Petra Hampel1, Rainer Stachow2, Julian Wienert3,4,5. 1. Institute of Health, Nutrition, and Sport Sciences, Europa-Universität Flensburg, Flensburg, Germany. 2. Ostseeklinik Grömitz, REHASAN Klinik Grömitz Betriebs GmbH, Grömitz, Germany. 3. Leibniz Institute for Prevention Research and Epidemiology - BIPS, University of Bremen, Bremen, Germany. 4. Leibniz ScienceCampus Digital Public Health Bremen, Bremen, Germany. 5. IU International University of Applied Sciences, Bad Reichenhall, Germany.
Abstract
INTRODUCTION: The prevalence rates of obesity have increased in recent decades; despite leveling off in recent German studies among children and adolescents, obesity rates remain high. Psychosocial factors have an adverse impact on the maintenance of obesity. Hence, this study examined the mediating effects of mental health problems on the relation between the body mass index standard deviation score (BMI-SDS) and global health-related quality of life (HRQoL) among adolescent inpatients with obesity while controlling for gender and age-group. METHODS: Three simple mediation analyses with gender and age-group as covariates were conducted for n = 313 adolescents with obesity (nfemale = 193, 61.7%) aged 12-17 (M = 14.19, SD = 1.52; BMI-SDS: M = 2.67, SD = 0.52). The adolescents were asked to report their global HRQoL at admission, and their parents estimated the children's mental health problems at home prior to inpatient rehabilitation. RESULTS: Emotional, peer-related, and conduct problems mediated the unfavorable effects of BMI-SDS on global HRQoL, showing high, moderate, and small effect sizes, respectively (completely standardized indirect effect of emotional problems: β = -0.09, SE = 0.03, 95% B-CI = -0.15 to -0.04; conduct problems: β = -0.03, SE = 0.02, 95% B-CI = -0.06 to -0.01; peer-related problems: β = -0.10, SE = 0.03, 95% B-CI = -0.16 to -0.05). CONCLUSION: Mental health problems may be one salient pathway through which BMI-SDS impairs global HRQoL among adolescents with obesity. Hence, inpatient rehabilitation programs for adolescents with obesity should increase their focus more on the development of psychosocial skills. Thus, the promotion of emotion regulation and social-emotional competencies is suggested.
INTRODUCTION: The prevalence rates of obesity have increased in recent decades; despite leveling off in recent German studies among children and adolescents, obesity rates remain high. Psychosocial factors have an adverse impact on the maintenance of obesity. Hence, this study examined the mediating effects of mental health problems on the relation between the body mass index standard deviation score (BMI-SDS) and global health-related quality of life (HRQoL) among adolescent inpatients with obesity while controlling for gender and age-group. METHODS: Three simple mediation analyses with gender and age-group as covariates were conducted for n = 313 adolescents with obesity (nfemale = 193, 61.7%) aged 12-17 (M = 14.19, SD = 1.52; BMI-SDS: M = 2.67, SD = 0.52). The adolescents were asked to report their global HRQoL at admission, and their parents estimated the children's mental health problems at home prior to inpatient rehabilitation. RESULTS: Emotional, peer-related, and conduct problems mediated the unfavorable effects of BMI-SDS on global HRQoL, showing high, moderate, and small effect sizes, respectively (completely standardized indirect effect of emotional problems: β = -0.09, SE = 0.03, 95% B-CI = -0.15 to -0.04; conduct problems: β = -0.03, SE = 0.02, 95% B-CI = -0.06 to -0.01; peer-related problems: β = -0.10, SE = 0.03, 95% B-CI = -0.16 to -0.05). CONCLUSION: Mental health problems may be one salient pathway through which BMI-SDS impairs global HRQoL among adolescents with obesity. Hence, inpatient rehabilitation programs for adolescents with obesity should increase their focus more on the development of psychosocial skills. Thus, the promotion of emotion regulation and social-emotional competencies is suggested.
Authors: Volker Heinemann; Ludwig Fischer von Weikersthal; Thomas Decker; Alexander Kiani; Ursula Vehling-Kaiser; Salah-Eddin Al-Batran; Tobias Heintges; Christian Lerchenmüller; Christoph Kahl; Gernot Seipelt; Frank Kullmann; Martina Stauch; Werner Scheithauer; Jörg Hielscher; Michael Scholz; Sebastian Müller; Hartmut Link; Norbert Niederle; Andreas Rost; Heinz-Gert Höffkes; Markus Moehler; Reinhard U Lindig; Dominik P Modest; Lisa Rossius; Thomas Kirchner; Andreas Jung; Sebastian Stintzing Journal: Lancet Oncol Date: 2014-07-31 Impact factor: 41.316
Authors: Dominik Paul Modest; Volker Heinemann; Gunnar Folprecht; Timm Denecke; Johann Pratschke; Hauke Lang; Marc Bemelmans; Thomas Becker; Markus Rentsch; Daniel Seehofer; Christiane J Bruns; Bernhard Gebauer; Swantje Held; Arndt Stahler; Kathrin Heinrich; Jobst C von Einem; Sebastian Stintzing; Ulf P Neumann; Ingrid Ricard Journal: Ann Surg Oncol Date: 2020-03-14 Impact factor: 5.344
Authors: Volker Heinemann; Ludwig Fischer von Weikersthal; Thomas Decker; Alexander Kiani; Florian Kaiser; Salah-Edin Al-Batran; Tobias Heintges; Christoph Lerchenmüller; Christoph Kahl; Gernot Seipelt; Frank Kullmann; Markus Moehler; Werner Scheithauer; Swantje Held; Lisa Miller-Phillips; Dominik Paul Modest; Andreas Jung; Thomas Kirchner; Sebastian Stintzing Journal: Br J Cancer Date: 2020-11-06 Impact factor: 7.640