الفهرس 
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Abstract
The prevalence of childhood obesity is rapidly increasing, and many obese children suffer from emotional and behavioral problems .The aim of this study was to explore the relationship between nutritional obesity and psychosocial behavior (depression and anxiety) among school –children ; and to examine whether social backgrounds play a role in this relationship. This study was conducted during year 2010-2011 in four preparatory schools in Menofyia Governorate After gaining the approval of local educational authorities.
The schools were divided into 2 groups according to locality of each
1. Urban schools
2 Schools were selected randomly in Shebin El-Koum city
2. Rural schools
They included the other2 schools which located in villages around the capital the 1st was from Meat Khalaf village the 2nd was from Al Rahib village
All children in the study were classified according to their BMI into two groups:
Patient group:- 100 obese children they comprised 60 males and 40 females with a mean age of (12.3+ 1.96) years.
Control group:- include 100 apparently healthy normal weight matched for age and sex with obese children, they comprised 58 males and 42 females with a mean age of (12.17+ 1.62) years.
Summary
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Every child was subjected to:
1) Clinical evaluation including:
a) Complete medical history .age sex residence mother father education social background
b) Complete nutritional history.
c) Anthropometric measurements
d) Clinical examination (chest, heart, abdominal and neurological examination).
e) Depression assessment and anxiety assessment
Measurements: Weight status was assessed through measurements of Body Mass Index. and skin fold thickness. Familial backgrounds assessed through Fahmy and Sherbini sheet data on anxiety and depressive symptoms of children was assessed through children manifest anxiety scale and children’s depression inventory scale
Results: Comparison of age and sex distribution between the studied groups had shown no statistically significant differences confirming that both groups are age and sex matched as proposed by the study design.
In the present study, comparison between the socioeconomic levels between the studied groups show higher socioeconomic levels in patients group when compared with control. Comparing parental education levels found that obese children had significantly lower educational level when compared with controls. Our study showed that there was statistically highly significant difference between studied group according to Clinical data as we found 35% of patients had dyspnea and 44% of patients had hepatomegaly comparing to 0 percent in control group.Discussing the nutritional patterns in the current research declared a distinctive pattern of the obese children when compared with controls. they skip breakfast, consume energy- dense foods and consume foods while watching TV in a significantly more frequent manner., we also found that obese children had significantly poor physical activity when compared with normal children.
Our data show a significant increase in both depression and anxiety symptoms in obese children as compared with apparently healthy controls.
Calculation of odds ratio (OR) shows that depression is higher about 0.26 times in obese persons than in normal and anxiety is higher about 0.35 times in obese persons than in normal.
Conclusion: Obesity affects psychosocial adjustment of children raising the importance of early detection and prevention of obesity in the form of nutritional and health awareness programs and training of school health personnel.