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Fan Y, Wang D, Wang W, Chen H, Lin J, Lin W, Yin L, Zhang R, Ma Z, Fan F. Depression, anxiety, and development of obesity from childhood to young adulthood in China. J Psychosom Res 2024; 185:111867. [PMID: 39151258 DOI: 10.1016/j.jpsychores.2024.111867] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/21/2024] [Revised: 07/22/2024] [Accepted: 07/23/2024] [Indexed: 08/19/2024]
Abstract
OBJECTIVE To examine the cross-sectional and longitudinal bidirectional associations of depression and anxiety symptoms with the development of obesity over time among children and adolescents in different age groups from childhood to young adulthood. METHODS This is a three-wave longitudinal study that included >200,000 school-aged children between 5 and 18 years. Participants were assessed at baseline, 6 months, and 12 months. Depression and anxiety symptoms, as well as participants' weight and height, were collected at each assessment. The cross-sectional associations between obesity and depression or anxiety were examined through ANOVA and Chi-square tests. Multivariable logistic regression analyses were performed to investigate their longitudinal bidirectional associations. RESULTS The prevalence of obesity reached a peak in the age group between 12 and 14 years. Concurrently, higher mean BMI and obesity prevalence were associated with more severe symptoms of depression and anxiety in each age group (ps < 0.001). Longitudinally, depression and anxiety significantly increased the risk of development of obesity over time (odds ratios [ORs] = 1.08 to 1.77). Moreover, obesity significantly aggravated the risk of development of depression (ORs = 1.17 to 1.68) and anxiety (ORs = 1.25 to 1.71) over time and hindered the alleviation of depressive (ORs = 0.68 to 0.79) and anxiety symptoms (ORs = 0.73 to 0.74). CONCLUSION Findings suggest that there were bidirectional associations between obesity and psychological distress. It may be important to continuously track BMI and psychological conditions for children and adolescents over time to avoid the reinforcement of their negative reciprocal interactions.
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Affiliation(s)
- Yunge Fan
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China
| | - Dongfang Wang
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China
| | - Wei Wang
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China
| | - Haihui Chen
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China
| | - Junxu Lin
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China
| | - Weishi Lin
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China
| | - Luning Yin
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China
| | - Rui Zhang
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China
| | - Zijuan Ma
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China.
| | - Fang Fan
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, Guangdong Emergency Response Technology Research Center for Psychological Assistance in Emergencies, South China Normal University, Guangzhou, China.
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Gallagher C, Waidyatillake N, Pirkis J, Lambert K, Cassim R, Dharmage S, Erbas B. The long-term effects of childhood adiposity on depression and anxiety in adulthood: A systematic review. Obesity (Silver Spring) 2023; 31:2218-2228. [PMID: 37555243 DOI: 10.1002/oby.23813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/24/2022] [Revised: 04/12/2023] [Accepted: 04/14/2023] [Indexed: 08/10/2023]
Abstract
OBJECTIVE This review aimed to evaluate the association between childhood adiposity and depression and anxiety risk in adulthood. METHODS MEDLINE, PsychInfo, Embase, CINAHL, and Scopus were searched on June 6, 2022, to identify studies that investigated the association between childhood weight status (age ≤18 years) and outcomes of depression and/or anxiety in adulthood (age ≥19 years). Study quality was assessed using the Newcastle-Ottawa Scale and results were narratively synthesized. RESULTS Sixteen studies were eligible for inclusion, with heterogeneity in methods and follow-up durations complicating comparisons. Six out of eight studies found a statistically significant association between childhood adiposity and increased likelihood of depression in adulthood, particularly in females. However, overall evidence was of moderate quality and study limitations prevented causal conclusions. In contrast, limited evidence and mixed findings were reported for the associations between childhood adiposity and depressive symptom severity or anxiety outcomes in adulthood. CONCLUSIONS Evidence suggests that childhood adiposity is associated with greater vulnerability to depression in adulthood, particularly in females. However, further research is warranted to address the limitations discussed. Future research should also explore how changes in weight status from childhood to adulthood might differentially influence the likelihood of depression.
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Affiliation(s)
- Claire Gallagher
- Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Nilakshi Waidyatillake
- Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
- Department of Medical Education, University of Melbourne, Melbourne, Victoria, Australia
| | - Jane Pirkis
- Centre for Mental Health, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Katrina Lambert
- School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia
| | - Raisa Cassim
- Department of Health, Tasmanian Government, Hobart, Tasmania, Australia
| | - Shyamali Dharmage
- Centre for Epidemiology and Biostatistics, Melbourne School of Population and Global Health, University of Melbourne, Melbourne, Victoria, Australia
| | - Bircan Erbas
- School of Psychology and Public Health, La Trobe University, Melbourne, Victoria, Australia
- Violet Vines Marshman Centre for Rural Health Research, La Trobe University, Bendigo, Victoria, Australia
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La Marra M, Messina A, Ilardi CR, Staiano M, Di Maio G, Messina G, Polito R, Valenzano A, Cibelli G, Monda V, Chieffi S, Iavarone A, Villano I. Factorial Model of Obese Adolescents: The Role of Body Image Concerns and Selective Depersonalization-A Pilot Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:11501. [PMID: 36141782 PMCID: PMC9517425 DOI: 10.3390/ijerph191811501] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 07/02/2022] [Revised: 09/02/2022] [Accepted: 09/09/2022] [Indexed: 06/16/2023]
Abstract
BACKGROUND The relationship binding body weight to psychological well-being is unclear. The present study aims at identifying the contribution, and specificity, of some dimensions (i.e., eating-related symptoms, body image disorders, eating habits, personality traits, and emotional difficulties) characterizing the psychological profile of obese adolescents (749 participants, 325 females; 58.3% normal-weight, 29.9% overweight, and 11.7% obese; mean age = 16.05, SD = 0.82). METHODS By introducing the scores obtained by standardized self-report tools into a generalized linear model, a factorial reduction design was used to detect the best fitting discriminant functions and the principal components explaining the higher proportion of the variance. RESULTS We found two discriminant functions correctly classifying 87.1% of normal-weight, 57.2% of overweight, and 68.2% of obese adolescents. Furthermore, two independent factors, explaining 69.68% of the total variance, emerged. CONCLUSIONS The first factor, "Body Image Concerns", included the drive for thinness, body dissatisfaction, and interpersonal distrust. The second factor, "Selective Depersonalization", included a trend toward depersonalization and dissatisfaction with the torso. The neurophysiological implications of our findings will be discussed.
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Affiliation(s)
- Marco La Marra
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Antonietta Messina
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Ciro Rosario Ilardi
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
- Department of Psychology, University of Campania “Luigi Vanvitelli”, 81100 Caserta, Italy
| | - Maria Staiano
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Girolamo Di Maio
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Giovanni Messina
- Department of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy
| | - Rita Polito
- Department of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy
| | - Anna Valenzano
- Department of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy
| | - Giuseppe Cibelli
- Department of Clinical and Experimental Medicine, University of Foggia, 71100 Foggia, Italy
| | - Vincenzo Monda
- Department of Movement Sciences and Wellbeing, University of Naples “Parthenope”, 80133 Naples, Italy
| | - Sergio Chieffi
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
| | - Alessandro Iavarone
- Neurological Unit, CTO Hospital, AORN “Ospedali dei Colli”, 80131 Naples, Italy
| | - Ines Villano
- Department of Experimental Medicine, University of Campania “Luigi Vanvitelli”, 80138 Naples, Italy
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Shen J, Kogan I. Gendered Body Mass and Life Satisfaction Among Youth in Three Western European Immigrant-Receiving Countries. FRONTIERS IN SOCIOLOGY 2021; 6:695374. [PMID: 34957290 PMCID: PMC8705931 DOI: 10.3389/fsoc.2021.695374] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 04/14/2021] [Accepted: 11/04/2021] [Indexed: 06/14/2023]
Abstract
In this study we aim to show distinctive patterns of the association between body weight and life satisfaction for adolescent boys and girls, respectively. We understand such patterns by bringing multiple mediating factors into one theoretical framework centred on normative perceptions. By drawing data from the first wave of the CILS4EU that captures 14-15-year-olds in Germany, the Netherlands and Sweden, findings show that psychological factors, indicated by self-esteem and mental state, explain the association between BMI and life dissatisfaction substantially, for both boys and girls. Relationships with parents (particularly among boys) and relationships with peers (particularly among girls) also play significant roles. Moreover, the association between being underweight and life satisfaction among girls varies across ethno-racial groups. Girls originating from Eastern Europe have a tendency to gain more life satisfaction when being underweight, whereas girls rooted in Sub-Saharan African and Caribbean countries display consistently low levels of life satisfaction when being underweight.
