Psychiatric comorbidity associated with weight status in 9 to 10 year old children

Abstract

Summary Background Paediatric overweight and obesity (OW/OB) constitute a serious public health concern. Given that psychological problems may be key contributors to the onset and maintenance of paediatric obesity, the present study examined past and current psychiatric comorbidities across the weight spectrum during middle childhood among a nationally representative sample. Methods Participants were 11 708 9‐ to 10‐year‐old children (31.6% with OW/OB) and their caregivers who participated in the first wave of data collection in the Adolescent Brain Cognitive Development (ABCD) study. Logistic regressions were used to examine the association between weight status (i.e., underweight, healthy weight, OW, OB) and likelihood of current/past psychiatric diagnoses. Results Compared to healthy weight children, those with OW/OB were more likely to have current/past major depressive disorder and binge eating disorder. Relative to healthy weight children, those with OB were more likely to have prior separation anxiety disorder, current specific phobia and oppositional defiant disorder; those with OW were more likely to have PTSD; and those with underweight were more likely to have ADHD. Conclusions Results suggest cross‐sectional associations among negative emotionality, binge eating, and OW/OB, and highlight the need for ongoing prospective research to investigate directionality of associations and mechanisms of effects.

Validación de la escala crianza, nutrición y salud mental en un contexto latinoamericano

“…Pese a la indicación de la necesidad de determinar mediciones de fácil detección y bajo costo, se han usado instrumentos como K-SAD (Kiddie Schedule for Affective Disorders and Schizophrenia). Estas mediciones han sido efectuadas por profesionales especializados de América Latina, donde se encuentra la asociación más significativa entre exceso de peso y trastornos depresivos, atracones, ansiedad por separación y trastorno por estrés postraumático, sin determinar causalidad (31). Dicho instrumento es una herramienta de diagnóstico, más que de tamización.…”

Weight spectrum and executive function in adolescents: the moderating role of negative emotions

“…For instance, one recent study reported that not overweight/obesity per se exerted negative impact on EF performance [ 14 ]. Importantly, few research has investigated EF impairments across weight spectrum (e.g., underweight, normal, overweight/obesity) [ 15 ] in adolescents, especially those with underweight condition. In the meantime, most studies had a limited sample size (often by case–control study design), only used the BMI indicator (less sensitive to body fat [ 16 ]) to assess overweight/obesity condition, and often neglected the group with underweight state that likely present with a lower EF score [ 17 ].…”