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Open Access 01-12-2018 | Research article

Associations of physical activity and fruit and vegetable intake with well-being and depressive symptoms among obese schoolchildren in Wuhan, China: a cross-sectional study

Authors: Hong-jie Yu, Fang Li, Yong-feng Hu, Chang-feng Li, Xu-hao Yang, Shuai Yuan, Yao Huang, Bo-wen Tang, Jie Gong, Qi-qiang He

Published in: BMC Public Health | Issue 1/2018

Abstract

Background

The prevalence of childhood obesity is increasing and psychological disorder is a common comorbidity of obesity. We investigated the associations of physical activity (PA) and fruit and vegetable (FV) intake with well-being and depressive symptoms among obese schoolchildren.

Methods

Participants included 188 obese children aged 9.8 ± 0.7 years living in Wuhan, China. Self-administered questionnaires were used to collect the children’s PA and FV intake information. PA was considered to be high if the child participated in sport and/or vigorous free play at least 3 days per week with 60 min per day, while sufficient FV intake was defined as consuming FV 5 times per day. Children’s well-being and depressive symptoms were assessed by standard questionnaires. Multiple logistic regression was performed to determine the odds ratios (ORs) and 95% confidence intervals (CIs) of the relationships of PA and FV intake with well-being and depressive symptoms.

Results

High PA and sufficient FV intake were independently associated with significantly decreased risks for depressive symptoms (for PA, OR: 0.39, 95% CI: 0.16–0.92; for FV, OR: 0.21, 95% CI: 0.08–0.55) and poor well-being (for PA, OR: 0.35, 95% CI: 0.16–0.74), respectively. Furthermore, interactive inverse associations were observed between combined high PA and sufficient FV intake with poor well-being and depressive symptoms. Compared to their counterparts, children with high PA and sufficient FV intake had significantly reduced risk for poor well-being (OR: 0.16, 95%CI: 0.05–0.55) and depressive symptoms (OR: 0.12, 95% CI: 0.03–0.48).

Conclusions

High PA and sufficient FV intake are inversely associated with the risks of poor well-being and depressive symptoms among obese Chinese schoolchildren.

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de Onis M, Blossner M, Borghi E. Global prevalence and trends of overweight and obesity among preschool children. Am J Clin Nutr. 2010; https://doi.org/10.3945/ajcn.2010.29786.

Ng M, Fleming T, Robinson M, Thomson B, Graetz N, Margono C, et al. Global, regional, and national prevalence of overweight and obesity in children and adults during 1980-2013: a systematic analysis for the global burden of disease study 2013. Lancet. 2014; https://doi.org/10.1016/S0140-6736(14)60460-8.

World Health Organization. Overweight and obesity. http://www.who.int/mediacentre/factsheets/fs311/en/. 20 February 2018.

Ogden CL, Carroll MD, Lawman HG, Fryar CD, Kruszon-Moran D, Kit BK, et al. Trends in obesity prevalence among children and adolescents in the United States, 1988-1994 through 2013-2014. JAMA. 2016; https://doi.org/10.1001/jama.2016.6361.

Wang H, Xue H, Du S, Zhang J, Wang Y, Zhang B. Time trends and factors in body mass index and obesity among children in China: 1997-2011. Int J Obesity. 2017; https://doi.org/10.1038/ijo.2017.53.

Faienza MF, Wang DQH, Fruhbeck G, Garruti G, Portincasa P. The dangerous link between childhood and adulthood predictors of obesity and metabolic syndrome. Intern Emerg Med. 2016; https://doi.org/10.1007/s11739-015-1382-6.

Morrison KM, Shin S, Tarnopolsky M, Taylor VH. Association of depression & health related quality of life with body composition in children and youth with obesity. J Affect Disorders. 2015; https://doi.org/10.1016/j.jad.2014.09.014.

Lee E-Y, Spence JC. Pubertal development and screen time among South Korean adolescents: testing body mass index and psychological well-being as mediators. Glob Health Res Policy. 2016; https://doi.org/10.1186/s41256-016-0019-2.

Zhou M, Zhang G, Rozelle S, Kenny K, Xue H. Depressive symptoms of Chinese children: prevalence and correlated factors among subgroups. Int J Environ Res Public Health. 2018; https://doi.org/10.3390/ijerph15020283.

10.

Zhang L, Liu K, Li H, Li D, Chen Z, Zhang LL, et al. Relationship between body mass index and depressive symptoms: the “fat and jolly” hypothesis for the middle-aged and elderly in China. BMC Public Health. 2016; https://doi.org/10.1186/s12889-016-3864-5.

11.

Hunsberger M, Lehtinen-Jacks S, Mehlig K, Gwozdz W, Russo P, Michels N, et al. Bidirectional associations between psychosocial well-being and body mass index in European children: longitudinal findings from the IDEFICS study. BMC Public Health. 2016; https://doi.org/10.1186/S12889-016-3626-4.

12.

Goodwin RD, Sourander A, Duarte CS, Niemela S, Multimaki P, Nikolakaros G, et al. Do mental health problems in childhood predict chronic physical conditions among males in early adulthood? Evidence from a community-based prospective study. Psychol Med. 2009; https://doi.org/10.1017/S0033291708003504.

