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

Cornelia Leontine van Vuuren, Gusta G. Wachter, René Veenstra, Judith J. M. Rijnhart, Marcel F. van der Wal, Mai J. M. Chinapaw, Vincent Busch

Research output: Contribution to journalArticleAcademicpeer-review

Abstract

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.
Original languageEnglish
Article number612
JournalBMC Public Health
Volume19
Issue number1
DOIs
Publication statusPublished - 2019

Cite this

@article{32e7553c8b3d4f4db3d254f62f9f934b,
title = "Associations between overweight and mental health problems among adolescents, and the mediating role of victimization",
abstract = "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.",
author = "{van Vuuren}, {Cornelia Leontine} and Wachter, {Gusta G.} and Ren{\'e} Veenstra and Rijnhart, {Judith J. M.} and {van der Wal}, {Marcel F.} and Chinapaw, {Mai J. M.} and Vincent Busch",
year = "2019",
doi = "10.1186/s12889-019-6832-z",
language = "English",
volume = "19",
journal = "BMC Public Health",
issn = "1471-2458",
publisher = "BioMed Central",
number = "1",

}

Associations between overweight and mental health problems among adolescents, and the mediating role of victimization. / van Vuuren, Cornelia Leontine; Wachter, Gusta G.; Veenstra, René; Rijnhart, Judith J. M.; van der Wal, Marcel F.; Chinapaw, Mai J. M.; Busch, Vincent.

In: BMC Public Health, Vol. 19, No. 1, 612, 2019.

Research output: Contribution to journalArticleAcademicpeer-review

TY - JOUR

T1 - Associations between overweight and mental health problems among adolescents, and the mediating role of victimization

AU - van Vuuren, Cornelia Leontine

AU - Wachter, Gusta G.

AU - Veenstra, René

AU - Rijnhart, Judith J. M.

AU - van der Wal, Marcel F.

AU - Chinapaw, Mai J. M.

AU - Busch, Vincent

PY - 2019

Y1 - 2019

N2 - 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.

AB - 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.

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UR - https://www.ncbi.nlm.nih.gov/pubmed/31113424

U2 - 10.1186/s12889-019-6832-z

DO - 10.1186/s12889-019-6832-z

M3 - Article

VL - 19

JO - BMC Public Health

JF - BMC Public Health

SN - 1471-2458

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