title: Parents' perception of health-related quality of life in children and adolescents with excess weight.
abstract: OBJECTIVE
  To evaluate the perception of parents or caregivers on the health-related quality of life (HRQOL) of children/adolescents with overweight/obesity and possible factors associated with this perception.
  
  
  METHODS
  This was a cross-sectional study involving 297 caregivers of children and adolescents with normal weight (n=170) and with overweight/obesity (n=127), from public and private schools in the study municipality. HRQOL scores obtained through the Child Health Questionnaire - Parent Form 50 (CHQ-PF50) were compared according to the nutritional status and gender of the children/adolescents. Multiple regression analysis was used to determine the predictive value of studied variables for the variation in HRQOL scores.
  
  
  RESULTS
  Parents of children/adolescents with overweight/obesity attributed lower HRQOL scores to their children in the following domains: physical functioning (p<0.01; d=0.49), self-esteem (p<0.01; d=0.38), parental impact-emotional (p<0.05; d=0.29), family cohesion (p<0.05; d=0.26), physical summary score (p<0.05; d=0.29), and psychosocial summary score (p<0.05; d=0.25). In the multiple regression models, the variables with the highest contribution to the variation in HRQOL scores were: in the physical functioning domain, parental impact-time (β=0.23; p<0.05); self-esteem, nutritional status (β=-0.18; p≤0.01); emotional impact on parents, impact on parents' time (β=0.31; p<0.05); and in family cohesion, global behavior (β=0.30; p<0.05).
  
  
  CONCLUSIONS
  A negative impact on HRQOL of children/adolescents with overweight/obesity was observed in the physical and psychosocial aspects. The nutritional status was the variable with the greatest contribution for the assessment the self-esteem of children and adolescents in this study.
authors.affiliation: Post-Graduate Program in Health Sciences, Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brazil.
authors.forename: Melissa Maria Romero
authors.initials: MM
authors.lastname: Nascimento
authors.affiliation: Post-Graduate Program in Health Sciences, Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brazil.
authors.forename: Tatiana Rocha
authors.initials: TR
authors.lastname: Melo
authors.affiliation: Post-Graduate Program in Health Sciences, Faculdade de Matemática, Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brazil.
authors.forename: Rogério Melo Costa
authors.initials: RM
authors.lastname: Pinto
authors.affiliation: Post-Graduate Program in Health Sciences, Department of Pediatrics, Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brazil.
authors.forename: Nívea Macedo Oliveira
authors.initials: NM
authors.lastname: Morales
authors.affiliation: Post-Graduate Program in Health Sciences, Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brazil.
authors.forename: Tânia Maria Silva
authors.initials: TM
authors.lastname: Mendonça
authors.affiliation: Post-Graduate Program in Health Sciences, Department of Gynecology and Obstetrics, Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brazil. Electronic address: helenaparo@famed.ufu.br.
authors.forename: Helena Borges Martins da Silva
authors.initials: HB
authors.lastname: Paro
authors.affiliation: Post-Graduate Program in Health Sciences, Department of Pediatrics, Universidade Federal de Uberlândia (UFU), Uberlândia, MG, Brazil.
authors.forename: Carlos Henrique Martins
authors.initials: CH
authors.lastname: Silva
mesh_terms: D000293:Adolescent; D000328:Adult; D017028:Caregivers / Q000523:psychology; D002648:Child; D003430:Cross-Sectional Studies; D005260:Female; D006801:Humans; D008297:Male; D009752:Nutritional Status; D009765:Obesity / Q000523:psychology*; D010287:Parent-Child Relations; D010290:Parents / Q000523:psychology*; D063766:Pediatric Obesity / Q000523:psychology*; D010465:Perception; D011788:Quality of Life / Q000523:psychology*; D012649:Self Concept; D011795:Surveys and Questionnaires
keywords: Adolescente; Adolescents; Autoimagem; Child; Criança; Obesidade; Obesity; Overweight; Qualidade de vida; Quality of life; Self-image; Sobrepeso