Psychische Gesundheit von übergewichtigen und adip?sen Jugendlichen unter Berücksichtigung von Sozialstatus und Schulbildung

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• 作者：Dipl. P?d. Laura Krause M.A. (1)
  Dieter Kleiber (2)
  Thomas Lampert (1)
  
• 关键词：übergewicht und Adipositas ; Psychische Auff?lligkeiten ; Jugendalter ; Soziale Ungleichheit ; Gesundheitssurvey ; Overweight and obesity ; Mental health problems ; Adolescence ; Social inequalities ; Health survey
• 刊名：Pr?vention und Gesundheitsf?rderung
• 出版年：2014
• 出版时间：November 2014
• 年：2014
• 卷：9
• 期：4
• 页码：264-273
• 全文大小：414 KB
• 参考文献：1. Arbeitsgemeinschaft Adipositas im Kindes- und Jugendalter (2012) Leitlinien. Verabschiedet auf der Konsensus-Konferenz der AGA am 04.10.2012. http://www.agaadipositas-gesellschaft.de. Zugegriffen: 29. Mai 2013)
  2. Barkmann C (2003) Psychische Auff?lligkeiten bei Kindern und Jugendlichen in Deutschland. Ein epidemiologisches Screening. Verlag Dr. Kovac, Hamburg
  3. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH (2000) Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 320:1240-243 CrossRef
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  7. D?pfner M, Plück J, Berner W et al (1997) Psychische Auff?lligkeiten von Kindern und Jugendlichen in Deutschland. Ergebnisse einer repr?sentativen Studie: Methodik, Alters-, Geschlechts- und Beurteilereffekte. Z Kinder- und Jugendpsychiatrie und Psychotherapie 25:218-33
  8. Eisenberg ME, Neumark-Sztainer D, Haines J, Wall M (2006) Weight-teasing and emotional well-being in adolescents: longitudinal findings from Project EAT. J Adolesc Health 38:675-83 CrossRef
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  10. Ender S, Stachow R, Petermann F, Tiedjen U (2011) Verhaltensauff?lligkeiten bei k?rperlich chronisch kranken Jugendlichen: übereinstimmungen und Unterschiede im Selbst- und Elternurteil. Klinische Padiatrie 223:231-35 CrossRef
  11. Erermis S, Cetin N, Tamar M et al (2004) Is obesity a risk factor for psychopathology among adolescents? Pediatr Int 46:296-01 CrossRef
  12. Gatineau M, Dent M (2011) Obesity and mental health. National Obesity Observatory, Oxford, http://www.nooorg.uk. Zugegriffen: 28 Okt. 2013
  13. Goodman R, Ford T, Simmons H et al (2000) Using the Strengths and Difficulties Questionnaire (SDQ) to screen for child psychiatric disorders in a community sample. Br J Psychiatry 177:534-39 CrossRef
  14. Gortmaker SL, Walker DK, Weitzman M, Sobol AM (1990) Chronic conditions, socioeconomic risks, and behavioral problems in children and adolescents. Pediatrics 85:267-76
  15. Griffiths LJ, Dezateux C, Hill A (2011) Is obesity associated with emotional and behavioural problems in children? Findings from the Millennium Cohort Study. Int J Pediatr Obes 6:e423-32 CrossRef
  16. Hartmann AS, Hilbert A (2013) Psychosoziale Folgen von Adipositas im Kindes- und Jugendalter und Strategien zu deren Behandlung. Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz 56:532-38 CrossRef
  17. Hilbert A (2008) Soziale und psychosoziale Auswirkungen der Adipositas: Gewichtsbezogene Stigmatisierung und Diskriminierung. In: Herpertz S, De Zwaan M, Zipfel S (Hrsg) Handbuch Essst?rungen und Adipositas. Springer, Berlin Heidelberg New York, S?288-91
  18. H?lling H, Erhart M, Ravens-Sieberer U, Schlack R (2007) Verhaltensauff?lligkeiten bei Kindern und Jugendlichen. Erste Ergebnisse aus dem Kinder- und Jugendgesundheitssurvey (KiGGS). Bundesgesundheitsb
• 作者单位：Dipl. P?d. Laura Krause M.A. (1)
  Dieter Kleiber (2)
  Thomas Lampert (1)
  
  1. Abteilung für Epidemiologie und Gesundheitsmonitoring, Robert Koch-Institut, General-Pape-Stra?e 62-4, 12101, Berlin, Deutschland
  2. Arbeitsbereich Public Health: Pr?vention und psychosoziale Gesundheitsforschung, Freie Universit?t Berlin, Berlin, Deutschland
  
• ISSN：1861-6763

文摘

Background International studies showed that overweight and obese adolescents are more likely to have mental health problems compared to normal weight peers. Objectives This study analyses the relation between overweight/obesity and mental health problems among adolescents in Germany as well as potential modifying factors of this relation. Materials and Methods Data base was a subsample of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS, n--,813, 11-7?years) which was conducted by the Robert Koch Institute from May 2003 to May 2006. Body height and weight were measured in a standardised manner and body mass index (BMI) was calculated. Indications of mental health problems and strengths were collected with the Strengths and Difficulties Questionnaire (SDQ) in the following areas: emotional symptoms, conduct problems, hyperactivity, peer relationship problems and prosocial behaviour. Socio-economic status (SES) and education are analysed as modifying variables. Prevalence and odds ratios with 95- confidence intervals were calculated by binary logistic regression. Results Obese boys and overweight and obese girls showed more indications of mental health problems compared to normal weight peers. The most common problem areas were conduct problems and peer relationship problems. Obese girls were also more likely to show indications of emotional symptoms compared to normal weight girls. The age stratified analysis showed that the differences in the occourrence of mental health problems between normal weight and obese boys as well as between normal weight and overweight/obese girls are more pronounced aged 11 to 13 years than aged 14 to 17 years. The results on the impact of SES and education showed that in girls, SES had a modyfying impact on the relation between overweight/obesity and mental health problems in favour of the high SES group. In boys, SES only had a modifying impact on the relation between overweight and mental health problems, but here in favour of the low SES group. Only in girls education had a modifying impact on the relation between obesity and mental health problems in favour of the low education group. Conclusion In adolescence, overweight and especially obesity go along with a higher risk for mental health problems. In the context of prevention measures and care services for overweight and obesity at a young age, psychosocial aspects should be considered.