Eulàlia Hernández Encuentra, Noemí Robles, Ariadna Angulo-Brunet, David Cullen, Ignacio Del Arco
Spanish and Catalan Versions of the eHealth Literacy Questionnaire: Translation, Cross-Cultural Adaptation, and Validation Study
Journal of medical Internet research
childhood overweight obesity wellestablished negative impact childrens health overweight obesity might also negatively impact childrens academic performance existing literature association inconclusive study uses longitudinal design large diverse elementary school sample rigorously test association longitudinal weight status academic achievement analyses also investigate modification sex raceethnicity cardiorespiratory fitness crf large suburban school district united states 4936 grade 4 students recruited demographic course grade standardized test data collected school records grades 35 body mass index crf assessed year students wore accelerometers school day 15 days across three semesters grade 4 fall spring grade 5 fall objectively measure physical activity multiple imputation addressed missing data multilevel analyses controlled student demographics clustering within schools unadjusted multilevel models found small negative associations persistent obesity course grades standardized test scores associations largely disappeared controlling demographic characteristics residual associations math writing course grades attenuated controlling crf though marginal negative associations math writing remained students developed obesity followup also evidence marginal negative associations course grades students developed overweightobesity evidence modification sex raceethnicity results suggest small associations weight status academic achievement largely explained sociodemographic factors crf evidence association weight status achievement stronger among students developed overweightobesity interventions promoting healthy weight high crf remain critical schools given link student health achievement