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Gold JM, Drewnowski A, Andersen MR, Rose C, Buszkiewicz J, Mou J, Ko LK. Investigating the effects of rurality on stress, subjective well-being, and weight-related outcomes. WELLBEING, SPACE AND SOCIETY 2023; 5:100171. [PMID: 38274306 PMCID: PMC10810484 DOI: 10.1016/j.wss.2023.100171] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 01/27/2024]
Abstract
Purpose Rates of obesity are significantly higher for those living in a rural versus urban setting. High levels of stress and low levels of subjective well-being (SWB) have been linked to poor weight-related behaviors and outcomes, but it is unclear if these relationships differ as a function of rurality. This study investigated the extent to which living in a rural versus urban county ("rurality") moderated associations between stress / subjective wellbeing (predictors) and diet quality, dietary intake of added sugars, physical activity, and BMI (outcomes). Methods Participants were recruited from urban (n = 355) and rural (n = 347) counties in Washington State and self-reported psychological, demographic, and food frequency questionnaires while physical activity behavior was measured objectively. Findings After controlling for relevant covariates, levels of stress were positively associated with added sugar intake for those living in the urban county while this relationship was non-significant for those residing in the rural county. Similarly, SWB was negatively associated with added sugar intake, but only for urban residents. County of residence was also found to moderate the relationship between SWB and BMI. Higher SWB was inversely associated with BMI for those living in the urban county while no relationship was observed for rural county residents. Conclusions These findings support the hypothesis that the relationships between stress / SWB and weight function differentially based on the rurality of the residing county. This work adds to the growing body of literature highlighting the role stress and SWB play in the rural obesity disparity.
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Affiliation(s)
- Joshua M. Gold
- Department of Health Services, School of Public Health, University of Washington, Seattle, WA, USA
- Department of Cancer Prevention, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - Adam Drewnowski
- Department of Epidemiology, School of Public Health, University of Washington, Seattle, Washington, USA
- Center for Public Health Nutrition, School of Public Health, University of Washington, Seattle, Washington, USA
| | - M. Robyn Andersen
- Department of Cancer Prevention, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
| | - Chelsea Rose
- Center for Public Health Nutrition, School of Public Health, University of Washington, Seattle, Washington, USA
| | - James Buszkiewicz
- Department of Epidemiology, School of Public Health, University of Washington, Seattle, Washington, USA
| | - Jin Mou
- MultiCare Institute for Research and Innovation, MultiCare Health System, Tacoma, Washington, USA
| | - Linda K. Ko
- Department of Health Services, School of Public Health, University of Washington, Seattle, WA, USA
- Department of Cancer Prevention, Fred Hutchinson Cancer Research Center, Seattle, Washington, USA
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Zhu Y, Zhu Q, Ma Y, Chen S, Meng H, Zubair M. Identify travel and health factors influencing well-being of the older adults-a case study in China. Front Public Health 2023; 11:1213499. [PMID: 37538271 PMCID: PMC10394637 DOI: 10.3389/fpubh.2023.1213499] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/28/2023] [Accepted: 07/03/2023] [Indexed: 08/05/2023] Open
Abstract
Objective With the increase in aging populations worldwide, the travel well-being of the elders has gained attention. The objective of this study is to examine the nonlinear relationships between the well-being of the older people in China and factors associated with travel and health. Method Based on the data collected in China, combined embedded feature selection and decision tree built by Gini index were utilized to screen for influential factors and to determine the importance of the features selected. Tamhane's T2 was used to study the differences in the important factors among older people with different levels of travel well-being. Results This study found that the travel well-being of older adults depends mainly on accessibility to public places, such as schools and medical facilities, and the availability of bus services. Out of expectation, the most important influential factor of travel well-being of older people is the distance from home to high school. This is related to the traditional Chinese concept of education. In addition, it was found that the body mass index is more important than self-perceived health as an influence factor of travel well-being of the elders in China. Social skills are important factors too. Conclusion This study investigated various health-related and travel-related factors and their impacts on the travel well-being of older adults Chinese with the overall goal to improve the quality of life of the elders in China. The findings may provide a theoretical basis for the implementation of various transportation management and urban planning and design -related policies to improve the travel well-being of older adults in China.
