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Imbalance in obesity and mental health among "little emperors" in China.

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  • Additional Information
    • Source:
      Publisher: Public Library of Science Country of Publication: United States NLM ID: 101285081 Publication Model: eCollection Cited Medium: Internet ISSN: 1932-6203 (Electronic) Linking ISSN: 19326203 NLM ISO Abbreviation: PLoS One Subsets: MEDLINE
    • Publication Information:
      Original Publication: San Francisco, CA : Public Library of Science
    • Subject Terms:
      Anxiety*/epidemiology ; Anxiety*/psychology ; Mental Health* ; Pediatric Obesity*/epidemiology ; Pediatric Obesity*/psychology; Adolescent ; Child ; China/epidemiology ; Female ; Follow-Up Studies ; Humans ; Male ; Risk Factors
    • Abstract:
      Introduction: Previous research has indicated that only children (i.e., those living with no siblings) have higher odds of obesity during childhood and young adulthood, compared with those living with siblings. However, little is known about whether the developing difference in overweight/obesity is accompanied by a difference in mental health (i.e., internalizing symptoms of depression and anxiety).
      Methods: The subjects for this prospective study were a randomly generated cohort of 1348 high-school students in Guangzhou, China. Participants completed assessments of anthropometric indices, lipid profiles, family-based factors, lifestyle, and internalization of symptoms (including those of depression and anxiety).
      Results: Compared to their peers with siblings, only children (adjusted odds ratio [aOR] = 1.68, 95% confidence interval [CI] [1.06, 2.65]) had significantly higher risk for obesity. However, only children with overweight/obesity had lower OR for depression at follow-up (aOR = 0.19, 95% CI [0.34, 0.86]), compared to individuals who were overweight/obese with siblings. This relationship was not significant for non-overweight individuals. No significant relationship between the number of siblings and anxiety at follow-up was observed, regardless of body mass index (BMI).
      Conclusions: Although being an only child was significantly associated with overweight and obesity among adolescents in China, participants with history of overweight/obesity are less likely to experience symptoms of depression associated with being an only child.
      Competing Interests: The authors have declared that no competing interests exist.
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    • Publication Date:
      Date Created: 20190411 Date Completed: 20191217 Latest Revision: 20200309
    • Publication Date:
      20231215
    • Accession Number:
      PMC6457487
    • Accession Number:
      10.1371/journal.pone.0207129
    • Accession Number:
      30969962