Child behavioural problems and body size among 2-6 year old children predisposed to overweight. results from the

Nanna J Olsen1, Jeanett Pedersen, Mina N Händel

  • 1Research Unit for Dietary Studies, Institute of Preventive Medicine, Bispebjerg and Frederiksberg Hospitals, The Capital Region, Copenhagen, Denmark ; University of Copenhagen, Copenhagen, Denmark.

Plos One
|November 20, 2013
PubMed

Insights

Childhood behavioral problems, measured by the Strengths and Difficulties Questionnaire Total Difficulties (SDQ-TD) score, were linked to higher BMI z-scores in at-risk children. This association was significant only for those with the highest difficulty scores.

Area of Science:

  • Pediatrics
  • Child Psychology
  • Public Health

Background:

  • Childhood overweight and obesity are significant public health concerns.
  • Psychological adversities may influence body size in young children.
  • Understanding the relationship between behavioral problems and body size in predisposed children is crucial.

Purpose of the Study:

  • To investigate the association between child behavioral problems and body size (BMI z-score) in 2-6 year olds predisposed to overweight.
  • To examine the role of Strengths and Difficulties Questionnaire Total Difficulties (SDQ-TD) and Prosocial Behavior (PSB) scores.

Main Methods:

  • Cross-sectional analysis of baseline data from 583 children predisposed to obesity.
  • Utilized the Danish version of the Strengths and Difficulties Questionnaire (SDQ) for behavioral assessment.
  • Measured height and weight to calculate BMI z-scores, adjusting for multiple covariates.

Main Results:

  • A significant association was found between high SDQ-TD scores (above 90th percentile) and increased BMI z-scores (β = 0.36, p = 0.05).
  • A non-significant linear trend was observed between overall SDQ-TD scores and BMI z-scores.
  • No significant association was found between PSB scores and BMI z-scores.

Conclusions:

  • A threshold effect suggests that only children with the highest levels of behavioral difficulties are at increased risk for higher BMI z-scores.
  • These findings highlight the importance of considering behavioral factors in childhood obesity prevention strategies.
  • Prosocial behavior did not appear to influence body size in this cohort.
Abstract

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