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Children's Body composition and Stress - the ChiBS study: aims, design, methods, population and participation
Nathalie Michels1, Barbara Vanaelst, Krishna Vyncke
1Department of Public Health, Faculty of Medicine and Health Sciences, Ghent University, De Pintelaan 185, 2 Blok A, B-9000 Ghent, Belgium. nathalie.michels@ugent.be.
Insights
Childhood obesity is rising, and this study explores how chronic stress impacts children's body composition. Researchers are investigating the links between stress, appetite, and physical activity in children.
Area of Science:
- Pediatric Endocrinology
- Developmental Psychology
- Public Health Nutrition
Background:
- Rising prevalence of childhood obesity necessitates understanding contributing factors beyond diet and activity.
- Chronic psychosocial stress is increasingly recognized as a significant factor in obesity development.
- Further research is needed on stress's influence on appetite, energy balance, body composition, and interactions with lifestyle in children.
Purpose of the Study:
- To investigate the influence of chronic stress on changes in body composition in primary school children.
- To examine the relationship between stress biomarkers, lifestyle factors (physical activity, diet, sleep), and body composition.
- To describe the aims, design, methods, participation, and population characteristics of the Children's Body composition and Stress (ChiBS) study.
Main Methods:
- Longitudinal study over two years (2010-2012) involving primary school children (6-12 years) in Flanders, Belgium.
- Stress assessment using questionnaires (child/parent-reported) and objective biomarkers (serum, salivary, hair cortisol, heart rate variability).
- Body composition measured via anthropometrics and air displacement plethysmography; lifestyle data collected through questionnaires and accelerometers.
Main Results:
- High participation rate of 68.7% (523/761 children), with 71.3% continuing to the first follow-up.
- Highest drop-out rates observed for serum sampling (12.1%), salivary sampling (8.3%), and heart rate variability (7.4%).
Conclusions:
- The ChiBS study offers a unique, standardized, longitudinal dataset on stress and body composition in a large pediatric cohort.
- Provides valuable insights into the complex relationship between chronic stress and changes in children's body composition.
- Enables in-depth validation of various methods used for assessing stress levels in children.
Background:
The last decades, the prevalence of childhood obesity has increased. Apart from other lifestyle factors, the effect of chronic psychosocial stress on the development of obesity has been recognized. However, more research is needed into the influence of chronic stress on appetite regulation, energy balance and body composition, as well as on the interaction with physical activity/sedentary behavior, diet and sleep in children. In this regard, the ChiBS study (Children's Body composition and Stress) was designed at the Ghent University. Within this paper, we describe the aims, design, methods, participation and population characteristics of the ChiBS study.
Methods:
The influence of chronic stress on changes in body composition is investigated over a two-year follow-up period (February-June 2010, 2011 and 2012) in primary-school children between 6 and 12 years old in the city Aalter (Flanders, Belgium).Stress is measured by child- and parent-reported stress-questionnaires, as well as by objective stress biomarkers (serum, salivary and hair cortisol) and heart rate variability. Body composition is evaluated using basic anthropometric measurements and air displacement plethysmography. Additional information on socio-economic status, medical history, physical activity, dietary intake and sleep are obtained by questionnaires, and physical activity by accelerometers.
Results:
The participation percentage was 68.7% (N = 523/761), with 71.3% of the children willing to participate in the first follow-up survey. Drop-out proportions were highest for serum sampling (12.1%), salivary sampling (8.3%) and heart rate variability measurements (7.4%).
Discussion:
The ChiBS project is unique in its setting: its standardized and longitudinal approach provides valuable data and new insights into the relationship between stress and changes in body composition in a large cohort of young children. In addition, this study allows an in-depth investigation of the validity of the different methods that were used to assess stress levels in children.
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