Stephanie Borinsky1, John P Gaughan2, Lori Feldman-Winter3. 1. Cooper Medical School of Rowan University, Camden, NJ 08103, United States. 2. Cooper Research Institute, Cooper University Health Care, Camden, NJ 08103, United States. 3. Cooper Medical School of Rowan University, Camden, NJ 08103, United States; Division of Adolescent Medicine, Department of Pediatrics, The Children's Regional Hospital at Cooper University Hospital, Camden, NJ 08103, United States. Electronic address: winter-lori@cooperhealth.edu.
Abstract
OBJECTIVE: The obesity epidemic has been compounded by the stress of weight stigmatization. Resilience helps adolescents achieve positive outcomes during times of stress. This study aimed to determine relationships between overweight/obesity, perceived overweight/obesity, body size dissatisfaction (BSD), and/or resilience using a novel assessment tool among adolescents, and to determine if a modifiable factor such as resilience holds potential for treatments for BSD. METHODS: Adolescents, ages 13-21, were recruited from clinics at an academic medical center. Weight, height, demographic characteristics, BSD, and resilience were assessed via questionnaires and health records. A model of predictive variables for BSD was tested, and an adjusted analysis was performed using logistic regression. RESULTS: Eighty-five adolescents participated: 48% overweight/obese, 32% BSD, and 53% low resilience (LR). There was no association between actual and perceived overweight/obesity and LR (P=0.386 and P=0.123, respectively). Perceived overweight/obesity was five times (AOR 5.3; 95% CI=1.6-14.5; P=0.004) and LR was six times (AOR 6.4; 95% CI=1.9-22.4; P=0.003) more likely to be associated with BSD. The strongest sub-component of LR associated with BSD, was low confidence (OR 4.7; 95% CI=1.4-15.2; P=0.008). CONCLUSIONS: LR and perceived overweight/obesity are independently associated with BSD. This finding is important because resilience can be improved, thus highlighting a need for future studies involving resilience building interventions to decrease BSD.
OBJECTIVE: The obesity epidemic has been compounded by the stress of weight stigmatization. Resilience helps adolescents achieve positive outcomes during times of stress. This study aimed to determine relationships between overweight/obesity, perceived overweight/obesity, body size dissatisfaction (BSD), and/or resilience using a novel assessment tool among adolescents, and to determine if a modifiable factor such as resilience holds potential for treatments for BSD. METHODS: Adolescents, ages 13-21, were recruited from clinics at an academic medical center. Weight, height, demographic characteristics, BSD, and resilience were assessed via questionnaires and health records. A model of predictive variables for BSD was tested, and an adjusted analysis was performed using logistic regression. RESULTS: Eighty-five adolescents participated: 48% overweight/obese, 32% BSD, and 53% low resilience (LR). There was no association between actual and perceived overweight/obesity and LR (P=0.386 and P=0.123, respectively). Perceived overweight/obesity was five times (AOR 5.3; 95% CI=1.6-14.5; P=0.004) and LR was six times (AOR 6.4; 95% CI=1.9-22.4; P=0.003) more likely to be associated with BSD. The strongest sub-component of LR associated with BSD, was low confidence (OR 4.7; 95% CI=1.4-15.2; P=0.008). CONCLUSIONS: LR and perceived overweight/obesity are independently associated with BSD. This finding is important because resilience can be improved, thus highlighting a need for future studies involving resilience building interventions to decrease BSD.
Authors: Gisela Pineda-García; Aracely Serrano-Medina; José Manuel Cornejo-Bravo; Víctor Hugo Andrade-Soto; Efraín Armenta-Rojas; Daniela Lilian González-Sánchez Journal: Rev Lat Am Enfermagem Date: 2022-07-08