The Impact of Childhood Obesity on Mental Health: A Comprehensive Review
DOI:
https://doi.org/10.12775/QS.2024.36.56639Keywords
obesity, overweight, mental health, childhood, mood disorders, psychiatric disorders, anxiety, depression, eating disorders, ADHDAbstract
Introduction: Obesity and overweight are among the main health issues affecting the child population in developed countries today. Excess body weight is observed in 29.7% of boys and 14.3% of girls aged 11 to 16 years. Studies reveal that childhood overweight increases the odds of having mental disorders in adolescence compared to children with a normal body weight.
Aim of the study: The aim of this study is to analyse the available literature in order to examine the impact of childhood obesity on mental disorders such as depression, anxiety, ADHD, eating disorders and schizophrenia,
Materials and methods: Comprehensive review of the literature available on PubMed, Google Scholar, Scopus database by searching the keywords “obesity”, “overweight”, “ mental health”, “childhood”, “mood disorders” “psychiatric disorders”, “anxiety”, “depression”, “eating disorders”, “ADHD”
Results and conclusion: Childhood obesity is a growing global problem with physical and health consequences. It is associated with various factors such as social stigma, neurological imbalances or malfunction and other environmental factors related to obesity. It contributes to the growth of depression, ADHD, anxiety, eating disorders, OCD and even schizophrenia. Preventing and treating obese or overweight children have to be done, by affecting both physical and mental health.
References
Must A, Strauss RS. Risks and consequences of childhood and adolescent obesity. Int J Obes Relat Metab Disord. 1999;23 Suppl 2:S2-S11. doi:10.1038/sj.ijo.0800852
Styne DM, Arslanian SA, Connor EL, et al. Pediatric Obesity-Assessment, Treatment, and Prevention: An Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2017;102(3):709-757. doi:10.1210/jc.2016-2573
Brown CL, Perrin EM. Obesity Prevention and Treatment in Primary Care. Acad Pediatr. 2018;18(7):736-745. doi:10.1016/j.acap.2018.05.004
Goel A, Reddy S, Goel P. Causes, Consequences, and Preventive Strategies for Childhood Obesity: A Narrative Review. Cureus. 2024;16(7):e64985. Published 2024 Jul 20. doi:10.7759/cureus.64985
Jebeile H, Kelly AS, O'Malley G, Baur LA. Obesity in children and adolescents: epidemiology, causes, assessment, and management. Lancet Diabetes Endocrinol. 2022;10(5):351-365. doi:10.1016/S2213-8587(22)00047-X
Landry BW, Driscoll SW. Physical activity in children and adolescents. PM R. 2012;4(11):826-832. doi:10.1016/j.pmrj.2012.09.585
Lister NB, Baur LA, Felix JF, et al. Child and adolescent obesity. Nat Rev Dis Primers. 2023;9(1):24. Published 2023 May 18. doi:10.1038/s41572-023-00435-4
Small L, Aplasca A. Child Obesity and Mental Health: A Complex Interaction. Child Adolesc Psychiatr Clin N Am. 2016;25(2):269-282. doi:10.1016/j.chc.2015.11.008
WHO. Obesity and Overweight. Available from: https://www.who.int/news-room/fact-sheets/detail/obesity-and-overweight [Accessed:25 November 2024]
NCD Risk Factor Collaboration (NCD-RisC). Worldwide trends in body-mass index, underweight, overweight, and obesity from 1975 to 2016: a pooled analysis of 2416 population-based measurement studies in 128·9 million children, adolescents, and adults. Lancet. 2017;390(10113):2627-2642. doi:10.1016/S0140-6736(17)32129-3
Health Behaviour in School-aged Children study (2023), Data browser (findings from the 2021/22 international HBSC survey)
Anna Fijałkowska, Anna Maria Oblacińska, Anna Maria Dzielska, Hanna Nałęcz, Magdalena Korzycka Children's Health During the COVID-19 Pandemic: A Research Report on the Health and Health Behaviors of 8-Year-Old Children During the COVID-19 Pandemic, Institute of Mother and Child, 2022
Cui R. Editorial: A Systematic Review of Depression. Curr Neuropharmacol. 2015;13(4):480. doi:10.2174/1570159x1304150831123535
Charles J, Fazeli M. Depression in children. Aust Fam Physician. 2017;46(12):901-907.
