Psychological health in preschool children with underweight, overweight or obesity: a regional cohort study
Objective To examine if underweight (UW), overweight (OW) or obesity (OB), or body mass index (BMI) expressed as its SD score (BMI SDS), were associated with psychological difficulties in preschool children.Design Regional cohort study.Setting Oppland County, Norway.Methods At the routine school ent...
| Päätekijät: | , , , , , , |
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| Aineistotyyppi: | Artikkeli |
| Kieli: | English |
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BMJ Publishing Group
2021-10-01
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| Sarja: | BMJ Paediatrics Open |
| Linkit: | https://bmjpaedsopen.bmj.com/content/5/1/e000881.full |
| _version_ | 1827059430032670720 |
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| author | Geir Egil Eide Trond Markestad Petur Juliusson Hilde Mjell Donkor Helene Toxe Jørgen Hurum Robert Bjerknes |
| author_facet | Geir Egil Eide Trond Markestad Petur Juliusson Hilde Mjell Donkor Helene Toxe Jørgen Hurum Robert Bjerknes |
| author_sort | Geir Egil Eide |
| collection | DOAJ |
| description | Objective To examine if underweight (UW), overweight (OW) or obesity (OB), or body mass index (BMI) expressed as its SD score (BMI SDS), were associated with psychological difficulties in preschool children.Design Regional cohort study.Setting Oppland County, Norway.Methods At the routine school entry health assessment at 5–6 years of age, parents were invited to participate by local public health nurses. The parents completed questionnaires on sociodemographic, health and lifestyle factors of the child and the family, and on the child’s neurocognitive development. They assessed psychological health with the Strengths and Difficulties Questionnaire (SDQ). Public health nurses measured weight and height on all eligible children and reported age, sex, height and weight anonymously for the children who declined to participate.Participants We obtained information on 1088 of 1895 (57%) eligible children. The proportion of UW, OW and OB was slightly higher among the children who declined.Main outcome measures SDQ subscale and Total Difficulties Scores.Results The mean SDQ scores and proportion of scores ≥the 90th percentile had a curvilinear pattern from UW through normal weight (NW), OW and OB with NW as nadir, but the pattern was only significant for the mean Emotional problems, Peer problems and Total SDQ Scales, and for the Total SDQ Score ≥the 90th percentile (TDS90). After adjusting for relevant social, developmental, health and behavioural characteristics, TDS90 was only significantly associated with UW in multiple logistic regression analyses, and only with the lowest quartile of BMI SDS in a linear spline regression analysis.Conclusions The study suggests that UW and low BMI, but not OW, OB or higher BMI, are independent risk factors for having psychological symptoms in preschool children. |
| first_indexed | 2025-02-18T18:41:54Z |
| format | Article |
| id | doaj.art-49d29d1d8399497e9c2c262140d9621c |
| institution | Directory Open Access Journal |
| issn | 2399-9772 |
| language | English |
| last_indexed | 2025-02-18T18:41:54Z |
| publishDate | 2021-10-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Paediatrics Open |
| spelling | doaj.art-49d29d1d8399497e9c2c262140d9621c2024-10-20T17:35:18ZengBMJ Publishing GroupBMJ Paediatrics Open2399-97722021-10-015110.1136/bmjpo-2020-000881Psychological health in preschool children with underweight, overweight or obesity: a regional cohort studyGeir Egil Eide0Trond Markestad1Petur Juliusson2Hilde Mjell Donkor3Helene Toxe4Jørgen Hurum5Robert Bjerknes6Centre for Clinical Research, Haukeland University Hospital, Bergen, NorwayFaculty of Medicine, Department of Clinical Science, University of Bergen, Bergen, NorwayDepartment of Clincal Science, Universitetet i Bergen Det Medisinske Fakultet, Bergen, NorwayDepartment of Paediatrics, Sykehuset Innlandet HF Divisjon Lillehammer, Lillehammer, NorwayClinic of Child and Adolescent Psychiatry, Otta, Sykehuset Innlandet HF Psykisk Helsevern, Brumunddal, NorwayDepartment of Paediatrics, Sykehuset Innlandet HF Divisjon Lillehammer, Lillehammer, NorwayDepartment of Clincal Science, Universitetet i Bergen Det Medisinske Fakultet, Bergen, NorwayObjective To examine if underweight (UW), overweight (OW) or obesity (OB), or body mass index (BMI) expressed as its SD score (BMI SDS), were associated with psychological difficulties in preschool children.Design Regional cohort study.Setting Oppland County, Norway.Methods At the routine school entry health assessment at 5–6 years of age, parents were invited to participate by local public health nurses. The parents completed questionnaires on sociodemographic, health and lifestyle factors of the child and the family, and on the child’s neurocognitive development. They assessed psychological health with the Strengths and Difficulties Questionnaire (SDQ). Public health nurses measured weight and height on all eligible children and reported age, sex, height and weight anonymously for the children who declined to participate.Participants We obtained information on 1088 of 1895 (57%) eligible children. The proportion of UW, OW and OB was slightly higher among the children who declined.Main outcome measures SDQ subscale and Total Difficulties Scores.Results The mean SDQ scores and proportion of scores ≥the 90th percentile had a curvilinear pattern from UW through normal weight (NW), OW and OB with NW as nadir, but the pattern was only significant for the mean Emotional problems, Peer problems and Total SDQ Scales, and for the Total SDQ Score ≥the 90th percentile (TDS90). After adjusting for relevant social, developmental, health and behavioural characteristics, TDS90 was only significantly associated with UW in multiple logistic regression analyses, and only with the lowest quartile of BMI SDS in a linear spline regression analysis.Conclusions The study suggests that UW and low BMI, but not OW, OB or higher BMI, are independent risk factors for having psychological symptoms in preschool children.https://bmjpaedsopen.bmj.com/content/5/1/e000881.full |
| spellingShingle | Geir Egil Eide Trond Markestad Petur Juliusson Hilde Mjell Donkor Helene Toxe Jørgen Hurum Robert Bjerknes Psychological health in preschool children with underweight, overweight or obesity: a regional cohort study BMJ Paediatrics Open |
| title | Psychological health in preschool children with underweight, overweight or obesity: a regional cohort study |
| title_full | Psychological health in preschool children with underweight, overweight or obesity: a regional cohort study |
| title_fullStr | Psychological health in preschool children with underweight, overweight or obesity: a regional cohort study |
| title_full_unstemmed | Psychological health in preschool children with underweight, overweight or obesity: a regional cohort study |
| title_short | Psychological health in preschool children with underweight, overweight or obesity: a regional cohort study |
| title_sort | psychological health in preschool children with underweight overweight or obesity a regional cohort study |
| url | https://bmjpaedsopen.bmj.com/content/5/1/e000881.full |
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