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Affiliation(s)
- Yi Zhu
- Jiangsu Key Laboratory of Urban ITS, School of Transportation, Southeast University, Nanjing, China
- Jiangsu Province Collaborative Innovation Center of Modem Urban Traffic Technologies, Southeast University, Nanjing, China
| | - Qian Zhu
- Jiangsu Key Laboratory of Urban ITS, School of Transportation, Southeast University, Nanjing, China
- Jiangsu Province Collaborative Innovation Center of Modem Urban Traffic Technologies, Southeast University, Nanjing, China
| | - Yongfeng Ma
- Jiangsu Key Laboratory of Urban ITS, School of Transportation, Southeast University, Nanjing, China
- Jiangsu Province Collaborative Innovation Center of Modem Urban Traffic Technologies, Southeast University, Nanjing, China
| | - Shuyan Chen
- Jiangsu Key Laboratory of Urban ITS, School of Transportation, Southeast University, Nanjing, China
- Jiangsu Province Collaborative Innovation Center of Modem Urban Traffic Technologies, Southeast University, Nanjing, China
| | - Hongcheng Meng
- Jiangsu Key Laboratory of Urban ITS, School of Transportation, Southeast University, Nanjing, China
- Jiangsu Province Collaborative Innovation Center of Modem Urban Traffic Technologies, Southeast University, Nanjing, China
| | - Muhammad Zubair
- Jiangsu Key Laboratory of Urban ITS, School of Transportation, Southeast University, Nanjing, China
- Jiangsu Province Collaborative Innovation Center of Modem Urban Traffic Technologies, Southeast University, Nanjing, China
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Fang J, Wen Z, Ouyang J, Huang G, Liu X. The reciprocal longitudinal relationship between body mass index and subjective well-being in China. Soc Sci Med 2022; 297:114829. [DOI: 10.1016/j.socscimed.2022.114829] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/09/2021] [Revised: 02/13/2022] [Accepted: 02/15/2022] [Indexed: 10/19/2022]
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Godoy-Izquierdo D, Lara R, Ogallar A, Rodríguez-Tadeo A, Ramírez MJ, Navarrón E, Arbinaga F. Psychosocial and Diet-Related Lifestyle Clusters in Overweight and Obesity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:6461. [PMID: 34203684 PMCID: PMC8296278 DOI: 10.3390/ijerph18126461] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/18/2021] [Revised: 05/31/2021] [Accepted: 06/03/2021] [Indexed: 11/17/2022]
Abstract
This study explored intraindividual multidimensional profiles integrating psychosocial factors, namely, body image and satisfaction, weight-related self-stigma, positivity, and happiness, and behavioural-lifestyle factors, namely, adherence to a healthy diet, among Spanish adults with overweight or obesity. We further aimed to investigate the association of excess weight (i.e., measured body mass index, BMI) with the abovementioned multidimensional configurations. A convenience sample of 100 adult individuals (60% females) with excessive weight (69% overweight; 31% obesity) was recruited. They completed self-reports regarding the study variables, and their weight and height were measured. With a perspective centered on the individual, a cluster analysis was performed. Three distinct intraindividual psychosocial and diet-related profiles were identified: a group of healthy individuals with excess weight (46%); a group of individuals who were negatively affected by their excessive weight and showed the most distressed profile (18%); and a group of dysfunctional individuals who seemed to be excessively unrealistic and optimistic regarding their excessive weight and unhealthy lifestyles, but were troubled by their weight (36%). Furthermore, individuals in the affected cluster had higher obesity (mean BMI ± SD = 32.1 ± 3.7) than those in the clusters of healthy (28.0 ± 3.0) and dysfunctional individuals (28.1 ± 3.3) (p < 0.05). The results showed that there are specific psychosocial and lifestyle profiles in the adult population with excess weight and that there are relationships among psychological, behavioural, and body-composition factors. For clinical application purposes, it is important to account for the heterogeneity within individuals who are obese and to individualize the interventions, with a focus from weight change to the individual's overall well-being.
