The association between obesity and academic performance in youth: a systematic review

Obesity Reviews

Volumn 18, Issue 10, 2017, Pages 1191-1199

  Santana, C C A ^a   Hill, J O ^b   Azevedo, L B ^c   Gunnarsdottir, T ^d   Prado, W L ^a,e  

^a FEDERAL UNIVERSITY OF PERNAMBUCO   (Brazil)

^b UNIVERSITY OF COLORADO   (United States)

^c TEESSIDE UNIVERSITY   (United Kingdom)

^d WASHINGTON UNIVERSITY   (United States)

^e FEDERAL UNIVERSITY OF SÃO PAULO   (Brazil)

Author keywords

Academic achievement; obesity; physical education; students

Indexed keywords

ACADEMIC ACHIEVEMENT; CHILD; EDUCATIONAL STATUS; HUMAN; MEDLINE; OBESITY; OUTCOME ASSESSMENT; PHYSICAL ACTIVITY; REVIEW; SCHOOL CHILD; SOCIAL STATUS; SYSTEMATIC REVIEW; WEB OF SCIENCE; PSYCHOLOGY;

ACADEMIC PERFORMANCE; CHILD; HUMANS; OBESITY;

EID: 85028810381     PISSN: 14677881     EISSN: 1467789X     Source Type: Journal    
DOI: 10.1111/obr.12582     Document Type: Review

References (90)