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Affiliation(s)
- Jing Shen
- *Correspondence: Jing Shen, ; Irena Kogan,
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Tas D, Tüzün Z, Düzçeker Y, Akgül S, Kanbur N. The effects of parental and peer factors on psychiatric symptoms in adolescents with obesity. Eat Weight Disord 2020; 25:617-625. [PMID: 30806924 DOI: 10.1007/s40519-019-00660-5] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2018] [Accepted: 02/19/2019] [Indexed: 11/30/2022] Open
Abstract
PURPOSE The aim of this study was to examine the relationships among psychiatric symptoms, effect of beliefs and attitudes of parents about obese people and victimization or bullying in obese adolescents. METHODS The study group included 110 obese or overweight adolescents and 55 adolescents of normal weight as the control group. All adolescents completed the Brief Symptom Inventory (BSI) and Traditional Bullying Scale. The parents completed the Attitudes Toward Obese Persons (ATOP) Scale and Beliefs About Obese Persons (BAOP) Scale. RESULTS The BSI subscale scores for depression were significantly higher in the study group. There was no significant relationship found between psychiatric symptoms of obese or overweight adolescents and the ATOP and BAOP scores of parents. When victims, bullies/victims, bullies and those not included in any group among obese or overweight adolescents were examined, psychiatric symptoms of victims and bullies/victims were significantly higher. CONCLUSIONS The results of this study suggest that the clinical treatment of obesity is not just a matter of diet and exercise but additionally dealing with issues of depression and anxiety. A very satisfactory result of the study was that parents of obese or overweight adolescents did not show an increased weight bias. This study has also shown the association between negative social and psychological ramifications, as the study group was more likely to be the victims and perpetrators of bullying behaviors than their normal-weight peers. LEVEL OF EVIDENCE Level III, case-control analytic study.
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Affiliation(s)
- Demet Tas
- Department of Pediatrics, University of Health Sciences Child Health and Diseases Hematology Oncology Training and Research Hospital, Ankara, Turkey
| | - Zeynep Tüzün
- Division of Adolescent Medicine, Department of Pediatrics, Hacettepe University Ihsan Dogramaci Children's Hospital, Ankara, Turkey
| | - Yasemin Düzçeker
- Division of Adolescent Medicine, Department of Pediatrics, Hacettepe University Ihsan Dogramaci Children's Hospital, Ankara, Turkey
| | - Sinem Akgül
- Division of Adolescent Medicine, Department of Pediatrics, Hacettepe University Ihsan Dogramaci Children's Hospital, Ankara, Turkey
| | - Nuray Kanbur
- Division of Adolescent Medicine, Department of Pediatrics, Hacettepe University Ihsan Dogramaci Children's Hospital, Ankara, Turkey.
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Huang CY, Chen DR. Association of weight change patterns in late adolescence with young adult wage differentials: A multilevel longitudinal study. PLoS One 2019; 14:e0219123. [PMID: 31276537 PMCID: PMC6611569 DOI: 10.1371/journal.pone.0219123] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2018] [Accepted: 06/17/2019] [Indexed: 11/19/2022] Open
Abstract
BACKGROUND Numerous studies have demonstrated that different weight change patterns from adolescence to adulthood may exert different effects on opportunities from which individuals subsequently benefit. OBJECTIVES This study aimed to investigate the association of weight change patterns from late adolescence to young adulthood with monthly wage in young adulthood for both genders in Taiwan. METHODS A nationally representative retrospective panel of 3730 young people (1707 men and 2023 women) from the Taiwan Educational Panel Survey (2001-2014) was included. Individuals were divided into four weight-change-pattern categories based on changes in their body mass index at two time points that were 7 years apart, between late adolescence (aged 18-19 years) and young adulthood (aged 25-26 years). These categories were (1) no obesity, (2) obesity reversal, (3) developing obesity, and (4) persistent obesity. Cross-classified, hierarchical linear regression modeling analysis was performed to explore the association of weight change patterns with monthly wage in young adulthood, after adjustment for both individual- and contextual-level variables. RESULTS Of the weight-change-pattern categories for both genders, individuals with persistent obesity had the lowest monthly wage. For women, the mean monthly wage decreased progressively for the categories of no obesity, obesity reversal, developing obesity, and persistent obesity (test for difference, P = 0.016; test for trend, P = 0.026). Women with persistent obesity earned 20% less per month than did those who were never obese (P = 0.024), after controlling for individual and contextual factors. For men, no association was found between weight change patterns and monthly wage. CONCLUSION Persistent obesity from late adolescence to young adulthood is associated with low monthly wage in young adulthood in women but not in men. These findings highlight the urgency of addressing persistent obesity early in life, especially for women.
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Affiliation(s)
- Chiao-Yu Huang
- Department of Family Medicine, Renai Branch, Taipei City Hospital, Taipei City, Taiwan
- Institute of Health Policy and Management, College of Public Health, National Taiwan University, Taipei City, Taiwan
| | - Duan-Rung Chen
- Institute of Health Behaviors and Community Sciences, College of Public Health, National Taiwan University, Taipei City, Taiwan
- * E-mail:
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8
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Eitle D, Eitle TM. Obesity, Overweightness, and Depressive Symptomology Among American Indian Youth. J Racial Ethn Health Disparities 2018; 5:1305-1314. [PMID: 29524181 PMCID: PMC6129431 DOI: 10.1007/s40615-018-0479-9] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/03/2017] [Revised: 01/24/2018] [Accepted: 02/27/2018] [Indexed: 01/16/2023]
Abstract
OBJECTIVES Despite evidence that American Indian adolescents are at a heightened risk of obesity/overweightness and experiencing depression, relative to other groups, there exists a dearth of studies that have examined the association between objective and perceptual measures of obesity and overweightness and depression with this understudied group. Our study represents one of the first studies to examine this association among American Indian youth. METHODS Using a subsample of American Indian youth from waves I and II of the National Longitudinal Study of Adolescent Health (a survey of schools and students in the USA, with wave I collected in 1994 and wave II collected in 1995), we explore this association. We examine three measures of weight: obesity, body mass index, and weight perception. We also consider gender-specific models and a subsample of non-Hispanic whites, in order to assess race differences in the obesity and overweightness-depression relationship. RESULTS Our findings reveal that neither of our objective measures of weight, obesity, nor body mass index are significant predictors of depressive symptoms for either American Indian or white youth. However, we find evidence that the subjective measure of weight perception is a significant predictor of depressive symptoms for white females, but not for American Indian females. CONCLUSIONS Our results contribute to past findings that measures of obesity/overweightness weight may be more important to white female's mental health than females from other racial groups, although additional research is warranted.
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Affiliation(s)
- David Eitle
- Montana State University Bozeman, Bozeman, MT, USA.
