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Childhood health motivation and adult cardiometabolic health in the Childhood Determinants of Adult Health (CDAH) study


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Gall, SL ORCID: 0000-0002-5138-2526, Schuz, N ORCID: 0000-0001-9010-5487, Schuz, B ORCID: 0000-0002-0801-498X, Martin, K, Abbott-Chapman, J, Ollington, N, Patton, GC, Dwyer, T and Venn, AJ ORCID: 0000-0001-7090-1398 2019 , 'Childhood health motivation and adult cardiometabolic health in the Childhood Determinants of Adult Health (CDAH) study' , Health Psychology, vol. 38, no. 4 , pp. 297-305 , doi: 10.1037/hea0000718.

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Objective: This research examined if childhood health motivation was associated with adult health behaviors and objectively measured health outcomes.Method: Data were from the Childhood Determinants of Adult Health study. Children aged 9 to 15 years in 1985 completed a questionnaire with health motivation items. In 2004-2006, when aged 26 to 36, participants completed assessments of health behaviors (smoking, diet, alcohol consumption, and physical activity) and cardiometabolic outcomes (body mass index, carotid intima-media thickness from ultrasound, and HOMA insulin resistance from fasting blood samples). Structural path regression analyses examined pathways from health motivation in childhood to adult cardiometabolic outcomes, mediated via adult health behaviors measured concurrently, controlling for age, sex and socioeconomic position.Results: There were 6,230 (49% female) children with data on health motivation. There were two latent constructs: health motivation (4 items: visiting a dentist, visiting a doctor, knowing about your body, and eating a good diet) and risk motivation (3 items: not being a smoker, not being fat, and not drinking alcohol). Greater health motivation was directly associated with nonsmoking, lower carotid intima-media thickness, and lower body mass index in adulthood. Greater risk motivation was directly associated with smoking, higher alcohol consumption, and poorer diets in adulthood. It was also indirectly associated with higher carotid intima-media thickness and higher HOMA insulin resistance via poorer health behaviors.Conclusions: Health motivation during childhood appears important to maintain health across the life course. It could be a target for interventions to improve cardiovascular health in children and adults.

Item Type: Article
Authors/Creators:Gall, SL and Schuz, N and Schuz, B and Martin, K and Abbott-Chapman, J and Ollington, N and Patton, GC and Dwyer, T and Venn, AJ
Keywords: longitudinal studies, behavioral medicine, cardiovascular diseases, risk factors
Journal or Publication Title: Health Psychology
Publisher: Amer Psychological Assoc
ISSN: 0278-6133
DOI / ID Number: 10.1037/hea0000718
Copyright Information:

Copyright 2019 American Psychological Association. This paper is not the copy of record and may not exactly replicate the authoritative document published in the APA journal. Please do not copy or cite without author's permission. The final article is available, upon publication, at:

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