Abstract
There is evidence that overweight and obese children tend to remain overweight or obese into adolescence and adulthood. However, little is known about the long-term psychosocial outcomes of childhood overweight and obesity. This study aimed to investigate the course of psychosocial difficulties over a 2-year period for children who were overweight or obese at baseline, and a sample of children who were a healthy weight at baseline. Participants were 212 children aged 8 to 13 years at baseline, who were participating in the Childhood Growth and Development (GAD) Study. Questionnaire and interview measures were used to assess children’s self-esteem, depressive symptoms, body image, eating disorder symptoms, experiences with bullying, family satisfaction and quality of life. Linear mixed models were used to consider longitudinal changes in psychosocial variables. Overweight and obese children reported greater psychosocial distress than healthy weight children, and these differences were more pronounced for girls than boys. Weight and psychosocial impairment showed stability from baseline to 2-year follow-up.
Conclusion: The results of this study suggest that psychosocial difficulties show considerable stability in childhood, for overweight/obese and healthy weight children.
What is Known: • Childhood obesity tracks into adolescence and adulthood. • Physical health problems associated with childhood obesity also persist to adulthood. |
What is New: • Overweight and obese children are at risk of ongoing psychosocial distress from childhood into early adolescence. |
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Abbreviations
- BMI:
-
Body mass index
- BQ:
-
Bullying Questionnaire for children
- CBIS:
-
Children’s Body Image Scale
- CDI:
-
Child Depression Inventory
- ChEDE:
-
Child Eating Disorder Examination
- GAD Study:
-
Childhood Growth and Development Study
- PedsQL:
-
Paediatric Quality of Life Scale
- SLSS:
-
Students’ Life Satisfaction Scale
- SPPC:
-
Self-Perception Profile for Children
References
Allen KL, Byrne SM, Blair EM, Davis EA (2006) Why do some overweight children experience psychological problems? The role of weight and shape concern. Int J Pediatr Obes 1:239–247
Allen KL, Byrne SM, La Puma M, McLean NJ, Davis EA (2008) The onset and course of binge eating in 8- to 13-year-old healthy weight, overweight and obese children. Eat Behav 9:438–446
Allen KL, Byrne SM, McLean NJ, Davis EA (2008) Overconcern with weight and shape is not the same as body dissatisfaction: evidence from a prospective study of pre-adolescent boys and girls. Body Image 5:261–270
Australian Institute of Health and Welfare (2011) Australia’s welfare 2011. Australia’s welfare series no. 10. Cat. no. AUS 142. Canberra
Braet C, Mervielde I, Vandereycken W (1997) Psychological aspects of childhood obesity: a controlled study in a clinical and nonclinical sample. J Pediatr Psychol 22:59–71
Bryant-Waugh RJ, Cooper PJ, Taylor CL, Lask BD (1996) The use of the eating disorder examination with children: a pilot study. Int J Eat Disord 19:391–397
Burke V, Beilin LJ, Dunbar D (2001) Family lifestyle and parental body mass index as predictors of body mass index in Australian children: a longitudinal study. Int J Obes 25:147–157
Cawthorpe D (2005) Primary care physician ability to identify pediatric mental health issues. Can Child Adolesc Psychiatr Rev 14(4):99–102
Charman T, Pervova I (2001) The internal structure of the Child Depression Inventory in Russian and UK schoolchildren. J Youth Adolesc 30:41–51
Cross D, Hall M, Hamilton G, Pintabona Y, Erceg E (2004) Australia: the Friendly Schools Project. In: Smith PK, Peplar D, Rigby K (eds) Bullying in schools: global perspectives on intervention. Cambridge University Press, Cambidge
Fairburn CG, Cooper Z (1993) The Eating Disorder Examination (12th ed.) In: Fairburn CG, Wilson GT (eds) Binge eating: Nature, assessment and treatment. Guilford Press, New York, pp 317–360
Flodmark CE (2005) The happy obese child. Int J Obes 29:S31–S33
Gibson LY, Byrne SM, Jacoby P, Davis E (2007) The role of family and maternal factors in childhood obesity. Med J Aust 186:591–595
Gibson LY, Byrne SM, Blair E, Davis EA, Jacoby P, Zubrick S (2008) Clustering of psychological symptoms in obese children. Aust N Z J Psychiatry 42:118–125
Gibson LY, Allen KL, Byrne SM, Clark K, Blair E, Davis E, Zubrick SR (2014) Childhood obesity: maternal and family factors. Under review
Gilligan TD, Huebner S (2007) Initial development and validation of the multidimensional students’ life satisfaction scale-adolescent version. Appl Res Qual Life 2:1–16
Gong Y, Wang D, Zhang X, Qu Z, Liu P, Zou H (2013) The potential biological mechanisms of obesity effects on depression: a systematic review of the literature and knowledge mining. Health 5(11):1811–1818. doi:10.4236/health.2013.511244
Gustavson K, Von Soest T, Karevold E, Roysamb E (2012) Attrition and generalizability in longitudinal studies: findings from a 15-year population-based study and a Monte Carlo simulation study. BMC Public Health 12:918
Harter S (1985) Manual for the self-perception profile for children. University of Denver, Denver, CO
Huebner E, Laughlin JE, Ash C, Gilman R (1998) Further validation of the multidimensional students’ life satisfaction scale. J Psychoeduc Assess 16:118–134
Incledon E, Wake M, Hay M (2011) Psychological predictors of adiposity: systematic review of longitudinal studies. Int J Pediatr Obes 6(2):e1–e11. doi:10.3109/17477166.2010.549491
Jongenelis MI, Byrne SM, Pettigrew S, Allen KL, Watts F (2014) A psychometric examination of a modified 8-item version of the children’s eating disorder examination. Psychol Assess. In press