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Vrany EA, Hawkins MAW, Wu W, Stewart JC. Depressive symptoms and weight loss behaviors in U.S. adults. Eat Behav 2018; 29:107-113. [PMID: 29631125 DOI: 10.1016/j.eatbeh.2018.03.006] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/03/2017] [Revised: 02/28/2018] [Accepted: 03/22/2018] [Indexed: 10/17/2022]
Abstract
OBJECTIVE We sought to determine whether depressive symptoms are associated with attempting to lose weight and engaging in weight loss behaviors in a large, diverse sample of adults representative of the U.S. METHODS Respondents were 23,106 adults, free of cardiovascular disease and diabetes, who participated in the 2005-2014 years of the National Health and Nutrition Examination Survey (NHANES). Depressive symptoms were measured using the Patient Health Questionnaire-9 (PHQ-9), and weight loss variables were obtained from a Weight History Questionnaire. RESULTS PHQ-9 total was not associated with attempting to lose weight in the past year (OR = 1.03, 95%CI = 1.00-1.06, p = 0.074; n = 23,106). Among respondents who attempted to lose weight (n = 9582), PHQ-9 total was associated with a lower odds of exercising (OR = 0.84, 95%CI = 0.79-0.89, p < 0.001) and a greater odds of skipping meals (OR = 1.31, 95%CI = 1.22-1.41, p < 0.001), eating diet foods/products (OR = 1.16, 95%CI = 1.08-1.24, p < 0.001), eating less food (OR = 1.09, 95%CI = 1.04-1.15, p < 0.001), taking non-prescription supplements (OR = 1.31, 95%CI = 1.23-1.41, p < 0.001), taking prescription diet pills (OR = 1.28, 95%CI = 1.10-1.49, p = 0.001), and taking laxatives/vomiting (OR = 1.55, 95%CI = 1.28-1.88, p < 0.001). CONCLUSIONS Although depressive symptoms were not associated with attempting to lose weight in the past year, adults who attempted to lose weight tended to employ potentially ineffective/unhealthy weight loss behaviors and avoid effective behaviors. This pattern of behaviors may be another mechanism that explains the excess risk of obesity in depressed adults and may be a modifiable target for future interventions. Given the cross-sectional nature of this study, reverse causality is a possibility. Future studies should investigate the prospective associations between depressive symptoms and weight loss behaviors.
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Affiliation(s)
- Elizabeth A Vrany
- Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN, United States
| | - Misty A W Hawkins
- Department of Psychology, Oklahoma State University, Stillwater, OK, United States
| | - Wei Wu
- Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN, United States
| | - Jesse C Stewart
- Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN, United States.
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An overview of common psychiatric problems among adolescent and young adult females: Focus on mood and anxiety. Best Pract Res Clin Obstet Gynaecol 2018; 48:165-173. [DOI: 10.1016/j.bpobgyn.2017.08.007] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2017] [Revised: 08/22/2017] [Accepted: 08/23/2017] [Indexed: 11/20/2022]
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Hiilamo A, Lallukka T, Mänty M, Kouvonen A. Obesity and socioeconomic disadvantage in midlife female public sector employees: a cohort study. BMC Public Health 2017; 17:842. [PMID: 29065863 PMCID: PMC5655943 DOI: 10.1186/s12889-017-4865-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/06/2016] [Accepted: 10/17/2017] [Indexed: 01/01/2023] Open
Abstract
BACKGROUND The two-way relationship between obesity and socioeconomic disadvantage is well established but previous studies on social and economic consequences of obesity have primarily focused on relatively young study populations. We examined whether obesity is associated with socioeconomic disadvantage through the 10-12-year follow-up, and how obesity-related socioeconomic inequalities develop during midlife among women. METHODS Baseline data were derived from the female population of the Helsinki Health Study cohort, comprising 40-60 -year-old employees of the City of Helsinki, Finland in 2000-2002 (n = 6913, response rate 69%). The follow-up surveys were carried out in 2007 (n = 5810) and 2012 (n = 5400). Socioeconomic disadvantage was measured by five dichotomous measures. Repeated logistic regression analyses utilising generalized estimating equations (GEE) were used to test the association between baseline self-reported obesity and the likelihood of socioeconomic disadvantage through all phases. The effect of time on the development of inequalities was examined by time interaction terms in random effect logistic regression models. RESULTS After adjustment for educational level, baseline obesity was associated with repeated poverty (OR = 1.23; 95% CI; 1.05-1.44), frequent economic difficulties (OR = 1.74; 95% CI; 1.52-1.99), low household net income (OR = 1.23; 95% CI; 1.07-1.41), low household wealth (OR = 1.90; 95% CI; 1.59-2.26) and low personal income (OR = 1.22; 95% CI; 1.03-1.44). The differences in poverty rate and low personal income between the participants with obesity and participants with normal weight widened during the follow-up. Living without a partner and early exit from paid employment explained the widening of inequalities. CONCLUSIONS Weight status inequalities in socioeconomic disadvantage persisted or widened during the late adulthood.
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Affiliation(s)
- Aapo Hiilamo
- Department of Social Research, University of Helsinki, Helsinki, Finland
| | - Tea Lallukka
- Department of Public Health, University of Helsinki, Helsinki, Finland.,Finnish Institute of Occupational Health, Helsinki, Finland
| | - Minna Mänty
- Department of Public Health, University of Helsinki, Helsinki, Finland.,Unit of Research, Development and Innovation, Laurea University of Applied Sciences, Vantaa, Finland
| | - Anne Kouvonen
- Department of Social Research, University of Helsinki, Helsinki, Finland. .,SWPS University of Social Sciences and Humanities in Wroclaw, Wroclaw, Poland. .,UKCRC Centre of Excellence for Public Health (Northern Ireland), Queen's University Belfast, Belfast, UK. .,Administrative Data Research Centre - Northern Ireland (ADRC-NI), Queen's University Belfast, Centre for Public Health, Institute of Clinical Sciences, Grosvenor Road, Belfast, BT12 6BJ, UK.
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Parasympathetic cardio-regulation during social interactions in individuals with obesity-The influence of negative body image. COGNITIVE AFFECTIVE & BEHAVIORAL NEUROSCIENCE 2017; 17:330-347. [PMID: 27905081 DOI: 10.3758/s13415-016-0482-8] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Abstract
Individuals with obesity in Western societies often face weight-related stigmatization and social exclusion. Recurrent exposure to prejudice and negative social feedback alters one's behavior in future social interactions. In this study, we aimed to investigate autonomic nervous system and affective responses to social interactions in individuals with obesity. Women and men with (n = 56) and without (n = 56) obesity participated in episodes of social inclusion and social exclusion using a virtual ball-tossing game. During the experiment, heart rate was measured and parasympathetic activity (overall high-frequency power and event-related cardiac slowing) was analyzed. Our results show that in novel social interactions, women with obesity, relative to the other groups, exhibited the strongest increase in parasympathetic activity. Furthermore, parasympathetic activity was related to a more negative body image in individuals with obesity, but not in lean individuals. Additionally, women with obesity reported a stronger decrease in mood after social exclusion than did the other participants. Our results demonstrate influences of objective and subjective bodily characteristics on parasympathetic cardio-regulation during social interactions. In particular, they show behavioral and physiological alterations during social interactions in women with obesity.
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Martin A, Booth JN, McGeown S, Niven A, Sproule J, Saunders DH, Reilly JJ. Longitudinal Associations Between Childhood Obesity and Academic Achievement: Systematic Review with Focus Group Data. Curr Obes Rep 2017; 6:297-313. [PMID: 28695352 PMCID: PMC5585992 DOI: 10.1007/s13679-017-0272-9] [Citation(s) in RCA: 31] [Impact Index Per Article: 4.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Abstract
PURPOSE The purposes of this study were to review the evidence on longitudinal associations between child and adolescent obesity and academic achievement and to provide perceptions of adolescents with obesity and their parents on this topic. RECENT FINDINGS Synthesis of 31 studies (from 17 cohorts) suggested that relationships between obesity and academic achievement are not well established, except for adolescent girls' maths attainment, potentially mediated by both weight-related bullying and executive cognitive functions. Focus groups with adolescent girls with obesity confirmed experiences of psychosocial distress at school particularly during Physical Education. Adolescents perceived that obesity was not related to academic achievement directly, but by their attitude to school. Interventions are warranted to promote psychosocial wellbeing and cognitive abilities linked to academic achievement in adolescent girls with obesity. Physical Education should be a positive experience for children and adolescents with obesity.
