Title |
Bidirectional associations between psychosocial well-being and adherence to healthy dietary guidelines in European children: prospective findings from the IDEFICS study
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Published in |
BMC Public Health, December 2017
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DOI | 10.1186/s12889-017-4920-5 |
Pubmed ID | |
Authors |
Louise Arvidsson, Gabriele Eiben, Monica Hunsberger, Ilse De Bourdeaudhuij, Denes Molnar, Hannah Jilani, Barbara Thumann, Toomas Veidebaum, Paola Russo, Michael Tornatitis, Alba M. Santaliestra-Pasías, Valeria Pala, Lauren Lissner, IDEFICS consortium |
Abstract |
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. 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® 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. 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. 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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
United States | 20 | 26% |
United Kingdom | 6 | 8% |
Canada | 3 | 4% |
Australia | 3 | 4% |
Ireland | 2 | 3% |
Spain | 1 | 1% |
Portugal | 1 | 1% |
Germany | 1 | 1% |
Mexico | 1 | 1% |
Other | 6 | 8% |
Unknown | 32 | 42% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 52 | 68% |
Practitioners (doctors, other healthcare professionals) | 19 | 25% |
Scientists | 5 | 7% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 121 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 16 | 13% |
Student > Ph. D. Student | 15 | 12% |
Student > Bachelor | 13 | 11% |
Student > Master | 12 | 10% |
Student > Doctoral Student | 7 | 6% |
Other | 17 | 14% |
Unknown | 41 | 34% |
Readers by discipline | Count | As % |
---|---|---|
Medicine and Dentistry | 20 | 17% |
Nursing and Health Professions | 18 | 15% |
Psychology | 11 | 9% |
Social Sciences | 6 | 5% |
Agricultural and Biological Sciences | 5 | 4% |
Other | 16 | 13% |
Unknown | 45 | 37% |