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Published in: BMC Public Health 1/2010

Open Access 01-12-2010 | Research article

Association between actual weight status, perceived weight and depressive, anxious symptoms in Chinese adolescents: a cross-sectional study

Authors: Jie Tang, Yizhen Yu, Yukai Du, Ying Ma, Huiping Zhu, Zhuoya Liu

Published in: BMC Public Health | Issue 1/2010

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Abstract

Backgroud

The purpose of this study was to describe actual measured weight and perceived weight and to explore associations with depressive, anxiety symptoms in school adolescents in China.

Methods

A sample of 1144 Chinese adolescents was randomly selected from four schools in Wuhan, China, including 665 boys and 479 girls with ages ranging between 10 and 17 years. Actual measured weight and height and perceived weight status were compared to anxiety and depressive symptoms measured using the revised Self-Rating Anxiety Scale and Children's Depression Inventory. A general linear model was used to compare differences in psychological symptoms among the teenagers with different measured and perceived weights.

Results

When compared with standardized weight tables (WHO age- and gender-specific body mass index (BMI) cutoffs (2007 reference)), girls were more likely to misperceive themselves as overweight, whereas more boys misclassified their weight status as underweight. The adolescents who perceived themselves as overweight were more likely to experience depressive and anxiety symptoms (except girls) than those who perceived themselves as normal and/or underweight. However, no significant association was found between depressive and anxiety symptoms actual measured weight status.