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Affiliation(s)
- Anne Martin
- Centre for Population Health Sciences, University of Edinburgh, Teviot Place, Edinburgh, EH8 9AG, UK.
| | - Josephine N Booth
- Institute for Education, Community and Society, Moray House School of Education, University of Edinburgh, Edinburgh, UK
| | - Sarah McGeown
- Institute for Education, Community and Society, Moray House School of Education, University of Edinburgh, Edinburgh, UK
| | - Ailsa Niven
- Physical Activity for Health Research Centre, Moray House School of Education, University of Edinburgh, Edinburgh, UK
| | - John Sproule
- Physical Education and Health Sciences, Moray House School of Education, Institute for Sport, University of Edinburgh, Edinburgh, UK
| | - David H Saunders
- Physical Activity for Health Research Centre, Moray House School of Education, University of Edinburgh, Edinburgh, UK
- Physical Education and Health Sciences, Moray House School of Education, Institute for Sport, University of Edinburgh, Edinburgh, UK
| | - John J Reilly
- Physical Activity for Health Group, School of Psychology Sciences and Health, University of Strathclyde, Glasgow, UK
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Wade JM. "Doing Difference" and Fast Food Consumption: Patterns Among a Sample of White and African American Emerging Adults. J Racial Ethn Health Disparities 2017. [PMID: 28643269 DOI: 10.1007/s40615-017-0383-8] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
Previous research has demonstrated that frequent consumption of fast food is linked to obesity and that trends in both are disparate across race and sex categories. Contextualizing race- and sex-related factors that structure fast food consumption in emerging adulthood is a much-needed contribution to social research. Specifically, this study uses the "doing difference" framework, to examine the frequency of fast food consumption in a sample of White and African American (18-25 years old). According to the framework, social inequalities are reproduced through dramaturgical performances of race, class, and gender. Results of this suggest that feminine gender orientation and education serve as protective factors, while African American race and male sex serve as risk factors. African American women emerged as especially high risk given their higher prevalence of traditionally masculine traits.
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Affiliation(s)
- Jeannette M Wade
- Department of Child and Family Development, University of Akron, College of Arts and Sciences, Akron, OH, USA.
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15
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Gynecologic and Obstetric Consequences of Obesity in Adolescent Girls. J Pediatr Adolesc Gynecol 2017; 30:156-168. [PMID: 26915924 DOI: 10.1016/j.jpag.2016.02.007] [Citation(s) in RCA: 29] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/20/2016] [Revised: 02/06/2016] [Accepted: 02/15/2016] [Indexed: 12/24/2022]
Abstract
In the past few decades, there has been an overwhelming increase in childhood and adolescent obesity worldwide. Besides the well recognized cardiometabolic complications and other physical conditions associated with obesity, during adolescence, it causes psychological and social distress in a period of life that is already sensitive for a girl. This in turn increases their risk of low self-esteem and depression. Furthermore, obesity diminishes health-related quality of life and years of life. Overweight and obese teenagers are more likely to have gynecologic and obstetric complications, during adolescence and also later in life. Consequences of obese and overweight childhood and adolescence include sexual maturation and reproductive dysfunction, alterations in menstruation, dysmenorrhea, risky sexual behavior, and inefficient use of contraception, polycystic ovary syndrome, bone density abnormalities, macromastia, and an increased risk of breast and endometrial cancer. Obese adolescents are at greater risk of pregnancy and perinatal complications, such as preeclampsia, gestational hypertension and preeclampsia, gestational diabetes mellitus, primary cesarean delivery, and induction of labor, to mention a few. Evidence shows that infants born to obese teenagers are also more likely to have complications including preterm or post-term delivery, small-for-gestational age newborns, macrosomia, meconium aspiration, respiratory distress, and even stillbirth, among others. This comprehensive review focuses on the gynecological and obstetric consequences of obesity in adolescent girls.
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Meagher SM, Leidig M, Price LL, Biever E. The relationship between depressive symptoms and BMI in adolescents enrolled in a weight management program. CHILDRENS HEALTH CARE 2016. [DOI: 10.1080/02739615.2016.1163491] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Affiliation(s)
- Susan M. Meagher
- Department of Psychiatry, Tufts Medical Center, Boston, MA
- Department of Pediatrics, The Floating Hospital for Children, Tufts Medical Center, Boston, MA
| | - Michael Leidig
- Department of Pediatrics, The Floating Hospital for Children, Tufts Medical Center, Boston, MA
| | - Lori Lyn Price
- Institute for Clinical Research and Health Policy Studies, Tufts Medical Center, Boston, MA
- Clinical and Translational Science Institute, Tufts University, Boston, MA
| | - Emily Biever
- Department of Nutrition Services, Dana-Farber Cancer Institute, Boston, MA
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17
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Hawkins MAW, Miller DK, Stewart JC. A 9-year, bidirectional prospective analysis of depressive symptoms and adiposity: the African American Health Study. Obesity (Silver Spring) 2015; 23:192-9. [PMID: 25393086 PMCID: PMC4276428 DOI: 10.1002/oby.20893] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2014] [Accepted: 08/18/2014] [Indexed: 12/18/2022]
Abstract
OBJECTIVE Depression may be a predictor and consequence of obesity. However, available evidence for racial minorities has been inconsistent, and more prospective studies are needed. Thus, this study's objective was to examine whether depressive symptom severity is a predictor and/or consequence of total adiposity over a 9-year period in a representative sample of late middle-aged African-Americans. METHODS A total of 410 participants (aged 49-65 years; baseline) in the prospective cohort African American Health study were examined. Depressive symptom severity was assessed with the Center for Epidemiologic Studies-Depression Scale (CES-D). Total body fat percent (BF%) and body mass index (BMI; kg/m(2) ) were assessed. Structural equation models were tested. RESULTS All model fit statistics, other than χ(2) , indicated good fit (RMSEA ≤ 0.058, SRMR ≤ 0.052, CFI ≥ 0.95). Baseline CES-D did not predict 9-year changes in BF% (β = -0.01, P = 0.78) or BMI (β = -0.01, P = 0.77). Baseline BF% (β = 0.05, P = 0.39) and BMI (β = 0.08, P = 0.095) did not predict 9-year change in CES-D. CONCLUSIONS Depressive symptom severity was not a predictor or consequence of excess total adiposity in late middle-aged African-American adults. Including a depression module in obesity prevention and treatment programs specifically designed for late middle-aged African-Americans may not have a beneficial effect on obesity outcomes.
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Affiliation(s)
| | - Douglas K. Miller
- Department of Internal Medicine, Indiana University, Indianapolis, IN
- Regenstrief Institute, Inc., Indianapolis, IN
| | - Jesse C. Stewart
- Department of Psychology, Indiana University-Purdue University Indianapolis, Indianapolis, IN
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18
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Merten MJ, Williams AL. Body mass index, self-esteem and weight contentment from adolescence to young adulthood and women's risk for sexually transmitted disease. Sex Health 2014; 11:561-7. [PMID: 25435193 DOI: 10.1071/sh14020] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/19/2014] [Accepted: 09/12/2014] [Indexed: 11/23/2022]
Abstract
UNLABELLED Background Women's risk for sexually transmitted diseases (STDs) were examined in terms of adolescent and young adult weight status, self-esteem trajectories and weight contentment using two waves of a nationally representative dataset. METHODS Using Waves 1 and 3 of the National Longitudinal Study of Adolescent Health, body mass index (BMI), self-esteem and weight contentment were examined during adolescence and young adulthood to assess the likelihood of STDs among 4000 young adult single women. RESULTS Change in BMI, specifically weight loss between adolescence and young adulthood, significantly increased women's risk for STDs. Continuously low self-esteem during adolescence and young adulthood significantly increased women's risk for STDs. When women's contentment with their weight decreased from adolescence to young adulthood, women's risk for STDs was greater. Regardless of other variables, Black women were more likely to have an STD. CONCLUSIONS RESULTS suggest that women's self-perception is important in reducing sexual risk; specifically, patterns of self-esteem, BMI and weight contentment across developmental periods should be a critical focus of research and practice related to adolescent and young adult sexual health. There are many known benefits to fostering self-esteem during adolescence and findings from this study add STD prevention among young women to this list. RESULTS emphasise the needed prevention during adolescence to address self-perspective and self-esteem for the long-term sexual well-being of young women.
