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Bidirectional associations between psychosocial well-being and body mass index in European children: longitudinal findings from the IDEFICS study

View Article: PubMed Central - PubMed

ABSTRACT

Background: The negative impact of childhood overweight on psychosocial well-being has been demonstrated in a number of studies. There is also evidence that psychosocial well-being may influence future overweight. We examined the bidirectional association between childhood overweight and psychosocial well-being in children from a large European cohort.

Background: The dual aim was to investigate the chronology of associations between overweight and psychosocial health indicators and the extent to which these associations may be explained by parental education.

Methods: Participants from the IDEFICS study were recruited from eight countries between September 2007 and June 2008 when the children were aged 2 to 9.9 years old. Children and families provided data on lifestyle, psychosocial well-being, and measured anthropometry at baseline and at follow-up 2 years later. This study includes children with weight, height, and psychosocial well-being measurements at both time points (n = 7,831). Psychosocial well-being was measured by the KINDL® and Strengths and Difficulties Questionnaire respectively. The first instrument measures health-related quality of life including emotional well-being, self-esteem, parent relations and social relations while the second measures well-being based on emotional symptoms, conduct problems and peer-related problems. Logistic regression was used for modeling longitudinal associations.

Results: Children who were overweight at baseline had increased risk of poor health-related quality of life (odds ratio (OR) = 1.23; 95 % confidence interval (CI):1.03–1.48) measured 2 years later; this association was unidirectional. In contrast to health-related quality of life, poor well-being at baseline was associated with increased risk of overweight (OR = 1.39; 95 % CI:1.03–1.86) at 2 year follow-up; this association was also only observed in one direction. Adjustment for parental education did not change our findings.

Conclusion: Our findings indicate that the association between overweight and psychosocial well-being may be bidirectional but varies by assessment measures. Future research should further investigate which aspects of psychosocial well-being are most likely to precede overweight and which are more likely to be consequences of overweight.

No MeSH data available.


Related in: MedlinePlus

Odds ratios (OR) for incident BMI status defined as overweight including obesity (OWOB) according to Cole 2012 and two dichotomized indicators of psychosocial health, poor health related quality of life (PHRQOL) measured by KINDL® and poor well-being (PWB) measured by Strengths and Difficulties Questionnaire and 95 % confidence intervals (95 % CI). Baseline refers to year 2007/2008 and follow-up to 2009/2010
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Fig1: Odds ratios (OR) for incident BMI status defined as overweight including obesity (OWOB) according to Cole 2012 and two dichotomized indicators of psychosocial health, poor health related quality of life (PHRQOL) measured by KINDL® and poor well-being (PWB) measured by Strengths and Difficulties Questionnaire and 95 % confidence intervals (95 % CI). Baseline refers to year 2007/2008 and follow-up to 2009/2010

Mentions: In Table 3 we present incidence of poor health (part A) and recovery from poor health (part B). In the adjusted models, poor health-related quality of life at baseline did not predict incidence of overweight at follow-up whereas overweight at baseline did predict poor health-related quality of life at follow-up, (OR = 1.23; 95 % CI:1.03–1.48). Poor well-being at baseline was predictive of overweight at follow-up (OR = 1.39; 95 % CI:1.03–1.86), whereas overweight at baseline did not predict poor well-being at follow-up (see Fig. 1). Examining the joint effects of poor health-related quality of life and poor well-being, we found that children with both poor health-related quality of life and poor well-being at baseline were most likely to become overweight at follow-up (OR = 1.68; 95 % CI:1.16–2.42), but the interaction between poor health-related quality of life and poor well-being was not statistically significant. Absence of poor health (no poor well-being, good health-related quality of life, or no overweight) did not predict recovery from poor health at follow-up in those with poor health at baseline. The results of the incidence analysis are summarized in Fig. 1.Fig. 1


Bidirectional associations between psychosocial well-being and body mass index in European children: longitudinal findings from the IDEFICS study
Odds ratios (OR) for incident BMI status defined as overweight including obesity (OWOB) according to Cole 2012 and two dichotomized indicators of psychosocial health, poor health related quality of life (PHRQOL) measured by KINDL® and poor well-being (PWB) measured by Strengths and Difficulties Questionnaire and 95 % confidence intervals (95 % CI). Baseline refers to year 2007/2008 and follow-up to 2009/2010
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC5017061&req=5

Fig1: Odds ratios (OR) for incident BMI status defined as overweight including obesity (OWOB) according to Cole 2012 and two dichotomized indicators of psychosocial health, poor health related quality of life (PHRQOL) measured by KINDL® and poor well-being (PWB) measured by Strengths and Difficulties Questionnaire and 95 % confidence intervals (95 % CI). Baseline refers to year 2007/2008 and follow-up to 2009/2010
Mentions: In Table 3 we present incidence of poor health (part A) and recovery from poor health (part B). In the adjusted models, poor health-related quality of life at baseline did not predict incidence of overweight at follow-up whereas overweight at baseline did predict poor health-related quality of life at follow-up, (OR = 1.23; 95 % CI:1.03–1.48). Poor well-being at baseline was predictive of overweight at follow-up (OR = 1.39; 95 % CI:1.03–1.86), whereas overweight at baseline did not predict poor well-being at follow-up (see Fig. 1). Examining the joint effects of poor health-related quality of life and poor well-being, we found that children with both poor health-related quality of life and poor well-being at baseline were most likely to become overweight at follow-up (OR = 1.68; 95 % CI:1.16–2.42), but the interaction between poor health-related quality of life and poor well-being was not statistically significant. Absence of poor health (no poor well-being, good health-related quality of life, or no overweight) did not predict recovery from poor health at follow-up in those with poor health at baseline. The results of the incidence analysis are summarized in Fig. 1.Fig. 1

View Article: PubMed Central - PubMed

ABSTRACT

Background: The negative impact of childhood overweight on psychosocial well-being has been demonstrated in a number of studies. There is also evidence that psychosocial well-being may influence future overweight. We examined the bidirectional association between childhood overweight and psychosocial well-being in children from a large European cohort.

Background: The dual aim was to investigate the chronology of associations between overweight and psychosocial health indicators and the extent to which these associations may be explained by parental education.

Methods: Participants from the IDEFICS study were recruited from eight countries between September 2007 and June 2008 when the children were aged 2 to 9.9 years old. Children and families provided data on lifestyle, psychosocial well-being, and measured anthropometry at baseline and at follow-up 2 years later. This study includes children with weight, height, and psychosocial well-being measurements at both time points (n = 7,831). Psychosocial well-being was measured by the KINDL® and Strengths and Difficulties Questionnaire respectively. The first instrument measures health-related quality of life including emotional well-being, self-esteem, parent relations and social relations while the second measures well-being based on emotional symptoms, conduct problems and peer-related problems. Logistic regression was used for modeling longitudinal associations.

Results: Children who were overweight at baseline had increased risk of poor health-related quality of life (odds ratio (OR) = 1.23; 95 % confidence interval (CI):1.03–1.48) measured 2 years later; this association was unidirectional. In contrast to health-related quality of life, poor well-being at baseline was associated with increased risk of overweight (OR = 1.39; 95 % CI:1.03–1.86) at 2 year follow-up; this association was also only observed in one direction. Adjustment for parental education did not change our findings.

Conclusion: Our findings indicate that the association between overweight and psychosocial well-being may be bidirectional but varies by assessment measures. Future research should further investigate which aspects of psychosocial well-being are most likely to precede overweight and which are more likely to be consequences of overweight.

No MeSH data available.


Related in: MedlinePlus