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Affiliation(s)
- Débora Godoy-Izquierdo
- Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Campus Universitario de Cartuja, Universidad de Granada, 18071 Granada, Spain;
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Campus Universitario de Cartuja, Universidad de Granada, 18071 Granada, Spain; (R.L.); (M.J.R.); (E.N.)
| | - Raquel Lara
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Campus Universitario de Cartuja, Universidad de Granada, 18071 Granada, Spain; (R.L.); (M.J.R.); (E.N.)
- Departamento de Psicología Social, Facultad de Psicología, Campus Universitario de Cartuja, Universidad de Granada, 18071 Granada, Spain
| | - Adelaida Ogallar
- Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Campus Universitario de Cartuja, Universidad de Granada, 18071 Granada, Spain;
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Campus Universitario de Cartuja, Universidad de Granada, 18071 Granada, Spain; (R.L.); (M.J.R.); (E.N.)
| | - Alejandra Rodríguez-Tadeo
- Departamento Ciencias de la Salud, Instituto de Ciencias Biomédicas, Anillo Envolvente del Pronaf y Estocolmo, Universidad Autónoma Ciudad Juárez, Ciudad Juárez 32300, Chihuahua, Mexico;
| | - María J. Ramírez
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Campus Universitario de Cartuja, Universidad de Granada, 18071 Granada, Spain; (R.L.); (M.J.R.); (E.N.)
| | - Estefanía Navarrón
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Campus Universitario de Cartuja, Universidad de Granada, 18071 Granada, Spain; (R.L.); (M.J.R.); (E.N.)
| | - Félix Arbinaga
- Departamento de Psicología Clínica y Experimental, Facultad de Educación, Psicología y Ciencias del Deporte, Campus Universitario El Carmen, Universidad de Huelva, 21071 Huelva, Spain;
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Godoy-Izquierdo D, Ogallar A, Lara R, Rodríguez-Tadeo A, Arbinaga F. Association of a Mediterranean Diet and Fruit and Vegetable Consumption with Subjective Well-Being among Adults with Overweight and Obesity. Nutrients 2021; 13:nu13041342. [PMID: 33920700 PMCID: PMC8072525 DOI: 10.3390/nu13041342] [Citation(s) in RCA: 10] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/14/2021] [Revised: 04/06/2021] [Accepted: 04/14/2021] [Indexed: 02/07/2023] Open
Abstract
Recent evidence suggests that among behavioral-lifestyle factors, adherence to a healthy dietary pattern such as the Mediterranean Diet (MedDiet) is linked not only to better psychological health and mental positive status but also to increased subjective well-being (SWB). Nevertheless, this association has been unexplored among individuals with excessive weight. This study explored whether adherence to the MedDiet and the intake of healthy foods such as fruits and vegetables (FV) are associated with increased happiness and life satisfaction among Spanish adults with overweight or obesity when weight, body image, and body satisfaction are also considered. A convenience sample of adult individuals with excessive weight completed self-reports on the study variables, and weight and BMI were measured by bioimpedance. No evidence of a relationship with SWB indicators was obtained for MedDiet global indicators, probably due to the low adherence to a healthy diet by these individuals. In contrast, FV intake, as a powerful indicator of healthy eating, was associated with life satisfaction when BMI and body image dimensions were considered, among which body satisfaction had a key role. Moreover, life satisfaction fully mediated the relationship between FV consumption and happiness. Our findings are expected to make a relevant contribution to knowledge on the positive correlates or protective factors for overall well-being in obesity, including dietary habits and body appreciation. Our results may inform obesity management actions focused on inclusive, positive aesthetic models and promoting a healthy lifestyle for happiness in obesity.
