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BMC Public Health
Published in: BMC Public Health 1/2013

Open Access 01-12-2013 | Research article

Associations between psychological stress, eating, physical activity, sedentary behaviours and body weight among women: a longitudinal study

Authors: Jennifer Mouchacca, Gavin R Abbott, Kylie Ball

Published in: BMC Public Health | Issue 1/2013

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Abstract

Background

There is an increased risk of obesity amongst socioeconomically disadvantaged populations and emerging evidence suggests that psychological stress may be a key factor in this relationship. This paper reports the results of cross-sectional and longitudinal analyses of relationships between perceived stress, weight and weight-related behaviours in a cohort of socioeconomically disadvantaged women.

Methods

This study used baseline and follow-up self-report survey data from the Resilience for Eating and Activity Despite Inequality study, comprising a cohort of 1382 women aged 18 to 46 years from 80 of the most socioeconomically disadvantaged neighbourhoods in Victoria, Australia. Women reported their height (baseline only), weight, sociodemographic characteristics, perceived stress, leisure-time physical activity, sedentary and dietary behaviours at baseline and three-year follow-up. Linear and multinomial logistic regression were used to examine cross-sectional and longitudinal associations between stress (predictor) and weight, and weight-related behaviours.

Results

Higher perceived stress in women was associated with a higher BMI, and to increased odds of being obese in cross-sectional and longitudinal analyses. Cross-sectional and longitudinal associations were found between stress and both less leisure-time physical activity, and more frequent fast food consumption. Longitudinal associations were also found between stress and increased television viewing time.

