Associations between overweight and mental health problems among adolescents, and the mediating role of victimization

Autor: René Veenstra, Judith J.M. Rijnhart, Marcel F. van der Wal, Vincent Busch, Cornelia Leontine van Vuuren, Gusta G. Wachter, Mai J. M. Chinapaw
Přispěvatelé: Sociology/ICS, Public and occupational health, Amsterdam Reproduction & Development (AR&D), Epidemiology and Data Science, APH - Methodology, APH - Health Behaviors & Chronic Diseases, APH - Mental Health
Jazyk: angličtina
Rok vydání: 2019
Předmět:
Male
Pediatric Obesity
Youth
CHILDHOOD
CHILDREN
Overweight
NATIONALLY REPRESENTATIVE SAMPLE
Cohort Studies
0302 clinical medicine
DIFFICULTIES QUESTIONNAIRE
030212 general & internal medicine
Crime Victims
Netherlands
lcsh:Public aspects of medicine
Mental Disorders
DEPRESSION
Peer victimization
Female
medicine.symptom
Psychosocial
Clinical psychology
Research Article
medicine.medical_specialty
Adolescent
Bullying victimization
PEER VICTIMIZATION
030209 endocrinology & metabolism
Peer Group
Suicidal Ideation
03 medical and health sciences
medicine
Mental health problems
Humans
Obesity
business.industry
Public health
Public Health
Environmental and Occupational Health
Bullying
lcsh:RA1-1270
medicine.disease
Mental health
BODY-MASS INDEX
SCHOOL
WEIGHT STATUS
Self Report
Biostatistics
business
Body mass index
Zdroj: BMC Public Health
BMC Public Health, Vol 19, Iss 1, Pp 1-10 (2019)
BMC Public Health, 19:612. BMC
BMC Public Health, 19(1):612. BioMed Central
van Vuuren, C L, Wachter, G G, Veenstra, R, Rijnhart, J J M, van der Wal, M F, Chinapaw, M J M & Busch, V 2019, ' Associations between overweight and mental health problems among adolescents, and the mediating role of victimization ', BMC Public Health, vol. 19, no. 1, 612 . https://doi.org/10.1186/s12889-019-6832-z
ISSN: 1471-2458
DOI: 10.1186/s12889-019-6832-z
Popis: Background Evidence has not been conclusive on whether adolescent overweight is associated with mental health, possibly caused by indirect, yet untested associations. Therefore, the purpose of this study was to examine the association between overweight or obesity and mental health problems among adolescents, and to determine whether victimization plays a mediating role in these associations. Methods Self-reported data on mental health and victimization and objectively measured Body Mass Index data were used, using three cohorts (2010–2011 until 2012–2013) and an interval between the measurement waves of two years later. We performed a multi-level mediation analysis with a two-level structure to incorporate the clustering of the measurements within individuals. The study population consisted of 13,740 secondary school students, 13–14 years old at the first measurement moment, in Amsterdam, the Netherlands. Results Compared to their normal-weight peers, adolescents with overweight or obesity reported psychosocial problems and suicidal thoughts more often. Victimization was a significant mediator in the relationship between having overweight, and psychosocial problems (indirect effect OR: 2.3; 95% CI 1.5, 3.7 and direct effect OR: 1.4; 95% CI 1.2, 1.7) or suicidal thoughts (indirect effect OR: 2.1; 95% CI 1.4, 3.2 and direct effect OR: 1.3; 95% CI 1.1, 1.5). The associations between obesity, and psychosocial problems (indirect OR: 6.2; 95% CI 2.8, 14.7 and direct effect OR: 1.4; 95% CI 1.0, 2.0), or suicidal thoughts (indirect OR: 4.5; 95% CI 2.3, 9.1 and direct effect OR: 1.5; 95% CI 1.1, 2.0) were even stronger. Conclusions Overweight and obesity were significantly associated with mental health problems in adolescents, and victimization played a mediating role in this association. Victimization and mental health should be integrated into prevention programs that address healthy weight development. Moreover, overweight should be given more attention in programs to prevent victimization and promote adolescent mental health. Electronic supplementary material The online version of this article (10.1186/s12889-019-6832-z) contains supplementary material, which is available to authorized users.
Databáze: OpenAIRE
Externí odkaz: