Department for Physical Activity in Public Health, Institute of Movement and Neurosciences, German Sport University Cologne, Am Sportpark Müngersdorf 6, 50933 Cologne, Germany.
Int J Environ Res Public Health. 2021 Oct 25;18(21):11188. doi: 10.3390/ijerph182111188.
: The aim of this study was to analyze the inhibitory and promotive factors of psychosocial health in the context of childhood obesity, incorporating physical fitness as an additional, potentially relevant predictor. : The sample comprised cross-sectional data of 241 children and adolescents with obesity and overweight from the German Children's Health InterventionaL TriaL III program (12.5 ± 2.1 years; 51.9% girls). Demographics and lifestyle patterns were assessed via parent reports. Anthropometric data and physical fitness in relation to body weight (W/kg) were measured. Children and adolescents completed standardized questionnaires (GW-LQ-KJ, FSK-K) to assess health-related quality of life (HRQOL) and five dimensions of self-concept (scholastic, social, physical, behavioral, and self-worth). : Multiple linear regression analysis showed that HRQOL was significantly related to relative physical fitness (W/kg; = 0.216, = 0.011) as were scholastic ( = 0.228, = 0.008) and social self-concept ( = 0.197, = 0.023). Increasing body mass index (BMI) -scores, age, physical activity (hours/day), low parental educational levels, and/or migration background were negatively associated with three subdomains of self-concept (physical, behavioral, self-worth; all < 0.05). : The results emphasize BMI -scores, age, physical activity, migration background, and parents' educational level as relevant predictors of psychosocial health in the context of childhood obesity. Additionally, this study adds physical fitness as a key determinant of HRQOL and self-concept. To enable the development of more effective weight management, therapeutic strategies should therefore consider addressing these aspects and improving physical fitness in particular not only for weight loss but also to strengthen psychosocial health.
本研究旨在分析儿童肥胖背景下心理社会健康的抑制和促进因素，将身体健康作为一个额外的、潜在相关的预测指标。
该样本包括来自德国儿童健康干预试验 III 期项目的 241 名肥胖和超重儿童和青少年的横断面数据（12.5±2.1 岁；51.9%为女孩）。通过家长报告评估人口统计学和生活方式模式。测量与体重相关的人体测量数据和身体健康（W/kg）。儿童和青少年完成了标准化问卷（GW-LQ-KJ、FSK-K），以评估健康相关生活质量（HRQOL）和自我概念的五个维度（学业、社会、身体、行为和自我价值）。
多元线性回归分析显示，HRQOL 与相对身体健康（W/kg；β=0.216，p=0.011）以及学业（β=0.228，p=0.008）和社会自我概念（β=0.197，p=0.023）显著相关。BMI 得分增加、年龄、体力活动（小时/天）、父母教育水平低和/或移民背景与自我概念的三个亚领域（身体、行为、自我价值；均 p<0.05）呈负相关。
研究结果强调 BMI 得分、年龄、体力活动、移民背景和父母教育水平是儿童肥胖背景下心理社会健康的相关预测因素。此外，本研究还将身体健康作为 HRQOL 和自我概念的关键决定因素。为了制定更有效的体重管理策略，治疗策略应考虑解决这些方面的问题，特别是提高身体健康水平，不仅为了减肥，还为了增强心理社会健康。
