Department of Psychology, Institute of Population Health, University of Liverpool, Liverpool, UK.
Department of Psychology, Maynooth University, Kildare, Ireland.
Obesity (Silver Spring). 2024 Dec;32(12):2354-2363. doi: 10.1002/oby.24147. Epub 2024 Oct 7.
This study aimed to examine the prospective association between psychological well-being and overweight and obesity reversal.
We analyzed data of UK children with overweight or obesity at ages 11 (n = 4556, baseline), 14 (n = 3791, baseline), and 17 years (follow-up). Psychological well-being-related measures were characterized into indexes of caregiver-reported child mental health and child-reported psychosocial well-being, with a higher score indicating better mental health or psychosocial well-being. Weight changes were presented as reversal versus persistence of overweight or obesity and residualized-change BMI z scores. Data were analyzed using regression analysis.
Better child mental health and psychosocial well-being at age 11 years were independently associated with increased odds of reversal versus persistence (odds ratio [OR] = 1.16, 95% CI: 1.03 to 1.29; OR = 1.29, 95% CI: 1.15 to 1.44, respectively) and decreased BMI z scores (β = -0.08, 95% CI: -0.13 to -0.03; β = -0.07, 95% CI: -0.11 to -0.03, respectively) at age 17 years. However, neither of the indexes was associated with weight changes when measured at age 14 years. Analyses between psychological well-being-related measures and timing of measures indicated that psychological well-being-related measures were more likely to prospectively predict weight changes when measured at age 11 versus age 14 years.
Better psychological well-being at age 11 years is a prognostic factor that may be associated with an increased likelihood of reversing childhood overweight and obesity by age 17 years.
本研究旨在探讨心理幸福感与超重和肥胖逆转之间的前瞻性关联。
我们分析了英国超重或肥胖儿童在 11 岁（n=4556，基线）、14 岁（n=3791，基线）和 17 岁（随访）时的数据。心理幸福感相关指标分为照顾者报告的儿童心理健康指标和儿童报告的心理社会幸福感指标，得分越高表示心理健康或心理社会幸福感越好。体重变化表现为超重或肥胖的逆转与持续以及残差化 BMI z 分数的变化。使用回归分析进行数据分析。
11 岁时更好的儿童心理健康和心理社会幸福感与逆转与持续相比的几率增加独立相关（比值比[OR]分别为 1.16，95%置信区间：1.03 至 1.29；OR 分别为 1.29，95%置信区间：1.15 至 1.44），并且在 17 岁时 BMI z 分数降低（β分别为-0.08，95%置信区间：-0.13 至 -0.03；β分别为-0.07，95%置信区间：-0.11 至 -0.03）。然而，这两个指标在 14 岁时测量时都与体重变化无关。心理幸福感相关指标与测量时间之间的分析表明，当在 11 岁时测量时，心理幸福感相关指标比在 14 岁时测量时更有可能前瞻性地预测体重变化。
11 岁时更好的心理幸福感是一个预测因素，可能与 17 岁时儿童超重和肥胖逆转的可能性增加有关。
