Mental health in children and adolescents with overweight or obesity
Abstract Background Overweight and obesity represent huge concerns for children's physical and mental well-being. This study examined the relationship between body mass index (BMI) and health-related quality of life (HRQoL), somatoform complaints, and behavioral problems in children and adolesc...
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| Format: | Article |
| Language: | English |
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BMC
2023-01-01
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| Series: | BMC Public Health |
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| Online Access: | https://doi.org/10.1186/s12889-023-15032-z |
| _version_ | 1797945680749133824 |
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| author | Lucas-Johann Förster Mandy Vogel Robert Stein Anja Hilbert Julius Lars Breinker Marleen Böttcher Wieland Kiess Tanja Poulain |
| author_facet | Lucas-Johann Förster Mandy Vogel Robert Stein Anja Hilbert Julius Lars Breinker Marleen Böttcher Wieland Kiess Tanja Poulain |
| author_sort | Lucas-Johann Förster |
| collection | DOAJ |
| description | Abstract Background Overweight and obesity represent huge concerns for children's physical and mental well-being. This study examined the relationship between body mass index (BMI) and health-related quality of life (HRQoL), somatoform complaints, and behavioral problems in children and adolescents. Additionally, the influence of sex, age, and socioeconomic status (SES) on these associations was considered. Methods In total, we studied 2350 participants between the ages of 4 and 18 years (1213 4- to 10-years-old (child sample) and 1137 11-to 18-year-olds (adolescent sample)). To assess HRQoL, somatoform complaints, and behavioral difficulties, we applied the KIDSCREEN-27, a short form of the Giessen Complaints Questionnaire, and the Strengths and Difficulties Questionnaire (SDQ). The BMI was transformed to BMI standard deviation scores (BMI-SDS), according to German gender- and age-specific reference data. Associations were investigated using linear regression analyses. Each association was checked for interaction with sex, age, and SES. Results Regarding HRQoL, we found worsening scores in physical well-being and psychological well-being with increasing BMI-SDS. Somatoform complaints were not significantly associated with BMI-SDS. Conduct problems, peer relationship problems, and emotional problems (the latter only in the adolescent sample) were positively associated with BMI-SDS. While we did not observe any significant interactions with sex, we found some significant interactions with age and/or SES. Conclusion Our findings highlight the importance of mental difficulties in children and adolescents with higher BMI and, consequently, underline the relevance of including psychological interventions in the treatment of overweight or obesity. |
| first_indexed | 2024-04-10T20:58:56Z |
| format | Article |
| id | doaj.art-7f4014abaa5a4e00a2f1f73e9daee189 |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-10T20:58:56Z |
| publishDate | 2023-01-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-7f4014abaa5a4e00a2f1f73e9daee1892023-01-22T12:27:42ZengBMCBMC Public Health1471-24582023-01-0123111110.1186/s12889-023-15032-zMental health in children and adolescents with overweight or obesityLucas-Johann Förster0Mandy Vogel1Robert Stein2Anja Hilbert3Julius Lars Breinker4Marleen Böttcher5Wieland Kiess6Tanja Poulain7LIFE Leipzig Research Center for Civilization Diseases, Leipzig UniversityLIFE Leipzig Research Center for Civilization Diseases, Leipzig UniversityDepartment of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig UniversityDepartment of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center Adiposity Diseases, University of Leipzig Medical CenterDepartment of Psychosomatic Medicine and Psychotherapy, Behavioral Medicine Research Unit, Integrated Research and Treatment Center Adiposity Diseases, University of Leipzig Medical CenterDepartment of Women and Child Health, University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig UniversityLIFE Leipzig Research Center for Civilization Diseases, Leipzig UniversityLIFE Leipzig Research Center for Civilization Diseases, Leipzig UniversityAbstract Background Overweight and obesity represent huge concerns for children's physical and mental well-being. This study examined the relationship between body mass index (BMI) and health-related quality of life (HRQoL), somatoform complaints, and behavioral problems in children and adolescents. Additionally, the influence of sex, age, and socioeconomic status (SES) on these associations was considered. Methods In total, we studied 2350 participants between the ages of 4 and 18 years (1213 4- to 10-years-old (child sample) and 1137 11-to 18-year-olds (adolescent sample)). To assess HRQoL, somatoform complaints, and behavioral difficulties, we applied the KIDSCREEN-27, a short form of the Giessen Complaints Questionnaire, and the Strengths and Difficulties Questionnaire (SDQ). The BMI was transformed to BMI standard deviation scores (BMI-SDS), according to German gender- and age-specific reference data. Associations were investigated using linear regression analyses. Each association was checked for interaction with sex, age, and SES. Results Regarding HRQoL, we found worsening scores in physical well-being and psychological well-being with increasing BMI-SDS. Somatoform complaints were not significantly associated with BMI-SDS. Conduct problems, peer relationship problems, and emotional problems (the latter only in the adolescent sample) were positively associated with BMI-SDS. While we did not observe any significant interactions with sex, we found some significant interactions with age and/or SES. Conclusion Our findings highlight the importance of mental difficulties in children and adolescents with higher BMI and, consequently, underline the relevance of including psychological interventions in the treatment of overweight or obesity.https://doi.org/10.1186/s12889-023-15032-zBMI-SDSChildhoodHealth-related quality of lifeSomatoform complaintsBehavioral strengths and difficulties |
| spellingShingle | Lucas-Johann Förster Mandy Vogel Robert Stein Anja Hilbert Julius Lars Breinker Marleen Böttcher Wieland Kiess Tanja Poulain Mental health in children and adolescents with overweight or obesity BMC Public Health BMI-SDS Childhood Health-related quality of life Somatoform complaints Behavioral strengths and difficulties |
| title | Mental health in children and adolescents with overweight or obesity |
| title_full | Mental health in children and adolescents with overweight or obesity |
| title_fullStr | Mental health in children and adolescents with overweight or obesity |
| title_full_unstemmed | Mental health in children and adolescents with overweight or obesity |
| title_short | Mental health in children and adolescents with overweight or obesity |
| title_sort | mental health in children and adolescents with overweight or obesity |
| topic | BMI-SDS Childhood Health-related quality of life Somatoform complaints Behavioral strengths and difficulties |
| url | https://doi.org/10.1186/s12889-023-15032-z |
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