Psychosocial health of adolescents in relation to underweight, overweight/obese status: The EU NET ADB survey
Open accessAbstract
BACKGROUND: Both deviations from normal weight, namely, underweight and overweight/obese status, have been inversely associated with psychosocial health in adolescents. This study aimed to examine the relationship between psychosocial health and body mass index (BMI) among adolescents in five European countries, while assessing the effect of sociodemographic variables. METHODS: A cross-sectional school-based study of adolescents aged 14-17.9 years was conducted in the framework of the European Network for Adolescent Addictive Behavior survey. Self-reported questionnaires from Greece, Iceland, the Netherlands, Romania and Spain were used for the current analysis. Associations between Youth Self-Report (YSR) scales and BMI status were investigated by multiple logistic regression analysis. The effect of sociodemographic variables was also measured. RESULTS: Τhe sample consisted of 7005 adolescents aged 14-17.9 years. Borderline/clinical scores on some YSR scales were independently associated with overweight/obesity, specifically total problems (OR = 1.52, 95% CI: 1.18-1.96), internalizing ( OR = 1.48, 95% CI: 1.16-1.91), externalizing (OR = 1.36, 95% CI: 1.10-1.68), social (OR = 1.67, 95% CI: 1.19-2.35) and thought problems (OR = 1.62, 95% CI: 1.20-2.20). Among subscales, overweight/obesity specifically correlated with anxiety/depression (OR = 1.83, 95% CI: 1.33-2.51), withdrawal/depression (OR = 1.58, 95% CI: 1.02-2.48) and rule-breaking behavior (OR = 1.55, 95% CI: 1.15-2.08). Underweight was associated with problems on activities (OR = 1.31, 95% CI: 1.01-1.68) and withdrawal/depression (OR = 1.95, 95% CI: 1.27-3.01). CONCLUSIONS: Lower levels of psychosocial health are associated with both deviations from normal weight. These findings suggest the need for health policies that target health habits and lifestyle, as well as positive attitudes towards the body image, with respect to the different psychosocial characteristics of each body weight status category.
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Overweight and underweight adolescents have an increased risk of psychological problems and reduced quality of life.
“Overweight and underweight adolescents have an increased risk of psychological problems and reduced quality of life.”
From Psychopathological symptoms and well-being in overweight and underweight adolescents: A network analysis (2021) · cites this paper as [15]
The Abstract reports associations between both overweight/obesity and underweight and poorer psychosocial health, including depression-related problems. However, the study was cross-sectional and measured psychosocial health with the Youth Self-Report, not quality of life; it does not establish increased future risk or a reduction in quality of life. (LLM, conf=0.88)
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BackgroundResult
- Authors
- Drosopoulou, G., Sergentanis, T. N., Mastorakos, G., Vlachopapadopoulou, E., Michalacos, S., Tzavara, C., Bacopoulou, F., Psaltopoulou, T., & Tsitsika, A.
- Affiliations
- National and Kapodistrian University of Athens (GR)
- MSc Program “Strategies of Developmental and Adolescent Health”, 2nd Department of Pediatrics, “P.&A. Kyriakou” Children’s Hospital, School of Medicine, National and Kapodistrian University of Athens, Athens, Greece
- Panagiotis & Aglaia Kyriakou Children's Hospital (GR)
- ORCID
- Venue
- European Journal of Public Health
- Publisher
- Oxford University Press (OUP)
- Published
- 2020-11-05
- Volume
- 31
- Issue
- 2
- Pages
- 379-384
- ISSN
- 1101-1262 (ISSN-L)
- 1464-360X
- OpenAlex
- W3097225037
- Cited by
- 33
- References
- 36
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 8 · 2023: 4 · 2022: 2 · 2021: 5
- FWCI
- 2.06
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- academic.oup.com/journals/pages/open_access/funder_policies/chorus/standard_publication_model (vor)
- Locations
- European Journal of Public Health (publishedVersion)
- PubMed (publishedVersion)
- Funders
- IAB risk among minors in Europe
- EU Safer Internet Programme (SI-2011-KEP-4101007)
- 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
- underweight, overweight, obesity, body mass index, internalizing problems, externalizing problems, social problems, thought problems, anxiety and depression, rule violations, sociodemographic factors, school-based survey, European adolescents, Youth Self-Report, eating disorders, substance use, mental health screening
- MeSH terms
- Adolescent, Cross-Sectional Studies, Europe, Greece, Humans, Iceland, Netherlands, Obesity, Surveys and Questionnaires, Romania, Spain, Thinness, Body Mass Index, Overweight
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