Daphne J Korczak1, Ellen Lipman, Katherine Morrison, Eric Duku, Peter Szatmari. 1. *Department of Psychiatry, The Hospital for Sick Children, The University of Toronto, Toronto, Canada; †Division of Child Psychiatry, ‡Department of Psychiatry and Behavioural Neurosciences, §Department of Clinical Epidemiology and Biostatistics, ‖Offord Centre for Child Studies, McMaster University, Hamilton, Canada; ¶Department of Pediatrics, McMaster University, Hamilton, Canada.
Abstract
OBJECTIVE: To examine the relationship between childhood and adolescent symptoms of (1) depression, (2) attention-deficit hyperactivity disorder (ADHD), and (3) conduct disorder (CD) with adult body mass index (BMI) in a prospective longitudinal study of 3294 community participants in the Ontario Child Health Survey. METHODS: One thousand nine hundred ninety-two children aged 4 to 11 years and 1302 adolescents aged 12 to 16 years at study entry in 1983 underwent follow-up in 2000. Body mass index data were available for 1886 adult participants in the year 2000, which comprised the final study sample. Data were collected from youth, parents, and teachers using a combination of parental, youth, and teacher self-report and semistructured interview. Body mass index is a derived variable determined from the self-reported height and weight in 2000. RESULTS: Adults with depression, ADHD, or CD identified in childhood had increased body weight (BMI = 27.2 kg/m, 27.7 kg/m, and 27.9 kg/m, respectively) compared with their nonaffected peers (BMI = 24.8 kg/m; p < .001). Greater depressive symptoms in childhood were associated with increased adult BMI among boys (p = .02). Among adolescents, depression and sex interact in the association with adult BMI (p = .01). The association of childhood ADHD with adult overweight was completely accounted for by the effect of comorbid child conduct disturbance (p < .001) for both girls and boys. Greater conduct symptoms were associated with increased adult BMI (p = .04) among adolescent girls. CONCLUSION: This epidemiologic study suggests that psychopathology in childhood is associated with increased adult BMI. Early identification of psychiatric illness may present key opportunities for targeted prevention of obesity.
OBJECTIVE: To examine the relationship between childhood and adolescent symptoms of (1) depression, (2) attention-deficit hyperactivity disorder (ADHD), and (3) conduct disorder (CD) with adult body mass index (BMI) in a prospective longitudinal study of 3294 community participants in the Ontario Child Health Survey. METHODS: One thousand nine hundred ninety-two children aged 4 to 11 years and 1302 adolescents aged 12 to 16 years at study entry in 1983 underwent follow-up in 2000. Body mass index data were available for 1886 adult participants in the year 2000, which comprised the final study sample. Data were collected from youth, parents, and teachers using a combination of parental, youth, and teacher self-report and semistructured interview. Body mass index is a derived variable determined from the self-reported height and weight in 2000. RESULTS: Adults with depression, ADHD, or CD identified in childhood had increased body weight (BMI = 27.2 kg/m, 27.7 kg/m, and 27.9 kg/m, respectively) compared with their nonaffected peers (BMI = 24.8 kg/m; p < .001). Greater depressive symptoms in childhood were associated with increased adult BMI among boys (p = .02). Among adolescents, depression and sex interact in the association with adult BMI (p = .01). The association of childhood ADHD with adult overweight was completely accounted for by the effect of comorbid child conduct disturbance (p < .001) for both girls and boys. Greater conduct symptoms were associated with increased adult BMI (p = .04) among adolescent girls. CONCLUSION: This epidemiologic study suggests that psychopathology in childhood is associated with increased adult BMI. Early identification of psychiatric illness may present key opportunities for targeted prevention of obesity.
Authors: Joel T Nigg; Jeanette M Johnstone; Erica D Musser; Hilary Galloway Long; Michael T Willoughby; Jackilen Shannon Journal: Clin Psychol Rev Date: 2015-12-02
Authors: Elissa Jelalian; Barbara Jandasek; Jennifer C Wolff; Lourah M Seaboyer; Richard N Jones; Anthony Spirito Journal: J Clin Child Adolesc Psychol Date: 2016-06-16
Authors: Pauline M Geuijen; Jan K Buitelaar; Ellen A Fliers; Athanasios Maras; Lizanne J S Schweren; Jaap Oosterlaan; Pieter J Hoekstra; Barbara Franke; Catharina A Hartman; Nanda N Rommelse Journal: Eur Child Adolesc Psychiatry Date: 2019-04-19 Impact factor: 4.785
Authors: Laura Orlando; Katarina A Savel; Sheri Madigan; Marlena Colasanto; Daphne J Korczak Journal: Aust N Z J Psychiatry Date: 2021-07-27 Impact factor: 5.598