Bidirectional associations between psychosocial well-being and adherence to healthy dietary guidelines in European children: Prospective findings from the IDEFICS study

Arvidsson, L. ; Eiben, G. ; Hunsberger, M. ; De Bourdeaudhuij, I. ; Molnar, D. ; Jilani, H. ; Thumann, B. ; Veidebaum, T. ; Russo, P. ; Tornatitis, M. ; Santaliestra-Pasías, A.M. (Universidad de Zaragoza) ; Pala, V. ; Lissner, L.

Resumen: Background: In children the relationship between a healthy diet and psychosocial well-being has not been fully explored and the existing evidence is inconsistent. This study investigates the chronology of the association between children''s adherence to healthy dietary guidelines and their well-being, with special attention to the influence of weight status on the association. Methods: Seven thousand six hundred seventy five children 2 to 9 years old from the eight-country cohort study IDEFICS were investigated. They were first examined between September 2007 and June 2008 and re-examined again 2 years later. Psychosocial well-being was measured using self-esteem and parent relations questions from the KINDL® and emotional and peer problems from the Strengths and Difficulties Questionnaire. A Healthy Dietary Adherence Score (HDAS) was calculated from a 43-item food frequency questionnaire as a measure of the degree to which children''s dietary intake follows nutrition guidelines. The analysis employed multilevel logistic regression (country as random effect) with bidirectional modeling of dichotomous dietary and well-being variables as both exposures and outcomes while controlling for respective baseline values. Results: A higher HDAS at baseline was associated with better self-esteem (OR 1.2, 95% CI 1.0;1.4) and fewer emotional and peer problems (OR 1.2, 95% CI 1.1;1.3 and OR 1.3, 95% CI 1.2;1.4) 2 years later. For the reversed direction, better self-esteem was associated with higher HDAS 2 years later (OR 1.1 95% CI 1.0;1.29). The analysis stratified by weight status revealed that the associations between higher HDAS at baseline and better well-being at follow-up were similar in both normal weight and overweight children. Conclusion: Present findings suggest a bidirectional relation between diet quality and self-esteem. Additionally, higher adherence to healthy dietary guidelines at baseline was associated with fewer emotional and peer problems at follow-up, independent of children''s weight status.

Idioma: Inglés

DOI: 10.1186/s12889-017-4920-5

Año: 2017

Publicado en: BMC PUBLIC HEALTH 17, 1 (2017), 926 [11 pp]
ISSN: 1471-2458

Factor impacto JCR: 2.42 (2017)

Categ. JCR: PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH rank: 63 / 180 = 0.35 (2017) - Q2 - T2

Factor impacto SCIMAGO: 1.337 - Public Health, Environmental and Occupational Health (Q1)

Financiación: info:eu-repo/grantAgreement/EUR/FP6/FOOD-016181

Tipo y forma: Artículo (Versión definitiva)

Área (Departamento): Proy. investigación DZA (Dpto. Fisiatría y Enfermería)