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International Journal of Behavioral Medicine

Published in:

01-06-2016

Psychosocial Quality-of-Life, Lifestyle and Adiposity: A Longitudinal Study in Pre-schoolers (Ballabeina Study)

Authors: Nathalie Michels, Kriemler Susi, Pedro M. Marques-Vidal, Andreas Nydegger, Jardena J. Puder

Published in: International Journal of Behavioral Medicine | Issue 3/2016

Abstract

Purpose

In obesity prevention, understanding psychosocial influences in early life is pivotal. Reviews reported contradictory results and a lack of longitudinal studies focusing on underlying lifestyle factors. This study tested whether psychosocial Quality-Of-Life (QOL) was associated with pre-schoolers’ lifestyle and adiposity changes over one school year and whether lifestyle moderated the latter. It was hypothesised that QOL might not impact adiposity in everybody but that this might depend on preceding lifestyle.

Method

Longitudinal data from 291 Swiss pre-schoolers (initially 3.9–6.3 years) was available. The following measures were used in longitudinal regressions: psychosocial QOL by PedsQL, adiposity (BMI z-score, waist, fat%), diet (food frequency), sedentary time and accelerometer-based activity.

Results

Concerning lifestyle, low psychosocial QOL was only related to unfavourable changes in diet (less fruit β = 0.21 and more fat intake β = −0.28) and lower physical activity (β = 0.21). Longitudinal QOL-adiposity relations appeared only after moderation by lifestyle factors (beta-range 0.13–0.67). Low psychosocial QOL was associated with increased adiposity in children with an unhealthy diet intake or high sedentary time. By contrast, low psychosocial QOL was associated with decreasing adiposity in high fruit consumers or more physically active pre-schoolers.

Conclusion

Results emphasise the need for testing moderation in the QOL-adiposity relation. An unhealthy diet can be a vulnerability factor and high physical activity a protective factor in QOL-related adiposity. Consequently, QOL and lifestyle should be targeted concurrently in multi-factorial obesity prevention. The environment should be an ‘activity encouraging, healthy food zone’ that minimises opportunities for stress-induced eating. In addition, appropriate stress coping skills should be acquired.

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Title: Psychosocial Quality-of-Life, Lifestyle and Adiposity: A Longitudinal Study in Pre-schoolers (Ballabeina Study)
Authors: Nathalie Michels
Kriemler Susi
Pedro M. Marques-Vidal
Andreas Nydegger
Jardena J. Puder
Publication date: 01-06-2016
Publisher: Springer US
Published in: International Journal of Behavioral Medicine / Issue 3/2016
Print ISSN: 1070-5503
Electronic ISSN: 1532-7558
DOI: https://doi.org/10.1007/s12529-016-9537-z

Keynote webinar | Spotlight on sleep in brain health

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Psychosocial Quality-of-Life, Lifestyle and Adiposity: A Longitudinal Study in Pre-schoolers (Ballabeina Study)

Abstract

Purpose

Method

Results

Conclusion

Keynote webinar | Spotlight on sleep in brain health

Springer Medicine

Abstract

Purpose

Method

Results

Conclusion

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