Weight Status and Weight Perception in Relation to Mental Distress and Psychosocial Protective Factors Among Adolescents - PubMed (original) (raw)

Weight Status and Weight Perception in Relation to Mental Distress and Psychosocial Protective Factors Among Adolescents

Mary J Christoph et al. Acad Pediatr. 2018 Jan-Feb.

Abstract

Objective: To measure how weight status and weight perception relate to mental distress and psychosocial protective factors in adolescents.

Methods: Adolescents in 8th, 9th, and 11th grade participating in the 2013 Minnesota Student Survey (N = 122,180) were classified on the basis of weight perception (overweight or not overweight) and weight status (not overweight, overweight, obese). Bivariate tests were used to assess the relationship of weight status and weight perception with internal mental distress, and generalized linear models were used to measure the association between weight status and weight perception with psychosocial protective factors including parent, school, and friend connectedness, social competency, and positive identity. Logistic regressions measured the relationship between psychosocial protective factors and internal mental distress.

Results: Prevalence of internal mental distress ranged from 14.5% for overweight boys who perceived themselves as not overweight to 55.0% for girls who were not overweight but self-perceived as overweight. Across all weight-status categories, adolescents who perceived themselves as overweight, compared to those who did not, had higher internal mental distress and lower mean levels of psychosocial protective factors. All psychosocial protective factors were related to lower odds of internal mental distress, with significant small differences by weight status and weight perception.

Conclusions: Weight status and weight perception affected both mental distress and psychosocial protective factors. Those who perceived themselves as overweight, regardless of weight status, had the highest prevalence of mental distress and the lowest levels of psychosocial protective factors. Health care providers should consider screening for weight perception to provide a tailored approach to adolescent care.

Keywords: BMI; adolescent health; psychosocial protective factors; weight perception; weight status.

Copyright © 2017 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

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Conflict of interest statement

Conflict of Interest: The authors have no conflicts of interest to disclose.

References

    1. Ogden CL, Carroll MD, Lawman HG, et al. Trends in Obesity Prevalence among Children and Adolescents in the United States, 1988–1994 Through 2013–2014. JAMA. 2016;315(21):2292–2299. - PMC - PubMed
    1. Gurnani M, Birken C, Hamilton J. Childhood Obesity: Causes, Consequences, and Management. Pediatr Clin North Am. 2015;62(4):821–40. doi: 10.1016/j.pcl.2015.04.001. - DOI - PubMed
    1. Mond J, van den Berg P, Boutelle K, Hannan P, Neumark-Sztainer D. Obesity, Body Dissatisfaction, and Emotional Well-Being in Early and Late Adolescence: Findings From the Project EAT Study. J Adolesc Health. 2011;48(4):373–378. - PMC - PubMed
    1. Merikangas AK, Mendola P, Pastor PN, et al. The association between major depressive disorder and obesity in US adolescents: results from the 2001–2004 National Health and Nutrition Examination Survey. J Behav Med. 2012;35(2):149–154. - PMC - PubMed
    1. Lampard AM, MacLehose RF, Eisenberg ME, et al. Weight-related teasing in the school environment: associations with psychosocial health and weight control practices among adolescent boys and girls. J Youth Adolesc. 2014;43(10):1770–80. doi: 10.1007/s10964-013-0086-3. - DOI - PMC - PubMed

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