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Lifestyles and psychosomatic symptoms among elementary school students and junior high school students

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Environmental Health and Preventive Medicine Aims and scope

Abstract

Objectives

To examine the relationship between lifestyles and psychosomatic symptoms in children, we conducted a self-administered questionnaire survey of elementary school students and junior high school students in Japan.

Methods

We designed an original questionnaire to investigate the lifestyles and psychosomatic symptoms of children. In 1997, responses to the questionnaires were elicited from public elementary school fourth grade students (then aged 9–10) and public junior high school seventh grade students (then aged 12–13). The survey was repeated annually for three years as the students advanced through school.

Results

For both boys and girls, each cross-sectional analysis revealed a strong relationship between lifestyle behaviors and psychosomatic symptoms. Psychosomatic, symptoms scores varied according to daily hours of sleep, eating of breakfast, having strong likes and dislikes of food, bowel habits, and daily hours of television watching. Both boys and girls with “good” lifestyle, behaviors evaluated by the HPI (Health Practice Index) showed lower scores for psychosomatic symptoms.

Conclusions

These findings show that the lifestyle behaviors of children are significantly associated with psychosomatic symptoms and suggest that poor lifestyle behaviors are likely to increase physical and psychological health risks.

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References

  1. Belloc NB, Breslow L. Relationship of physical health status and health practices. Prev. Med. 1972; 1:409–421.

    Article  PubMed  CAS  Google Scholar 

  2. Belloc NB. Relationship of health practices and mortality. Prev. Med. 1973; 2: 67–81.

    Article  PubMed  CAS  Google Scholar 

  3. Wisley JA, Camacho TC. Life-style and future health: Evidence from the Alameda Country Study. Prev. Med. 1980; 9: 1–21.

    Article  Google Scholar 

  4. Breslow L, Enstrom JE. Persistence of health habits and their relationship to mortality. Prev. Med. 1980; 9: 469–483.

    Article  PubMed  CAS  Google Scholar 

  5. Wingard DL, Berkman LF, Brand RJ. A multivariate analysis of health-related practices: A nine-year mortality follow-up of the Alameda Country Study. Am. J. Epidemiol. 1982; 116: 765–775.

    PubMed  CAS  Google Scholar 

  6. Rotevatn S, Akslen LA, Bjelke E. Lifestyle and mortality among Norwegian men. Prev. Med. 1989; 18: 433–443.

    Article  PubMed  CAS  Google Scholar 

  7. Brock BM, Haefner DP, Noble DS. Alameda Country redux: erplication in Michigan. Prev. Med. 1988; 17: 483–495.

    Article  PubMed  CAS  Google Scholar 

  8. Morimoto K, Miura K, Kaneko T, Iijima K, Sato M, Koizumi A. Human health situation and chromosome alterations: Sister chromatid exchange frequency in lymphocyte from passive smokers and patients with hereditary disease. In: Tice R, Hollaender A, Lambert B, Morimoto K. Eds. “Sister Chromatid Exshanges: Genetic Toxicology and Human Studies.” New York: Plenum. 1984; 801–812.

    Google Scholar 

  9. Morimoto K. Life-style and genetic factos that determine the susceptibility to the production of chromosome damage. In: Obe G, Natarajan AT. Eds. “Chromosomal Aberrations: Basic and Applied Aspects.” Berlin: Springer-Verlag, 1990; 287–301.

    Google Scholar 

  10. Shirakawa T, Morimoto K. Lifestyle effect on total IgE. Allergy 1991; 46: 561–569.

    Article  PubMed  CAS  Google Scholar 

  11. Kusaka Y, Kondou H, Morimoto K. Healthy lifestyles are associated with higher natural killer cell activity. Prev. Med. 1992; 21: 602–615.

    Article  PubMed  CAS  Google Scholar 

  12. Inoue C, Takeshita T, Kondo H, Morimoto K. Healthy lifestyles are associated with higher lymphokine-activated killer cell activity. Prev. Med. 1996; 25: 717–724.

