儿童肥胖轨迹与青少年心理健康：一项英国队列研究

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2025-01-30 DOI:10.1111/ijpo.13206

I Gusti Ngurah Edi Putra, Michael Daly, Eric Robinson

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引用次数: 0

摘要

背景：关于儿童期到青春期肥胖变化如何与青少年心理健康相关的证据有限。我们研究了儿童肥胖轨迹、肥胖发作和17岁时心理健康之间的关系。方法：数据来自英国千禧年队列研究。研究人员检查了7岁和17岁时的肥胖轨迹组（n = 8306）和7岁、11岁和14岁时的既往肥胖事件（伴随肥胖的扫描次数）（n = 7246）。17岁时的照顾者和自我报告的内化和外化症状被用来衡量心理健康。采用线性回归模型。结果：相对于从未发生肥胖，肥胖发生(β = 1.01；95% CI = 0.71, 1.32)和持久性(β = 1.18；95% CI = 0.74, 1.61)与17岁时较高的内化症状和7 - 17岁期间这些症状的恶化（评分增加）相关(β = 0.87；95% CI = 0.57, 1.17, β = 0.86；发育和持续性的95% CI分别为0.56和1.26)。肥胖发展与17岁时较高的外化症状相关(β = 0.52；95% CI = 0.25, 0.80)以及这些症状随时间的恶化(β = 0.30；95% ci = 0.07, 0.53)。既往多次肥胖与心理健康恶化无关，与后续体重状况无关。逆转肥胖和从未发生肥胖的儿童在心理健康结果上没有差异。结论：7 - 17岁肥胖的发展或持续与心理健康恶化有关。如果儿童期肥胖得到逆转，似乎没有证据表明以前的肥胖与17岁时的心理健康之间存在负相关。

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Childhood obesity trajectories and adolescent mental health: A UK cohort study

Background

There is limited evidence on how changes in obesity from childhood to adolescence are associated with adolescent mental health. We examined the associations between childhood obesity trajectories, obesity episodes, and mental health at age 17.

Methods

Data were from the UK Millennium Cohort Study. Obesity trajectory groups at ages 7 and 17 (n = 8306) and previous obesity episodes (number of sweeps with obesity) at ages 7, 11 and 14 (n = 7246) were examined. Caregiver and self-reported internalising and externalising symptoms at age 17 were used to measure mental health. Linear regression models were used.

Results

Relative to never developing obesity, obesity development (β = 1.01; 95% CI = 0.71, 1.32) and persistence (β = 1.18; 95% CI = 0.74, 1.61) were associated with higher internalising symptoms at age 17 and worsening (increase in scores) of these symptoms between ages 7 and 17 (β = 0.87; 95% CI = 0.57, 1.17 and β = 0.86; 95% CI = 0.56, 1.26 for development and persistence, respectively). Obesity development was associated with higher externalising symptoms at age 17 (β = 0.52; 95% CI = 0.25, 0.80) and worsening of these symptoms over time (β = 0.30; 95% CI = 0.07, 0.53). Having multiple past obesity episodes was not associated with worsening mental health independent of follow-up weight status. There were no differences in mental health outcomes between children who reversed versus never developed obesity.

Conclusions

Obesity development or persistence from ages 7 to 17 are associated with worsening mental health. If childhood obesity is reversed, there appears to be no evidence of a negative association between previous obesity and mental health at age 17.

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.