Conclusion

The present study contributes to the literature related to the effects of stress on weight and weight-related behaviours. The findings suggest that higher stress levels could contribute to obesity risk in women. Further research is needed to fully understand the mechanisms underlying these associations. However, interventions that incorporate stress management techniques might help to prevent rising obesity rates among socioeconomically disadvantaged women.
Literature
1.
Crawford D, Jeffery R: Obesity Prevention and Public Health. 2005, New York: Oxford University Press Inc
2.
World Health Organisation: Obesity: preventing and managing the global epidemic. Report of a WHO consultation. Technical Report Series 894. 2000, Geneva: WHO
3.
Ball K, Brown W, Crawford D: Who does not gain weight? Prevalence and predictors of weight maintenance in young women. Int J Obesity. 2011, 26 (12): 1570-1578.CrossRef
4.
Ball K, Crawford D, Ireland P, Hodge A: Patterns and demographic predictors of 5-year weight change in a multi-ethnic cohort of men and women in Australia. Public Health Nutr. 2003, 6 (3): 269-280.CrossRefPubMed
5.
Ball K, Crawford D: Socioeconomic status and weight change in adults: a review. Soc Sci Med. 2005, 60 (9): 1987-2010. 10.1016/j.socscimed.2004.08.056.CrossRefPubMed
6.
Sobal J, Stunkard AJ: Socioeconomic status and obesity: a review of the literature. Psychol Bull. 1989, 105 (2): 260-CrossRefPubMed
7.
Ellaway A, Anderson A, Macintyre S: Does area of residence affect body size and shape?. Int J Obesity. 1997, 21 (4): 304-308. 10.1038/sj.ijo.0800405.CrossRef
8.
Harrington DW, Elliott SJ: Weighing the importance of neighbourhood: a multilevel exploration of the determinants of overweight and obesity. Soc Sci Med. 2009, 68 (4): 593-600. 10.1016/j.socscimed.2008.11.021.CrossRefPubMed
9.
Bellows-Riecken KH, Rhodes RE: A birth of inactivity? A review of physical activity and parenthood. Prev Med. 2008, 46 (2): 99-110. 10.1016/j.ypmed.2007.08.003.CrossRefPubMed
10.
MacFarlane A, Abbott G, Crawford D, Ball K: Sociodemographic and behavioural correlates of weight status among women with children living in socioeconomically disadvantaged neighbourhoods. Int J Obesity. 2009, 33 (11): 1289-1298. 10.1038/ijo.2009.167.CrossRef
11.
Ball K, Crawford D, Warren N: How feasible are healthy eating and physical activity for young women?. Public Health Nutr. 2004, 7 (03): 433-441.PubMed
12.
George GC, Milani TJ, Hanss-Nuss H, Freeland-Graves JH: Compliance with dietary guidelines and relationship to psychosocial factors in low-income women in late postpartum. J Am Diet Assoc. 2005, 105 (6): 916-926. 10.1016/j.jada.2005.03.009.CrossRefPubMed
13.
Brunner E, Marmot M, Nanchahal K, Shipley M, Stansfeld S, Juneja M, Alberti KGMM: Social inequality in coronary risk: central obesity and the metabolic syndrome. Evidence from the Whitehall II study. Diabetologia. 1997, 40 (11): 1341-1349. 10.1007/s001250050830.CrossRefPubMed
14.
Rosmond R, Björntorp P: Occupational status, cortisol secretory pattern, and visceral obesity in middle-aged men. Obesity. 2000, 8 (6): 445-450. 10.1038/oby.2000.55.CrossRef
15.
Moore CJ, Cunningham SA: Social position, psychological stress, and obesity: a systematic review. J Acad Nutrition Dietetics. 2012, 112 (4): 518-526. 10.1016/j.jand.2011.12.001.CrossRef
16.
Wardle J, Chida Y, Gibson EL, Whitaker KL, Steptoe A: Stress and Adiposity: a Meta-Analysis of Longitudinal Studies. Obesity. 2011, 19 (4): 771-778. 10.1038/oby.2010.241.CrossRefPubMed
17.
Bauer KW, Hearst MO, Escoto K, Berge JM, Neumark-Sztainer D: Parental employment and work-family stress: associations with family food environments. Soc Sci Med. 2012, 75 (3): 496-504. 10.1016/j.socscimed.2012.03.026.CrossRefPubMedPubMedCentral
18.
Koch FS, Sepa A, Ludvigsson J: Psychological stress and obesity. J Pediatr. 2008, 153 (6): 839-844. 10.1016/j.jpeds.2008.06.016. e3CrossRefPubMed
19.
Block JP, He Y, Zaslavsky AM, Ding L, Ayanian JZ: Psychosocial stress and change in weight among US adults. Am J Epidemiol. 2009, 170 (2): 181-192. 10.1093/aje/kwp104.CrossRefPubMedPubMedCentral