1. Lakshman R, Elks CE, Ong KK. Childhood obesity. Circulation 2012; 126: 1770–1779.
2. Huizinga MM, Beech BM, Cavanaugh KL, Elasy TA, Rothman RL. Low numeracy skills are associated with higher BMI. Obesity 2008; 16: 1966–1968.
3. Schwimmer JB, Burwinkle TM, Varni JW. Health-related quality of life of severely obese children and adolescents. JAMA 2003; 289: 1813–1819.
4. Yu ZB, Han SP, Cao XG, Guo XE. Intelligence in relation to obesity: a systematic review and meta-analysis. Obesity 2009; 11: 656–670.
5. Li Y, Dai Q, Jackson JC, Zhang J. Overweight is associated with decreased cognitive functioning among school-age children and adolescents. Obesity 2008; 16: 1809–1815.
6. Azurmendi A, Braza F, Sorozabal A et al. Cognitive abilities, androgen levels, and body mass index in 5-year-old children. Horm Behav 2005; 48: 187–195.
7. Cawley J, Spiess CK. Obesity and skill attainment in early childhood. Econ Hum Biol 2008; 6: 388–397.
8. Gunstad J, Spitznagel MB, Paul RH et al. Body mass index and neuropsychological function in healthy children and adolescents. Appetite 2008; 50: 246–251.
9. Serbin LA, Stack DM, Kingdon D. Academic sucess across the transition from primary to seconday schooling among lower-income adolescents: under-standing the effects resources and gender. J Youth Adolesc 2013; 42: 1331–1347.
10. Cottrell LA, Northrup K, Wittberg R. The extended relationship between child cardiovascular risks and academic performance measures. Obesity 2007; 15: 3170–3177.
11. Fowler-Brown A, Ngo L, Phillips R, Wee C. Adolescent obesity and future college degree attainment. Obesity 2010; 18: 1235–1241.
12. Griffiths LJ, Parsons TJ, Hill AJ. Self-esteem and quality of life in obese children and adolescents: a systematic review. Int J Pediatr Obes 2010; 5: 282–304.
13. Krukowski RA, West DS, Philyaw PA, Bursac Z, Phillips MM, Raczynski JM. Overweight children, weight-based teasing and academic performance. Int J Pediatr Obes 2009; 4: 274–280.
14. Fan Y, Li Y, Liu A, Hu X, Ma G, Xu G. Associations between body mass index, weight control concerns and behaviors, and eating disorder symptoms among non-clinical Chinese adolescents. BMC Public Health 2010; 10: 1–12.
15. Goldfield GS, Moore C, Henderson K, Buchholz A, Obeid N, Flament MF. Body dissatisfaction, dietary restraint, depression, and weight status in adolescents. J Sch Health 2010; 80: 186–192.
16. Gunnarsdottir T, Njardvik U, Olafsdottir AS, Craighead LW, Bjarnason R. Teasing and social rejection among obese children enrolling in family-based behavioural treatment: effects on psychological adjustment and academic competencies. Int J Obes 2011; 36: 35–44.
17. Pan L, Sherry B, Park S, Blanck HM. The association of obesity and school absenteeism attributed to illness or injury among adolescents in the United States. J Adolesc Health 2013; 52: 64–69.
18. Datar A, Sturm R, Magnabosco JL. Childhood overweight and academic performance: national study of kindergartners and first-grades. Obes Res 2004; 12: 58–68.
19. Shore SM, Sachs ML, Lidicker JR, Brett SN, Wright AR, Libonati JR. Decreased scholastic achievement in overweight middle school students. Obesity 2008; 16: 1535–1538.
20. Taras H, Potts-Datema W. Obesity and student performance at school. J Sch Health 2005; 75: 291–295.
21. Moher D, Liberati A, Tetzlaff J, Altman DG. Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Ann Intern Med 2009; 151: 264–269.
22. Vandenbroucke JP, Von Elm E, Altman DG et al. Strengthening the reporting of observational studies in epidemiology (STROBE): explanation and elaboration. Epidemiology 2007; 18: 805–835.
23. Lubans DR, Morgan PJ, Cliff DP, Bamett LM, Okely AD. Fundamental movement skills in children and adolescents: review of associated health benefits. Sports Med 2010; 40: 1019–1035.
24. Alatupa S, Pulkki-Ráback L, Hintsanen M et al. School performance as a predictor of adulthood obesity: a 21-year follow-up study. Eur J Epidemiol 2010; 25: 267–274.
25. Arora T, Hosseini-Araghi M, Bishop J, Yao GL, Thomas GN, Taheri S. The complexity of obesity in UK adolescents: relationships with quantity and type of technology, sleep duration and quality, academic performance and aspiration. Pediatr Obes 2013; 8: 358–366.
26. Carey FR, Singh GK, Brown HS, Wilkinson AV. Educational outcomes associated with childhood obesity in the United States: cross-sectional results from the 2011–2012 National Survey of Children's Health. Int J Behav Nutr Phys Act 2015; 12: 1–11.
27. Florin TA, Shults J, Stettler N. Perception of overweight is associated with poor academic performance in US adolescent. J Sch Health 2011; 81: 663–670.
28. MacCann C, Roberts RD. Just as smart but not as successful: obese students obtain lower school grades but equivalent test scores to nonobese students. Int J Obes 2013; 37: 40–46.
29. Mo-Suwan L, Lebel L, Junjana C. School performance and weight status of children and young adolescents in a transitional society in Thailand. Int J Obes Relat Metab Disord 1999; 23: 272–277.
30. Sabia JJ. The effect of body weight on adolescent academic performance. South Econ J 2007; 73: 871–900.
31. Stroebele N, McNally J, Plog A, Siegfried S, Hill JO. The association of self-reported sleep, weigh status, and academic performance in fifth-grade students. J Sch Health 2013; 83: 77–84.
