Öz
Aim: Obesity is a critical public health issue that is increasingly prevalent among children. This study aimed to examine the psychological resilience of both obese and normal-weight children, as well as the factors influencing their resilience levels.
Material and Method: This study included obese and normal-weight children who applied to Başkent University Hospital between July 2023-August 2023. Children and their parents filled out a questionnaire consisting of parents' socio-demographic data and the "Child and Youth Resilience Measure”. SPSS-23 was utilized to conduct a comparison of scale scores through Pearson's correlation coefficient test. Additionally, multiple linear regression was employed to elucidate the connections between the variables.
Results: A total of 111 adolescents were included in this study, comprising 48 (43.2%) normal weight individuals and 63 (56.8%) obese individuals. The two groups did not differ significantly in terms of age and gender distribution (p >0.05). The study revealed a negative correlation between psychological resilience and children's age (r=-0.210, p=0.027), a positive correlation with family income (r=0.247, p=0.009), and a negative correlation with obesity (r=-0.342, p <0.001). Both univariate and multivariate analyses revealed a significant negative association between obesity and the father's education level (B: -1.00, p=0.046), as well as a negative relationship between obesity and psychological resilience (B:-0.12, p=0.001).
Conclusion: Our study revealed a negative correlation between children's resilience levels and their age and obesity status, while also showing a positive correlation with family income. Further research is warranted to explore the underlying mechanisms of these associations and to develop effective interventions aimed at enhancing children's resilience.
Keywords: Child, obesity, psychological resilience
Anahtar Kelimeler
Proje Numarası
KA 23/282
Teşekkür
We would thank all parents to participate in the study.
Kaynakça
- 1. Weihrauch-Blüher S, Wiegand S. Risk factors and implications of childhood obesity. Curr Obes Rep 2018;7:254-9.
- 2. Schachter J, Martel J, Lin CS, et al. Effects of obesity on depression:a role for inflammation and the gut microbiota. Brain Behav Immun 2018;69:1-8.
- 3. Stenbæk DS, Hjordt LV, Haahr ME, et al. Personality characteristics in surgery-seeking and non-surgery-seeking obese individuals compared to non-obese controls. Eat Behav 2014;15(4):595-8.
- 4. Borinsky S, Gaughan JP, Feldman-Winter L. Perceived overweight/obesity, low resilience, and body size dissatisfaction among adolescents. Obes Res Clin Pract 2019;13(5):448-52.
- 5. American Psychological Association. (n.d.). Resilience. APA. Retrieved August 2, 2023, from https://www.apa.org/topics/resilience
- 6. Foster BA, Weinstein K. Moderating Effects of Components of Resilience on Obesity Across Income Strata in the National Survey of Children's Health. Acad Pediatr 2019;19(1):58–66.
- 7. Thurston IB, Hardin R, Kamody RC, Herbozo S, Kaufman C. The moderating role of resilience on the relationship between perceived stress and binge eating symptoms among young adult women. Eat Behav 2018;29:114–9.
- 8. Tiainen AM, Männistö S, Lahti M, et al. Personality and dietary intake - findings in the Helsinki birth cohort study. PloS one 2013;8(7):e68284.
- 9. Whatnall MC, Patterson AJ, Siew YY. Kay-Lambkin F, Hutchesson MJ. Are Psychological Distress and Resilience Associated with Dietary Intake Among Australian University Students?. Int J Environ Res Public Health 2019;16(21):4099.
- 10. Giltay EJ, Geleijnse JM, Zitman FG, Buijsse B, Kromhout D. Lifestyle and dietary correlates of dispositional optimism in men:The Zutphen Elderly Study. J Psychosom Res. 2007;63:483–90.
- 11. Tinker LF, Rosal MC, Young AF, et al. Predictors of Dietary Change and Maintenance in the Women’s Health Initiative Dietary Modification Trial. J Am Diet Assoc. 2007;107:1155–65.
- 12. Mathieu J, Brunaud L, Reibel N, et al. Low resilience in severe obesity:marker of adverse childhood experiences and current psychological disorders. Eat Weight Disord-Stud Anorex Bulim Obes 2022;27(8):3507-19.
- 13. Sagar R, Gupta T. Psychological aspects of obesity in children and adolescents. Indian J Pediatr 2018;85:554-9.
- 14. Neyzi O, Günöz H, Furman A, Bundak R, Gokcay G. Türk Çocuklarinda Vücut Ağirliği, Boy Uzunluğu, Baş Çevresi ve Vücut Kitle İndeksi Referans Değerleri. Çocuk Sağlığı Ve Hastalıkları Derg 2008;1:51.
