ArticleBMC public health2019
Associations between overweight and mental health problems among adolescents, and the mediating role of victimization.
Article in BMC public health, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.
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Who cites it
37 citing papers in PubMed, 94 citations in OpenAlex.
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- Obesity and Suicide Behavior in Young Latina Adults of Mexican Heritage: The Mediating Influences of Sleep Problems, Health Problems, and Dissatisfaction with Personal Appearance.Behavioral sciences (Basel, Switzerland) · 2026Article
- Association between self-esteem and suicide risk in adolescents from five schools in northern Peru: A cross-sectional study.Global mental health (Cambridge, England) · 2026Article
- Between the scales and the scars: The interpersonal moderators of the association between Body Mass Index and parent-reported depression/anxiety diagnoses in U.S. children: Evidence from the 2021-22 National Survey of Children's Health (NSCH).PLOS global public health · 2026Article
- Associations between sleep, obesity, and mental health in adolescents: Understanding sex-specific vulnerabilities.Journal of affective disorders · 2025Observational
- The Effectiveness of Mindfulness-Based Interventions in Improving Quality of Life and Psychological Well-Being Among A Population With Obesity: A Systematic Review.The Psychiatric quarterly · 2025Review
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- Physical, behavioural, and psychosocial factors associated with childhood and adolescent obesity: a study from the United Arab Emirates.Frontiers in pediatrics · 2025Article
- Development and Initial Evaluation of a Digital Phenotype Collection System for Adolescents: Proof-of-Concept Study.JMIR formative research · 2024Article
- School Health Promotion, the Body Mass Index z-Score, and Psychosocial Health in Primary Schools of the Netherlands.International journal of environmental research and public health · 2024Article
- Does terminology matter when measuring stigmatizing attitudes about weight? Validation of a brief, modified attitudes toward obese persons scale.Obesity science & practice · 2024Article
- Health gains from achieving optimal body mass index in Australia: a simulation study.The Lancet regional health. Western Pacific · 2024Article
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- Association between Body Mass Index and Externalizing and Internalizing Symptoms among Chinese Adolescents: Mediating Role of Traditional Bullying and Cyberbullying Victimization.Behavioral sciences (Basel, Switzerland) · 2024Article
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- School health promotion and the consumption of water and sugar-sweetened beverages in secondary schools: a cross-sectional multilevel study.BMC public health · 2023Article
- The role of dieting, happiness with appearance, self-esteem, and bullying in the relationship between mental health and body-mass index among UK adolescents: a longitudinal analysis of the Millennium Cohort Study.EClinicalMedicine · 2023Article
- Associations among body mass index, working memory performance, gray matter volume, and brain activation in healthy children.Cerebral cortex (New York, N.Y. : 1991) · 2023Article
- Joint Contributions of Depression and Insufficient Sleep to Self-Harm Behaviors in Chinese College Students: A Population-Based Study in Jiangsu, China.Brain sciences · 2023Article
- Impact of weight loss on sexual and psychological functions and quality of life in females with sexual dysfunction: A forgotten avenue.Frontiers in psychology · 2023Article
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Authors and funding
7 authors at 5 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundEvidence has not been conclusive on whether adolescent overweight is associated with mental health, possibly caused by indirect, yet untested associations. Therefore, the purpose of this study was to examine the association between overweight or obesity and mental health problems among adolescents, and to determine whether victimization plays a mediating role in these associations.
methodsSelf-reported data on mental health and victimization and objectively measured Body Mass Index data were used, using three cohorts (2010-2011 until 2012-2013) and an interval between the measurement waves of two years later. We performed a multi-level mediation analysis with a two-level structure to incorporate the clustering of the measurements within individuals. The study population consisted of 13,740 secondary school students, 13-14 years old at the first measurement moment, in Amsterdam, the Netherlands.
resultsCompared to their normal-weight peers, adolescents with overweight or obesity reported psychosocial problems and suicidal thoughts more often. Victimization was a significant mediator in the relationship between having overweight, and psychosocial problems (indirect effect OR: 2.3; 95% CI 1.5, 3.7 and direct effect OR: 1.4; 95% CI 1.2, 1.7) or suicidal thoughts (indirect effect OR: 2.1; 95% CI 1.4, 3.2 and direct effect OR: 1.3; 95% CI 1.1, 1.5). The associations between obesity, and psychosocial problems (indirect OR: 6.2; 95% CI 2.8, 14.7 and direct effect OR: 1.4; 95% CI 1.0, 2.0), or suicidal thoughts (indirect OR: 4.5; 95% CI 2.3, 9.1 and direct effect OR: 1.5; 95% CI 1.1, 2.0) were even stronger.
conclusionsOverweight and obesity were significantly associated with mental health problems in adolescents, and victimization played a mediating role in this association. Victimization and mental health should be integrated into prevention programs that address healthy weight development. Moreover, overweight should be given more attention in programs to prevent victimization and promote adolescent mental health.
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