    Article  PubMed  CAS  Google Scholar 

  13. Hagihara A, Tarumi K, Morimoto K. The associated between annually-repeated health screening and health behavior among company emloyees. Environ Health and Prev. Med. 1996; 1: 57–64.

    Article  Google Scholar 

  14. Mure K, Hayatsu H, Takeuchi T, Morimoto K. Heavy cigarette smokers show higher mutagenicity in urine. Mutat. Res. 1997; 373: 107–111.

    PubMed  CAS  Google Scholar 

  15. Ezoe S, Morimoto K. Behavioral lifestyle and mental health status of Japanese factory worker. Prev. Med. 1994; 23: 98–105.

    Article  PubMed  CAS  Google Scholar 

  16. Campo JV, Fritsch SL. Somatization in children and adolescents. J. Am. Acad. Child. Adolesc. Psychiatry 1994; 33: 1223–1235.

    Article  PubMed  CAS  Google Scholar 

  17. Starfield B, Gross E, Wood M, et al. Psychosocial and psychosomatic diagnosis in primary care of children. Pediatrics 1980; 66: 159–167.

    PubMed  CAS  Google Scholar 

  18. Smith MS. Psychosomatic symptoms in adolescents. Med. Clin. North Am. 1990; 74: 1121–1134.

    PubMed  CAS  Google Scholar 

  19. Hodges K, Kline JJ, et al. Depressive symptoms in children with recurrent abdominal pain and in their families. J. Pediatr. 1985; 107: 622–626.

    Article  PubMed  CAS  Google Scholar 

  20. Faull C, Nicol AR. Abdominal pain in six-year-olds: an epidemiological study in a new town. J. Child. Psychol. and Psychiat. 1986; 27: 251–260.

    CAS  Google Scholar 

  21. Robinson JO, Albverz JH, Dodge JA. Life events and family history in children with recurrent abdominal pain. Journal of Psychosomatic Research 1990; 34: 171–181.

    Article  PubMed  CAS  Google Scholar 

  22. Are H, Paronen O, Aro S. Psychosomatic symptoms among 14–16 year old Finnish adolescents. Soc Psychiatry 1987; 22: 171–176.

    Article  Google Scholar 

  23. Poikokainen K, Kanerva R, Lonnqvist J. Life events and other risk factors for somatic symptoms in adolescence. Pediatrics 1995; 96: 59–63.

    Google Scholar 

  24. Naivig GK, Albrektsen G, Anderssen N, Qvarnstrom U. School-related stress and psychosomatic symptoms among school adolecents. Journal of School Health 1999; 69: 362–368.

    Article  Google Scholar 

  25. Aro H. Life stress and psychosomatic symptoms among 14 to 16-year old Finnish adolescents. Psychological Medicine 1987; 17: 191–201.

    Article  PubMed  CAS  Google Scholar 

  26. Aro H, Hanninen V, Paronen O. Social support, life events and psychosomatic symptoms among 14–16-year-old adolescents. Soc. Sci. Med. 1989; 29: 1051–1056.

    Article  PubMed  CAS  Google Scholar 

  27. Tanaka H, Tamai H, et al. Psychosocial factors affecting psychosomatics in Japanese schoolchildren. Pediatrics International 2000; 42: 354–358.

    Article  PubMed  CAS  Google Scholar 

  28. Robinson P, Greene JW, Walker LS. Functional somatic complaints in adolescents: relationship to negative life events, self-concept, and family characteristics. J. Pediatr. 1988; 113: 588–593.

    Article  PubMed  CAS  Google Scholar 

  29. Monden S, Okuda H, Hiraoka Y. A study of the life style management of junior high school pupils (Part 2) Relationship between subjective symptoms of fatigue, physical strength and life style behaviors. Nippon-Kosyu-Eisei-Zasshi 1987; 34: 652–660.

    Google Scholar 

  30. Morimoto A. Epidemiological studies of psychosomatic symptoms in young adolescents. (2) Behavioral influences of their life styles. Syouni-Hoken-Kenkyu 1994; 53: 856–862.

    Google Scholar 

  31. Hotta N, Furuta M, Muramatsu T, Matsui T. Relationship between vegetative complaints and lifestyle in the junior high/high school students. Jpn. J. School Health 2001; 43: 73–82.

