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Obesogenic behaviours and depressive symptoms in children: a narrative literature review
Michelle Dennison1,2, Susan B Sisson1, Amanda Morris3
1University of Oklahoma Health Sciences Center, Department of Nutritional Sciences, Oklahoma City, OK, USA.
Insights
Childhood obesity behaviors like low physical activity and high screen time are linked to increased depression. Poor diet also correlates with depression, highlighting the need for interventions.
Area of Science:
- Pediatrics
- Psychology
- Public Health
Background:
- Obesogenic behaviors are increasingly prevalent in children.
- Depressive symptoms in children are a growing public health concern.
- Understanding the interplay between lifestyle factors and mental health in youth is crucial.
Purpose of the Study:
- To review and synthesize evidence on the association between obesogenic behaviors (physical activity, screen time, diet) and depressive symptoms in children aged 6-12 years.
- To identify consistent patterns and the strength of associations between specific behaviors and depression.
- To provide a comprehensive overview for researchers and clinicians.
Main Methods:
- Systematic literature search of PubMed, PsychInfo, and Embase databases (March-May 2014, August 2015).
- Inclusion criteria: peer-reviewed articles (1990-2015) on children aged 8-12, obesogenic behaviors, and depressive symptoms.
- Screening and eligibility assessment of 415 retrieved articles, retaining 21 studies for analysis.
Main Results:
- Lower physical activity was associated with higher depression in 80% of studies.
- Higher screen time was associated with higher depression in 100% of studies.
- Poor dietary intake was associated with higher depression in 60% of studies.
- Significant associations found between depression and all three obesogenic behaviors, with stronger links to physical activity and screen time.
Conclusions:
- Obesogenic behaviors, particularly reduced physical activity and increased screen time, are consistently associated with depressive symptoms in children.
- Dietary intake also shows a significant association with depression.
- Findings underscore the importance of addressing lifestyle factors in the prevention and management of childhood depression.
Abstract:
This review examines peer-reviewed, published articles exploring the role of obesogenic behaviours, including physical activity, screen time, and diet, and depressive symptoms, in 6- to 12-year-old children. Searches were conducted March-May 2014 and in August 2015 using PubMed, PsychInfo, and Embase. Eligible studies published between January 1990-August 2015 included 8- to 12-year-old children, any of the three previously identified obesogenic behaviours, and a measure of depressive symptoms. The search yielded 415 articles that were screened and assessed for eligibility; 21 were retained. Some studies included depression and a single obesogenic behaviour, while others included multiple obesogenic behaviours. Fifteen studies assessed physical activity, twelve assessed screen time, and five assessed dietary intake. Lower physical activity was associated with higher depression in 80% of studies. Higher screen time was associated with higher depression in all studies. Poor dietary intake was associated with higher depression in 60% of studies. Significant associations were found between depression and all three obesogenic behaviours. Stronger associations were found between depression and physical activity and screen time than between depression and dietary intake. This review broadens the understanding of the relationship between obesogenic behaviours and depression, and shows outcome consistency despite the lack of a consistent measurement technique. © 2016 World Obesity.
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