Related Experiment Video
Updated: May 5, 2026

Assessment of Child Anthropometry in a Large Epidemiologic Study
Published on: February 2, 2017
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.
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.
Objective:
Psychological adversities among young children may be associated with childhood overweight and obesity. We examined if an increased level of child behavioural problems was associated with body size among a selected group of 2-6 year old children, who were all predisposed to develop overweight.
Methods:
Cross-sectional analyses were conducted using baseline data from the "Healthy Start" intervention study. A total of 3058 children were invited to participate, and data from 583 children who were all predisposed for obesity was analyzed. The Danish version of the Strengths and Difficulties Questionnaire (SDQ) was used to assess child stress by the SDQ Total Difficulties (SDQ-TD) score and the Prosocial Behavior (PSB) score. Height and weight were measured, and BMI z-scores were calculated.
Results:
A direct, but non-significant linear trend was found between SDQ-TD score and BMI z-score (β = 0.021, p = 0.11). Having an SDQ-TD score above the 90(th) percentile was associated with BMI z-score (β = 0.36, p = 0.05). PSB score was not associated with BMI z-score. Analyses were adjusted for parental socioeconomic status, parental BMI, family structure, dietary factors, physical activity, and family stress level.
Conclusion:
The results suggested a threshold effect between SDQ-TD score and BMI z-score, where BMI z-score was associated with childhood behavioural problems only for those with the highest scores of SDQ-TD. No significant association between PSB score and BMI z-score was found.
Related Concept Videos
Obesity
Nature and Nurture
Attention-Deficit/Hyperactivity Disorder
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
Human Genetics
The complex relationship between genetics and psychology is observable through common biological components such...
Regression Toward the Mean
Drug Dosing: Obese Patients