Kovacs M (1992) The Child Depression Inventory (CDI) manual. Multi Health Systems, Toronto
Limbers CA, Newman DA, Varni JW (2008) Factorial invariance of child self-report across age subgroups: a confirmatory factor analysis of ages 5 to 16 years utilizing the PedsQL 4.0 Generic Core Scales. Value Health 11:659–668
Mamum AA, Lawlor DA, O’Callaghan MJ, Williams GM, Najman JM (2002) Family and early life factors associated with changes in overweight status between ages 5 and 14 years: findings from the Mater University Study of Pregnancy and its outcomes. Int J Obes 29:475–482
Muris P, Meesters C, Fijen P (2003) The self-perception profile for children: further evidence for its factor structure, reliability, and validity. Personal Individ Differ 35:1791–1802
Must A, Strauss RS (1999) Risks and consequences of childhood and adolescent obesity. Int J Obes 23:S2–S11
Norman GR, Sloan JA, Wyrwich KW (2003) Interpretation of changes in health-related quality of life: the remarkable universality of half a standard deviation. Med Care 41:582–592
Ogden CL, Kuczmarski RJ, Flegal KM, Mei Z, Guo S, Wei R, Grummer-Strawn LM, Curtin LR, Roche AF, Johnson CL (2002) Centers for Disease Control and Prevention 2000 growth charts for the United States: improvements to the 1977 National Center for Health Statistics version. Pediatrics 109:45–60
Oudsten BLD, Zijlstra WP, Vries JD (2013) The minimal clinical important difference in the World Health Organization Quality of Life instrument-100. Support Care Cancer 21:1295–1301
Reilly JJ, Kelly J (2011) Long-term impact of overweight and obesity in childhood and adolescence on morbidity and premature mortality in adulthood: systematic review. Int J Obes 35:891–898
Reilly JJ, Methven E, McDowell ZC, Hacking B, Alexander D, Stewart L, Kelnar CJH (2003) Health consequences of obesity. Arch Dis Child 88:748–752
Sawyer MG, Arney FM, Baghurst PA, Clark JJ, Graetz B, Korsky RJ, Nurcombe B, Patton GC, Prior MR, Raphael B, Rey J, Whaites LC, Zubrick SR (2000) Child and adolescent component of the National Survey of Mental Health and Well-Being. Mental Health and Special Programs Branch. Commonwealth Department of Health and Aged Care, Canberra
Schmidt C (2015) Thinking from the gut: the microbiome may yield a new class of psychobiotics for the treatment of anxiety, depression and other mood disorders. Nature 518(S7540):S12–S13
Tanofsky-Kraff M, Yanovski SZ, Wilfley DE, Marmarosh C, Morgan CM, Yanovski JA (2004) Eating-disordered behaviors, body fat, and psychopathology in overweight and normal-weight children. J Consult Clin Psychol 72:53–61
Truby H, Paxton SJ (2002) Development of the children’s body image scale. Br J Clin Psychol 41:185–203
Varni JW, Seid M, Rode CA (1999) The PedsQL: measurement model for the Pediatric Quality of Life Inventory. Med Care 37:126–139
Varni JW, Seid M, Kurtin PS (2001) PedsQL (TM) 4.0: reliability and validity of the Pediatric Quality of Life Inventory (TM) Version 4.0 Generic Core Scales in healthy and patient populations. Med Care 39:800–812
Viner RM, Cole TJ (2005) Adult socioeconomic, educational, social, and psychological outcomes of childhood obesity: a national birth cohort study. Br Med J 330:1354–1357
Wade TD, Byrne SM, Bryant-Waugh R (2008) The eating disorder examination: norms and construct validity with young and middle adolescent girls. Int J Eat Disord 41:551–558
Wake M, Campbell MW, Turner M, Price A, Sabin MA, Davis E, Baur LA (2013) How training affects Australian paediatricians’ management of obesity. Arch Dis Child 98(1):3–8. doi:10.1136/archdischild-2012-301659
Wolke D, Waylen A, Samara M, Steer C, Goodman R, Ford T (2009) Selective drop-out in longitudinal studies and non-biased prediction of behaviour disorders. Br J Psychiatry 195:249–256
Acknowledgements
This research was funded by Healthway, HBF and the Raine Medical Foundation. Lisa Gibson is funded by a Healthway Postdoctoral Research Fellowship. Karina Allen is funded by a National Health and Medical Research Council Early Career Research Fellowship. We would like to acknowledge the schools, children and parents that have given their valuable time to participate in the study. We would also like to acknowledge the contributions of our colleagues Katie Suriano, Felicity Watt, Debbie Blumberg, Alisha Thompson, Lana Bell and Jacqueline Curran.
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LYG, KLA, SMB, EB, ED and SRZ conceived and carried out the research. LYG and KLA analysed the data. All authors were involved in writing the paper and had final approval of the submitted and published versions.
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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. The study protocol was approved by the WA Women’s and Children’s Health Service Ethics Committee.
Funding
This research is funded by a WA Health Promotion (Healthway) Project Grant, a WA Health Promotion (Healthway) Research Fellowship, the Health Benefit Fund (HBF) and the Raine Medical Foundation.
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The authors declare that they have no conflict of interest.
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Informed consent was obtained from all individual participants included in the study.
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Communicated by Peter de Winter
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Gibson, L.Y., Allen, K.L., Davis, E. et al. The psychosocial burden of childhood overweight and obesity: evidence for persisting difficulties in boys and girls. Eur J Pediatr 176, 925–933 (2017). https://doi.org/10.1007/s00431-017-2931-y
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DOI: https://doi.org/10.1007/s00431-017-2931-y