Ali A, Al-Ani O, Al-Ani F. Children's behaviour and childhood obesity. Zachowanie dzieci a otyłość dziecięca. Pediatr Endocrinol Diabetes Metab. 2024;30(3):148-158. doi:10.5114/pedm.2024.142586
Ciężki S, Odyjewska E, Bossowski A, Głowińska-Olszewska B. Not Only Metabolic Complications of Childhood Obesity. Nutrients. 2024; 16(4):539.
Rao WW, Zong QQ, Zhang JW, et al. Obesity increases the risk of depression in children and adolescents: Results from a systematic review and meta-analysis. J Affect Disord. 2020;267:78-85. doi:10.1016/j.jad.2020.01.154
Kang NR, Kwack YS. An Update on Mental Health Problems and Cognitive Behavioral Therapy in Pediatric Obesity. Pediatr Gastroenterol Hepatol Nutr. 2020;23(1):15-25. doi:10.5223/pghn.2020.23.1.15
Milano W, Ambrosio P, Carizzone F, De Biasio V, Di Munzio W, Foia MG, Capasso A. Depression and Obesity: Analysis of Common Biomarkers. Diseases. 2020; 8(2):23. https://doi.org/10.3390/diseases8020023
Calcaterra V, Rossi V, Magenes VC, et al. Dietary habits, depression and obesity: an intricate relationship to explore in pediatric preventive strategies. Front Pediatr. 2024;12:1368283. Published 2024 Mar 8. doi:10.3389/fped.2024.1368283
Panganiban M, Yeow M, Zugibe K, Geisler SL. Recognizing, diagnosing, and treating pediatric generalized anxiety disorder. JAAPA. 2019;32(2):17-21. doi:10.1097/01.JAA.0000552719.98489.75
Merikangas KR, He JP, Burstein M, et al. Lifetime prevalence of mental disorders in U.S. adolescents: results from the National Comorbidity Survey Replication--Adolescent Supplement (NCS-A). J Am Acad Child Adolesc Psychiatry. 2010;49(10):980-989. doi:10.1016/j.jaac.2010.05.017
Beesdo K, Knappe S, Pine DS. Anxiety and anxiety disorders in children and adolescents: developmental issues and implications for DSM-V. Psychiatr Clin North Am. 2009;32(3):483-524. doi:10.1016/j.psc.2009.06.002
Magnus W, Nazir S, Anilkumar AC, Shaban K. Attention Deficit Hyperactivity Disorder. In: StatPearls. Treasure Island (FL): StatPearls Publishing; August 8, 2023.
Lindberg L, Hagman E, Danielsson P, Marcus C, Persson M. Anxiety and depression in children and adolescents with obesity: a nationwide study in Sweden. BMC Med. 2020;18(1):30. Published 2020 Feb 21. doi:10.1186/s12916-020-1498-z
Wang S, Sun Q, Zhai L, Bai Y, Wei W, Jia L. The Prevalence of Depression and Anxiety Symptoms among Overweight/Obese and Non-Overweight/Non-Obese Children/Adolescents in China: A Systematic Review and Meta-Analysis. Int J Environ Res Public Health. 2019;16(3):340. Published 2019 Jan 26. doi:10.3390/ijerph16030340
Esposito M, Gallai B, Roccella M, et al. Anxiety and depression levels in prepubertal obese children: a case-control study. Neuropsychiatr Dis Treat. 2014;10:1897-1902. Published 2014 Oct 3. doi:10.2147/NDT.S69795
Vourdoumpa A, Paltoglou G, Manou M, Mantzou E, Kassari P, Papadopoulou M, Kolaitis G, Charmandari E. Improvement in Symptoms of Depression and Anxiety and Cardiometabolic Risk Factors in Children and Adolescents with Overweight and Obesity Following the Implementation of a Multidisciplinary Personalized Lifestyle Intervention Program. Nutrients. 2024; 16(21):3710. https://doi.org/10.3390/nu16213710