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Affiliation(s)
- Débora Godoy-Izquierdo
- Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain;
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain
- Correspondence:
| | - Adelaida Ogallar
- Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain;
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain
| | - Raquel Lara
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain
- Departamento de Psicología Social, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain;
| | - Alejandra Rodríguez-Tadeo
- Departamento de Ciencias de la Salud, Instituto de Ciencias Biomédicas, Universidad Autónoma Ciudad Juárez, Anillo Envolvente del Pronaf y Estocolmo, Ciudad Juárez 32300, Mexico;
| | - Félix Arbinaga
- Departamento de Psicología Clínica y Experimental, Facultad de Educación, Psicología y Ciencias del Deporte, Universidad de Huelva, Campus Universitario El Carmen, 21071 Huelva, Spain;
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6
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Mitchell ES, Yang Q, Behr H, Ho A, DeLuca L, May CN, Michaelides A. Psychosocial Characteristics by Weight Loss and Engagement in a Digital Intervention Supporting Self-Management of Weight. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18041712. [PMID: 33578975 PMCID: PMC7916717 DOI: 10.3390/ijerph18041712] [Citation(s) in RCA: 6] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 12/22/2020] [Revised: 02/03/2021] [Accepted: 02/04/2021] [Indexed: 01/01/2023]
Abstract
There is substantial variability in weight loss outcomes. Psychosocial characteristics underlying outcomes require better understanding, particularly on self-managed digital programs. This cross-sectional study examines differences in psychosocial characteristics by weight loss and engagement outcome, and which characteristics are most associated with weight loss, on a self-managed digital weight loss program. Some underexplored psychosocial characteristics are included, such as flourishing, or a sense of meaning and purpose in life. A questionnaire was emailed to a random sample of 10,000 current users at week 5 in the program and 10,000 current users at week 17. The questionnaire was completed by 2225 users, and their self-reported weight and recorded program engagement data were extracted from the program’s database. Multiple comparison tests indicated that mental health quality of life, depression, anxiety, work-life balance, and flourishing differed by weight loss outcome at program end (week 17; ≥5%, 2–5%, below 2%) and by engagement tertile at program beginning and end (weeks 5 and 17). Only anxiety was associated with weight loss in a backward stepwise regression controlling for engagement and sociodemographic characteristics. Flourishing did not predict weight loss overall but predicted the weight loss outcome group. Our findings have implications for creating more effective interventions for individuals based on psychosocial characteristics and highlight the potential importance of anxiety in underexplored self-managed digital programs.
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Affiliation(s)
- Ellen S. Mitchell
- Academic Research, Noom, 229 W 28th St., New York, NY 10001, USA; (Q.Y.); (H.B.); (A.H.); (L.D.); (C.N.M.); (A.M.)
- Correspondence:
| | - Qiuchen Yang
- Academic Research, Noom, 229 W 28th St., New York, NY 10001, USA; (Q.Y.); (H.B.); (A.H.); (L.D.); (C.N.M.); (A.M.)
| | - Heather Behr
- Academic Research, Noom, 229 W 28th St., New York, NY 10001, USA; (Q.Y.); (H.B.); (A.H.); (L.D.); (C.N.M.); (A.M.)
- Department of Integrative Health, Saybrook University, 55 W Eureka St, Pasadena, CA 91103, USA
| | - Annabell Ho
- Academic Research, Noom, 229 W 28th St., New York, NY 10001, USA; (Q.Y.); (H.B.); (A.H.); (L.D.); (C.N.M.); (A.M.)
| | - Laura DeLuca
- Academic Research, Noom, 229 W 28th St., New York, NY 10001, USA; (Q.Y.); (H.B.); (A.H.); (L.D.); (C.N.M.); (A.M.)
- Ferkauf Graduate School of Psychology, Yeshiva University, 1165 Morris Park Ave, Bronx, NY 10461, USA
| | - Christine N. May
- Academic Research, Noom, 229 W 28th St., New York, NY 10001, USA; (Q.Y.); (H.B.); (A.H.); (L.D.); (C.N.M.); (A.M.)
| | - Andreas Michaelides
- Academic Research, Noom, 229 W 28th St., New York, NY 10001, USA; (Q.Y.); (H.B.); (A.H.); (L.D.); (C.N.M.); (A.M.)
