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Contributo in rivista
Tipo: Articolo in rivista
Titolo: Bidirectional associations between psychosocial well-being and body mass index in European children: longitudinal findings from the IDEFICS study
Anno di pubblicazione: 2016
Autori: Monica Hunsberger1*, Susanna Lehtinen-Jacks2, Kirsten Mehlig1, Wencke Gwozdz3, Paola Russo4, Nathalie Michels5, Karin Bammann6, Iris Pigeot7,9, Juan Miguel Fernández-Alvira8, Barbara Franziska Thumann9, Dénes Molnar10, Toomas Veidebaum11, Charalambos Hadjigeorgiou12, Lauren Lissner1 and on behalf of the IDEFICS Consortium
Affiliazioni autori: 1Section for Epidemiology and Social Medicine (EPSO), The Sahlgrenska Academy, University of Gothenburg, Box 453, 40530 Gothenburg, Sweden. 2School of Health Sciences (HES), FI-33014 University of Tampere, Tampere, Finland. 3Department of Intercultural Communication and Management, Copenhagen Business School, POR/18.B-1.118, Copenhagen, Denmark. 4Institute of Food Sciences, CNR Via Roma 64-83100, Avellino, Italy. 5Ghent University, GhentDe Pintelaan 185 4 K3, 9000, Belgium. 6Institute for Public Health and Nursing Research, Faculty of Human and Health Sciences (FB 11), University of Bremen, Grazer Str. 2a, 28359, Bremen, Germany. 7Institute of Statistics, Faculty of Mathematics and Computer Science, University of Bremen, Bremen, Germany. 8Centro Nacional de Investigaciones Cardiovasculares Carlos III Madrid, Spain and GENUD (Growth, Exercise, Nutrition and Development) Research group, University of Zaragoza, Madrid, Spain. 9Leibniz Institute for Prevention Research and Epidemiology, BIPS, Achterstr. 30, 28359, Bremen, Germany. 10Department of Pediatrics, Medical Faculty, University of Pécs, H-7623 Pécs, József A. u. 7, Hungary. 11National Institute for Health and Development, Hiiu 42, 11619 Tallinn, Estonia. 12Research and Education Institute of Child Health, Nicosia, Cyprus.
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.
Lingua abstract: inglese
Pagine da: 949
Pagine totali: 10
BMC public health
Numero volume: 16
Referee: Sě: Internazionale
Stato della pubblicazione: Published version
Indicizzato da: ISI Web of Science (WOS) 
Allegati: Bidirectional associations between psychosocial well-being and body mass index in European children: longitudinal findings from the IDEFICS study.
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