Lim CS, Espil FM, Viana AG, Janicke DM. Associations Between Anxiety Symptoms and Child and Family Factors in Pediatric Obesity. J Dev Behav Pediatr. 2015;36(9):664-672. doi:10.1097/DBP.0000000000000225
Millichap JG. Etiologic classification of attention-deficit/hyperactivity disorder. Pediatrics. 2008;121(2):e358-e365. doi:10.1542/peds.2007-1332
Salari N, Ghasemi H, Abdoli N, et al. The global prevalence of ADHD in children and adolescents: a systematic review and meta-analysis. Ital J Pediatr. 2023;49(1):48. Published 2023 Apr 20. doi:10.1186/s13052-023-01456-1
Panzer, B. (2006). ADHD and Childhood Obesity. The ADHD Report, 14(2), 9–16. doi:10.1521/adhd.2006.14.2.9
Cortese S, Vincenzi B. Obesity and ADHD: clinical and neurobiological implications. Curr Top Behav Neurosci. 2012;9:199-218. doi:10.1007/7854_2011_154
Koshy, G., Delpisheh, A. & Brabin, B.J. Childhood obesity and parental smoking as risk factors for childhood ADHD in Liverpool children. ADHD Atten Def Hyp Disord 3, 21–28 (2011). https://doi.org/10.1007/s12402-010-0041-z
Martins-Silva T, Vaz JDS, Hutz MH, Salatino-Oliveira A, Genro JP, Hartwig FP, Moreira-Maia CR, Rohde LA, Borges MC, Tovo-Rodrigues L. Assessing causality in the association between attention-deficit/hyperactivity disorder and obesity: a Mendelian randomization study. Int J Obes (Lond). 2019 Dec;43(12):2500-2508. doi: 10.1038/s41366-019-0346-8. Epub 2019 Apr 18. PMID: 31000774.
Gillan CM, Sahakian BJ. Which is the driver, the obsessions or the compulsions, in OCD?. Neuropsychopharmacology. 2015;40(1):247-248. doi:10.1038/npp.2014.201
Krebs G, Heyman I. Obsessive-compulsive disorder in children and adolescents. Arch Dis Child. 2015;100(5):495-499. doi:10.1136/archdischild-2014-306934
Nazeer A, Latif F, Mondal A, Azeem MW, Greydanus DE. Obsessive-compulsive disorder in children and adolescents: epidemiology, diagnosis and management. Transl Pediatr 2020;9(Suppl 1):S76-S93. doi: 10.21037/tp.2019.10.02
Bourne EJ. Fear and Phobia. Krakow: Jagiellonian University Press; 2011
Last, C. G., & Strauss, C. C. (1989). Obsessive—compulsive disorder in childhood. Journal of Anxiety Disorders, 3(4), 295–302. doi:10.1016/0887-6185(89)90020-0
Pujol J, Blanco-Hinojo L, Martínez-Vilavella G, Deus J, Pérez-Sola V, Sunyer J. Dysfunctional Brain Reward System in Child Obesity. Cereb Cortex. 2021;31(9):4376-4385. doi:10.1093/cercor/bhab092
Xiao P, Li C, Mi J, Wu J. Evaluating the distinct effects of body mass index at childhood and adulthood on adult major psychiatric disorders. Sci Adv. 2024;10(37):eadq2452. doi:10.1126/sciadv.adq2452
Abramovitch A, Anholt GE, Cooperman A, et al. Body mass index in obsessive-compulsive disorder. J Affect Disord. 2019;245:145-151. doi:10.1016/j.jad.2018.10.116
Tan JSK, Tan LES, Davis C, Chew CSE. Eating disorders in children and adolescents. Singapore Med J. 2022;63(6):294-298. doi:10.11622/smedj.2022078
Smink FR, van Hoeken D, Hoek HW. Epidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatry Rep. 2012;14(4):406-414. doi:10.1007/s11920-012-0282-y
Pastore M, Indrio F, Bali D, Vural M, Giardino I, Pettoello-Mantovani M. Alarming Increase of Eating Disorders in Children and Adolescents. J Pediatr. 2023;263:113733. doi:10.1016/j.jpeds.2023.113733