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Affiliation(s)
- Michael J Merten
- Department of Human Development and Family Science, Oklahoma State University, 1111 Main Hall, 700N. Greenwood Avenue, Tulsa, OK 74106, USA
| | - Amanda L Williams
- Department of Child and Family Studies, University of Southern Mississippi, 118 College Drive #5035, Hattiesburg, MS 39406, USA
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19
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Minges KE, Chao A, Nam S, Grey M, Whittemore R. Weight status, gender, and race/ethnicity: are there differences in meeting recommended health behavior guidelines for adolescents? J Sch Nurs 2014; 31:135-45. [PMID: 25312400 DOI: 10.1177/1059840514554089] [Citation(s) in RCA: 14] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
Abstract
Healthy behaviors including limited screen time (ST), high physical activity (PA), and adequate fruits and vegetables consumption (FV) are recommended for adolescents, but it is unclear how gender, race/ethnicity, and weight status relate to these public health guidelines in diverse urban adolescents. Participants (N = 384) were recruited from three public high schools in or near New Haven, Connecticut. Descriptive statistics and logistic regression analyses were conducted. Most adolescents exceeded recommended levels of ST (70.5%) and did not meet guidelines for PA (87.2%) and FV (72.6%). Only 3.5% of the sample met all three guidelines. Boys were more likely to meet guidelines for PA (p < .01), while girls were engaged in less ST (p < .001). Black, non-Latinos were less likely to meet PA guidelines (p < .05). There were no significant differences in meeting ST, PA, or FV guidelines by weight status for the overall sample or when stratified by gender or race/ethnicity. We found alarmingly low levels of healthy behaviors in normal weight and overweight/obese adolescents.
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Affiliation(s)
| | - Ariana Chao
- Yale University School of Nursing, Orange, CT, USA
| | - Soohyun Nam
- Yale University School of Nursing, Orange, CT, USA
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20
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Wickrama KAS, Kwon JA, Oshri A, Lee TK. Early socioeconomic adversity and young adult physical illness: the role of body mass index and depressive symptoms. J Adolesc Health 2014; 55:556-63. [PMID: 24856408 PMCID: PMC4175299 DOI: 10.1016/j.jadohealth.2014.04.006] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/04/2013] [Revised: 04/06/2014] [Accepted: 04/08/2014] [Indexed: 11/28/2022]
Abstract
PURPOSE The present study investigated the psychophysiological inter- and intra-individual processes that mediate the linkage between childhood and/or adolescent socioeconomic adversities and adult health outcomes. Specifically, the proposed model examined the roles of youth depressive symptoms and body mass index (BMI) trajectories as mediators that explain the link between early adversity and young adults' general health and physical illnesses after controlling for gender, race or ethnicity, and earlier general health reports. METHODS Using a nationally representative sample of 12,424 from National Longitudinal Study of Adolescent Health (Add Health), this study used growth curve modeling to consider both the severity (initial level) and the change over time (deterioration or elevation) as psychophysiological mediators, thereby acknowledging multiple facets of depressive symptoms and BMI trajectories as psychophysiological mediators of early adversity to adult health. RESULTS Results provide evidence for (1) the influence of early childhood and early adolescent cumulative socioeconomic adversity on both the initial levels and changes over time of depressive symptoms and BMI and (2) the independent influences depressive symptoms and BMI trajectories on the general health and the physical illnesses of young adults. CONCLUSIONS These findings contribute valuable knowledge to existing research by elucidating how early adversity exerts an enduring long-term influence on physical health problems in young adulthood; furthermore, this information suggests that effective intervention and prevention programs should incorporate multiple facets (severity and change over time) of multiple mechanisms (psychological and physiological).
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Affiliation(s)
| | - Josephine A. Kwon
- Corresponding author. 375 Dawson Hall, 202 Carlton St., Athens, GA 30602, 706-542-4874
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21
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Gulley T, Boggs D. Time perspective and the theory of planned behavior: moderate predictors of physical activity among central Appalachian adolescents. J Pediatr Health Care 2014; 28:e41-7. [PMID: 24793985 DOI: 10.1016/j.pedhc.2014.02.009] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/14/2013] [Revised: 02/07/2014] [Accepted: 02/23/2014] [Indexed: 11/16/2022]
Abstract
INTRODUCTION The purpose of this study was to determine how well time perspective and the Theory of Planned Behavior (TPB) predicted physical activity among adolescents residing in the central Appalachian region of the United States. METHOD A descriptive, correlational design was used. The setting was a rural high school in central Appalachia. The sample included 185 students in grades 9 through 12. Data were collected in school. Variables included components of the TPB, time perspective, and various levels of exercise. Data were analyzed using Pearson's correlation coefficients and multiple regression analysis. RESULTS The TPB was a moderate predictor of exercise frequency among central Appalachian adolescents, accounting for 42% of the variance. Time perspective did not add to the predictive ability of the TPB to predict exercise frequency in this sample. DISCUSSION This study provides support for the TPB for predicting frequency of exercise among central Appalachian adolescents. By understanding the role of the TPB in predicting physical activity among adolescents, nurse practitioners will be able to adapt intervention strategies to improve the physical activity behaviors of this population.
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Bae D, Wickrama K, O'Neal CW. Social consequences of early socioeconomic adversity and youth BMI trajectories: Gender and race/ethnicity differences. J Adolesc 2014; 37:883-92. [DOI: 10.1016/j.adolescence.2014.06.002] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/01/2014] [Accepted: 06/09/2014] [Indexed: 02/04/2023]
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Katz I, Madjar N, Harari A. Parental support and adolescent motivation for dieting: the Self-Determination Theory perspective. THE JOURNAL OF PSYCHOLOGY 2014; 149:461-79. [PMID: 25975574 DOI: 10.1080/00223980.2014.903890] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022] Open
Abstract
This article focuses on parents' role in overweight adolescents' motivation to diet and successful weight loss. The study employed Self-Determination Theory (SDT) as the theoretical framework (Deci & Ryan, 2000, 2011). Ninety-nine participants (ages 20-30) who had been overweight during adolescence according to their Body Mass Index (BMI mean = 25, SD = 1.6), completed retrospective questionnaires about their motivation to diet and their parents' behavior in the context of dieting. Findings from a structural equation modeling analysis suggested that participants who viewed their parents' as more need-supportive demonstrated more autonomous motivation to diet, which, in turn, contributed to their successful weight loss. The findings highlight the importance of parental support of adolescents' psychological needs in the quality of their motivation to diet. This is an important insight for parents and professionals who aim to encourage more constructive parent involvement in adolescents' dieting and well-being.
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Affiliation(s)
- Idit Katz
- a Ben-Gurion University of the Negev
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24
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Wickrama KKAS, O'Neal CW, Oshri A. Are stressful developmental processes of youths leading to health problems amplified by genetic polymorphisms? The case of body mass index. J Youth Adolesc 2014; 43:1096-109. [PMID: 24609842 DOI: 10.1007/s10964-014-0109-8] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/11/2013] [Accepted: 02/27/2014] [Indexed: 01/11/2023]
Abstract
Although previous research has documented the adverse influence of early socioeconomic disadvantage on youths' physical health outcomes and the increase in health inequalities over the early life course, little is known about genetically informed sequential life course developmental processes leading to health outcomes. Consistent with the life course-stress process perspective, we hypothesized that early socioeconomic adversity initiates a stress process over the early life course. This process involves the disrupted transition from adolescence to young adulthood, which increases the risk of health problems during young adulthood. Behavioral, psychosocial, and genetic data were collected from 12,424 adolescents (53 % female) over a period of 13 years participating in the nationally representative National Longitudinal Study of Adolescent Health (Add Health). Early cumulative socioeconomic adversity and the polygenic influence were measured using composite indices. The study provided evidence for stressful developmental processes of adolescents, involving parental rejection, depressive symptoms, and adolescents' precocious transition. This longitudinal process was initiated by early cumulative socioeconomic adversity and eventuated with young adults' increased body mass index (BMI). Furthermore, the study provided evidence for the influence of life context-gene interactions (G × E) on adolescents' precocious development and young adult BMI (after controlling for the lagged measure) amplifying the stress process over the early life course. These findings emphasize the need for incorporating individual genetic characteristics in a longitudinal context into life course stress research. Furthermore, policies focused on eradicating childhood/adolescent adversities are necessary as well as youth programs and policies that promote youth competencies that aid in their successful transition to young adulthood.