- 15. Liebenberg L, Ungar M, Van de Vijver, FRR. Validation of the Child and Youth Resilience Measure-28 (CYRM-28) among canadian youth with complex needs. Res Soc Work Pract 2012;22(2):219-26.
- 16. Liebenberg L, Ungar M, LeBlanc JC. The CYRM-12: a brief measure of resilience. Can J Public Health. 2013;104(2):131-5.
- 17. Arslan G. Çocuk ve Genç Psikolojik Sağlamlık Ölçeği’nin (ÇGPSÖ-12) psikometrik özellikleri:Geçerlilik ve güvenirlik çalışması. Ege Eğitim Derg 2015;16(1):1-12.
- 18. Ruiz LD, Zuelch ML, Dimitratos SM, Scherr RE. Adolescent obesity:diet quality, psychosocial health, and cardiometabolic risk factors. Nutrients 2019;12(1):42-3.
- 19. Uzun ME, Kara Ö, Şirin H, Kaymaz N. Examination of relationship factors between psychological resilience and social support in adolescent obesity. Archives de Pédiatrie 2023;1:23-4.
- 20. Kallem S, Carroll‐Scott A, Rosenthal L, et al. Shift‐and‐persist:A protective factor for elevated BMI among low‐socioeconomic‐status children. Obesity 2013;21(9):1759-63.
- 21. Erem C, Arslan C, Hacihasanoglu A, et al. Prevalence of obesity and associated risk factors in a Turkish population (Trabzon city, Turkey). Obes Res. 2004;12(7):1117-27.
Öz
Amaç: Obezite, çocuklar arasında giderek yaygınlaşan kritik bir halk sağlığı sorunudur. Bu çalışmanın amacı, hem obez hem de normal kilolu çocukların psikolojik dayanıklılıklarının yanı sıra psikolojik sağlamlık düzeylerini etkileyen faktörlerin incelenmesidir.
Gereç ve Yöntem: Bu çalışmaya Temmuz 2023-Ağutos 2023 tarihleri arasında Başkent Üniversitesi Hastanesi'ne başvuran obez ve normal kilolu çocuklar dahil edilmiştir. Çocuklar ve ebeveynleri, ebeveynlere ait sosyo-demografik verilerden ve “Çocuk ve Genç Psikolojik Sağlamlık Ölçeği”nden oluşan bir anket formunu doldurmuştur. Pearson korelasyon katsayısı testi ile ölçek puanlarının karşılaştırılması için SPSS-23 kullanılmıştır. Ek olarak, değişkenler arasındaki bağlantıları açıklamak için çoklu doğrusal regresyon kullanılmıştır.
Bulgular: Bu çalışmaya 48 (%43,2) normal kilolu, 63 (%56,8) obez olmak üzere toplam 111 adolesan dahil edilmiştir. İki grup yaş ve cinsiyet dağılımı açısından anlamlı farklılık görülmemiştir (p >0.05). Bu çalışmada; psikolojik dayanıklılık ile çocukların yaşı arasında negatif (r=-0.210, p=0.027), aile geliri ile pozitif (r=0.247, p=0.009) ve obezite ile negatif bir ilişki saptanmıştır (r=-0.342, p <0.001). Hem tek değişkenli hem de çok değişkenli analizler sonucunda obezite ile babanın eğitim düzeyi (B: -1,00, p=0,046) ve psikolojik dayanıklılık (B: -0,12, p=0.001) arasında negatif bir ilişki gözlenmiştir.
Sonuç: Çalışmamız çocukların dayanıklılık düzeyleri ile yaş ve obezite durumları arasında negatif, aile geliri ile pozitif korelasyon göstermiştir. Bu ilişkilerin altında yatan mekanizmaları keşfetmek ve çocukların dayanıklılığını artırmayı amaçlayan etkili müdahaleler geliştirmek için daha fazla araştırma yapılması gerekmektedir.
Anahtar Kelimeler: Çocuk, obezite, psikolojik sağlamlık
Anahtar Kelimeler
Proje Numarası
KA 23/282
Kaynakça
- 1. Weihrauch-Blüher S, Wiegand S. Risk factors and implications of childhood obesity. Curr Obes Rep 2018;7:254-9.
- 2. Schachter J, Martel J, Lin CS, et al. Effects of obesity on depression:a role for inflammation and the gut microbiota. Brain Behav Immun 2018;69:1-8.