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Robertson S, Davies M, Winefield H. Positive psychological correlates of successful weight maintenance in Australia. CLIN PSYCHOL-UK 2020. [DOI: 10.1111/cp.12073] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Affiliation(s)
- Sharon Robertson
- School of Psychology, University of Adelaide, South Australia, Australia,
| | - Matthew Davies
- School of Psychology, University of Adelaide, South Australia, Australia,
| | - Helen Winefield
- School of Psychology, University of Adelaide, South Australia, Australia,
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Schiavon CC, Marchetti E, Ayala FO, Loewe G, Bauer J, Busnello FM, Reppold CT. Positive psychological characteristics in patients with metabolic syndrome associated with prospective changes in diet and anthropometric factors. PLoS One 2020; 15:e0236693. [PMID: 32870909 PMCID: PMC7462285 DOI: 10.1371/journal.pone.0236693] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/25/2019] [Accepted: 07/09/2020] [Indexed: 11/19/2022] Open
Abstract
The prevalence of metabolic syndrome (MetS) is increasing worldwide, and diet therapy plays a key role in treating this disease. Since most patients show difficulties in adhering to nutritional interventions, research on the association of positive psychological characteristics with greater engagement in physical health is relevant to this field. The present study aimed to evaluate the association between positive psychology attributes (optimism, hope, self-esteem, positive/negative affect and life satisfaction) and changes in diet quality and anthropometric parameters of individuals with MetS who received nutritional counseling. The study assessed 63 patients at a nutrition outpatient clinic. Anthropometric parameters and 24-hour food recall data (for evaluation of the Brazilian Healthy Eating Index-Revised-BHEI-R) were collected at the first visit and subsequent return visit (on average five months later). Psychological data were collected at the first visit using validated and standardized scales. The results were adjusted in relation to the depression scores of the patients, which were evaluated using the Beck Depression Inventory-II (BDI-II). Changes in anthropometric factors and in the BHEI-R were assessed, and their associations with the psychological attributes were investigated. The results indicated that positive affect and hope were associated with improvement in the BHEI-R scores (Cohen effect sizes -0.65 and -0.58; p = 0.012 and 0.025, respectively). A significant association was also observed between optimism and a reduction in abdominal circumference (Cohen effect size 0.56; p = 0.031). The associations remained significant even after adjusting for the BDI-II scores (p = 0.022, p = 0.037 and p = 0.05, respectively). No statistically significant associations were observed for the other attributes assessed.The study suggests that some attributes may have a greater influence on the nutritional treatment of MetS and that future studies should be conducted in order to enable effective multidisciplinary interventions to treat MetS.
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Affiliation(s)
- Cecilia Cesa Schiavon
- Psychological Assessment Laboratory, Department of Health Sciences, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil
| | - Eduarda Marchetti
- Psychological Assessment Laboratory, Department of Health Sciences, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil
| | - Fernanda Oliveira Ayala
- Psychological Assessment Laboratory, Department of Health Sciences, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil
| | - Gabriela Loewe
- Psychological Assessment Laboratory, Department of Health Sciences, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil
| | - Júlia Bauer
- Psychological Assessment Laboratory, Department of Health Sciences, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil
| | - Fernanda Michielin Busnello
- Psychological Assessment Laboratory, Department of Health Sciences, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil
| | - Caroline Tozzi Reppold
- Psychological Assessment Laboratory, Department of Health Sciences, Federal University of Health Sciences of Porto Alegre (UFCSPA), Porto Alegre, Brazil
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Dias Neto D, Mourinho Baptista T, Marques C, Sousa Ferreira A. The role of weight perceptions and their impact on health and well-being: A multiple mediation model. Clin Obes 2020; 10:e12362. [PMID: 32352240 DOI: 10.1111/cob.12362] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/06/2019] [Revised: 02/05/2020] [Accepted: 04/01/2020] [Indexed: 01/25/2023]
Abstract
The present study analyses the role of weight distortion and weight self-criticism in explaining the relationship between actual weight and perceived health, well-being, body satisfaction and emotional eating. Eight hundred and six individuals were selected from a national study on nutrition. They were divided into two groups according to self-reported dieting. A questionnaire measuring the outcome variables was implemented. Weight distortion and self-criticism were calculated using actual, estimated and desired BMI. A multiple mediation model was estimated using structural equation modelling. A valid model was obtained in which weight self-criticism is a partial mediator of the relationship between weight and body satisfaction and a full mediator of the relationship between weight and emotional eating for the non-dieter group. For the dieter group, full mediation of weight self-criticism is observed in the relationships between weight and health, well-being and body satisfaction. For weight distortion, no mediation effect is found in either group. The results highlight the importance of weight perceptions in understanding the influence of body weight on several aspects of health and well-being. The type of weight perception is also relevant. A critical attitude towards weight is more determinant than the distortion in weight appraisal.