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Affiliation(s)
- Kandauda K A S Wickrama
- Department of Human Development and Family Science, 103 Family Science Center I, University of Georgia, Athens, GA, USA,
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25
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Smith KL, Straker LM, McManus A, Fenner AA. Barriers and enablers for participation in healthy lifestyle programs by adolescents who are overweight: a qualitative study of the opinions of adolescents, their parents and community stakeholders. BMC Pediatr 2014; 14:53. [PMID: 24552207 PMCID: PMC3942615 DOI: 10.1186/1471-2431-14-53] [Citation(s) in RCA: 48] [Impact Index Per Article: 4.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/09/2013] [Accepted: 02/13/2014] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Overweight or obesity during adolescence affects almost 25% of Australian youth, yet limited research exists regarding recruitment and engagement of adolescents in weight-management or healthy lifestyle interventions, or best-practice for encouraging long-term healthy behaviour change. A sound understanding of community perceptions, including views from adolescents, parents and community stakeholders, regarding barriers and enablers to entering and engaging meaningfully in an intervention is critical to improve the design of such programs. METHODS This paper reports findings from focus groups and semi-structured interviews conducted with adolescents (n?=?44), parents (n?=?12) and community stakeholders (n?=?39) in Western Australia. Three major topics were discussed to inform the design of more feasible and effective interventions: recruitment, retention in the program and maintenance of healthy change. Data were analysed using content and thematic analyses. RESULTS Data were categorised into barriers and enablers across the three main topics. For recruitment, identified barriers included: the stigma associated with overweight, difficulty defining overweight, a lack of current health services and broader social barriers. The enablers for recruitment included: strategic marketing, a positive approach and subsidising program costs. For retention, identified barriers included: location, timing, high level of commitment needed and social barriers. Enablers for retention included: making it fun and enjoyable for adolescents, involving the family, having an on-line component, recruiting good staff and making it easy for parents to attend. For maintenance, identified barriers included: the high degree of difficulty in sustaining change and limited services to support change. Enablers for maintenance included: on-going follow up, focusing on positive change, utilisation of electronic media and transition back to community services. CONCLUSIONS This study highlights significant barriers for adolescents and parents to overcome to engage meaningfully with weight-management or healthy lifestyle programs. A number of enablers were identified to promote ongoing involvement with an intervention. This insight into specific contextual opinions from the local community can be used to inform the delivery of healthy lifestyle programs for overweight adolescents, with a focus on maximising acceptability and feasibility.
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Affiliation(s)
- Kyla L Smith
- School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia
- Curtin Health Innovation Research Institute, Curtin University, Perth, Australia
| | - Leon M Straker
- School of Physiotherapy and Exercise Science, Curtin University, Perth, Australia
- Curtin Health Innovation Research Institute, Curtin University, Perth, Australia
| | - Alexandra McManus
- Curtin Health Innovation Research Institute, Curtin University, Perth, Australia
| | - Ashley A Fenner
- Curtin Health Innovation Research Institute, Curtin University, Perth, Australia
- School of Psychology and Speech Pathology, Curtin University, Perth, Australia
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Witherspoon D, Latta L, Wang Y, Black MM. Do depression, self-esteem, body-esteem, and eating attitudes vary by BMI among African American adolescents? J Pediatr Psychol 2013; 38:1112-20. [PMID: 23912163 PMCID: PMC3809728 DOI: 10.1093/jpepsy/jst055] [Citation(s) in RCA: 31] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/26/2012] [Revised: 06/16/2013] [Accepted: 06/20/2013] [Indexed: 11/13/2022] Open
Abstract
OBJECTIVE To examine how psychosocial factors vary by body weight and gender among African-American adolescents. METHODS A community sample of 235 low-income, predominantly African-American adolescents completed measures of depression, self-esteem, body-esteem, and eating attitudes. Measured weight and height were converted to body mass index (kg/m(2)) age and gender-adjusted z-scores. Data were analyzed using 2-factor multivariate analysis of variance. RESULTS Obese youths had significantly worse scores on all psychosocial domains than normal weight youths, with no differences between overweight and normal weight youths. Obese youths had significantly worse scores than overweight youths on body-esteem and self-esteem. Female adolescents had significantly worse scores than males on depressed mood, body-esteem, and eating attitudes. CONCLUSIONS Among a community sample of predominantly African-American adolescents, obesity, not overweight, was associated with poor psychosocial health. Findings suggest that overweight may be perceived as normative, and that weight-related programs consider adolescents' psychosocial functioning.
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Affiliation(s)
- Dawn Witherspoon
- Department of Pediatrics, University of Maryland School of Medicine, 737 W. Lombard Street, Room 161, Baltimore, MD 21201, USA.
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Early community context, genes, and youth body mass index trajectories: an investigation of gene-community interplay over early life course. J Adolesc Health 2013; 53:328-34. [PMID: 23711506 DOI: 10.1016/j.jadohealth.2013.04.004] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/25/2013] [Revised: 03/30/2013] [Accepted: 04/02/2013] [Indexed: 01/06/2023]
Abstract
PURPOSE To investigate additive and interactive influences of community adversity and cumulative genetic sensitivity on youth body mass index (BMI) trajectories over adolescence and young adulthood. METHODS We used latent growth curve modeling to examine BMI trajectories over three waves (1995, 2001, and 2008) of the National Longitudinal Study of Adolescent Health (n = 14,563). We measured genetic sensitivity by a cumulative index of genes associated with serotonin and dopamine functions. RESULTS Community adversity was positively associated with the initial level and rate of change in BMI trajectories over time. Adolescents experiencing community adversity had a higher BMI at Wave 1 and gained weight more quickly than those who did not live in adverse communities. Community adversity interacted with cumulative genetic sensitivity to explain variation in the rate of change in BMI trajectories. The influence of community adversity was greater for those with more sensitivity alleles than those with fewer sensitivity alleles. Gender, race/ethnicity, and family contexts were also associated with youth BMI trajectories. CONCLUSIONS Community adversity in early adolescence, and its interaction with genes, has far-reaching consequences, including the rate of change in BMI trajectories extending into adulthood. This work has practical implications for future intervention/prevention programs.
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Mustillo SA, Budd K, Hendrix K. Obesity, Labeling, and Psychological Distress in Late-Childhood and Adolescent Black and White Girls. SOCIAL PSYCHOLOGY QUARTERLY 2013. [DOI: 10.1177/0190272513495883] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
The stigma of childhood obesity has the potential to affect psychological development during the early life course, but few studies examine whether experiencing stigma in childhood and adolescence has lasting ramifications for mental health during the transition to adulthood. Integrating modified labeling theory with a life course perspective, this study examined how obesity at different ages affects psychological distress in late adolescence using longitudinal data on black and white girls. We tested whether parent or friend labeling mediates this relationship and whether distal effects on psychological distress are further mediated through proximal distress using data from the National Growth and Health Study (n = 2,379). Findings showed significant proximal and distal effects of obesity on psychological distress through both parent and friend labeling among white girls. Distal effects on psychological distress were also mediated by proximal psychological distress. Among black girls, there were no distal effects, suggesting weight-based stigma is more consequential for white girls compared to black girls.
