How is weight stigma related to children's health-related quality of life? A model comparison approach

Alberto Mirisola, Carlo Tomasetto, Veronica Guardabassi

Risultato della ricerca: Articlepeer review

17 Citazioni (Scopus)


Purpose. Obesity is a highly stigmatizing condition for both adults and children, andboth obesity and stigma experiences are negatively related with Health-Related Qualityof Life (HRQoL). However, the relations among these constructs have been modeled indifferent and sometimes inconsistent terms in past research, and have been the objectof surprisingly few studies in pediatric populations. The present study addresses thisgap by comparing, in a sample of pre-adolescent children, four competing models (i.e.,additive, mediation, moderation, and moderated-mediation models) accounting for therole of stigma experiences in the concurrent relation between body weight and HRQoL.Methods: A community sample of 600 children aged 8-to-11 years completed thePerception of Teasing Scale to assess weight-based teasing experiences, and thePedsQL 4.0 to assess HRQoL. Parent-reported height and weight were used tocalculate age- and gender-adjusted zBMI. Log-likelihood Test, BIC Difference, andWald Test were used for model comparisons. Results: The mediation modeloutperformed both additive and moderation models, and was found to be equallyinformative (but more parsimonious) as compared to the moderated-mediationaccount. The same pattern of results was replicated for both global HRQoL anddomain-specific quality of life domains (i.e., physical, emotional, social, and scholastic).Conclusions: The mediation model provided the best fitting and more parsimoniousrepresentation of the relations between body weight, stigma experiences, and HRQoL,meaning that an increased likelihood of experiencing weight-based teasing episodes,rather than excess weight per se, is associated with reduced quality of life in middlechildhood.
Lingua originaleEnglish
pagine (da-a)173-183
Numero di pagine11
RivistaQuality of Life Research
Stato di pubblicazionePublished - 2018

All Science Journal Classification (ASJC) codes

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