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    Parental encouragement of healthy behaviors: adolescent weight status and health-related quality of life.

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    Author
    Nicholls, L; Lewis, AJ; Petersen, S; Swinburn, B; Moodie, M; Millar, L
    Date
    2014-04-16
    Source Title
    BMC Public Health
    Publisher
    Springer Science and Business Media LLC
    University of Melbourne Author/s
    Millar, Lynne
    Affiliation
    Medicine and Radiology
    Metadata
    Show full item record
    Document Type
    Journal Article
    Citations
    Nicholls, L., Lewis, A. J., Petersen, S., Swinburn, B., Moodie, M. & Millar, L. (2014). Parental encouragement of healthy behaviors: adolescent weight status and health-related quality of life.. BMC Public Health, 14 (1), pp.369-. https://doi.org/10.1186/1471-2458-14-369.
    Access Status
    Open Access
    URI
    http://hdl.handle.net/11343/255010
    DOI
    10.1186/1471-2458-14-369
    Open Access at PMC
    http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3996491
    Abstract
    BACKGROUND: Obesity is a major health concern for adolescents, with one in four being overweight or obese in Australia. The purpose of this study was to examine the moderation effect of parental encouragement of healthy behaviors on the relationship between adolescent weight status and Health-Related Quality of Life (HRQoL). METHODS: Baseline data were collected from 3,040 adolescents participating in the It's Your Move project, conducted in the Barwon South-West region of Victoria, in 2005. The Paediatric Quality of Life Inventory was used to measure HRQoL, and parental encouragement was derived from purposely designed self-report items. Weight status was calculated according to World Health Organization growth standards from measured weight and height. Linear regression analyses modeled direct relationships and interaction terms. Analyses were adjusted for age, sex, physical activity level, nutrition and school attended. RESULTS: Higher levels of parental encouragement, as compared to low encouragement, were positively associated with higher global HRQoL scores, particularly in the physical functioning domain. To a lesser degree, high parental encouragement was also associated with higher scores on the psychosocial domain. Obese weight status showed a significant association with lower HRQoL on all scales. Parental encouragement significantly moderated the inverse relationship between overweight status and physical wellbeing. CONCLUSIONS: Findings suggest that parental encouragement of healthy behavior is associated with increased HRQoL scores for adolescents. Whilst more research is needed to validate the significant interaction effect, main effects suggest that parental encouragement of healthy behavior is an important factor in adolescent wellbeing and should be considered when developing prevention and clinical interventions for obesity.

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