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Title: Association Between Clinically Meaningful Behavior Problems and Overweight in Children
Resulting in 1 citation.
1. Lumeng, Julie C.
Gannon, Kate
Cabral, Howard J.
Frank, Deborah A.
Zuckerman, Barry
Association Between Clinically Meaningful Behavior Problems and Overweight in Children
Pediatrics 112,5 (November 2003): 1138-1146.
Cohort(s): Children of the NLSY79, NLSY79
Publisher: American Academy of Pediatrics
Keyword(s): Behavior Problems Index (BPI); Behavioral Problems; Body Mass Index (BMI); Child Health, Limiting Condition(s); Cigarette Use (see Smoking); Depression (see also CESD); Grade Retention/Repeat Grade; Home Observation for Measurement of Environment (HOME); Modeling, Logit; Mothers; Mothers, Education; Obesity; Poverty; Racial Differences; Television Viewing; Variables, Independent - Covariate; Weight

Objective. To determine whether there is a relationship between clinically meaningful behavior problems and concurrent and future overweight in 8- to 11-year-old children.

Methods. 1998 National Longitudinal Survey of Youth interview data for 8- to 11-year-old children and their mothers were analyzed. A Behavior Problems Index score >= the 90th percentile was considered clinically meaningful. Child overweight was defined as a body mass index (BMI) >= the 95th percentile for age and sex. Multiple logistic regression was used to control for potential confounders (selected a priori): child's sex, race, use of behavior-modifying medication, history of academic retention, and hours of television per day; maternal obesity, smoking status, marital status, education, and depressive symptoms; family poverty status; and Home Observation for Measurement of the Environment-Short Form (HOME-SF) cognitive stimulation score. In an attempt to elucidate temporal sequence, a second analysis was conducted with a subsample of normal-weight children who became overweight between 1996 and 1998 while controlling for BMI z score in 1996.

Results. The sample included 755 mother-child pairs. Of the potential confounding variables, race, maternal obesity, academic grade retention, maternal education, poverty status, and HOME-SF cognitive stimulation score acted as joint confounders, altering the relationship between behavior problems and overweight in the multiple logistic regression model. With these covariates in the final model, behavior problems were independently associated with concurrent child overweight (adjusted odds ratio: 2.95; 95% confidence interval: 1.34-6.49). The relationship was strengthened in the subsample of previously normal-weight children, with race, maternal obesity, HOME-SF cognitive stimulation score, and 1996 BMI z score acting as confounders (adjusted odds ratio: 5.23; 95% confidence interval: 1. 37-19.9).

Conclusions. Clinically meaningful behavior problems in 8- to 11-year-old children were independently associated with an increased risk of concurrent overweight and becoming overweight in previously normal-weight children. [ABSTRACT FROM AUTHOR]

Bibliography Citation
Lumeng, Julie C., Kate Gannon, Howard J. Cabral, Deborah A. Frank and Barry Zuckerman. "Association Between Clinically Meaningful Behavior Problems and Overweight in Children." Pediatrics 112,5 (November 2003): 1138-1146.