Anna Vannucci1, Christine McCauley Ohannessian2. 1. Center for Behavioral Health, Connecticut Children's Medical Center, Hartford, Connecticut. Electronic address: AVannucci@connecticutchildrens.org. 2. Center for Behavioral Health, Connecticut Children's Medical Center, Hartford, Connecticut; Department of Pediatrics and Psychiatry, University of Connecticut School of Medicine, Farmington, Connecticut.
Abstract
PURPOSE: The goal of the study was to examine whether baseline body mass index (BMI) z-scores and weight status predicted conduct disorder (CD) symptoms in 368 adolescents (15-17 years). METHODS: Participants in the 10th and 11th grades completed self-report questionnaires at baseline and at a 2-year follow-up. Baseline BMI z-scores and weight status were derived from self-reports of height and weight. CD symptoms were assessed using a symptom checklist. Covariates included baseline demographics, depressive symptoms, alcohol consumption, drug use, and a retrospective report of CD symptoms before age 15 years. RESULTS: A cubic association was observed between baseline BMI z-scores and follow-up CD symptoms (p = .047), such that a positive association emerged only among adolescents with BMI z-scores of greater than ∼1.5. Adolescents who were obese at baseline reported more follow-up CD symptoms than nonoverweight adolescents (p = .008). Higher baseline BMI z-scores were associated with increased odds of endorsing probable CD at follow-up (p's < .03). Obese adolescents were more likely to report the presence of probable CD at follow-up than overweight and nonoverweight adolescents (p's ≤ .01). CONCLUSIONS: Findings suggest that nutritional status, particularly high BMI z-scores and obese weight status, may contribute to elevated CD symptoms during adolescence, which should be dually addressed in screening and intervention efforts.
PURPOSE: The goal of the study was to examine whether baseline body mass index (BMI) z-scores and weight status predicted conduct disorder (CD) symptoms in 368 adolescents (15-17 years). METHODS:Participants in the 10th and 11th grades completed self-report questionnaires at baseline and at a 2-year follow-up. Baseline BMI z-scores and weight status were derived from self-reports of height and weight. CD symptoms were assessed using a symptom checklist. Covariates included baseline demographics, depressive symptoms, alcohol consumption, drug use, and a retrospective report of CD symptoms before age 15 years. RESULTS: A cubic association was observed between baseline BMI z-scores and follow-up CD symptoms (p = .047), such that a positive association emerged only among adolescents with BMI z-scores of greater than ∼1.5. Adolescents who were obese at baseline reported more follow-up CD symptoms than nonoverweight adolescents (p = .008). Higher baseline BMI z-scores were associated with increased odds of endorsing probable CD at follow-up (p's < .03). Obese adolescents were more likely to report the presence of probable CD at follow-up than overweight and nonoverweight adolescents (p's ≤ .01). CONCLUSIONS: Findings suggest that nutritional status, particularly high BMI z-scores and obese weight status, may contribute to elevated CD symptoms during adolescence, which should be dually addressed in screening and intervention efforts.
Authors: Roxanna Camfferman; Pauline W Jansen; Ralph C A Rippe; Judi Mesman; Ivonne P M Derks; Henning Tiemeier; Vincent Jaddoe; Shelley M C van der Veek Journal: Soc Sci Med Date: 2016-09-07 Impact factor: 4.634
Authors: Robert J Kuczmarski; Cynthia L Ogden; Shumei S Guo; Laurence M Grummer-Strawn; Katherine M Flegal; Zuguo Mei; Rong Wei; Lester R Curtin; Alex F Roche; Clifford L Johnson Journal: Vital Health Stat 11 Date: 2002-05
Authors: K K Bucholz; R Cadoret; C R Cloninger; S H Dinwiddie; V M Hesselbrock; J I Nurnberger; T Reich; I Schmidt; M A Schuckit Journal: J Stud Alcohol Date: 1994-03