- Preschool-age girls who are obese are nearly 3-fold more likely to use mental health services before age 19 years than girls who were a healthy weight.
- Preschool-age boys who were overweight or at risk for becoming overweight were also more likely to seek mental health services than healthy-weight boys, although their usage was not as high as obese girls.
Why this matters
- Mental health status should be included in clinicians’ routine check-ups for preschool children who are obese.
- 10,522 children age 2 to
- Funding: Canadian Institutes of Health Research; others.
- The average time of follow-up in this cohort was 3.2 years (median, 2.2 years).
- Incidence rates for mental health service use:
- Overall: 44.5 events/1000 person-years.
- Girls: 34.0 cases/1000 person-years.
- Boys: 56 cases/1000 person-years.
- Compared with those with healthy weight, risks for mental health service use were:
- Girls with obesity: HR, 2.73 (P<.001>
- Boys who were overweight: HR, 1.22 (P=.02).
- Boys at risk of being overweight: HR, 1.43 (P=.01).
- Retrospective study.
Coauthored with Chitra Ravi, MPharm