caa a22 4500 606177973 CHVBK 20210128100754.0 cr unu---uuuuu 210128e20150101xx s 000 0 eng 10.1007/s11136-014-0745-1 doi (NATIONALLICENCE)springer-10.1007/s11136-014-0745-1 Influence of specific individual and environmental variables on the relationship between body mass index and health-related quality of life in overweight and obese adolescents [Elektronische Daten] [Julia Kolodziejczyk, Kyle Gutzmer, Shana Wright, Elva Arredondo, Linda Hill, Kevin Patrick, Jeannie Huang, Michael Gottschalk, Gregory Norman] Purpose: Overweight and obese adolescents are at risk for low health-related quality of life (HRQOL). We examined the role of individual- and environmental-level variables on the relationship between body mass index (BMI kg/m2) and HRQOL in adolescents. Methods: Linear regressions were performed to conduct mediation and moderation analyses on the relationship between BMI and HRQOL in overweight and obese adolescents (N=205). HRQOL was measured by the Pediatric Quality of Life Inventory. Hypothesized mediators included depression, measured by the Center for Epidemiologic Studies Depression Scale; body image, measured by the gender-specific body dissatisfaction subscale of the Eating Disorder Inventory; and self-esteem, measured by the Rosenberg Self-Esteem Scale. Mediation was assessed using Baron and Kenny's approach and Sobel's test of indirect effects. Anglo-acculturation, measured by the Short Acculturation Scale for Hispanics-Youth, and environmental perception, measured by parent-proxy report of the Neighborhood Environment Walkability Scale, were hypothesized moderators. Results: Body image mediated the relationship between BMI and HRQOL (b=−0.34, SE=0.17, adj R 2=0.19, p=.051), and self-esteem was a partial mediator (b=−0.37, SE=0.17, adj R 2=0.24, p=.027). Sobel's test confirmed these results (p<.05). No significant moderation effects were found. Conclusions: The finding that individual-level factors, such as body image and self-esteem, influence the relationship between BMI and HRQOL while environmental factors, such as neighborhood environment and acculturation, do not extends previous research. The finding that body image and self-esteem partially mediate this relationship presents new areas to investigate in interventions that address BMI in youth. Springer International Publishing Switzerland, 2014 Overweight nationallicence Obesity nationallicence Adolescent nationallicence Self-esteem nationallicence Body image nationallicence Depression nationallicence BMI : Body mass index nationallicence HRQOL : Health-related quality of life nationallicence PACE-PC : Primary Care Management of Adolescent Obesity study nationallicence PACE-iDP : Intervention for Youth at Risk for Diabetes study nationallicence Kolodziejczyk Julia Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, Dept 0811, 92093-0811, La Jolla, CA, USA aut Gutzmer Kyle Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, Dept 0811, 92093-0811, La Jolla, CA, USA aut Wright Shana Graduate School of Public Health, San Diego State University, 92182, San Diego, CA, USA aut Arredondo Elva Graduate School of Public Health, San Diego State University, 92182, San Diego, CA, USA aut Hill Linda Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, Dept 0811, 92093-0811, La Jolla, CA, USA aut Patrick Kevin Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, Dept 0811, 92093-0811, La Jolla, CA, USA aut Huang Jeannie Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, Dept 0811, 92093-0811, La Jolla, CA, USA aut Gottschalk Michael Rady Children's Hospital, 92123, San Diego, CA, USA aut Norman Gregory Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, Dept 0811, 92093-0811, La Jolla, CA, USA aut Quality of Life Research Springer International Publishing 24/1(2015-01-01), 251-261 0962-9343 24:1<251 2015 24 11136 https://doi.org/10.1007/s11136-014-0745-1 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s11136-014-0745-1 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Kolodziejczyk Julia Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, Dept 0811, 92093-0811, La Jolla, CA, USA aut NATIONALLICENCE 700 1- Gutzmer Kyle Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, Dept 0811, 92093-0811, La Jolla, CA, USA aut NATIONALLICENCE 700 1- Wright Shana Graduate School of Public Health, San Diego State University, 92182, San Diego, CA, USA aut NATIONALLICENCE 700 1- Arredondo Elva Graduate School of Public Health, San Diego State University, 92182, San Diego, CA, USA aut NATIONALLICENCE 700 1- Hill Linda Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, Dept 0811, 92093-0811, La Jolla, CA, USA aut NATIONALLICENCE 700 1- Patrick Kevin Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, Dept 0811, 92093-0811, La Jolla, CA, USA aut NATIONALLICENCE 700 1- Huang Jeannie Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, Dept 0811, 92093-0811, La Jolla, CA, USA aut NATIONALLICENCE 700 1- Gottschalk Michael Rady Children's Hospital, 92123, San Diego, CA, USA aut NATIONALLICENCE 700 1- Norman Gregory Department of Family and Preventive Medicine, University of California, San Diego, 9500 Gilman Drive, Dept 0811, 92093-0811, La Jolla, CA, USA aut NATIONALLICENCE 773 0- Quality of Life Research Springer International Publishing 24/1(2015-01-01), 251-261 0962-9343 24:1<251 2015 24 11136