20.
Nishitani N, Sakakibara H: Relationship of obesity to job stress and eating behavior in male Japanese workers. Int J Obesity. 2005, 30 (3): 528-533.CrossRef
21.
Berset M, Semmer NK, Elfering A, Jacobshagen N, Meier LL: Does stress at work make you gain weight? A two-year longitudinal study. Scand J Work Environ Health. 2011, 37 (1): 45-10.5271/sjweh.3089.CrossRefPubMed
22.
Tsutsumi A, Kayaba K, Yoshimura M, Sawada M, Ishikawa S, Sakai K, Gotoh T, Nago N: Association between job characteristics and health behaviors in Japanese rural workers. Int J Behav Med. 2003, 10 (2): 125-142. 10.1207/S15327558IJBM1002_03.CrossRefPubMed
23.
Rohrer J, Rohland B: Psychosocial risk factors for obesity among women in a family planning clinic. BMC Fam Pract. 2004, 5 (1): 20-10.1186/1471-2296-5-20.CrossRefPubMedPubMedCentral
24.
van Jaarsveld CHM, Fidler JA, Steptoe A, Boniface D, Wardle J: Perceived stress and weight gain in adolescence: a longitudinal analysis. Obesity (Silver Spring, Md). 2009, 17 (12): 2155-2161. 10.1038/oby.2009.183.CrossRef
25.
Sulkowski ML, Dempsey J, Dempsey AG: Effects of stress and coping on binge eating in female college students. Eat Behav. 2011, 12 (3): 188-191. 10.1016/j.eatbeh.2011.04.006.CrossRefPubMed
26.
Elfhag K, Rössner S: Who succeeds in maintaining weight loss? A conceptual review of factors associated with weight loss maintenance and weight regain. Obes Rev. 2005, 6 (1): 67-85. 10.1111/j.1467-789X.2005.00170.x.CrossRefPubMed
27.
Ng DM, Jeffery RW: Relationships between perceived stress and health behaviors in a sample of working adults. Health Psychol. 2003, 22 (6): 638-CrossRefPubMed
28.
Brisson C, Larocque B, Moisan J, Vézina M, Dagenais GR: Factors at work, smoking, sedentary behavior, and body mass index: a prevalence study among 6995 white collar workers. J Occup Environ Med. 2000, 42 (1): 40-10.1097/00043764-200001000-00011.CrossRefPubMed
29.
Adam TC, Epel ES: Stress, eating and the reward system. Physiol Behav. 2007, 91 (4): 449-458. 10.1016/j.physbeh.2007.04.011.CrossRefPubMed
30.
Leigh Gibson E: Emotional influences on food choice: sensory, physiological and psychological pathways. Physiol Behav. 2006, 89 (1): 53-61. 10.1016/j.physbeh.2006.01.024.CrossRef
31.
King T, Kavanagh AM, Jolley D, Turrell G, Crawford D: Weight and place: a multilevel cross-sectional survey of area-level social disadvantage and overweight/obesity in Australia. Int J Obesity. 2005, 30 (2): 281-287.CrossRef
32.
Steptoe A, Feldman PJ: Neighborhood problems as sources of chronic stress: development of a measure of neighborhood problems, and associations with socioeconomic status and health. Ann Behav Med. 2001, 23 (3): 177-185. 10.1207/S15324796ABM2303_5.CrossRefPubMed
33.
Ball K, Abbott G, Cleland V, Timperio A, Thornton L, Mishra G, Jeffery R, Brug J, King A, Crawford D: Resilience to obesity among socioeconomically disadvantaged women: the READI study. Int J Obesity. 2011, 36 (6): 855-865.CrossRef
34.
Australian Bureau of Statistics: Census of Population and Housing - SEIFA 2001. 2001, Canberra, ACT: ABS
35.
Dillman DA: Mail and telephone surveys. 1978, New York: Wiley
36.
Australian Bureau of Statistics: Australian Census of Population and Housing 2006. 2006, Canberra, ACT: ABS
37.
Australian Bureau of Statistics: General Social Survey 2006 User Guide. 2007, Canberra, ACT: ABS
38.
Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF: International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003, 35 (8): 1381-10.1249/01.MSS.0000078924.61453.FB.CrossRefPubMed
39.
Prentice AM, Jebb SA: Fast foods, energy density and obesity: a possible mechanistic link. Obes Rev. 2003, 4 (4): 187-194. 10.1046/j.1467-789X.2003.00117.x.CrossRefPubMed
40.
Tam CS, Garnett SP, Cowell CT, Campbell K, Cabrera G, Baur LA: Soft drink consumption and excess weight gain in Australian school students: results from the Nepean study. Int J Obesity. 2006, 30 (7): 1091-1093. 10.1038/sj.ijo.0803328.CrossRef
