Dawn Witherspoon1, Laura Latta, Yan Wang, Maureen M Black. 1. Department of Pediatrics, University of Maryland School of Medicine, 737 W. Lombard Street, Room 161, Baltimore, MD 21201, USA. mblack@peds.umaryland.edu.
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.
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.
Authors: Maureen M Black; Erin R Hager; Katherine Le; Jean Anliker; S Sonia Arteaga; Carlo Diclemente; Joel Gittelsohn; Laurence Magder; Mia Papas; Soren Snitker; Margarita S Treuth; Yan Wang Journal: Pediatrics Date: 2010-07-26 Impact factor: 7.124
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