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Cross-lagged associations between children's stress and adiposity: the Children's Body Composition and Stress study
Nathalie Michels1, Isabelle Sioen, Liesbet Boone
1From the Department of Public Health (N.M., I.S., E.C., B.V., I.H., S.D.H.), Faculty of Medicine and Health Sciences, and Department of Developmental Personality and Social Psychology (L.B.), Ghent University, Ghent, Belgium; Dietary Exposure Assessment Group (I.H.), International Agency for Research on Cancer (IARC), Lyon, France; and Department of Health Sciences (S.D.H.), Vesalius, University College Ghent, Ghent, Belgium.
Insights
Childhood stress impacts adiposity, particularly in those with high cortisol or sugar intake. Physical activity can mitigate this effect, offering new avenues for obesity prevention.
Area of Science:
- Pediatric Health
- Public Health
- Child Psychology
Background:
- Stress and adiposity are significant public health concerns in children.
- Previous research suggests an association, but longitudinal evidence for bidirectionality is limited.
Purpose of the Study:
- To investigate the bidirectional relationship between stress and adiposity in children.
- To identify moderating factors, including cortisol levels and lifestyle, in this association.
Main Methods:
- Longitudinal study of 316 children (aged 5-12) over three waves.
- Assessed stress via questionnaires and adiposity using BMI, waist-to-height ratio, and fat percentage.
- Employed cross-lagged analyses and tested moderation by cortisol and lifestyle factors.
Main Results:
- Adiposity predicted subsequent increases in stress, but not vice versa.
- Cortisol and lifestyle factors moderated the stress-adiposity link.
- High cortisol and sugar intake amplified the positive association between stress and adiposity; high physical activity attenuated it.
Conclusions:
- Childhood stress contributes to adiposity development, influenced by cortisol and lifestyle.
- Findings suggest novel, multifactorial approaches for childhood obesity prevention.
- Highlights the impact of body composition on children's psychological well-being.
Objective:
The public health threats stress and adiposity have previously been associated with each other. Longitudinal studies are needed to reveal whether this association is bidirectional and the moderating factors.
Methods:
In the longitudinal Children's Body Composition and Stress study, 316 children (aged 5-12 years) had measures of stress (questionnaires concerning negative life events, problem behavior, and emotions) and adiposity (body mass index, waist-to-height ratio, and fat percentage) in three waves at 1-year intervals. The bidirectionality of the association between stress and adiposity was examined using cross-lagged analyses. We tested moderation by cortisol and life-style (physical activity, screen time, food consumption, eating behavior and sleep duration).
Results:
Adiposity (body mass index: β = 0.48 and fat percentage: β = 0.18; p < .001) were associated with subsequent increased stress levels, but stress was not directly related to subsequent increases in adiposity indices. Cortisol and life-style factors displayed a moderating effect on the association between stress and adiposity. Stress was positively associated with adiposity in children with high cortisol awakening patterns (β = 0.204; p = .020) and high sweet food consumption (β = 0.190; p = .031), whereas stress was associated with lower adiposity in the most active children (β = -0.163; p = .022).
Conclusions:
Stress is associated with the development of children's adiposity, but the effects depend on cortisol levels and life-style factors. This creates new perspectives for multifactorial obesity prevention programs. Our results also highlight the adverse effect of an unhealthy body composition on children's psychological well-being.
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