32. Xie B, Chou CP, Spruijt-Metz D et al. Weight perception, academic performance, and psychological factors in Chinese adolescents. Am J Health Behav 2006; 30: 115–124.
33. Kim JH, So WY. Association between overweight/obesity and academic performance in South Korean adolescents. Cent Eur J Public Health 2013; 21: 179–183.
34. Freidl EK, Sysko R, Devlin MJ, Zitsman JL, Kaplan SC, Walsh BT. School and cognitive functioning problems in adolescent bariatric surgery candidates. Surg Obes Relat Dis 2013; 9: 991–996.
35. Suchert V, Hanewinkel R, Isensee B. Longitudinal relationships of fitness, physical activity, and weight status with academic achievement in adolescents. J Sch Health 2016; 86: 734–741.
36. Deliens T, Clarys P, De Bourdeaudhuij L, Deforche B. Weight, socio-demographics, and health behaviour related correlates of academic performance in first year university students. Nutr J 2013; 13: 1–9.
37. Agarwal S, Bhalla P, Kaur S, Babbar R. Effect of body mass index on physical self concept, cognition & academic performance of first year medical students. Indian J Med Res 2013; 138: 515–522.
38. Andreenko E, Mladenova S, Akabaliev V. Anthropometric obesity indices in relation to age, educational level, occupation and physical activity in Bulgarian men. Nutr Hosp 2014; 31: 658–665.
39. Gavin AR, Simon GE, Ludman EJ. The association between obesity, depression, and educational attainment in women: the mediating role of body image dissatisfaction. J Psychosom Res 2010; 69: 573–581.
40. Seppänen-Nuijten E, Lahti-Koski M, Männistö S et al. Fat free mass and obesity in relation to educational level. BMC Public Health 2009; 9: 1–10.
41. Hajian-Tilaki KO, Heidari B. Association of educational level with risk of obesity and abdominal obesity in Iranian adults. J Public Health 2010; 32: 202–209.
42. Nobre EL, Jorge Z, Domingues A, Macedo A, Jácome de Castro J. The relationship between body mass index and educational level in young Portuguese males: 1995 and 1999 cohorts. Int J Obes 2006; 30: 1580–1584.
43. Schnohr C, Højbjerre L, Riegels M et al. Does educational level influence the effects of smoking, alcohol, physical activity, and obesity on mortality? A prospective population study. Scand J Public Health 2004; 32: 250–256.
44. Martin A, Saunders DH, Shenkin SD, Sproule J. Lifestyle intervention for improving school achievement in overweight or obese children and adolescents. Cochrane Database Syst Rev 2014; 14: 1–95.
45. Cosgrove RG, Arroyo C, Warren JC, Zhang J. Impaired cognitive functioning in overweight children and adolescents. Obesity 2009; 20: 48–51.
46. Daniels DY. Examining attendance, academic performance, and behavior in obese adolescents. J Sch Nurs 2008; 24: 379–387.
47. Burkhalter TM, Hillman CH. A narrative review of physical activity, nutrition, and obesity to cognition and scholastic performance across the human lifespan. Adv Nutr 2011; 2: 201–206.
48. Rampersaud GC, Pereira MA, Girard BL, Adams J, Metzl JD. Breakfast habits, nutritional status, body weight, and academic performance in children and adolescents. J Am Diet Assoc 2005; 105: 743–760.
49. Cohen AK, Rai M, Rehkopf DH, Abrams B. Educational attainment and obesity: a systematic review. Obes Rev 2013; 14: 989–005.
50. Clark D, Slate JR, Viglietti GC. Children's weight and academic performance in elementary school: cause for concern? ASAP 2009; 9: 185–104.
51. Datar A, Sturm R. Childhood overweight and elementary school outcomes. Int J Obes 2006; 30: 1449–1460.
52. Eide ER, Showalter MH, Goldhaber DD. The relation between children's health and academic achievement. Child Youth Serv Rev 2010; 32: 231–238.
53. Gable S, Krull JL, Chang Y. Boys' and girls' weight status and Math performance from kindergarten entry through fifth grade: a mediated analysis. Child Dev 2012; 83: 1822–1839.
54. Gurley-Calvez T, Higginbotham A. Childhood obesity, academic achievement, and school expenditures. Public Financ Rev 2010; 38: 619–646.
55. Harrington SA. Relationship of objectively measured physical activity and sleep with BMI and academic outcomes in 8-year-old children. Appl Nurs Res 2013; 26: 63–70.
56. Judge S, Jahns L. Association of overweight with academic performance and social and behavioral problems: an update from the early childhood longitudinal study. J Sch Health 2007; 77: 672–678.
57. Kaestner R, Grossman M. Effects of weight children's educational achievement. Econ Educ Rev 2009; 28: 651–661.
58. Kamijo K, Khan NA, Pontifex MB et al. The relation of adiposity to cognitive control and scholastic achievement in preadolescent children. Obesity 2012; 20: 2406–2411.
59. LeBlanc MM, Martin CK, Han H et al. Adiposity and physical activity are not related to academic achievement in school-aged children. J Dev Behav Pediatr 2012; 33: 486–494.
60. Ramaswamy R, Mirochna M, Perlmuter LC. The negative association of BMI with classroom effort in elementary school children. J Child Health Care 2010; 14: 161–169.
61. Roberts CK, Freed B, McCarthy WJ. Low aerobic fitness and obesity associated with lower standardized test scores in children. J Pediatr 2010; 156: 711–718.