13.

Daly CM, Foote SJ, Wadsworth DD. Physical activity, sedentary behavior, fruit and vegetable consumption and access: what influences obesity in rural children? J Commun Health. 2017; https://doi.org/10.1007/s10900-017-0343-6.

14.

McMartin SE, Jacka FN, Colman I. The association between fruit and vegetable consumption and mental health disorders: evidence from five waves of a national survey of Canadians. Prev Med. 2013; https://doi.org/10.1016/j.ypmed.2012.12.016.

15.

Ahn S, Fedewa AL. A meta-analysis of the relationship between children's physical activity and mental health. J Pediatr Psychol. 2011; https://doi.org/10.1093/jpepsy/jsq107.

16.

Whooten RC, Perkins ME, Gerber MW, Taveras EM. Effects of before-school physical activity on obesity prevention and wellness. Am J Prev Med. 2018; https://doi.org/10.1016/j.amepre.2018.01.017.

17.

Bourke M, Whittaker PJ, Verma A. Are dietary interventions effective at increasing fruit and vegetable consumption among overweight children? A systematic review. J Epidemiol Commun H. 2014; https://doi.org/10.1136/jech-2013-203238.

18.

Ji CY, Chen TJ, WGOC. Empirical changes in the prevalence of overweight and obesity among Chinese students from 1985 to 2010 and corresponding preventive strategies. Biomed Environ Sci. 2013; https://doi.org/10.3967/0895-3988.2013.01.001.

19.

Daniel WW. Biostatistics: a Foundation for Analysis in the health sciences. New York: John Wiley & Sons, Incorporated; 1998. p. 7.

20.

Ji CY. Working group on obesity in China: report on childhood obesity in China (1)--body mass index reference for screening overweight and obesity in Chinese school-age children. Biomed Environ Sci. 2005;18(6):390–400.PubMed

21.

National Center for Chronic Disease Prevention and Health Promotion. How much physical activity do children need? https://www.cdc.gov/physicalactivity/basics/children/index.htm. 20 February 2018.

22.

Zhang YT, SX MA, Cheng C, Liu SJ, Zhang CF, Cao ZB, et al. Physical activity guidelines for Chinese children and adolescents. Chin J Evid Based Pediatr. 2017; 10.369/j.issn.1673-5501.2017.06.001

23.

Darfour-Oduro SA, Buchner DM, Andrade JE, Grigsby-Toussaint DS. A comparative study of fruit and vegetable consumption and physical activity among adolescents in 49 low-and-middle-income countries. Sci Rep-Uk. 2018; https://doi.org/10.1038/S41598-018-19956-0.

24.

Allgaier AK, Pietsch K, Fruhe B, Prast E, Sigl-Glockner J, Schulte-Korne G. Depression in pediatric care: is the WHO-five well-being index a valid screening instrument for children and adolescents? Gen Hosp Psychiat. 2012; https://doi.org/10.1016/j.genhosppsych.2012.01.007.

25.

Su LY, Wang K, Zhu Y, Luo XR, Yang ZW. Norm of the depression self-rating scale for children in Chinese urban children. Chin Ment Health J. 2003; https://doi.org/10.3321/j.issn:1000-6729.2003.08.011.

26.

Fox CK, Gross AC, Rudser KD, Foy AM, Kelly AS. Depression, anxiety, and severity of obesity in adolescents: is emotional eating the link? Clin Pediatr (Phila). 2016; https://doi.org/10.1177/0009922815615825.

27.

Goldfield GS, Moore C, Henderson K, Buchholz A, Obeid N, Flament MF. Body dissatisfaction, dietary restraint, depression, and weight status in adolescents. J Sch Health. 2010; https://doi.org/10.1111/j.1746-1561.2009.00485.x.

28.

Sanders RH, Han A, Baker JS, Cobley S. Childhood obesity and its physical and psychological co-morbidities: a systematic review of Australian children and adolescents. Eur J Pediatr. 2015; https://doi.org/10.1007/s00431-015-2551-3.

29.

Anderson SE, Cohen P, Naumova EN, Jacques PF, Must A. Adolescent obesity and risk for subsequent major depressive disorder and anxiety disorder: prospective evidence. Psychosom Med. 2007; https://doi.org/10.1097/PSY.0b013e31815580b4.

30.

Al Mamun A, Cramb S, McDermott BM, O'Callaghan M, Najman JM, Williams GM. Adolescents’ perceived weight associated with depression in young adulthood: a longitudinal study. Obesity. 2007; https://doi.org/10.1038/oby.2007.369.

31.

Van Dijk ML, Savelberg H, Verboon P, Kirschner PA, De Groot RHM. Decline in physical activity during adolescence is not associated with changes in mental health. BMC Public Health. 2016; https://doi.org/10.1186/s12889-016-2983-3.

32.

Clark C, Haines MM, Head J, Klineberg E, Arephin M, Viner R, et al. Psychological symptoms and physical health and health behaviours in adolescents: a prospective 2-year study in East London. Addiction. 2007; https://doi.org/10.1111/j.1360-0443.2006.01621.x.