López-Gil JF, García-Hermoso A, Smith L, et al. Global Proportion of Disordered Eating in Children and Adolescents: A Systematic Review and Meta-analysis. JAMA Pediatr. 2023;177(4):363-372. doi:10.1001/jamapediatrics.2022.5848
McLean CP, Utpala R, Sharp G. The impacts of COVID-19 on eating disorders and disordered eating: A mixed studies systematic review and implications. Front Psychol. 2022;13:926709. Published 2022 Sep 6. doi:10.3389/fpsyg.2022.926709
Agüera Z, Lozano-Madrid M, Mallorquí-Bagué N, Jiménez-Murcia S, Menchón JM, Fernández-Aranda F. A review of binge eating disorder and obesity. Übersicht zu Binge-eating und Adipositas. Neuropsychiatr. 2021;35(2):57-67. doi:10.1007/s40211-020-00346-w
Olguin P, Fuentes M, Gabler G, Guerdjikova AI, Keck PE Jr, McElroy SL. Medical comorbidity of binge eating disorder. Eat Weight Disord. 2017;22(1):13-26. doi:10.1007/s40519-016-0313-5
Brechan I, Kvalem IL. Relationship between body dissatisfaction and disordered eating: mediating role of self-esteem and depression. Eat Behav. 2015;17:49-58. doi:10.1016/j.eatbeh.2014.12.008
Hübel C, Abdulkadir M, Herle M, et al. One size does not fit all. Genomics differentiates among anorexia nervosa, bulimia nervosa, and binge-eating disorder. Int J Eat Disord. 2021;54(5):785-793. doi:10.1002/eat.23481
Rastogi R, Rome Md ES. Restrictive eating disorders in previously overweight adolescents and young adults. Cleve Clin J Med. 2020;87(3):165-171. doi:10.3949/ccjm.87a.19034
Gonçalves S, Machado BC, Martins C, Hoek HW, Machado PP. Retrospective Correlates for Bulimia Nervosa: A Matched Case-Control Study. Eur Eat Disord Rev. 2016;24(3):197-205. doi:10.1002/erv.2434.
Rahman T, Lauriello J. Schizophrenia: An Overview. Focus (Am Psychiatr Publ). 2016;14(3):300-307. doi:10.1176/appi.focus.20160006
Cantor-Graae E, Selten JP. Schizophrenia and migration: a meta-analysis and review. Am J Psychiatry. 2005;162(1):12-24. doi:10.1176/appi.ajp.162.1.12
An R, Yan H, Shi X, Yang Y. Childhood obesity and school absenteeism: a systematic review and meta-analysis. Obes Rev. 2017;18(12):1412-1424. doi:10.1111/obr.12599
Smith JD, Fu E, Kobayashi MA. Prevention and Management of Childhood Obesity and Its Psychological and Health Comorbidities. Annu Rev Clin Psychol. 2020;16:351-378. doi:10.1146/annurev-clinpsy-100219-060201
Flynn AC, Suleiman F, Windsor-Aubrey H, et al. Preventing and treating childhood overweight and obesity in children up to 5 years old: A systematic review by intervention setting. Matern Child Nutr. 2022;18(3):e13354. doi:10.1111/mcn.13354
Brown CL, Halvorson EE, Cohen GM, Lazorick S, Skelton JA. Addressing Childhood Obesity: Opportunities for Prevention. Pediatr Clin North Am. 2015;62(5):1241-1261. doi:10.1016/j.pcl.2015.05.013
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Jan Spychalski, Mikołaj Musiał, Maria Spychalska, Adrianna Dylik, Weronika Gryczyńska, Wiktoria Grochowska, Mikołaj Kaczmarek, Łukasz Krawczak, Hanna Gulaczyk
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Stats
Number of views and downloads: 57
Number of citations: 0