    Google Scholar 

  32. Meijer AM, Habekothe HT, Van-Den-Wittenboer GL. Time in bed, quality of sleep and school functioning of children. J. Sleep Res. 2000; 9: 145–153.

    Article  PubMed  CAS  Google Scholar 

  33. Eguchi Y, Ishihara K. Sleep habits and complaints of fatigue in elementary school children. Syouni-Hoken-Kenkyu 1994; 53: 568–574.

    Google Scholar 

  34. DuRant RH, Baranowski T, Johnson M, Thompson WO. The relationship among television watching, physical actively, and body composition of young children. Pediatrics 1994; 94: 449–455.

    PubMed  CAS  Google Scholar 

  35. Eisenmann JC, Bartee RT, Wang MQ. Physical activity, TV viewing, and weight in U.S. youth: 1999 Youth Risk Behavior Survey. Obes. Res. 2002; 10: 379–385.

    Article  PubMed  Google Scholar 

  36. Dennison BA, Erb TA, Jenkins PL. Television viewing and television in bedroom associated with overweight risk among low-income preschool children. Pediatrics 2002; 109: 1028–1035.

    Article  PubMed  Google Scholar 

  37. Belmaker E, Espinoza R, Pogrunt R. Use of medical services by adolescents with non-specific somatic symptoms. International Journal of Adolescent Medicine and Health 1985; 1: 149–156.

    Google Scholar 

  38. Knishkowy B, Palti H, et al. Symptom clusters among young adolescents. Adolescence 1995; 30: 351–362.

    PubMed  CAS  Google Scholar 

  39. Livingston R, Taylor JL, Crawford SL. A study of somatic complaints and psychiatric diagnosis in children. J. Am. Acad. Child. Adolesc. Psychiatry 1988; 27: 185–187.

    Article  PubMed  CAS  Google Scholar 

  40. Larssen BS. The role of psychological, health-behavior and medical factors in adolescent headache. Development Medicine and Child Neurology 1988; 30: 616–625.

    Article  Google Scholar 

  41. Rimpelä M, Rimpelä A, Pasanen M. Perceived symptoms among 12–18 year old Finns. J. Soc. Med. 1982; 19: 219–233.

    Google Scholar 

  42. Morimoto A. Epidemiological studies of psychosomatic symptoms in young adolescents. (1) The frequencies of symptoms and association with psychosocial factors. Syouni-Hoken-Kenkyu 1994; 53: 849–848.

    Google Scholar 

  43. Tamae K, Iwata N, et al. A survey of subjective symptoms and experiences of interpersonal troubles among public junior high school students in Kitakyusyu. Jpn. J. School Health 1998; 40: 19–28.

    Google Scholar 

  44. Uchida H, Matsuura S, et al. Background of psychosomatic symptoms in young adolescents. Syouni-Hoken-Kenkyu 1997; 56: 545–555.

    Google Scholar 

  45. SPSS Inc. “SPSSx user’s guide” 2nd ed. Chicago: SPSS Inc. 1986.

    Google Scholar 

  46. Ostrov E, Offer D, Howard KL. Gender differences in adolescent symptomatology: A normative study. J. Am. Acad. Child Adolesc Psychiatry 1989; 28: 394–398.

    Article  PubMed  CAS  Google Scholar 

  47. Gerralda ME. Somatization in children and adolescents J. Child Psychol. Psychiat. 1996; 37: 13–33.

    Article  Google Scholar 

Download references

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Authors and Affiliations

  1. Department of Social and Environmental Medicine, Osaka University Graduate School of Medicine, Fl, 2-2 Yamada-oka, 565-0871, Suita, Osaka, Japan

    Yuriko Isshiki & Kanehisa Morimoto

Authors
  1. Yuriko Isshiki
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  2. Kanehisa Morimoto
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Correspondence to Kanehisa Morimoto.

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Isshiki, Y., Morimoto, K. Lifestyles and psychosomatic symptoms among elementary school students and junior high school students. Environ Health Prev Med 9, 95–102 (2004). https://doi.org/10.1007/BF02898067

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