Predicting Psychosocial Health of Children and Adolescents with Obesity in Germany: The Underappreciated Role of Physical Fitness

<i>Background</i>: The aim of this study was to analyze the inhibitory and promotive factors of psychosocial health in the context of childhood obesity, incorporating physical fitness as an additional, potentially relevant predictor. <i>Methods</i>: The sample comprised cross...

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Autores principales:	Nina Eisenburger, David Friesen, Fabiola Haas, Marlen Klaudius, Lisa Schmidt, Susanne Vandeven, Christine Joisten
Formato:	article
Lenguaje:	EN
Publicado:	MDPI AG 2021
Materias:	childhood obesity health-related quality of life self-concept self-perception physical fitness psychosocial health Medicine R
Acceso en línea:	https://doaj.org/article/5bbbf2ba01a74a3abebc30f32ffdfb93
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spelling	oai:doaj.org-article:5bbbf2ba01a74a3abebc30f32ffdfb932021-11-11T16:20:15ZPredicting Psychosocial Health of Children and Adolescents with Obesity in Germany: The Underappreciated Role of Physical Fitness10.3390/ijerph1821111881660-46011661-7827https://doaj.org/article/5bbbf2ba01a74a3abebc30f32ffdfb932021-10-01T00:00:00Zhttps://www.mdpi.com/1660-4601/18/21/11188https://doaj.org/toc/1661-7827https://doaj.org/toc/1660-4601<i>Background</i>: The aim of this study was to analyze the inhibitory and promotive factors of psychosocial health in the context of childhood obesity, incorporating physical fitness as an additional, potentially relevant predictor. <i>Methods</i>: The sample comprised cross-sectional data of 241 children and adolescents with obesity and overweight from the German Children’s Health InterventionaL TriaL III program (12.5 ± 2.1 years; 51.9% girls). Demographics and lifestyle patterns were assessed via parent reports. Anthropometric data and physical fitness in relation to body weight (W/kg) were measured. Children and adolescents completed standardized questionnaires (GW-LQ-KJ, FSK-K) to assess health-related quality of life (HRQOL) and five dimensions of self-concept (scholastic, social, physical, behavioral, and self-worth). <i>Results</i>: Multiple linear regression analysis showed that HRQOL was significantly related to relative physical fitness (W/kg; <i>β</i> = 0.216, <i>p</i> = 0.011) as were scholastic (<i>β</i> = 0.228, <i>p</i> = 0.008) and social self-concept (<i>β</i> = 0.197, <i>p</i> = 0.023). Increasing body mass index (BMI) <i>Z</i>-scores, age, physical activity (hours/day), low parental educational levels, and/or migration background were negatively associated with three subdomains of self-concept (physical, behavioral, self-worth; all <i>p</i> < 0.05). <i>Conclusion</i>: The results emphasize BMI <i>Z</i>-scores, age, physical activity, migration background, and parents’ educational level as relevant predictors of psychosocial health in the context of childhood obesity. Additionally, this study adds physical fitness as a key determinant of HRQOL and self-concept. To enable the development of more effective weight management, therapeutic strategies should therefore consider addressing these aspects and improving physical fitness in particular not only for weight loss but also to strengthen psychosocial health.Nina EisenburgerDavid FriesenFabiola HaasMarlen KlaudiusLisa SchmidtSusanne VandevenChristine JoistenMDPI AGarticlechildhood obesityhealth-related quality of lifeself-conceptself-perceptionphysical fitnesspsychosocial healthMedicineRENInternational Journal of Environmental Research and Public Health, Vol 18, Iss 11188, p 11188 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	childhood obesity health-related quality of life self-concept self-perception physical fitness psychosocial health Medicine R
spellingShingle	childhood obesity health-related quality of life self-concept self-perception physical fitness psychosocial health Medicine R Nina Eisenburger David Friesen Fabiola Haas Marlen Klaudius Lisa Schmidt Susanne Vandeven Christine Joisten Predicting Psychosocial Health of Children and Adolescents with Obesity in Germany: The Underappreciated Role of Physical Fitness
description	<i>Background</i>: The aim of this study was to analyze the inhibitory and promotive factors of psychosocial health in the context of childhood obesity, incorporating physical fitness as an additional, potentially relevant predictor. <i>Methods</i>: The sample comprised cross-sectional data of 241 children and adolescents with obesity and overweight from the German Children’s Health InterventionaL TriaL III program (12.5 ± 2.1 years; 51.9% girls). Demographics and lifestyle patterns were assessed via parent reports. Anthropometric data and physical fitness in relation to body weight (W/kg) were measured. Children and adolescents completed standardized questionnaires (GW-LQ-KJ, FSK-K) to assess health-related quality of life (HRQOL) and five dimensions of self-concept (scholastic, social, physical, behavioral, and self-worth). <i>Results</i>: Multiple linear regression analysis showed that HRQOL was significantly related to relative physical fitness (W/kg; <i>β</i> = 0.216, <i>p</i> = 0.011) as were scholastic (<i>β</i> = 0.228, <i>p</i> = 0.008) and social self-concept (<i>β</i> = 0.197, <i>p</i> = 0.023). Increasing body mass index (BMI) <i>Z</i>-scores, age, physical activity (hours/day), low parental educational levels, and/or migration background were negatively associated with three subdomains of self-concept (physical, behavioral, self-worth; all <i>p</i> < 0.05). <i>Conclusion</i>: The results emphasize BMI <i>Z</i>-scores, age, physical activity, migration background, and parents’ educational level as relevant predictors of psychosocial health in the context of childhood obesity. Additionally, this study adds physical fitness as a key determinant of HRQOL and self-concept. To enable the development of more effective weight management, therapeutic strategies should therefore consider addressing these aspects and improving physical fitness in particular not only for weight loss but also to strengthen psychosocial health.
format	article
author	Nina Eisenburger David Friesen Fabiola Haas Marlen Klaudius Lisa Schmidt Susanne Vandeven Christine Joisten
author_facet	Nina Eisenburger David Friesen Fabiola Haas Marlen Klaudius Lisa Schmidt Susanne Vandeven Christine Joisten
author_sort	Nina Eisenburger
title	Predicting Psychosocial Health of Children and Adolescents with Obesity in Germany: The Underappreciated Role of Physical Fitness
title_short	Predicting Psychosocial Health of Children and Adolescents with Obesity in Germany: The Underappreciated Role of Physical Fitness
title_full	Predicting Psychosocial Health of Children and Adolescents with Obesity in Germany: The Underappreciated Role of Physical Fitness
title_fullStr	Predicting Psychosocial Health of Children and Adolescents with Obesity in Germany: The Underappreciated Role of Physical Fitness
title_full_unstemmed	Predicting Psychosocial Health of Children and Adolescents with Obesity in Germany: The Underappreciated Role of Physical Fitness
title_sort	predicting psychosocial health of children and adolescents with obesity in germany: the underappreciated role of physical fitness
publisher	MDPI AG
publishDate	2021
url	https://doaj.org/article/5bbbf2ba01a74a3abebc30f32ffdfb93
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Predicting Psychosocial Health of Children and Adolescents with Obesity in Germany: The Underappreciated Role of Physical Fitness

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