41.
Hodge A, Patterson AJ, Brown WJ, Ireland P, Giles G: The Anti Cancer Council of Victoria FFQ: relative validity of nutrient intakes compared with weighed food records in young to middle-aged women in a study of iron supplementation. Aust NZ J Public Health. 2000, 24 (6): 576-583. 10.1111/j.1467-842X.2000.tb00520.x.CrossRef
42.
Marks GC, Webb K, Rutishauser IH, Riley M: Monitoring food habits in the Australian population using short questions. National Food and Nutrition Monitoring and Surveillance Project. 2001, Canberra: Commonwealth Department of Health and Aged Care
43.
McLennan W, Podger A, Australian Bureau of Statistics: National Nutrition Survey: selected highlights, Australia, 1995. 1998, Canberra, ACT: ABS
44.
Cohen S: Perceived stress in a probability sample of the United States. The social psychology of health. edn. Edited by: Spacapan S, Oskamp S. 1988, Thousand Oaks, CA US: Sage Publications, Inc, 31-67.
45.
Cohen S, Kamarck T, Mermelstein R: A global measure of perceived stress. J Health Soc Behav. 1983, 24 (4): 385-396. 10.2307/2136404.CrossRefPubMed
46.
Smith AW, Baum A, Wing RR: Stress and weight gain in parents of cancer patients. Int J Obesity. 2005, 29 (2): 244-250. 10.1038/sj.ijo.0802835.CrossRef
47.
Steptoe A, Wardle J, Pollard TM, Canaan L, Davies GJ: Stress, social support and health-related behavior: a study of smoking, alcohol consumption and physical exercise. J Psychosom Res. 1996, 41 (2): 171-180. 10.1016/0022-3999(96)00095-5.CrossRefPubMed
48.
Steptoe A, Lipsey Z, Wardle J: Stress, hassles and variations in alcohol consumption, food choice and physical exercise: a diary study. Br J Health Psychol. 1998, 3 (1): 51-63. 10.1111/j.2044-8287.1998.tb00555.x.CrossRef
49.
Long BC, van Stavel R: Effects of exercise training on anxiety: a meta-analysis. J Appl Sport Psychol. 1995, 7 (2): 167-189. 10.1080/10413209508406963.CrossRef
50.
Buckworth J, Nigg C: Physical activity, exercise, and sedentary behavior in college students. J Am Coll Health. 2004, 53 (1): 28-34. 10.3200/JACH.53.1.28-34.CrossRefPubMed
51.
Zillmann D, Bryant J: Affect, mood, and emotion as determinants of selective exposure. Selective Exposure to Communication. Edited by: Zillman D, Bryant J. 1985, Hillsdale, NJ: Lawrence Erlbaum Associates, 157-190.
52.
Dallman MF, Pecoraro N, Akana SF, La Fleur SE, Gomez F, Houshyar H, Bell M, Bhatnagar S, Laugero KD, Manalo S: Chronic stress and obesity: a new view of comfort food. Proc Natl Acad Sci. 2003, 100 (20): 11696-11701. 10.1073/pnas.1934666100.CrossRefPubMedPubMedCentral
53.
Burton NW, Brown W, Dobson A: Accuracy of body mass index estimated from self-reported height and weight in mid-aged Australian women. Aust NZ J Pub Heal. 2010, 34 (6): 620-623. 10.1111/j.1753-6405.2010.00618.x.CrossRef
54.
Galea S, Tracy M: Participation rates in epidemiologic studies. Ann Epidemiol. 2007, 17 (9): 643-653. 10.1016/j.annepidem.2007.03.013.CrossRefPubMed
55.
56.
Faith M, Butryn M, Wadden T, Fabricatore A, Nguyen A, Heymsfield S: Evidence for prospective associations among depression and obesity in population-based studies. Obes Rev. 2011, 12 (5): e438-e453. 10.1111/j.1467-789X.2010.00843.x.CrossRefPubMed
57.
Roberts RE, Deleger S, Strawbridge WJ, Kaplan GA: Prospective association between obesity and depression: evidence from the Alameda County Study. Int J Obesity. 2003, 27 (4): 514-521. 10.1038/sj.ijo.0802204.CrossRef
58.
Herva A, Laitinen J, Miettunen J, Veijola J, Karvonen J, Läksy K, Joukamaa M: Obesity and depression: results from the longitudinal Northern Finland 1966 Birth Cohort Study. Int J Obesity. 2005, 30 (3): 520-527.CrossRef
Metadata
Title
Associations between psychological stress, eating, physical activity, sedentary behaviours and body weight among women: a longitudinal study
Authors
Jennifer Mouchacca
Gavin R Abbott
Kylie Ball
Publication date
01-12-2013
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2013
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-13-828

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