Bidirectional Associations Between Psychosocial Well-being and Body Mass Index in European Children

Longitudinal Findings from the IDEFICS Study

Monica Hunsberger, Susanna Lehtinen-Jacks, Kirsten Mehlig, Wencke Gwozdz, Paola Russo, Nathalie Michels, Karin Bammann, Iris Pigeot, Juan Miguel Fernandez-Alvira, Barbara Franziska Thumann, Dénes Molnar, Toomas Veidebaum, Charalambos Hadjigeorgiou, Lauren Lissner

    Research output: Contribution to journalJournal articleResearchpeer-review

    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. 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.
    Original languageEnglish
    Article number949
    JournalBMC Public Health
    Volume16
    Number of pages10
    ISSN1471-2458
    DOIs
    Publication statusPublished - 8 Sep 2016

    Keywords

    • Childhood overweight
    • European cohort
    • Health-related quality of life
    • KINDL®
    • Strengths and difficulties
    • Questionnaire

    Cite this

    Hunsberger, Monica ; Lehtinen-Jacks, Susanna ; Mehlig, Kirsten ; Gwozdz, Wencke ; Russo, Paola ; Michels, Nathalie ; Bammann, Karin ; Pigeot, Iris ; Fernandez-Alvira, Juan Miguel ; Thumann, Barbara Franziska ; Molnar, Dénes ; Veidebaum, Toomas ; Hadjigeorgiou, Charalambos ; Lissner, Lauren. / Bidirectional Associations Between Psychosocial Well-being and Body Mass Index in European Children : Longitudinal Findings from the IDEFICS Study. In: BMC Public Health. 2016 ; Vol. 16.
    @article{2ec75a96212844d9a5ba5a926621a4ab,
    title = "Bidirectional Associations Between Psychosocial Well-being and Body Mass Index in European Children: Longitudinal Findings from the IDEFICS Study",
    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. 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{\circledR} 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.",
    keywords = "Childhood overweight, European cohort, Health-related quality of life, KINDL{\circledR}, Strengths and difficulties, Questionnaire, Childhood overweight, European cohort, Health-related quality of life, KINDL{\circledR}, Strengths and difficulties, Questionnaire",
    author = "Monica Hunsberger and Susanna Lehtinen-Jacks and Kirsten Mehlig and Wencke Gwozdz and Paola Russo and Nathalie Michels and Karin Bammann and Iris Pigeot and Fernandez-Alvira, {Juan Miguel} and Thumann, {Barbara Franziska} and D{\'e}nes Molnar and Toomas Veidebaum and Charalambos Hadjigeorgiou and Lauren Lissner",
    year = "2016",
    month = "9",
    day = "8",
    doi = "10.1186/s12889-016-3626-4",
    language = "English",
    volume = "16",
    journal = "BMC Public Health",
    issn = "1471-2458",
    publisher = "BioMed Central",

    }

    Hunsberger, M, Lehtinen-Jacks, S, Mehlig, K, Gwozdz, W, Russo, P, Michels, N, Bammann, K, Pigeot, I, Fernandez-Alvira, JM, Thumann, BF, Molnar, D, Veidebaum, T, Hadjigeorgiou, C & Lissner, L 2016, 'Bidirectional Associations Between Psychosocial Well-being and Body Mass Index in European Children: Longitudinal Findings from the IDEFICS Study', BMC Public Health, vol. 16, 949. https://doi.org/10.1186/s12889-016-3626-4

    Bidirectional Associations Between Psychosocial Well-being and Body Mass Index in European Children : Longitudinal Findings from the IDEFICS Study. / Hunsberger, Monica; Lehtinen-Jacks, Susanna; Mehlig, Kirsten; Gwozdz, Wencke; Russo, Paola; Michels, Nathalie; Bammann, Karin; Pigeot, Iris; Fernandez-Alvira, Juan Miguel; Thumann, Barbara Franziska; Molnar, Dénes; Veidebaum, Toomas; Hadjigeorgiou, Charalambos; Lissner, Lauren.

    In: BMC Public Health, Vol. 16, 949, 08.09.2016.

    Research output: Contribution to journalJournal articleResearchpeer-review

    TY - JOUR

    T1 - Bidirectional Associations Between Psychosocial Well-being and Body Mass Index in European Children

    T2 - Longitudinal Findings from the IDEFICS Study

    AU - Hunsberger, Monica

    AU - Lehtinen-Jacks, Susanna

    AU - Mehlig, Kirsten

    AU - Gwozdz, Wencke

    AU - Russo, Paola

    AU - Michels, Nathalie

    AU - Bammann, Karin

    AU - Pigeot, Iris

    AU - Fernandez-Alvira, Juan Miguel

    AU - Thumann, Barbara Franziska

    AU - Molnar, Dénes

    AU - Veidebaum, Toomas

    AU - Hadjigeorgiou, Charalambos

    AU - Lissner, Lauren

    PY - 2016/9/8

    Y1 - 2016/9/8

    N2 - 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. 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.

    AB - 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. 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.

    KW - Childhood overweight

    KW - European cohort

    KW - Health-related quality of life

    KW - KINDL®

    KW - Strengths and difficulties

    KW - Questionnaire

    KW - Childhood overweight

    KW - European cohort

    KW - Health-related quality of life

    KW - KINDL®

    KW - Strengths and difficulties

    KW - Questionnaire

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