62. Yau PL, Kang EH, Javier DC, Convit A. Preliminary evidence of cognitive and brain abnormalities in uncomplicated adolescent obesity. Obesity 2014; 22: 1865–1871.
63. Zavodny M. Does affect children's test scores and teacher assessments differently? Econ Educ Rev 2013; 34: 135–145.
64. Bisset S, Foumier M, Pagani L, Janosz M. Predicting academic and cognitive outcomes from weight status trajectories during childhood. Int J Obes 2013; 37: 154–159.
65. Carter MA, Dubois L, Ramsay T. Examining the relationship between obesity and math performance among Canadian school children: a prospective analysis. Int J Pediatr Obes 2010; 5: 412–419.
66. Baxter SD, Royer JA, Hardin JW, Guinn CH, Devlin CM. The relationship of school absenteeism with body mass index, academic achievement, and socioeconomic status among fourth-grade children. J Sch Health 2011; 81: 417–423.
67. Baxter SD, Guinn CH, Tebbs JM, Royer JA. There is no relationship between academic achievement and body mass index among fourth-grade, predominantly African–American children. J Acad Nutr Diet 2013; 113: 551–557.
68. Abdelalim A, Ajaj N, Al-Tmimy A et al. Childhood obesity and academic achievement among male students in public primary schools in Kuwait. Med Princ Pract 2011; 21: 14–19.
69. Barrigas C, Fragoso I. Obesity, academic performance and reasoning ability in Portuguese students between 6 and 12 years old. J Biosoc Sci 2012; 44: 165–179.
70. Booth JN, Tomporowski PD, Boyle JME et al. Obesity impairs academic attainment in adolescence: findings from ALSPAC, a UK cohort. Int J Obes 2014; 38: 1335–1342.
71. Chen LJ, Fox KR, Ku PW, Wang CH. A longitudinal study of childhood obesity, weight status change, and subsequent academic performance in Taiwanese children. J Sch Health 2012; 82: 424–431.
72. Heshmat R, Larijani FA, Pourabbasi A, Pourabbasi A. Do overweight students have lower academic performance than their classmates? A pilot cross sectional study in a middle school in Tehran. J Diabetes Metab Disord 2014; 13: 1–5.
73. Huang T, Tarp J, Domazet SL et al. Associations of adiposity and aerobic fitness with executive function and Math performance in Danish adolescents. J Pediatr 2015; 167: 810–815.
74. Kang YW, Park JH. Does skipping breakfast and being overweight influence academic achievement among Korean adolescents? Osong Public Health Res Perspect 2016; 7: 220–227.
75. Kantomaa MT, Stamatakis E, Kankaanpää A et al. Physical activity and obesity mediate the association between childhood motor function and adolescents' academic achievement. PNAS 2013; 110: 1917–1922.
76. Morita N, Nakajima T, Okita K, Ishihara T, Sagawa M, Yamatsu K. Relationship among fitness, obesity, screen time and academic achievement in Japanese adolescents. Physiol Behav 2016; 163: 161–166.
77. Olivares PR, García-Rubio J. Associations between different components of fitness and fatness with academic performance in Chilean youths. Peer J 2016; 6: 1–17.
78. Tonetti L, Fabbri M, Filardi M, Martoni M, Natale V. The association between higher body mass index and poor school performance in high school students. Pediatr Obes 2016; 11: 27–29.
79. Torrijos-Niño C, Martínez-Vizcaíno V, Pardo-Guijarro MJ, García-Prieto JC, Arias-Palencia NM, Sánchez-López M. Physical fitness, obesity, and academic achievement in schoolchildren. J Pediatr 2014; 165: 104–109.
80. Veldwijk J, Fries MCE, Bemelmans WJE et al. Overweight and school performance among primary school children: the PIAMA birth cohort study. Obesity 2012; 20: 590–596.
81. Cole TJ, Bellizzi MC, Flegal KM, Dietz WH. Establishing a standard definition for child overweight and obesity worldwide: international survey. BMJ 2000; 320: 1240–1243.
82. Must A, Dallal GE, Dietz WH. Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and triceps skinfold thickness. Am J Clin Nutr 1991; 53: 839–846.
83. Kuczmarski RJ, Ogden CL, Grummer-Strawn LM et al. CDC growth charts: United States. Adv Data 2000; 8: 1–27.
84. Cserjesi R, Molnar D, Luminet O, Lenard L. Is there any relationship between obesity and mental flexibility in children? Appetite 2007; 49: 675–678.
85. Maayan L, Hoogendoorn C, Sweat V, Convit A. Disinhibited eating in obese adolescents is associated with orbitofrontal volume reductions and executive dysfunction. Obesity (Silver Spring) 2011; 19: 1382–1387.
86. Pauli-Pott U, Becker K, Albayrak O et al. Links between psychopathological symptoms and disordered eating behaviors in overweight/obese youths. Int J Eat Disord 2013; 46: 156–163.
87. Sweat V, Yates KF, Migliaccio R, Convit A. Obese adolescents show reduced cognitive processing speed compared with healthy weight peers. Child Obes 2017; 13: 190–196.
88. Anderson AS, Good DJ. Increased body weight affects academic performance in university students. Prev Med Rep 2017; 5: 220–223.
89. Díez-Fernández A, Sánchez-Lopez M, Mora-Rodríquez R, Notario-Pacheco B, Torrijos-Niño C, Martínez-Vizcaíno V. Obesity as a mediator of the influence of cardiorespiratory fitness on cardiometabolic risk: a mediation analysis. Diabetes Care 2014; 37: 855–862.
90. Pahkala K, Hernelahti M, Heinonen OJ et al. Body mass index, fitness and physical activity from childhood through adolescence. Br J Sports Med 2013; 47: 71–77.