docruДоктор.РуTitle1727-23782713-2994ООО "ГК "РУСМЕДИКАЛ"10.31550/1727-2378-2022-21-3-40-44docru-60Research ArticleЭНДОКРИНОЛОГИЯENDOCRINOLOGYВлияние избыточного веса на качество жизни детей 10–16 летThe Impact of Overweight on the Quality of Life of Children Aged 10 to 16 Years Oldhttps://orcid.org/0000-0002-5229-7841РевенкоН. Е.RevenkoN. E.

Ревенко Нинель Ефимовна — д. м. н., профессор, директор департамента педиатрии ГУМФ им. Н. Тестемицану.

MD-2004, Кишинев, бул. Штефана чел Маре, д. 165

165 Ştefan cel Mare, Chisinau, MD-2004

ninel.revenco@usmf.mdhttps://orcid.org/0000-0003-1107-565XДолапчиуЕ. В.DolapchiuE. V.

Долапчиу Елена Викторовна — д. м. н., ассистент департамента педиатрии ГУМФ им. Н. Тестемицану.

MD-2004, Кишинев, бул. Штефана чел Маре, д. 165

165 Ştefan cel Mare, Chisinau, MD-2004

elena.dolapciu@usmf.mdГосударственный университет медицины и фармакологии имени Николая ТестемицануМолдоваNicolae Testemițanu State University of Medicine and PharmacyMoldova, Republic of202215022025213ПЕДИАТРИЯ4044Copyright © Ревенко Н.Е., Долапчиу Е.В., 20252025Ревенко Н.Е., Долапчиу Е.В.Revenko N.E., Dolapchiu E.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://docru.elpub.ru/jour/article/view/60Цель исследования

Цель исследования: оценить влияние избыточного веса и ожирения на качество жизни (КЖ) детей 10–16 лет.

Дизайн

Дизайн: I этап — эпидемиологическое исследование; II этап — ретроспективное исследование по типу «случай — контроль».

Материалы и методы

Материалы и методы. На I этапе в рамках ежегодного профилактического осмотра в школьном медицинском пункте были обследованы 2770 детей в возрасте 10–16 лет с измерением антропометрических параметров. На II этапе у 156 детей с избыточным весом и ожирением (группа S) и 90 детей с нормальным весом (группа N) изучалось КЖ с использованием опросника Peds Quality Life PQ 4.0.

Результаты

Результаты. В группе S общий показатель КЖ составил 74,40 ± 11,35 балла, в группе N — 86,34 ± 8,26 балла (p < 0,001). Статистически значимые различия (р < 0,001) выявлены также по каждой шкале опросника КЖ: физического, эмоционального, социального благополучия, школьной активности. Дети группы N чаще оценивали КЖ как высокое и очень высокое (78,9%), группы S — как среднее (70,5%). Отрицательные корреляции между индексом массы тела и КЖ (r = –0,28 у детей 10–12 лет и r = –0,52 у детей 13–16 лет), а также умеренные положительные корреляции между всеми шкалами опросника КЖ (r = 0,46–0,55) указывают на то, что при ожирении затрагиваются все области детской активности.

Заключение

Заключение. Воздействие на физическое самочувствие ребенка с лишним весом должно сопровождаться комплексной психоэмоциональной терапией. Время проведения терапии также важно, так как по мере взросления влияние ожирения усиливается.

Study Objective

Study Objective: To assess the impact of overweight on the quality of life of children aged 10 to 16 years old.

Study Design

Study Design: Stage I — epidemiological study; stage II — retrospective case–control study.

Materials and Methods

Materials and Methods. At stage I, we examined 2,770 children aged 10 to 16 years old and measured their anthropometric parameters during an annual routine examination. During stage II, 156 overweight and obese children (group S) and 90 children with normal weight (group N) had their QoL assessed with the use of the Peds Quality Life PQ 4.0 questionnaire.

Study Results

Study Results. In group S, the overall QoL value was 74.40 ± 11.35 points, while in group N it was 86.34 ± 8.26 points (p < 0.001). Statistically significant differences (р < 0.001) were also found in each questionnaire domain: physical, emotional, social welfare, and academic activity. Children in group N more frequently assessed their QoL as high or very high (78.9%), whereas in group S, the QoL was rather moderate (70.5%). Negative correlations between the body mass index and QoL (r = –0.28 in children aged 10 to 12 years old and r = –0.52 in children aged 13 to 16 years old), and moderate positive correlations between all QoL questionnaire domains (r = 0.46–0.55) show that obesity impacts all spheres of child’s activity.

Conclusion

Conclusion. Any actions concerning physical well-being of an overweight child should be accompanied by a comprehensive psychoemotional therapy. The time of the therapy is of importance as well since obesity gets worse with the age.

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The authors declare that there are no conflicts of interest present.