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Published in: Annals of Behavioral Medicine 2/2012

01-04-2012 | Original Article

A Prospective Study of Psychological Distress and Weight Status in Adolescents/Young Adults

Authors: Laura D. Kubzansky, PhD, Mark S. Gilthorpe, PhD, Elizabeth Goodman, MD

Published in: Annals of Behavioral Medicine | Issue 2/2012

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Abstract

Background

The obesity–psychological distress relationship remains controversial.

Purpose

This study aims to assess whether adolescents’ psychological distress was associated with body mass index (BMI) class membership determined by latent class analysis.

Methods

Distress (anxiety, depression) and BMI were measured annually for 4 years in 1,528 adolescents. Growth mixture modeling derived latent BMI trajectory classes for models with 2–11 classes. The relationship of distress to class membership was examined in the best-fitting model using vector generalized linear regression.

Results

BMI trajectories were basically flat. The five-class model [normal weight (48.8%), overweight (36.7%), obese who become overweight (3.7%), obese (9.4%), and severely obese (1.3%)] was the preferred model (Bayesian information criterion = 22789.2, df = 31; ρ = 0.84). Greater distress was associated with higher baseline BMI and, therefore, class membership.

Conclusions

Psychological distress is associated with higher BMI class during adolescence. To determine whether distress “leads” to greater weight gain may require studies of younger populations.
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Metadata
Title
A Prospective Study of Psychological Distress and Weight Status in Adolescents/Young Adults
Authors
Laura D. Kubzansky, PhD
Mark S. Gilthorpe, PhD
Elizabeth Goodman, MD
Publication date
01-04-2012
Publisher
Springer-Verlag
Published in
Annals of Behavioral Medicine / Issue 2/2012
Print ISSN: 0883-6612
Electronic ISSN: 1532-4796
DOI
https://doi.org/10.1007/s12160-011-9323-8

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