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Affiliation(s)
- David Dias Neto
- ISPA - Instituto Universitário, APPsyCI - Applied Psychology Research Center Capabilities & Inclusion, Lisboa, Portugal
| | | | - Catarina Marques
- Instituto Universitário de Lisboa (ISCTE-IUL), Business Research Unit (BRU-IUL), Lisboa, Portugal
| | - Ana Sousa Ferreira
- Faculdade de Psicologia, Universidade de Lisboa, Business Research Unit (BRU-IUL), Alameda da Universidade, Lisboa, Portugal
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Godoy-Izquierdo D, González-Hernández J, Rodríguez-Tadeo A, Lara R, Ogallar A, Navarrón E, Ramírez MJ, López-Mora C, Arbinaga F. Body Satisfaction, Weight Stigma, Positivity, and Happiness among Spanish Adults with Overweight and Obesity. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:E4186. [PMID: 32545437 PMCID: PMC7344457 DOI: 10.3390/ijerph17124186] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 04/17/2020] [Revised: 05/29/2020] [Accepted: 06/10/2020] [Indexed: 12/16/2022]
Abstract
Although previous evidence suggests that happiness is lower among individuals with obesity, research on the correlates of subjective well-being (SWB) is warranted to increase our knowledge. We aim to explore excess weight (i.e., measured and self-reported body mass index (BMI)), body image and satisfaction, self-stigma, positivity, and happiness among Spanish adults with overweight or obesity. We further aim to investigate the predictors of SWB in this sample. A convenience sample of 100 individuals with excess weight completed self-reports on the study variables and were weighed and their height measured. On average, the participants reported body perceptions revealing minor excessive weight, moderate body satisfaction, low-to-moderate weight-related stigma, and elevated positivity and happiness. BMI and gender/sex independently affected these variables, but there were no significant interaction effects. Furthermore, individuals with overweight or obesity with higher body satisfaction and elevated positivity were more likely to report being happy, independent of their age, gender/sex, weight, and weight-related stigma. Mediation effects were found for body satisfaction and positivity in the relationship between weight and happiness. Moreover, positive orientation suppressed the pervasive influence of stigma on SWB. Our findings confirm the key role of body image dimensions and weight-related stigma for happiness and add support to the relevance of positivity for overall well-being of individuals with excess weight. These results may inform obesity management actions focused on inclusive aesthetic models, combating social stigmatization and enhancing positivity for a flourishing and fulfilling life.
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Affiliation(s)
- Débora Godoy-Izquierdo
- Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain; (J.G.-H.); (A.O.)
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain; (R.L.); (E.N.); (M.J.R.); (C.L.-M.)
| | - Juan González-Hernández
- Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain; (J.G.-H.); (A.O.)
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain; (R.L.); (E.N.); (M.J.R.); (C.L.-M.)
| | - Alejandra Rodríguez-Tadeo
- Departamento Ciencias de la Salud, Instituto de Ciencias Biomédicas, Universidad Autónoma Ciudad Juárez, Anillo Envolvente del Pronaf y Estocolmo, Ciudad Juárez 32300, Chihuahua, Mexico;
| | - Raquel Lara
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain; (R.L.); (E.N.); (M.J.R.); (C.L.-M.)
- Departamento de Psicología Social, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain
| | - Adelaida Ogallar
- Departamento de Personalidad, Evaluación y Tratamiento Psicológico, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain; (J.G.-H.); (A.O.)
