Weight Status, Resilience, and Quality of Life in Indian Children
Associations Between Factors Contributing to Obesity (Dietary Behaviour and Physical Activity), Resilience (Dietary and Physical Activity Self-Efficacy, Self- Esteem, General Resilience and Optimism), and HRQoL in Indian Adolescents
1 other identifier
observational
720
1 country
16
Brief Summary
A school-based cross-sectional study that aims to generate context-specific evidence on how weight status is related to resilience, health behaviour, and quality of life among Indian adolescents. Primary Objective To assess differences in overall resilience (total score of Adolescent Resilience score from ARQ49) between normal-weight and overweight/obese Indian adolescents aged 14-16 years. Secondary Objectives
- 1.To compare differences in Adolescent Resilience Questionnaire (ARQ49) subscale scores between normal-weight and overweight/obese adolescents. The internal resilience factors assessed by the ARQ49 include confidence, emotional insight, negative cognition, social skills, empathy, and tolerance, while the external resilience factors include family connectedness, family availability, peer connectedness, peer availability, supportive school environment, school connectedness, and community connectedness.
- 2.To assess differences in internal resilience factors (diet self-efficacy, physical activity self-efficacy, self-esteem, and optimism) between normal-weight and overweight/obese adolescents and to examine parental nutrition knowledge as an external resilience resource and moderator in association analyses.
- 3.To compare dietary behaviors, physical activity patterns, and Pediatric Quality of Life Inventory (PedsQL) scores between normal-weight and overweight/obese adolescents.
- 4.To examine the associations among resilience, dietary and physical activity behaviors, and PedsQL within the overall sample and within different weight groups, and to evaluate parental nutrition knowledge as a moderator of the relationship between weight status and resilience or health outcomes.
- 5.To explore differences in resilience, health behaviors, and PedsQL between normal-weight and underweight Indian adolescents.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for all trials
Started Feb 2023
16 active sites
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
Click on a node to explore related trials.
Study Timeline
Key milestones and dates
First Submitted
Initial submission to the registry
November 22, 2022
CompletedFirst Posted
Study publicly available on registry
December 13, 2022
CompletedStudy Start
First participant enrolled
February 20, 2023
CompletedPrimary Completion
Last participant's last visit for primary outcome
February 28, 2024
CompletedStudy Completion
Last participant's last visit for all outcomes
April 30, 2024
CompletedApril 29, 2026
April 1, 2026
1 year
November 22, 2022
April 23, 2026
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
Overall resilience (ARQ49 total score)
Overall resilience will be assessed using the Adolescent Resilience Questionnaire (ARQ49). The total score will be calculated by summing responses across all items, with higher scores indicating higher levels of psychosocial resilience.
At baseline (single time-point assessment)
Secondary Outcomes (5)
Health-related quality of life (HRQoL)
At baseline (single time-point assessment)
Diet and Physical activity self-efficacy
At baseline (single time-point assessment)
Optimism
At baseline (single time-point assessment)
Dietary and PA behaviour
At baseline (single time-point assessment)
Self-esteem
At baseline (single time-point assessment)
Study Arms (1)
Groups classified based on BMI
Adolescent participants (14-16 years): Participants will be categorized into weight status groups (underweight, normal-weight, overweight/obese) based on BMI-for-age z-scores for analysis. Group 1: Overweight BMI Cut-Off Points (kg/m²) by International Obesity Task Force; IOTF Overweight (including obesity) ≥25.00 Group 2: Obese BMI Cut-Off Points (kg/m²) by International Obesity Task Force; IOTF Obese ≥30.00 Group 3: Normal-weight BMI Cut-Off Points (kg/m²) by International Obesity Task Force; IOTF Normal Weight - 18.5-24.99
Eligibility Criteria
School-going Indian adolescents aged 14 to 16 years, studying in grades 8 to 10 in secondary schools in Kolkata, India. Participants were recruited from public and private schools. One parent or guardian of each participating adolescent was also invited to participate. Weight status categories (underweight, normal weight, and overweight/obese) were defined analytically using BMI-for-age z-scores based on IOTF cut-offs.
You may qualify if:
- Adolescents aged 14 to 16 years
- Studying in grades 8, 9, or 10
- Enrolled in participating secondary schools in Kolkata, India
- Able to provide assent, with written consent from a parent or legal guardian
- One parent or guardian willing to participate in the parent survey
You may not qualify if:
- Age below 14 years or above 16 years
- Not enrolled in grades 8, 9, or 10
- No parental/legal guardian consent or no adolescent assent
- Incomplete eligibility for participation in the survey procedures
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Maastricht University Medical Centerlead
- Maastricht Universitycollaborator
Study Sites (16)
Mitra Institution (Main)
Kolkata, West Bengal, 700009, India
Victoria Institution High School
Kolkata, West Bengal, 700009, India
Ballygunge Government High School
Kolkata, West Bengal, 700020, India
Andhra Association High School (AAHS)
Kolkata, West Bengal, 700026, India
Lycee School
Kolkata, West Bengal, 700029, India
National High School For Boys
Kolkata, West Bengal, 700029, India
National High School For Girls
Kolkata, West Bengal, 700029, India
Tollygunge Adarsh Hindi High School (Girls and Boys)
Kolkata, West Bengal, 700033, India
New Alipore Multipurpose School
Kolkata, West Bengal, 700053, India
New Vista Academy
Kolkata, West Bengal, 700063, India
Sakhawat Memorial Govt. Girls' High School
Kolkata, West Bengal, 700071, India
Calcutta Public School, Bidhan Park
Kolkata, West Bengal, 700090, India
Indus Valley World School
Kolkata, West Bengal, 700094, India
Calcutta Public School, Kalikapur
Kolkata, West Bengal, 700099, India
Holy Mission school
Kolkata, West Bengal, India
St. Joseph and Mary's school
Kolkata, West Bengal, India
MeSH Terms
Conditions
Condition Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Poulami Dasgupta
Maastricht University/MaastrichtUMC
Study Design
- Study Type
- observational
- Observational Model
- OTHER
- Time Perspective
- CROSS SECTIONAL
- Target Duration
- 1 Year
- Sponsor Type
- OTHER
- Responsible Party
- SPONSOR
Study Record Dates
First Submitted
November 22, 2022
First Posted
December 13, 2022
Study Start
February 20, 2023
Primary Completion
February 28, 2024
Study Completion
April 30, 2024
Last Updated
April 29, 2026
Record last verified: 2026-04
Data Sharing
- IPD Sharing
- Will not share
Individual participant data will not be shared publicly because the study involves adolescent participants and linked parent data, and open sharing would raise ethical and privacy concerns. De-identified data may be considered upon reasonable request, subject to review by the research team, applicable ethical approvals, and a data-sharing agreement, in accordance with Maastricht University data governance requirements.