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Istituto di scienza dell'alimentazione

Torna all'elenco Contributi in rivista anno 2017

Contributo in rivista

Tipo: Articolo in rivista

Titolo: Bidirectional associations between psychosocial well-being and adherence to healthy dietary guidelines in European children: prospective findings from the IDEFICS study

Anno di pubblicazione: 2017

Autori: Arvidsson, Louise; Eiben, Gabriele; Hunsberger, Monica; De Bourdeaudhuij, Ilse; Molnar, Denes; Jilani, Hannah; Thumann, Barbara; Veidebaum, Toomas; Russo, Paola; Tornatitis, Michael; Santaliestra-Pasias, Alba M.; Pala, Valeria; Lissner, Lauren

Affiliazioni autori: Univ Gothenburg; Univ Ghent; Univ Pecs; Leibniz Inst Prevent Res & Epidemiol BIPS; Natl Inst Hlth Dev; CNR; Res & Educ Inst Child Hlth REF; Univ Zaragoza; Fdn IRCSS Ist Nazl Tumori

Autori CNR:


Lingua: inglese

Abstract: Background: In children the relationship between a healthy diet and psychosocial well-being has not been fully explored and the existing evidence is inconsistent. This study investigates the chronology of the association between children's adherence to healthy dietary guidelines and their well-being, with special attention to the influence of weight status on the association. Methods: Seven thousand six hundred seventy five children 2 to 9 years old from the eight-country cohort study IDEFICS were investigated. They were first examined between September 2007 and June 2008 and re-examined again 2 years later. Psychosocial well-being was measured using self-esteem and parent relations questions from the KINDL® and emotional and peer problems from the Strengths and Difficulties Questionnaire. A Healthy Dietary Adherence Score (HDAS) was calculated from a 43-item food frequency questionnaire as a measure of the degree to which children's dietary intake follows nutrition guidelines. The analysis employed multilevel logistic regression (country as random effect) with bidirectional modeling of dichotomous dietary and well-being variables as both exposures and outcomes while controlling for respective baseline values. Results: A higher HDAS at baseline was associated with better self-esteem (OR 1.2, 95% CI 1.0;1.4) and fewer emotional and peer problems (OR 1.2, 95% CI 1.1;1.3 and OR 1.3, 95% CI 1.2;1.4) 2 years later. For the reversed direction, better self-esteem was associated with higher HDAS 2 years later (OR 1.1 95% CI 1.0;1.29). The analysis stratified by weight status revealed that the associations between higher HDAS at baseline and better well-being at follow-up were similar in both normal weight and overweight children. Conclusion: Present findings suggest a bidirectional relation between diet quality and self-esteem. Additionally, higher adherence to healthy dietary guidelines at baseline was associated with fewer emotional and peer problems at follow-up, independent of children's weight status.

Lingua abstract: inglese

Pagine totali: 11


BMC public health BioMed Central,
Paese di pubblicazione: Regno Unito
Lingua: inglese
ISSN: 1471-2458

Numero volume: 17

DOI: 10.1186/s12889-017-4920-5

Referee: Sì: Internazionale

Stato della pubblicazione: Published version

Indicizzato da: ISI Web of Science (WOS) [000418061600001]

Parole chiave:

  • Dietary guidelines
  • Healthy diet score
  • Psychosocial well-being
  • Childhood overweight

URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5729410/

Strutture CNR:


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