The association between overweight and internalizing and externalizing behavior in early childhood

Camfferman, Roxanna; Jansen, Pauline W.; Rippe, Ralph C. A.; Mesman, Judi; Derks, Ivonne P M; Tiemeier, Henning; Jaddoe, Vincent W. V.; Veek, Shelley M. C. van der

doi:10.1016/j.socscimed.2016.09.001

Cited by 29 publications

(43 citation statements)

References 41 publications

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“…Findings from the current study contrast research in childhood that did not observe any relationship between weight status and subsequent conduct problems [5,6]. However, these earlier studies did not examine non-linear relationships and/or included broad measures of general externalizing symptoms.…”

Section: Discussioncontrasting

confidence: 85%

“…Pediatric obesity is associated with developmental factors that may promote risk for CD-Sx, including frequent teasing, low self-esteem, poor impulse control and self-regulation, abnormalities in serotonergic and dopaminergic signaling pathways, and environmental adversity [3,5]. Prospective studies have not found an association between childhood weight status and subsequent externalizing problems [5,6].…”

mentioning

confidence: 99%

“…Prospective studies have not found an association between childhood weight status and subsequent externalizing problems [5,6]. However, this relationship may not emerge until adolescence, when the potential mechanisms likely exert a more significant influence on CD-Sx relative to children.…”

mentioning

confidence: 99%

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Body Mass Index z-Scores and Weight Status Predict Conduct Disorder Symptoms in Adolescents

Vannucci

Ohannessian

2017

Journal of Adolescent Health

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Purpose This study’s goal was to examine whether baseline body mass index (BMI) z-scores and weight status predicted conduct disorder (CD) symptoms in 368 adolescents (15–17 years). Methods Participants in the 10th and 11th grades completed self-report questionnaires at baseline and a two-year follow-up. Baseline BMI z-scores and weight status were derived from self-reports of height and weight. CD symptoms were assessed using a symptom checklist. Covariates included baseline demographics, depressive symptoms, alcohol consumption, drug use, and a retrospective report of CD symptoms before age 15. Results A cubic association was observed between baseline BMI z-scores and follow-up CD symptoms (p=.047), such that a positive association emerged only among adolescents with BMI z-scores of greater than ~1.5. Adolescents who were obese at baseline reported more follow-up CD symptoms than non-overweight adolescents (p=.008). Higher baseline BMI z-scores were associated with increased odds of endorsing probable CD at follow-up (ps<.03). Obese adolescents were more likely to report the presence of probable CD at follow-up than overweight and non-overweight adolescents (ps≤.01). Conclusions Findings suggest that nutritional status, particularly high BMI-z scores and obese weight status, may contribute to elevated CD symptoms during adolescence, which should be dually addressed in screening and intervention efforts.

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Section: Discussioncontrasting

confidence: 85%

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confidence: 99%

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Body Mass Index z-Scores and Weight Status Predict Conduct Disorder Symptoms in Adolescents

Vannucci

Ohannessian

2017

Journal of Adolescent Health

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“…These studies yielded mixed results, raising questions about the directionality of effects. Two prospective studies reported that early externalizing behavior problems predicted higher BMI in early childhood and early adolescence , whereas no association between childhood BMI and subsequent increases in externalizing behavior was found. Conversely, two other prospective population‐based studies observed no longitudinal associations between externalizing behavior and BMI in children aged 2 years at baseline and 12 years at follow‐up or in toddlers aged 18 months at baseline and 36 months at follow‐up .…”

Section: Introductionmentioning

confidence: 98%

“…Four longitudinal population‐based studies have previously examined the potential bidirectional association between externalizing behavior problems—consisting of aggressive behavior and/or attention‐deficit/hyperactivity disorder (ADHD) problems —and high BMI in childhood . These studies yielded mixed results, raising questions about the directionality of effects.…”

Section: Introductionmentioning

confidence: 99%

Testing Bidirectional Associations Between Childhood Aggression and BMI: Results from Three Cohorts

Derks

Bolhuis

Yalcin

et al. 2019

Obesity

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Objective This study examined the prospective, potentially bidirectional association of aggressive behavior with BMI and body composition across childhood in three population‐based cohorts. Methods Repeated measures of aggression and BMI were available from the Generation R Study between ages 6 and 10 years ( N = 3,974), the Netherlands Twin Register (NTR) between ages 7 and 10 years ( N = 10,328), and the Swedish Twin Study of Child and Adolescent Development (TCHAD) between ages 9 and 14 years ( N = 1,462). In all samples, aggression was assessed with the Child Behavior Checklist. Fat mass and fat‐free mass were available in the Generation R Study. Associations were examined with cross‐lagged modeling. Results Aggressive behavior at baseline was associated with higher BMI at follow‐up in the Generation R Study (β = 0.02, 95% CI: 0.00 to 0.04), in NTR (β = 0.04, 95% CI: 0.02 to 0.06), and in TCHAD (β = 0.03, 95% CI: −0.02 to 0.07). Aggressive behavior was prospectively associated with higher fat mass (β = 0.03, 95% CI: 0.01 to 0.05) but not fat‐free mass. There was no evidence that BMI or body composition preceded aggressive behavior. Conclusions More aggressive behavior was prospectively associated with higher BMI and fat mass. This suggests that aggression contributes to the obesity problem, and future research should study whether these behavioral pathways to childhood obesity are modifiable.

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Body mass index, internalizing behavior and executive function: examining trait-state effects from age 2 to 15

Li,

Yan

2024

Eur Child Adolesc Psychiatry

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The association between overweight and internalizing and externalizing behavior in early childhood

Cited by 29 publications

References 41 publications

Body Mass Index z-Scores and Weight Status Predict Conduct Disorder Symptoms in Adolescents

Body Mass Index z-Scores and Weight Status Predict Conduct Disorder Symptoms in Adolescents

Testing Bidirectional Associations Between Childhood Aggression and BMI: Results from Three Cohorts

Body mass index, internalizing behavior and executive function: examining trait-state effects from age 2 to 15

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