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Affiliation(s)
| | - Kristen Budd
- Indiana University South Bend, South Bend, IN, USA
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29
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Hicken MT, Lee H, Mezuk B, Kershaw KN, Rafferty J, Jackson JS. Racial and ethnic differences in the association between obesity and depression in women. J Womens Health (Larchmt) 2013; 22:445-52. [PMID: 23659483 PMCID: PMC3666217 DOI: 10.1089/jwh.2012.4111] [Citation(s) in RCA: 39] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND It is generally accepted that obesity and depression are positively related in women. Very little prior research, however, has examined potential variation in this relationship across different racial/ethnic groups. This paper examines the association between obesity and depression in non-Hispanic White, non-Hispanic Black, and Mexican American women. METHODS The sample included women aged 20 years and older in the 2005-2008 National Health and Nutrition Examination Surveys (n=3666). Logistic regression was used to assess the relationship between obesity and depression syndrome (assessed using the Patient Health Questionnaire-9), after adjusting for covariates. We then investigated whether this association varied by race/ethnicity. RESULTS Overall, obese women showed a 73% greater odds of depression (odds ratio [OR]=1.73; 95% confidence interval [CI]=1.19, 2.53) compared with normal weight women. This association varied significantly, however, by race/ethnicity. The obesity-depression associations for both Black and Mexican American women were different from the positive association found for White women (ORBlack*obese=0.24; 95% CI=0.10,0.54; ORMexican American*obese=0.42; 95% CI=1.04). Among White women, obesity was associated with significantly greater likelihood of depression (OR=2.37; 95% CI=1.41, 4.00) compared to normal weight. Among Black women, although not statistically significant, results are suggestive that obesity was inversely associated with depression (OR=0.56; 95% CI=0.28, 1.12) relative to normal weight. Among Mexican American women, obesity was not associated with depression (OR=1.01; 95% CI=0.59, 1.72). CONCLUSIONS The results reveal that the association between obesity and depression varies by racial/ethnic categorization. White, but not Black or Mexican American women showed a positive association. Next research steps could include examination of factors that vary by race/ethnicity that may link obesity to depression.
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Affiliation(s)
- Margaret T Hicken
- Department of Epidemiology, University of Michigan, Ann Arbor, Michigan 48109, USA.
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Forste R, Moore E. Adolescent obesity and life satisfaction: perceptions of self, peers, family, and school. ECONOMICS AND HUMAN BIOLOGY 2012; 10:385-394. [PMID: 22595492 DOI: 10.1016/j.ehb.2012.04.008] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/19/2012] [Accepted: 04/20/2012] [Indexed: 05/31/2023]
Abstract
This study contributes to research on adolescent life satisfaction by considering its association with body weight, as mediated by perceptions of self, peers, family, and school. Data from the Health Behaviors in School-Age Children Survey (2001-2002) and OLS regression techniques are used to examine the association between body weight and life satisfaction. We also model these relationships by gender. Results indicate lower life satisfaction among adolescents that are overweight and obese relative to healthy weight youth, and that most of the negative association operates through perceptions of self, peers, parents, and school. We find little or no gender difference in the association between body weight and perceptions of self, peers, parents, and school; however, we find perceptions of body weight are generally more strongly associated with low life satisfaction among girls compared to boys.
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Affiliation(s)
- Renata Forste
- Department of Sociology, Brigham Young University, 2008 JFSB, Provo, UT 84602, United States.
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Gulley T. Time perspective and physical activity among central Appalachian adolescents. J Sch Nurs 2012; 29:123-31. [PMID: 22869913 DOI: 10.1177/1059840512456552] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Abstract
Time perspective is a cultural behavioral concept that reflects individuals' orientations or attitudes toward the past, present, or future. Individuals' time perspectives influence their choices regarding daily activities. Time perspective is an important consideration when teaching adolescents about the importance of being physically active. However, little is known about the relationship between time perspective and physical activity among adolescents. The purpose of this study was to determine the time perspective of central Appalachian adolescents and explore the relationship between time perspective and physical activity. This study was guided by The theory of planned behavior (TPB). One hundred and ninety-three students completed surveys to examine time perspective and physical activity behaviors. Data were collected in one school. Results of this study can inform school nurses and high school guidance counselors about the importance of promoting a future-oriented time perspective to improve physical activity and educational outcomes.
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Affiliation(s)
- Tauna Gulley
- The University of Virginia's College, Wise, VA, USA.
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Straker LM, Smith KL, Fenner AA, Kerr DA, McManus A, Davis MC, Fielding AM, Olds TS, Hagger MS, Smith AJ, Abbott RA. Rationale, design and methods for a staggered-entry, waitlist controlled clinical trial of the impact of a community-based, family-centred, multidisciplinary program focussed on activity, food and attitude habits (Curtin University's Activity, Food and Attitudes Program--CAFAP) among overweight adolescents. BMC Public Health 2012; 12:471. [PMID: 22721261 PMCID: PMC3439288 DOI: 10.1186/1471-2458-12-471] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/06/2012] [Accepted: 06/13/2012] [Indexed: 02/07/2023] Open
Abstract
Background Current estimates place just under one quarter of adolescents in Australia as overweight or obese. Adolescence has been identified as a critical period for the development of obesity, yet despite this recognition, there is limited systematic research into or evaluation of interventions for overweight adolescents. Reviews have concluded that there is a substantive evidence gap for effective intervention, but physical activity, lifestyle change and family involvement have been identified as promising foci for treatment. Methods This paper reports on the development of a staggered-entry, waitlist controlled clinical trial to assess the impact of a multidisciplinary intervention aiming to change the poor health trajectory of overweight adolescents and help them avoid morbid obesity in adulthood—Curtin University’s Activity, Food and Attitudes Program (CAFAP). 96 adolescents, aged 11–16 years, and parents, will attend twice weekly during an 8 week intensive multidisciplinary program with maintenance follow-up focussed on improving activity, food and attitude habits. Follow-up assessments will be conducted immediately after completing the intensive program, and at 3, 6 and 12 months post intensive program. Main outcomes will be objectively-measured physical activity, sedentary behaviour and activity behaviours; food intake (measured by 3 day diary) and food behaviours; body composition, fitness and physical function; mental and social well-being (quality of life, mood and attitudes), and family functioning. Discussion This trial will provide important information to understand whether a community based multidisciplinary intervention can have short and medium term effects on activity and food habits, attitudes, and physical and mental health status of overweight adolescents. Trial registration Australian New Zealand Clinical Trials Registry ACTRN12611001187932.
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Affiliation(s)
- Leon M Straker
- School of Physiotherapy, Curtin University, Perth, Australia.
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Mustillo SA, Hendrix KL, Schafer MH. Trajectories of body mass and self-concept in black and white girls: the lingering effects of stigma. JOURNAL OF HEALTH AND SOCIAL BEHAVIOR 2012; 53:2-16. [PMID: 22382717 DOI: 10.1177/0022146511419205] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
As a stigmatizing condition, obesity may lead to the internalization of devalued labels and threats to self-concept. Modified labeling theory suggests that the effects of stigma may outlive direct manifestations of the discredited characteristic itself. This article considers whether obesity's effects on self-concept linger when obese youth enter the normal body mass range. Using longitudinal data from the National Growth and Health Study on 2,206 black and white girls, we estimated a parallel-process growth mixture model of body mass linked to growth models of body image discrepancy and self-esteem. We found that discrepancy was higher and self-esteem lower in formerly obese girls compared to girls always in the normal range and comparable to chronically obese girls. Neither body image discrepancy nor self-esteem rebounded in white girls despite reduction in body mass, suggesting that the effects of stigma linger. Self-esteem, but not discrepancy, did rebound in black girls.