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain; (R.L.); (E.N.); (M.J.R.); (C.L.-M.)
| | - Estefanía Navarrón
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain; (R.L.); (E.N.); (M.J.R.); (C.L.-M.)
| | - María J. Ramírez
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain; (R.L.); (E.N.); (M.J.R.); (C.L.-M.)
| | - Clara López-Mora
- Grupo de Investigación Psicología de la Salud y Medicina Conductual (CTS-267), Centro de Investigación Mente, Cerebro y Comportamiento, Facultad de Psicología, Universidad de Granada, Campus Universitario de Cartuja, 18071 Granada, Spain; (R.L.); (E.N.); (M.J.R.); (C.L.-M.)
- Seneca Foundation & Departmen of Human Development and Family Science, University of Missouri-Columbia, Gentry Hall, Columbia, MO 65211, USA
| | - Félix Arbinaga
- Departamento de Psicología Clínica y Experimental, Facultad de Educación, Psicología y Ciencias del Deporte, Universidad de Huelva, Campus Universitario El Carmen, 21071 Huelva, Spain
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11
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Zhang N, Liu C, Chen Z, An L, Ren D, Yuan F, Yuan R, Ji L, Bi Y, Guo Z, Ma G, Xu F, Yang F, Zhu L, Robert G, Xu Y, He L, Bai B, Yu T, He G. Prediction of adolescent subjective well-being: A machine learning approach. Gen Psychiatr 2019; 32:e100096. [PMID: 31552391 PMCID: PMC6738679 DOI: 10.1136/gpsych-2019-100096] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/31/2019] [Revised: 07/04/2019] [Accepted: 07/22/2019] [Indexed: 11/14/2022] Open
Abstract
Background Subjective well-being (SWB), also known as happiness, plays an important role in evaluating both mental and physical health. Adolescents deserve specific attention because they are under a great variety of stresses and are at risk for mental disorders during adulthood. Aim The present paper aims to predict undergraduate students’ SWB by machine learning method. Methods Gradient Boosting Classifier which was an innovative yet validated machine learning approach was used to analyse data from 10 518 Chinese adolescents. The online survey included 298 factors such as depression and personality. Quality control procedure was used to minimise biases due to online survey reports. We applied feature selection to achieve the balance between optimal prediction and result interpretation. Results The top 20 happiness risks and protective factors were finally brought into the predicting model. Approximately 90% individuals’ SWB can be predicted correctly, and the sensitivity and specificity were about 92% and 90%, respectively. Conclusions This result identifies at-risk individuals according to new characteristics and established the foundation for adolescent prevention strategies.
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Affiliation(s)
- Naixin Zhang
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Chuanxin Liu
- School of Mental Health, Jining Medical University, Shandong, China
| | - Zhixuan Chen
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Lin An
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Decheng Ren
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Fan Yuan
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Ruixue Yuan
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Lei Ji
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Yan Bi
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Zhenming Guo
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Gaini Ma
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Fei Xu
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Fengping Yang
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Liping Zhu
- Shanghai Center for Women and Children's Health, Shanghai, China
| | - Gabirel Robert
- Department of psychiatry, Medical University of Rennes, Rennes, France
| | - Yifeng Xu
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Lin He
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
| | - Bo Bai
- Institute of Neurobiology, Jining Medical University, Shandong, China
| | - Tao Yu
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China.,School of Mental Health, Jining Medical University, Shandong, China
| | - Guang He
- Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China.,Shanghai Key Laboratory of Psychotic Disorders, and Brain Science and Technology Research Center, Shanghai Jiao Tong University, Shanghai, China
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12
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Li S, Chen Y, He G. Laugh and grow fat: Happiness affects body mass index among Urban Chinese adults. Soc Sci Med 2018; 208:55-63. [PMID: 29763787 DOI: 10.1016/j.socscimed.2018.05.008] [Citation(s) in RCA: 18] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2017] [Revised: 02/14/2018] [Accepted: 05/03/2018] [Indexed: 01/22/2023]
Abstract
Previous studies have extensively examined the relationship between body mass index (BMI) and subjective well-being (SWB) but have mainly focused on the effects of BMI on SWB, leaving the question of whether BMI can be influenced by SWB largely neglected. In this study, we present the first empirical evidence on the effects of SWB on BMI among adults, using data combined from four waves of the Chinese General Social Survey (CGSS) (2010-2013). We find that, among urban Chinese adults, those who have a higher level of happiness tend to have higher BMI, after extensively controlling for a constellation of individual sociodemographic and health attributes. Further analyses using the instrumental variable method and propensity score matching provided similar results.
