000065285 001__ 65285 000065285 005__ 20190709135647.0 000065285 0247_ $$2doi$$a10.1186/s12889-017-4920-5 000065285 0248_ $$2sideral$$a104268 000065285 037__ $$aART-2017-104268 000065285 041__ $$aeng 000065285 100__ $$aArvidsson, L. 000065285 245__ $$aBidirectional associations between psychosocial well-being and adherence to healthy dietary guidelines in European children: Prospective findings from the IDEFICS study 000065285 260__ $$c2017 000065285 5060_ $$aAccess copy available to the general public$$fUnrestricted 000065285 5203_ $$aBackground: 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. 000065285 536__ $$9info:eu-repo/grantAgreement/EUR/FP6/FOOD-016181 000065285 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/ 000065285 590__ $$a2.42$$b2017 000065285 591__ $$aPUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH$$b63 / 180 = 0.35$$c2017$$dQ2$$eT2 000065285 592__ $$a1.337$$b2017 000065285 593__ $$aPublic Health, Environmental and Occupational Health$$c2017$$dQ1 000065285 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion 000065285 700__ $$aEiben, G. 000065285 700__ $$aHunsberger, M. 000065285 700__ $$aDe Bourdeaudhuij, I. 000065285 700__ $$aMolnar, D. 000065285 700__ $$aJilani, H. 000065285 700__ $$aThumann, B. 000065285 700__ $$aVeidebaum, T. 000065285 700__ $$aRusso, P. 000065285 700__ $$aTornatitis, M. 000065285 700__ $$0(orcid)0000-0002-0303-7912$$aSantaliestra-Pasías, A.M.$$uUniversidad de Zaragoza 000065285 700__ $$aPala, V. 000065285 700__ $$aLissner, L. 000065285 7102_ $$11006$$2X$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cProy. investigación DZA 000065285 773__ $$g17, 1 (2017), 926 [11 pp]$$pBMC Public Health$$tBMC PUBLIC HEALTH$$x1471-2458 000065285 8564_ $$s605848$$uhttps://zaguan.unizar.es/record/65285/files/texto_completo.pdf$$yVersión publicada 000065285 8564_ $$s88072$$uhttps://zaguan.unizar.es/record/65285/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada 000065285 909CO $$ooai:zaguan.unizar.es:65285$$particulos$$pdriver 000065285 951__ $$a2019-07-09-12:41:51 000065285 980__ $$aARTICLE