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Bidirectional associations between psychosocial well-being and adherence to healthy dietary guidelines in European children: prospective findings from the IDEFICS study

Arvidsson, Louise (författare)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Section for Epidemiology and Social Medicine (EPSO), The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
Eiben, Gabriele, 1960 (författare)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Section for Epidemiology and Social Medicine (EPSO), The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
Hunsberger, Monica, 1973 (författare)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Section for Epidemiology and Social Medicine (EPSO), The Sahlgrenska Academy, University of Gothenburg, Gothenburg, Sweden
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De Bourdeaudhuij, I. (författare)
Department of Movement and Sport Sciences, Ghent University, Ghent, Belgium
Molnar, D. (författare)
Department of Paediatrics, Clinical Center, University of Pécs, Pecs, Hungary
Jilani, H. (författare)
Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstrasse 30, Bremen, 283 59, Germany
Thumann, B. (författare)
Leibniz Institute for Prevention Research and Epidemiology-BIPS, Achterstrasse 30, Bremen, 283 59, Germany
Veidebaum, T. (författare)
National Institute for Health Development, Tallinn, Estonia
Russo, P. (författare)
Institute of Food Sciences, CNR Via Roma, Avellino, 64-83100, Italy
Tornatitis, M. (författare)
Research and Education Institute of Child Health REF, Strovolos, Cyprus
Santaliestra-Pasias, A. M. (författare)
GENUD (Growth Exercise, Nutrition, and Development) Research Group, University of Zaragoza; Instituto Agroalimentario de Aragón (IA2), Instituto de Investigación Sanitaria Aragón (IIS Aragón), Zaragoza, Spain
Pala, V. (författare)
Nutritional Epidemiology Unit, Department of Preventive Medicine, Fondazione IRCSS Istituto Nazionale Dei Tumori, Milan, Italy
Lissner, Lauren, 1956 (författare)
Gothenburg University,Göteborgs universitet,Institutionen för medicin, avdelningen för samhällsmedicin och folkhälsa,Institute of Medicine, School of Public Health and Community Medicine,Section for Epidemiology and Social Medicine (EPSO), Sahlgrenska Academy, University of Gothenburg, Box 453, Gothenburg, 405 30, Sweden
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 (creator_code:org_t)
2017-12-14
2017
Engelska.
Ingår i: Bmc Public Health. - : Springer Science and Business Media LLC. - 1471-2458. ; 17:1
  • Tidskriftsartikel (refereegranskat)
Abstract Ämnesord
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  • Background: In children the relationship between a healthy diet and psychosocial well-being has not been fully explored and the existing evidence is inconsistent. This study investigates the chronology of the association between children's adherence to healthy dietary guidelines and their well-being, with special attention to the influence of weight status on the association. Methods: Seven thousand six hundred seventy five children 2 to 9 years old from the eight-country cohort study IDEFICS were investigated. They were first examined between September 2007 and June 2008 and re-examined again 2 years later. Psychosocial well-being was measured using self-esteem and parent relations questions from the KINDL (R) and emotional and peer problems from the Strengths and Difficulties Questionnaire. A Healthy Dietary Adherence Score (HDAS) was calculated from a 43-item food frequency questionnaire as a measure of the degree to which children's dietary intake follows nutrition guidelines. The analysis employed multilevel logistic regression (country as random effect) with bidirectional modeling of dichotomous dietary and well-being variables as both exposures and outcomes while controlling for respective baseline values. Results: A higher HDAS at baseline was associated with better self-esteem (OR 1.2, 95% CI 1.0; 1.4) and fewer emotional and peer problems (OR 1.2, 95% CI 1.1; 1.3 and OR 1.3, 95% CI 1.2; 1.4) 2 years later. For the reversed direction, better self-esteem was associated with higher HDAS 2 years later (OR 1.1 95% CI 1.0; 1.29). The analysis stratified by weight status revealed that the associations between higher HDAS at baseline and better well-being at follow-up were similar in both normal weight and overweight children. Conclusion: Present findings suggest a bidirectional relation between diet quality and self-esteem. Additionally, higher adherence to healthy dietary guidelines at baseline was associated with fewer emotional and peer problems at follow-up, independent of children's weight status.

Ämnesord

MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap -- Folkhälsovetenskap, global hälsa, socialmedicin och epidemiologi (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences -- Public Health, Global Health, Social Medicine and Epidemiology (hsv//eng)
MEDICIN OCH HÄLSOVETENSKAP  -- Hälsovetenskap (hsv//swe)
MEDICAL AND HEALTH SCIENCES  -- Health Sciences (hsv//eng)

Nyckelord

IDEFICS
Dietary guidelines
Healthy diet score
Psychosocial well-being
Childhood overweight
quality-of-life
mental-health
difficulties questionnaire
psychometric
properties
behavioral-problems
eating behavior
risk-factors
obesity
adolescents
overweight
Public
Environmental & Occupational Health
Childhood overweight

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