Carmen R Isasi1, Christina M Parrinello2, Molly M Jung3, Mercedes R Carnethon4, Orit Birnbaum-Weitzman5, Rebeca A Espinoza6, Frank J Penedo7, Krista M Perreira8, Neil Schneiderman5, Daniela Sotres-Alvarez9, Linda Van Horn4, Linda C Gallo10. 1. Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY. Electronic address: carmen.isasi@einstein.yu.edu. 2. Department of Epidemiology, The Welch Center for Prevention, Epidemiology and Clinical Research, John Hopkins Bloomberg School of Public Health, Baltimore, MD. 3. Department of Epidemiology & Population Health, Albert Einstein College of Medicine, Bronx, NY. 4. Department of Preventive Medicine, Feinberg School of Medicine, Northwestern University, Chicago, IL. 5. Department of Psychology, University of Miami, Miami, FL. 6. Graduate School of Public Health, San Diego State University, San Diego, CA. 7. Department of Medical Social Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL. 8. Department of Public Policy, University of North Carolina at Chapel Hill, Chapel Hill, NC. 9. Department of Biostatistics, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, NC. 10. Department of Psychology, San Diego State University, San Diego, CA.
Abstract
PURPOSE: To examine the association of psychosocial stress with obesity, adiposity, and dietary intake in a diverse sample of Hispanic/Latino adults. METHODS: Participants were 5077 men and women, aged 18 to 74 years, from diverse Hispanic/Latino ethnic backgrounds. Linear regression models were used to assess the association of ongoing chronic stressors and recent perceived stress with measures of adiposity (waist circumference and percentage body fat) and dietary intake (total energy, saturated fat, alternative healthy eating index-2010). Multinomial logistic models were used to describe the odds of obesity or overweight relative to normal weight. RESULTS: Greater number of chronic stressors and greater perceived stress were associated with higher total energy intake. Greater recent perceived stress was associated with lower diet quality as indicated by alternative healthy eating index-2010 scores. Compared with no stressors, reporting three or more chronic stressors was associated with higher odds of being obese (odds ratio = 1.5, 95% confidence interval [CI] 1.01-2.1), greater waist circumference (β = 3.3, 95% CI 1.0-5.5), and percentage body fat (β = 1.5, 95% CI 0.4-2.6). CONCLUSIONS: The study found an association between stress and obesity and adiposity measures, suggesting that stress management techniques may be useful in obesity prevention and treatment programs that target Hispanic/Latino populations.
PURPOSE: To examine the association of psychosocial stress with obesity, adiposity, and dietary intake in a diverse sample of Hispanic/Latino adults. METHODS:Participants were 5077 men and women, aged 18 to 74 years, from diverse Hispanic/Latino ethnic backgrounds. Linear regression models were used to assess the association of ongoing chronic stressors and recent perceived stress with measures of adiposity (waist circumference and percentage body fat) and dietary intake (total energy, saturated fat, alternative healthy eating index-2010). Multinomial logistic models were used to describe the odds of obesity or overweight relative to normal weight. RESULTS: Greater number of chronic stressors and greater perceived stress were associated with higher total energy intake. Greater recent perceived stress was associated with lower diet quality as indicated by alternative healthy eating index-2010 scores. Compared with no stressors, reporting three or more chronic stressors was associated with higher odds of being obese (odds ratio = 1.5, 95% confidence interval [CI] 1.01-2.1), greater waist circumference (β = 3.3, 95% CI 1.0-5.5), and percentage body fat (β = 1.5, 95% CI 0.4-2.6). CONCLUSIONS: The study found an association between stress and obesity and adiposity measures, suggesting that stress management techniques may be useful in obesity prevention and treatment programs that target Hispanic/Latino populations.
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