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Affiliation(s)
- Shuanglong Li
- Department of Sociology, School of Public Administration, Guangzhou University, Guangzhou, Guangdong Province, 510006, PR China
| | - Yunsong Chen
- Hopkins-Nanjing Center, Nanjing University, 162 Shanghai Road, Nanjing, Jiangsu Province, 210008, PR China; Department of Sociology, School of Social and Behavioral Sciences, Nanjing University, 163 Xianlin Road, Nanjing, Jiangsu Province, 210023, PR China.
| | - Guangye He
- Department of Sociology, School of Social and Behavioral Sciences, Nanjing University, 163 Xianlin Road, Nanjing, Jiangsu Province, 210023, PR China.
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13
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Brandel M, Vescovelli F, Ruini C. Beyond Ryff's scale: Comprehensive measures of eudaimonic well-being in clinical populations. A systematic review. Clin Psychol Psychother 2017; 24:O1524-O1546. [DOI: 10.1002/cpp.2104] [Citation(s) in RCA: 70] [Impact Index Per Article: 10.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/02/2017] [Accepted: 05/24/2017] [Indexed: 01/08/2023]
Affiliation(s)
| | | | - Chiara Ruini
- Department of Psychology; University of Bologna; Bologna Italy
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14
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de Montigny F, Cloutier L, Meunier S, Cyr C, Coulombe S, Tremblay G, Auger N, Roy B, Gaboury I, Lavoie B, Dion H, Houle J. Association between weight status and men's positive mental health: The influence of marital status. Obes Res Clin Pract 2016; 11:389-397. [PMID: 28007535 DOI: 10.1016/j.orcp.2016.12.002] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/25/2016] [Revised: 10/25/2016] [Accepted: 12/02/2016] [Indexed: 10/20/2022]
Abstract
The purpose of this study was to (1) examine the association between weight status and men's positive mental health, defined as the presence of symptoms of emotional, psychological, and social well-being, and (2) evaluate the moderating effect of marital status. A total of 645 men aged between 19 and 71 years self-reported their height and weight and answered a questionnaire measuring their emotional, psychological, and social well-being. Analysis of variance revealed that mean levels of emotional, psychological, and social well-being did not significantly differ according to men's weight status. Moderation analyses indicated that, for men in a relationship (married or living common-law), there were no significant associations between overweight, obesity, and the three components of positive mental health. However, for single men, overweight was marginally associated with higher emotional well-being, while obesity was associated with lower psychological well-being and marginally associated with lower social well-being. Results of the present study suggest that health professionals and researchers should take the characteristics (such as marital status) of men with obesity and overweight into account when working with them. Mental health researchers may need to examine men in each weight category separately (e.g. obesity vs. overweight), since the association with positive mental health can differ from one category to another.
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Affiliation(s)
| | - Lyne Cloutier
- Department of Nursing, Université du Québec à Trois-Rivières, Trois-Rivières, Canada.
| | - Sophie Meunier
- Department of Psychology, Université du Québec à Montréal, Montréal, Canada.
| | - Caroline Cyr
- Department of Psychology and Psychoeducation, Université du Québec en Outaouais, Gatineau, Canada.
| | - Simon Coulombe
- Department of Psychology, Université du Québec à Montréal, Montréal, Canada.
| | - Gilles Tremblay
- School of Social Work, Université Laval, Québec City, Canada.
| | - Nathalie Auger
- Institut national de santé publique du Québec, Montréal, Canada.
| | - Bernard Roy
- Faculty of Nursing, Université Laval, Québec City, Canada.
| | - Isabelle Gaboury
- Department of Family Medicine and Emergency Medicine, Université de Sherbrooke, Canada.
| | | | - Harold Dion
- Clinique médicale l'Actuel, Montréal, Canada.
| | - Janie Houle
- Department of Psychology, Université du Québec à Montréal, Montréal, Canada.
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