms (p&lt;0.001).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>In this cohort, children and adolescents with obesity had a low HRQOL, and a concerning level of psychological difficulties, irrespective of ethnicity. Obesity itself rather than ethnicity or deprivation appeared to contribute to lower HRQOL scores. This study highlights the importance of psychologist involvement in obesity intervention programmes.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial registration number<\/jats:title>\n                    <jats:p>Australian NZ Clinical Trials Registry ANZCTR 12611000862943; Pre-results.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1136\/bmjopen-2016-015776","type":"journal-article","created":{"date-parts":[[2017,8,9]],"date-time":"2017-08-09T21:10:26Z","timestamp":1502313026000},"page":"e015776","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":36,"title":["Assessment of health-related quality of life and psychological well-being of children and adolescents with obesity enrolled in a New Zealand community-based intervention programme: an observational study"],"prefix":"10.1136","volume":"7","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2054-338X","authenticated-orcid":false,"given":"Yvonne C","family":"Anderson","sequence":"first","affiliation":[{"name":"Department of Paediatrics, Taranaki District Health Board, New Plymouth, Taranaki, New Zealand"},{"name":"Liggins Institute, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lisa E","family":"Wynter","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Taranaki District Health Board, New Plymouth, Taranaki, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Katharine F","family":"Treves","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Taranaki District Health Board, New Plymouth, Taranaki, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameron C","family":"Grant","sequence":"additional","affiliation":[{"name":"Department of Paediatrics, Child and Youth Health, University of Auckland, Auckland, New Zealand"},{"name":"Starship Children\u2019s Hospital, Auckland District Health Board, Auckland, New Zealand"},{"name":"Centre for Longitudinal Research : He Ara ki Mua, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Joanna M","family":"Stewart","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Biostatistics, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tami L","family":"Cave","sequence":"additional","affiliation":[{"name":"Liggins Institute, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Trecia A","family":"Wouldes","sequence":"additional","affiliation":[{"name":"Faculty of Medical and Health Sciences, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jos\u00e9 G B","family":"Derraik","sequence":"additional","affiliation":[{"name":"Liggins Institute, University of Auckland, Auckland, New Zealand"},{"name":"A Better Start, National Science Challenge, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wayne S","family":"Cutfield","sequence":"additional","affiliation":[{"name":"Liggins Institute, University of Auckland, Auckland, New Zealand"},{"name":"Starship Children\u2019s Hospital, Auckland District Health Board, Auckland, New Zealand"},{"name":"A Better Start, National Science Challenge, University of Auckland, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Paul L","family":"Hofman","sequence":"additional","affiliation":[{"name":"Liggins Institute, University of Auckland, Auckland, New Zealand"},{"name":"Starship Children\u2019s Hospital, Auckland District Health Board, Auckland, New Zealand"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2017,8,9]]},"reference":[{"key":"2025121603085029000_7.8.e015776.1","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.111.047738"},{"key":"2025121603085029000_7.8.e015776.2","unstructured":"Smylie J , Adomako P . 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