Association between children living with obesity and Mental Health problems: a data analysis of the Welsh Health Survey, UK

Abstract Background Obesity and mental health problems in children are both significant and growing public health issues. There is mixed evidence on the relationship between obesity and mental health in children. This study examines the association between obesity and mental health problems in a nat...

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Main Author: Claire Beynon
Format: Article
Language:English
Published: BMC 2023-02-01
Series:BMC Public Health
Subjects:
Online Access:https://doi.org/10.1186/s12889-023-15293-8
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author Claire Beynon
author_facet Claire Beynon
author_sort Claire Beynon
collection DOAJ
description Abstract Background Obesity and mental health problems in children are both significant and growing public health issues. There is mixed evidence on the relationship between obesity and mental health in children. This study examines the association between obesity and mental health problems in a nationally representative sample of children using the Welsh Health Survey for Children (n = 11,279 aged 4–15 years). Methods The Chi-square test assessed the difference in the proportion of children reporting abnormal mental health scores (strengths and difficulties score ≥ 20) in children living with obesity (≥ 95 centile for age and sex). Then, a multivarible logistic regression was used to assess any association after accounting for confounding variables. Results There were 1,582 children living with obesity in the study (19.6%). The Chi-square test indicated a significant difference in the proportion of children with abnormal mental health scores in children living with obesity (p = 0.001). This study found a very small but significant positive association between mental health and childhood obesity after accounting for confounding variables, Odds Ratio 1.02 (95%CI: 1.01 to 1.02, p = 0.001). However, socio-economic status was more of a driver. Conclusion The findings of this study show a very small but significant association between childhood obesity and mental health problems. The multivariable logistic regression indicates that the focus must remain on reducing health inequalities as this is a more important driver of child health and well-being. However, as a precautionary measure it may be worth considering if children living with obesity who present for weight-management services may benefit from a review of their mental health status to identify if further support is needed, if capacity allows, and this can be done in a supportive way.
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spelling doaj.art-b578a23b1b0a42dfaf014da96f04e9cf2023-03-22T12:37:27ZengBMCBMC Public Health1471-24582023-02-012311810.1186/s12889-023-15293-8Association between children living with obesity and Mental Health problems: a data analysis of the Welsh Health Survey, UKClaire Beynon0Public Health WalesAbstract Background Obesity and mental health problems in children are both significant and growing public health issues. There is mixed evidence on the relationship between obesity and mental health in children. This study examines the association between obesity and mental health problems in a nationally representative sample of children using the Welsh Health Survey for Children (n = 11,279 aged 4–15 years). Methods The Chi-square test assessed the difference in the proportion of children reporting abnormal mental health scores (strengths and difficulties score ≥ 20) in children living with obesity (≥ 95 centile for age and sex). Then, a multivarible logistic regression was used to assess any association after accounting for confounding variables. Results There were 1,582 children living with obesity in the study (19.6%). The Chi-square test indicated a significant difference in the proportion of children with abnormal mental health scores in children living with obesity (p = 0.001). This study found a very small but significant positive association between mental health and childhood obesity after accounting for confounding variables, Odds Ratio 1.02 (95%CI: 1.01 to 1.02, p = 0.001). However, socio-economic status was more of a driver. Conclusion The findings of this study show a very small but significant association between childhood obesity and mental health problems. The multivariable logistic regression indicates that the focus must remain on reducing health inequalities as this is a more important driver of child health and well-being. However, as a precautionary measure it may be worth considering if children living with obesity who present for weight-management services may benefit from a review of their mental health status to identify if further support is needed, if capacity allows, and this can be done in a supportive way.https://doi.org/10.1186/s12889-023-15293-8ObesityEpidemiologyPublic HealthPediatricsAdolescent
spellingShingle Claire Beynon
Association between children living with obesity and Mental Health problems: a data analysis of the Welsh Health Survey, UK
BMC Public Health
Obesity
Epidemiology
Public Health
Pediatrics
Adolescent
title Association between children living with obesity and Mental Health problems: a data analysis of the Welsh Health Survey, UK
title_full Association between children living with obesity and Mental Health problems: a data analysis of the Welsh Health Survey, UK
title_fullStr Association between children living with obesity and Mental Health problems: a data analysis of the Welsh Health Survey, UK
title_full_unstemmed Association between children living with obesity and Mental Health problems: a data analysis of the Welsh Health Survey, UK
title_short Association between children living with obesity and Mental Health problems: a data analysis of the Welsh Health Survey, UK
title_sort association between children living with obesity and mental health problems a data analysis of the welsh health survey uk
topic Obesity
Epidemiology
Public Health
Pediatrics
Adolescent
url https://doi.org/10.1186/s12889-023-15293-8
work_keys_str_mv AT clairebeynon associationbetweenchildrenlivingwithobesityandmentalhealthproblemsadataanalysisofthewelshhealthsurveyuk