BMI trajectories from infancy to 18 years and mental health in emerging adulthood.

Body mass index Depression Group-based trajectory modelling Mental health Psychological distress

Journal

Journal of affective disorders
ISSN: 1573-2517
Titre abrégé: J Affect Disord
Pays: Netherlands
ID NLM: 7906073

Informations de publication

Date de publication:
16 Sep 2024
Historique:
received: 26 03 2024
revised: 11 09 2024
accepted: 14 09 2024
medline: 19 9 2024
pubmed: 19 9 2024
entrez: 18 9 2024
Statut: aheadofprint

Résumé

Studies exploring early life-course BMI trajectories and subsequent mental health outcomes are limited but may provide important insights for early intervention. We investigated associations between BMI trajectories from 0 to 18 years and mental health outcomes in emerging adulthood. Data were obtained from 434 participants in the Melbourne Atopy Cohort Study (MACS). Anthropometric data were collected across 26 timepoints from infancy to age 25 and group-based trajectory modelling used to develop BMI trajectories from 0.1 to 18 years. Moderate-to-severe psychological distress (MSPD) and likely depression were assessed at age 18 and 25 years. Associations between BMI trajectories and mental health at 25 years and change in mental health between 18 and 25 years were estimated using logistic regression. History of asthma, hay fever or eczema were independently examined as potential effect modifiers. Five BMI trajectories were identified from 1 month to 18 years. When compared to the stable average BMI trajectory, we found increased risk of MSPD (OR = 2.97; 95%CI: 1.09,8.06) and likely depression (3.56; 1.39,9.12) at age 25 in the average increasing to high trajectory. This group also had a greater likelihood of new-onset depression (4.82; 1.54,15.0) from 18 to 25 years of age. MACS participants are not representative of the general population and mental health data was not available before 18 years of age. Excessive weight gain across the childhood transition was associated with poorer mental health in emerging adulthood, highlighting the importance of monitoring growth to allow for early identification and stratification of individuals are risk of poor mental health.

Sections du résumé

BACKGROUND BACKGROUND
Studies exploring early life-course BMI trajectories and subsequent mental health outcomes are limited but may provide important insights for early intervention. We investigated associations between BMI trajectories from 0 to 18 years and mental health outcomes in emerging adulthood.
METHODS METHODS
Data were obtained from 434 participants in the Melbourne Atopy Cohort Study (MACS). Anthropometric data were collected across 26 timepoints from infancy to age 25 and group-based trajectory modelling used to develop BMI trajectories from 0.1 to 18 years. Moderate-to-severe psychological distress (MSPD) and likely depression were assessed at age 18 and 25 years. Associations between BMI trajectories and mental health at 25 years and change in mental health between 18 and 25 years were estimated using logistic regression. History of asthma, hay fever or eczema were independently examined as potential effect modifiers.
RESULTS RESULTS
Five BMI trajectories were identified from 1 month to 18 years. When compared to the stable average BMI trajectory, we found increased risk of MSPD (OR = 2.97; 95%CI: 1.09,8.06) and likely depression (3.56; 1.39,9.12) at age 25 in the average increasing to high trajectory. This group also had a greater likelihood of new-onset depression (4.82; 1.54,15.0) from 18 to 25 years of age.
LIMITATIONS CONCLUSIONS
MACS participants are not representative of the general population and mental health data was not available before 18 years of age.
CONCLUSION CONCLUSIONS
Excessive weight gain across the childhood transition was associated with poorer mental health in emerging adulthood, highlighting the importance of monitoring growth to allow for early identification and stratification of individuals are risk of poor mental health.

Identifiants

DOI: 10.1016/j.jad.2024.09.101 PMID: 39293605
pubmed: 39293605
pii: S0165-0327(24)01589-1
doi: 10.1016/j.jad.2024.09.101
pii:
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Informations de copyright

Copyright © 2024. Published by Elsevier B.V.

Déclaration de conflit d'intérêts

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Claire Gallagher (C)

Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.

Katrina Lambert (K)

School of Psychology and Public Health, La Trobe University, Melbourne, Australia.

Jane Pirkis (J)

Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Australia.

Michael J Abramson (MJ)

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Chris Barton (C)

School of Public Health and Preventive Medicine, Monash University, Melbourne, Australia.

Caroline J Lodge (CJ)

Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.

Jennifer L Perret (JL)

Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.

N Sabrina Idrose (NS)

Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia.

Catherine M Bennett (CM)

Institute for Health Transformation, Deakin University, Waurn Ponds, Australia.

Nilakshi T Waidyatillake (NT)

Department of Medical Education, Melbourne Medical School, The University of Melbourne, Melbourne, Victoria, Australia.

Vijaya Sundararajan (V)

Department of Medicine, St Vincent's Hospital Melbourne, University of Melbourne, Melbourne, Victoria, Australia.

E Haydn Walters (EH)

Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia; School of Medicine, University of Tasmania, Hobart, Australia.

Shyamali C Dharmage (SC)

Allergy and Lung Health Unit, Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia. Electronic address: s.dharmage@unimelb.edu.au.

Bircan Erbas (B)

School of Psychology and Public Health, La Trobe University, Melbourne, Australia; Violet Vines Marshman, Centre for Rural Health Research, La Trobe University, Bendigo 3550, Victoria, Australia.

Classifications MeSH