title: Association between mental health and comorbid obesity and hypertension among children and adolescents in the US.
abstract: This paper examines the association between mental health and comorbid obesity and hypertension among US children and adolescents using data from the National Health and Nutritional Examination Survey (NHANES). Questionnaires from NHANES were used to assess mental health during the previous 30 days. Respondents were then categorized into two groups namely "poor mental health" and "good mental health" based on their responses to these survey questions. Three multiple logistic regression models, based on these categories, are estimated to compute the odds ratios and 95% confidence intervals in the association of obesity and hypertension and mental health. As a select example, the results of Model 2 reveal that compared with respondents who are not obese, obese respondents have increased odds (OR = 1.24; P < 0.0001) of poor mental health. Furthermore compared with non-hypertensive respondents, hypertensive respondents have higher odds (OR = 2.96; P < 0.0001) of poor mental health. These findings have important implications for mental health management in younger populations. It brings into focus the maintenance of a healthy body mass index and hypertension control in mitigating poor mental health.
authors.affiliation: Pharmaceutical Health Services Research Department, School of Pharmacy, University of Maryland, 220 Arch St., 12th Floor, Baltimore, MD, 21201, USA, lga@unm.edu.
authors.forename: Justin
authors.initials: J
authors.lastname: Tevie
authors.forename: Fadia T
authors.initials: FT
authors.lastname: Shaya
mesh_terms: D000293:Adolescent; D015992:Body Mass Index; D002648:Child; D002675:Child, Preschool; D015897:Comorbidity; D005260:Female; D006801:Humans; D006973:Hypertension / Q000453:epidemiology* / Q000208:ethnology; D007223:Infant; D016015:Logistic Models; D008297:Male; D001523:Mental Disorders / Q000453:epidemiology* / Q000208:ethnology; D008603:Mental Health; D009749:Nutrition Surveys; D009765:Obesity / Q000453:epidemiology* / Q000208:ethnology; D016017:Odds Ratio; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014481:United States / Q000453:epidemiology