Association of depression & health related quality of life with body composition in children and youth with obesity
Abstract
Background There is an increasing recognition of the relationship between mental illness and obesity in the pediatric population. Our objective was to explore the individual, biological and family determinants of depressive symptoms and HRQOL in youth with obesity in a clinical setting.Methods We studied 244 youth aged 8-17 years at the time of entry to a weight management program. Depressive symptoms were evaluated using the Center for Epidemiological Studies Depression Scale for Children questionnaire, with a score of ≥15 or antidepressant use indicating depression. HRQOL was examined using the PedsQL4.0. We considered the influence of age, sex, health history, anthropometry, body fat, family health and socioeconomic status (SES) on depression and HRQOL.Results Depression was common in this population (36.4%). In multivariate analysis, the extent of obesity (body fat) predicted both depression (OR 1.1 (1.0-1.2); p=0.05) and low HRQOL scores (β -0.63 (p<0.001)). Family SES was an important predictor of depression but not of HRQOL. In contrast to population-based studies, sex, age, pubertal status and family history of depression did not predict depressive symptoms.Limitations As this study included children and adolescents seeking obesity treatment, results may not be generalizable to the general population of obese youth.Conclusions Depression and low HRQOL are common in youth entering weight management programs. Extent of obesity predicted depressive symptoms and low HRQOL. Predictors of depression in this population differ from non-obese populations studied. It is important to consider these characteristics to assist clinicians in identifying these children.
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Children and adolescents with obesity are more likely to suffer from psychosocial disadvantages such as discrimination, social isolation, and bullying because of their weight.
“Children and adolescents with obesity are more likely to suffer from psychosocial disadvantages such as discrimination, social isolation, and bullying because of their weight [6,7,8,9].”
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- Authors
- Morrison, K. M., Shin, S., Tarnopolsky, M., & Taylor, V. H.
- Affiliations
- Population Health Research Institute (CA)
- McMaster University (CA)
- University of Toronto (CA)
- Venue
- Journal of Affective Disorders
- Publisher
- Elsevier BV
- Published
- 2015-02
- Volume
- 172
- Pages
- 18-23
- ISSN
- 0165-0327 (ISSN-L)
- OpenAlex
- W2150908968
- Cited by
- 199
- References
- 41
- Citations by year
- 2026: 9 · 2025: 10 · 2024: 21 · 2023: 14 · 2022: 18 · 2021: 31 · 2020: 22 · 2019: 19 · 2018: 25 · 2017: 8 · 2016: 16 · 2015: 4 · 2012: 1
- FWCI
- 9.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Affective Disorders (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Canadian Institutes of Health Research and the Heart and Stroke Association of Canada
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Keywords
- childhood obesity, depression, depressive symptoms, health-related quality of life, body composition, fat mass, family socioeconomic status, weight management interventions, adolescents, children, predictors of depression
- MeSH terms
- Adolescent, Body Composition, Body Weight, Child, Depression, Female, Health Status, Humans, Male, Obesity, Quality of Life, Surveys and Questionnaires, Young Adult
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