33.

Lindhom V, Lahti J, Rahkonen O, Lahelma E, Lallukka T. Joint association of physical activity and body weight with subsequent physical and mental functioning: a follow-up study. BMC Public Health. 2013; https://doi.org/10.1186/1471-2458-13-197.

34.

Banta JE, Khoie-Mayer RN, Somaiya CK, McKinney O, Segovia-Siapco G. Mental health and food consumption among California children 5-11 years of age. Nutr Health. 2013; https://doi.org/10.1177/0260106015599511.

35.

Kingsbury M, Dupuis G, Jacka F, Roy-Gagnon MH, McMartin SE, Colman I. Associations between fruit and vegetable consumption and depressive symptoms: evidence from a national Canadian longitudinal survey. J Epidemiol Community Health. 2016;70(2):155–61. https://doi.org/10.1136/jech-2015-205858.

36.

Van Buren DJ, Tibbs TL. Lifestyle interventions to reduce diabetes and cardiovascular disease risk among children. Curr Diab Rep. 2014; https://doi.org/10.1007/s11892-014-0557-2.

37.

He Y, Li Y, Lai J, Wang D, Zhang J, Fu P, et al. Dietary patterns as compared with physical activity in relation to metabolic syndrome among Chinese adults. Nutr Metab Cardiovas. 2013; https://doi.org/10.1016/j.numecd.2012.09.001.

38.

Helmich I, Latini A, Sigwalt A, Carta MG, Machado S, Velasques B, et al. Neurobiological alterations induced by exercise and their impact on depressive disorders. Clinical practice and epidemiology in mental health. CP EMH. 2010; https://doi.org/10.2174/1745017901006010115.

39.

Rink SM, Mendola P, Mumford SL, Poudrier JK, Browne RW, Wactawski-Wende J, et al. Self-report of fruit and vegetable intake that meets the 5 a day recommendation is associated with reduced levels of oxidative stress biomarkers and increased levels of antioxidant defense in premenopausal women. J Acad Nutr Diet. 2013; https://doi.org/10.1016/j.jand.2013.01.019.

40.

Gomez-Pinilla F, Tyagi E. Diet and cognition: interplay between cell metabolism and neuronal plasticity. Curr Opin Clin Nutr. 2013; https://doi.org/10.1097/MCO.0b013e328365aae3.

41.

Fleig L, Kuper C, Lippke S, Schwarzer R, Wiedemann AU. Cross-behavior associations and multiple health behavior change: a longitudinal study on physical activity and fruit and vegetable intake. J Health Psychol. 2015; https://doi.org/10.1177/1359105315574951.

42.

He QQ, Wong TW, Du L, Lin GZ, Gao Y, Jiang ZQ, et al. Nutrition and children's respiratory health in Guangzhou, China. Public Health. 2008; https://doi.org/10.1016/j.puhe.2008.06.010.

43.

Sprengeler O, Wirsik N, Hebestreit A, Herrmann D, Ahrens W. Domain-specific self-reported and objectively measured physical activity in children. Int J Environ Res Public Health. 2017; https://doi.org/10.3390/ijerph14030242.

44.

Moore HJ, Hillier FC, Batterham AM, Ells LJ, Summerbell CD. Technology-based dietary assessment: development of the synchronised nutrition and activity program (SNAP). J Hum Nutr Diet. 2014; https://doi.org/10.1111/j.1365-277X.2012.01295.x.

45.

Ji J, Wang SQ, Liu YJ, He QQ. Physical activity and lung function growth in a cohort of Chinese school children: a prospective study. PLoS One. 2013; https://doi.org/10.1371/journal.pone.0066098.

46.

He QQ, Wong TW, Du L, Jiang ZQ, Yu TSI, Qiu H, et al. Physical activity, cardiorespiratory fitness, and obesity among Chinese children. Prev Med. 2011; https://doi.org/10.1016/j.ypmed.2010.11.005.

47.

Strugnell C, Renzaho A, Ridley K, Burns C. Reliability of the modified child and adolescent physical activity and nutrition survey, physical activity (CAPANS-PA) questionnaire among Chinese-Australian youth. BMC Med Res Methodol. 2011; https://doi.org/10.1186/1471-2288-11-122.

Title: Associations of physical activity and fruit and vegetable intake with well-being and depressive symptoms among obese schoolchildren in Wuhan, China: a cross-sectional study
Authors: Hong-jie Yu
Fang Li
Yong-feng Hu
Chang-feng Li
Xu-hao Yang
Shuai Yuan
Yao Huang
Bo-wen Tang
Jie Gong
Qi-qiang He
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: BMC Public Health / Issue 1/2018
Electronic ISSN: 1471-2458
DOI: https://doi.org/10.1186/s12889-018-5779-9

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Associations of physical activity and fruit and vegetable intake with well-being and depressive symptoms among obese schoolchildren in Wuhan, China: a cross-sectional study

Abstract

Background

Methods

Results

Conclusions

At a glance: The ONWARDS insulin icodec trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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