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Ferreiro F, Seoane G, Senra C. A prospective study of risk factors for the development of depression and disordered eating in adolescents. JOURNAL OF CLINICAL CHILD AND ADOLESCENT PSYCHOLOGY 2011; 40:500-5. [PMID: 21534061 DOI: 10.1080/15374416.2011.563465] [Citation(s) in RCA: 46] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 10/18/2022]
Abstract
There is evidence that females display higher levels of depressive symptoms and disordered eating than males from adolescence onward. This study examined whether different risk factors and their interaction with sex (moderator effect) prospectively predicted depressive symptoms and disordered eating in adolescents. A total of 415 female adolescents and 413 male adolescents were evaluated at 2 different times: In the first evaluation (T1) the mean age of the participants was 12.8 years, and in the second evaluation (T2) it was 14.9 years. Differences between sexes were observed in relation to depressive symptoms at T2 and in disordered eating at T1 and T2. Body dissatisfaction was a significant predictor of both depressive symptoms and disordered eating. In addition, moderation tests indicated that the interaction between self-esteem and sex and the interaction between body mass index and sex significantly predicted depressive symptoms and disordered eating, respectively.
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Affiliation(s)
- Fátima Ferreiro
- Department of Clinical Psychology and Psychobiology, University of Santiago de Compostela, Spain
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Pastor PN, Reuben CA. Emotional/behavioral difficulties and adolescent obesity: effect of sex and Hispanic origin/race. ACTA ACUST UNITED AC 2011; 6:462-6. [PMID: 21790263 DOI: 10.3109/17477166.2011.590207] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
This study examines the relationship between emotional/behavioral difficulties and obesity among US adolescents aged 12-17 using parent-reported data for 11,042 adolescents in the National Health Interview Survey. Obesity was defined as body mass index (BMI) ≥sex/age-specific 95th percentile BMI cut-points from the 2000 CDC Growth Charts. Types of emotional/behavioral difficulties were identified using the Strengths and Difficulties Questionnaire. Among females, emotional/behavioral difficulties were associated with obesity among non-Hispanic (NH) white and Hispanic adolescents (both those with interviews in English and interviews in Spanish). Among males, emotional/behavioral difficulties were associated with obesity among NH white adolescents and Hispanic males with interviews in English. No association between any difficulties and obesity was found among NH black adolescents, either male or female, or Hispanic males with interviews in Spanish. Awareness of the differing association between emotional/behavioral difficulties and obesity among subgroups of adolescents may aid in the development of targeted obesity interventions.
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Affiliation(s)
- Patricia N Pastor
- Centers for Disease Control and Prevention, National Center for Health Statistics (CDC/NCHS) , Hyattsville, Maryland, USA.
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Goodman E, Must A. Depressive symptoms in severely obese compared with normal weight adolescents: results from a community-based longitudinal study. J Adolesc Health 2011; 49:64-9. [PMID: 21700159 PMCID: PMC3124658 DOI: 10.1016/j.jadohealth.2010.10.015] [Citation(s) in RCA: 18] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/23/2010] [Revised: 10/27/2010] [Accepted: 10/30/2010] [Indexed: 10/18/2022]
Abstract
PURPOSE Little is known about the relationship between severe obesity and depressive symptoms, particularly in community as opposed to clinic-based samples. This study determined the relationship of severe obesity and depressive symptoms over 3 years in a community-based sample of non-Hispanic black and white adolescents in grades 7-12 at baseline. METHODS The nested matched cohort study using data from a longitudinal school-based study of youth followed up for 3 years. A total of 51 severely obese participants (body mass index-for-age ≥99% and a body mass index ≥40 at one or more study visit) were identified and paired with an age-, gender-, and race-matched normal weight subject. Depressive symptoms (Center for Epidemiological Studies Depression [CES-D] scale) were assessed at baseline, 2 and 3 years later. High-depressive symptoms were defined by CES-D score above cut points predictive of major depressive disorder or use of antidepressant medication. RESULTS Pairs were 73% non-Hispanic black, 67% females. There was no relationship between weight status and high-depressive symptoms at any assessment point. However, a positive association between weight status and CES-D scores, while not present at baseline or at 2 years, emerged at 3 years (p = .02). This relationship was present only among non-Hispanic whites (p = .006 whites, p = .25 blacks) and did not differ by gender. CONCLUSION Severely obese youth in this community sample did not have increased likelihood of high levels of depressive symptoms. However, significantly increased depressive symptoms among non-Hispanic white youth at the end of the follow-up period suggests that this racial/ethnic group may be particularly vulnerable to the psychological effects of obesity in late adolescence and/or early adulthood.
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Affiliation(s)
- Elizabeth Goodman
- Center for Child and Adolescent Health Policy, Massachusetts General Hospital for Children, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts 02114, USA.
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Huh D, Stice E, Shaw H, Boutelle K. Female overweight and obesity in adolescence: developmental trends and ethnic differences in prevalence, incidence, and remission. J Youth Adolesc 2011; 41:76-85. [PMID: 21499888 DOI: 10.1007/s10964-011-9664-4] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/18/2011] [Accepted: 04/07/2011] [Indexed: 12/01/2022]
Abstract
Despite substantial increases in the prevalence of adolescent overweight and obesity documented in recent decades, few studies have prospectively tracked their development during the entire adolescent period. The aims of this study were to characterize developmental trends in prevalence, incidence, and remission of overweight and obesity using annual data collected from ages 12 to 19 for 496 adolescent females. Ethnic differences between African American (n = 37), Latina (n = 96), and European American (n = 348) adolescents were also compared. The prevalence of overweight decreased slightly across adolescence and remission rates exceeded incidence (onset). Obesity was more chronic, with increasing incidence accompanied by decreasing remission rates. Middle through late adolescence was the period of greatest risk for the transition from overweight to obesity. African American and Latina females had higher overweight and obesity prevalence than European American females throughout adolescence. Differences in prevalence were driven by higher onset rates for African American and Latina females, whereas remission rates were comparable across ethnic groups. Results suggest that adolescence is not a high-risk period for onset of obesity for European American adolescent females, but is for African American and Latina adolescent females.
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Affiliation(s)
- David Huh
- Department of Psychology, University of Washington, Seattle, WA, 98195-1525, USA.
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Whaley AL, Smith M, Hancock A. Ethnic/racial differences in the self-reported physical and mental health correlates of adolescent obesity. J Health Psychol 2011; 16:1048-57. [PMID: 21464113 DOI: 10.1177/1359105311398683] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Adolescent obesity has increased significantly during the past 20 years disproportionately affecting African-Americans. We tested the cultural hypothesis which suggests that the acceptance of a larger body size among African-Americans serves as a protective factor against negative physical and mental health consequences. Secondary analyses of data from a subsample of 5158 Black and White participants in the 2009 Youth Risk Behavior Survey were conducted to assess the relationship between weight status and global self-reports of physical and psychological health. Planned comparisons revealed support of our hypotheses for some outcomes but not others. Implications for interventions targeting adolescent obesity are discussed.
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Affiliation(s)
- Athur L Whaley
- Department of Epidemiology and Biostatistics, Jackson State University, 350 Woodrow Wilson Avenue, Jackson, MS 39213, USA.
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Affiliation(s)
- Ariz Rojas
- Department of Psychology, University of South Florida, USA
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Burger JM, Bell H, Harvey K, Johnson J, Stewart C, Dorian K, Swedroe M. Nutritious or Delicious? The Effect of Descriptive Norm Information on Food Choice. JOURNAL OF SOCIAL AND CLINICAL PSYCHOLOGY 2010. [DOI: 10.1521/jscp.2010.29.2.228] [Citation(s) in RCA: 86] [Impact Index Per Article: 6.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
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Mitchell R. Movie Review: Queen Sized. JOURNAL OF CREATIVITY IN MENTAL HEALTH 2009. [DOI: 10.1080/15401380903372604] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/20/2022]
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Merten MJ, Williams AL, Shriver LH. Breakfast Consumption in Adolescence and Young Adulthood: Parental Presence, Community Context, and Obesity. ACTA ACUST UNITED AC 2009; 109:1384-91. [DOI: 10.1016/j.jada.2009.05.008] [Citation(s) in RCA: 95] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/23/2008] [Accepted: 02/25/2009] [Indexed: 11/29/2022]
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