- 3. Stenbæk DS, Hjordt LV, Haahr ME, et al. Personality characteristics in surgery-seeking and non-surgery-seeking obese individuals compared to non-obese controls. Eat Behav 2014;15(4):595-8.
- 4. Borinsky S, Gaughan JP, Feldman-Winter L. Perceived overweight/obesity, low resilience, and body size dissatisfaction among adolescents. Obes Res Clin Pract 2019;13(5):448-52.
- 5. American Psychological Association. (n.d.). Resilience. APA. Retrieved August 2, 2023, from https://www.apa.org/topics/resilience
- 6. Foster BA, Weinstein K. Moderating Effects of Components of Resilience on Obesity Across Income Strata in the National Survey of Children's Health. Acad Pediatr 2019;19(1):58–66.
- 7. Thurston IB, Hardin R, Kamody RC, Herbozo S, Kaufman C. The moderating role of resilience on the relationship between perceived stress and binge eating symptoms among young adult women. Eat Behav 2018;29:114–9.
- 8. Tiainen AM, Männistö S, Lahti M, et al. Personality and dietary intake - findings in the Helsinki birth cohort study. PloS one 2013;8(7):e68284.
- 9. Whatnall MC, Patterson AJ, Siew YY. Kay-Lambkin F, Hutchesson MJ. Are Psychological Distress and Resilience Associated with Dietary Intake Among Australian University Students?. Int J Environ Res Public Health 2019;16(21):4099.
- 10. Giltay EJ, Geleijnse JM, Zitman FG, Buijsse B, Kromhout D. Lifestyle and dietary correlates of dispositional optimism in men:The Zutphen Elderly Study. J Psychosom Res. 2007;63:483–90.
- 11. Tinker LF, Rosal MC, Young AF, et al. Predictors of Dietary Change and Maintenance in the Women’s Health Initiative Dietary Modification Trial. J Am Diet Assoc. 2007;107:1155–65.
- 12. Mathieu J, Brunaud L, Reibel N, et al. Low resilience in severe obesity:marker of adverse childhood experiences and current psychological disorders. Eat Weight Disord-Stud Anorex Bulim Obes 2022;27(8):3507-19.
- 13. Sagar R, Gupta T. Psychological aspects of obesity in children and adolescents. Indian J Pediatr 2018;85:554-9.
- 14. Neyzi O, Günöz H, Furman A, Bundak R, Gokcay G. Türk Çocuklarinda Vücut Ağirliği, Boy Uzunluğu, Baş Çevresi ve Vücut Kitle İndeksi Referans Değerleri. Çocuk Sağlığı Ve Hastalıkları Derg 2008;1:51.
- 15. Liebenberg L, Ungar M, Van de Vijver, FRR. Validation of the Child and Youth Resilience Measure-28 (CYRM-28) among canadian youth with complex needs. Res Soc Work Pract 2012;22(2):219-26.
- 16. Liebenberg L, Ungar M, LeBlanc JC. The CYRM-12: a brief measure of resilience. Can J Public Health. 2013;104(2):131-5.
- 17. Arslan G. Çocuk ve Genç Psikolojik Sağlamlık Ölçeği’nin (ÇGPSÖ-12) psikometrik özellikleri:Geçerlilik ve güvenirlik çalışması. Ege Eğitim Derg 2015;16(1):1-12.
- 18. Ruiz LD, Zuelch ML, Dimitratos SM, Scherr RE. Adolescent obesity:diet quality, psychosocial health, and cardiometabolic risk factors. Nutrients 2019;12(1):42-3.
- 19. Uzun ME, Kara Ö, Şirin H, Kaymaz N. Examination of relationship factors between psychological resilience and social support in adolescent obesity. Archives de Pédiatrie 2023;1:23-4.
- 20. Kallem S, Carroll‐Scott A, Rosenthal L, et al. Shift‐and‐persist:A protective factor for elevated BMI among low‐socioeconomic‐status children. Obesity 2013;21(9):1759-63.
- 21. Erem C, Arslan C, Hacihasanoglu A, et al. Prevalence of obesity and associated risk factors in a Turkish population (Trabzon city, Turkey). Obes Res. 2004;12(7):1117-27.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Çocuk Sağlığı ve Hastalıkları (Diğer) |
| Bölüm | Orjinal Araştırma Makaleleri |
| Yazarlar | |
| Proje Numarası | KA 23/282 |
| Yayımlanma Tarihi | 15 Ekim 2023 |
| Kabul Tarihi | 14 Eylül 2023 |
| Yayımlandığı Sayı | Yıl 2023 Cilt: 11 Sayı: 3 |
