ArticleEClinicalMedicine2023
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.
Article in EClinicalMedicine, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 1 of them a synthesis that pooled it.
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Who cites it
13 citing papers in PubMed, 1 synthesis or guideline pooled it.
- The Association Between Affect and Adiposity in Childhood and Adolescence: A Systematic Review.Obesity reviews : an official journal of the International Association for the Study of Obesity · 2026Pooled it
- Weight concern and desire for weight loss support in adolescents: Results from a large cross-sectional school survey.JCPP advances · 2026Article
- Self-esteem in adolescents with obesity: a scoping review.Revista latino-americana de enfermagem · 2026Article
- Psychometric properties of Rosenberg's self-esteem scale among adolescents: a Rasch model analysis.Frontiers in psychology · 2026Article
- Psychosocial factors and the development of childhood overweight and obesity: a UK cohort study.Pediatric research · 2025Article
- Jumping hurdles: a grounded theory study of factors influencing school nurses' role in pediatric obesity prevention in Saudi Arabia.BMC nursing · 2025Article
- Childhood obesity trajectories and adolescent mental health: A UK cohort study.Pediatric obesity · 2025Article
- Sleep quality moderated the mediating effect of BMI and waist circumference on the relationship between screen time and mental health in Chinese adolescents.Frontiers in pediatrics · 2025Article
- Dietary and non-dietary risk factors associated with excess body mass and abdominal obesity in adolescents from rural regions of southern Poland: a cross-sectional study.Frontiers in public health · 2025Article
- Psychological well-being and the reversal of childhood overweight and obesity in the UK: a longitudinal national cohort study.Obesity (Silver Spring, Md.) · 2024Article
- Autoimmune hepatitis: Towards a personalized treatment.World journal of hepatology · 2024Review
- Prevalence and trend of multiple coronary artery disease risk factors and their 5-year incidence rate among adult population of Kerman: results from KERCADR study.BMC public health · 2024Article
- Longitudinal pathways between childhood BMI, body dissatisfaction, and adolescent depression: an observational study using the UK Millenium Cohort Study.The lancet. Psychiatry · 2024Observational
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Authors and funding
5 authors.
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Abstract
Background: Mental illness and obesity are among the biggest challenges to population health, they are linked, and may be modifiable during adolescence. We aimed to determine intervening pathways between mental health and BMI z-score symptoms across adolescence. Methods: In this longitudinal cohort study, we used path models to examine self-reported dieting, happiness with appearance, self-esteem and bullying at 14 years as potential mediators of the cross-lagged relationship between mental health (via the Strengths and Difficulties Questionnaire) and Body Mass Index (BMI) z-score at 11 and 17 years by sex in the UK Millennium Cohort Study, a prospective cohort study of 18,818 children born in the UK between September 1st, 2000, and January 31st, 2002. Full, incomplete data on all singleton children still participating in the study by age 11 years were analysed in GSEM via maximum likelihood estimation (N = 12,450). Findings: We found happiness with appearance and self-esteem, but not dieting or bullying, mediated the relationship between BMI age 11 and mental health age 17. Each increase in BMI z-score at 11 years was associated with 0.12 increase for boys and a 0.19 increase for girls in scores of unhappiness with appearance (boys: Interpretation: Early prevention strategies to encourage healthy physical and mental development of children need to focus on the promotion of positive body-mage and self-esteem. Funding: The National Institute for Health and Care Research (NIHR) School for Public Health Research (SPHR).
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