Conclusions

Perceived weight status, but not the actual weight status, was associated with psychological symptoms.
Literature
1.
go back to reference Pesa JA, Syre TR, Jones E: Psychosocial Differences Associated with Body Weight among Female Adolescents: The importance of body image. J Adolesc Health. 2000, 26: 330-337. 10.1016/S1054-139X(99)00118-4.CrossRefPubMed Pesa JA, Syre TR, Jones E: Psychosocial Differences Associated with Body Weight among Female Adolescents: The importance of body image. J Adolesc Health. 2000, 26: 330-337. 10.1016/S1054-139X(99)00118-4.CrossRefPubMed
2.
go back to reference Vander Wal JS, Thelen MH: Eating and Body Image Concerns among Obese and Average Weight Children. Addictive Behav. 2000, 25: 775-778. 10.1016/S0306-4603(00)00061-7.CrossRef Vander Wal JS, Thelen MH: Eating and Body Image Concerns among Obese and Average Weight Children. Addictive Behav. 2000, 25: 775-778. 10.1016/S0306-4603(00)00061-7.CrossRef
3.
go back to reference Khor GL, Zalilah MS, Phan YY, Ang M, Maznah B, Norimah AK: Perceptions of Body Image among Malaysian Male and Female Adolescents. Singapore Med J. 2009, 50: 303-311.PubMed Khor GL, Zalilah MS, Phan YY, Ang M, Maznah B, Norimah AK: Perceptions of Body Image among Malaysian Male and Female Adolescents. Singapore Med J. 2009, 50: 303-311.PubMed
4.
go back to reference Ozmen D, Ozmen E, Ergin D, Cetinkaya AC, Sen N, Dundar PE, Taskin O: The association of self-esteem, depression and body satisfaction with obesity among Turkish adolescents. BMC Public Health. 2007, 7: 80-10.1186/1471-2458-7-80.CrossRefPubMedPubMedCentral Ozmen D, Ozmen E, Ergin D, Cetinkaya AC, Sen N, Dundar PE, Taskin O: The association of self-esteem, depression and body satisfaction with obesity among Turkish adolescents. BMC Public Health. 2007, 7: 80-10.1186/1471-2458-7-80.CrossRefPubMedPubMedCentral
5.
go back to reference McCabe MP, Ricciardelli LA: Body Image and Strategies to Lose Weight and Increase Muscle among Boys and Girls. Health Psychol. 2003, 22: 39-46. 10.1037/0278-6133.22.1.39.CrossRefPubMed McCabe MP, Ricciardelli LA: Body Image and Strategies to Lose Weight and Increase Muscle among Boys and Girls. Health Psychol. 2003, 22: 39-46. 10.1037/0278-6133.22.1.39.CrossRefPubMed
6.
go back to reference Sampei Míriam, Sigulem Dirce, Novo Neil, et al: Eating Attitudes and Body Image in Ethnic Japanese and Caucasian Adolescent Girls in the City of São Paulo, Brazil. Jornal de Pediatria. 2009, 85: 122-127. 10.1590/S0021-75572009000200007.CrossRefPubMed Sampei Míriam, Sigulem Dirce, Novo Neil, et al: Eating Attitudes and Body Image in Ethnic Japanese and Caucasian Adolescent Girls in the City of São Paulo, Brazil. Jornal de Pediatria. 2009, 85: 122-127. 10.1590/S0021-75572009000200007.CrossRefPubMed
7.
go back to reference Chengye Ji, Junling Sun: Analyses of the Epidemiological Status of Overweight and Obesity in Chinese Students and the Prevalence Changes in Recent 15 years. J of peking university. 2004, 36: 194-197. Chengye Ji, Junling Sun: Analyses of the Epidemiological Status of Overweight and Obesity in Chinese Students and the Prevalence Changes in Recent 15 years. J of peking university. 2004, 36: 194-197.
8.
go back to reference Jie Mi, Hong Cheng, Dongqing Hou, et al: Prevalence of Overweight and Obesity among Children and Adolescents in Beijing in 2004. Chin J Epidemiol. 2006, 27: 469-474. Jie Mi, Hong Cheng, Dongqing Hou, et al: Prevalence of Overweight and Obesity among Children and Adolescents in Beijing in 2004. Chin J Epidemiol. 2006, 27: 469-474.
10.
go back to reference Yiyu Wang, Ruichun Wu, Jiang Xia: A Survey on Dieting Behaviors and Influencing Factors of Female College Students. Chin J of Social Med. 2009, 26: 37-39. Yiyu Wang, Ruichun Wu, Jiang Xia: A Survey on Dieting Behaviors and Influencing Factors of Female College Students. Chin J of Social Med. 2009, 26: 37-39.
11.
go back to reference Xie Bin, Liu Chunhong, Chih-ping Chou, et al: Weight Perception and Psychological Factors in Chinese Adolescents. J of Adolesc Health. 2003, 33: 202-210. 10.1016/S1054-139X(03)00099-5.CrossRef Xie Bin, Liu Chunhong, Chih-ping Chou, et al: Weight Perception and Psychological Factors in Chinese Adolescents. J of Adolesc Health. 2003, 33: 202-210. 10.1016/S1054-139X(03)00099-5.CrossRef
12.
go back to reference Stice E, Agras WS: Predicting Onset and Cessation of Bulimic Behaviors during Adolescence: a Longitudinal Grouping Analysis. Behav Ther. 1998, 29: 257-276. 10.1016/S0005-7894(98)80006-3.CrossRef Stice E, Agras WS: Predicting Onset and Cessation of Bulimic Behaviors during Adolescence: a Longitudinal Grouping Analysis. Behav Ther. 1998, 29: 257-276. 10.1016/S0005-7894(98)80006-3.CrossRef
13.
go back to reference Jackson Todd, Chen Hong: Identifying the Eating Disorder Symptomatic in China: The Role of Sociocultural Factors and Culturally Defined Appearance Concerns. J of Psychosomatic Res. 2007, 62: 241-249. 10.1016/j.jpsychores.2006.09.010.CrossRef Jackson Todd, Chen Hong: Identifying the Eating Disorder Symptomatic in China: The Role of Sociocultural Factors and Culturally Defined Appearance Concerns. J of Psychosomatic Res. 2007, 62: 241-249. 10.1016/j.jpsychores.2006.09.010.CrossRef
15.
go back to reference Bearman SK, Presnell K, Martinez E, Stice E: The Skinny on Body Dissatisfaction: A longitudinal Study of Adolescent Girls and Boys. J of Youth and Adolesc. 2006, 35: 229-241.CrossRef Bearman SK, Presnell K, Martinez E, Stice E: The Skinny on Body Dissatisfaction: A longitudinal Study of Adolescent Girls and Boys. J of Youth and Adolesc. 2006, 35: 229-241.CrossRef
16.
go back to reference Kolotkin RL, Crosby RD, Williams GR, et al: The Relationship between Health-Rlated Quality of Life and Weight Loss. Obes Res. 2001, 9: 564-571. 10.1038/oby.2001.73.CrossRefPubMed Kolotkin RL, Crosby RD, Williams GR, et al: The Relationship between Health-Rlated Quality of Life and Weight Loss. Obes Res. 2001, 9: 564-571. 10.1038/oby.2001.73.CrossRefPubMed
17.
go back to reference Falkner NH, Neumark-Sztainer D, Story M, et al: Social, Educational, and Psychological Correlates of Weight Status in Adolescents. Obes Re. 2001, 9: 32-42. 10.1038/oby.2001.5.CrossRef Falkner NH, Neumark-Sztainer D, Story M, et al: Social, Educational, and Psychological Correlates of Weight Status in Adolescents. Obes Re. 2001, 9: 32-42. 10.1038/oby.2001.5.CrossRef
18.
go back to reference Carpenter KM, Hasin DS, Allison DB, et al: Relationships between Obesity and DSM-IV Major Depressive Disorder, Suicide Ideation, and Suicide Attempts: Results from a General Population Study. Am J of Public Health. 2000, 90: 251-257. 10.2105/AJPH.90.2.251.CrossRef Carpenter KM, Hasin DS, Allison DB, et al: Relationships between Obesity and DSM-IV Major Depressive Disorder, Suicide Ideation, and Suicide Attempts: Results from a General Population Study. Am J of Public Health. 2000, 90: 251-257. 10.2105/AJPH.90.2.251.CrossRef
19.
go back to reference Crow S, Eisenberg ME, Story M, et al: Suicidal Behavior in Adolescents: Relationship to Weight Status, Weight Control Behaviors, and Body Dissatisfaction. International J of Eating Disorders. 2008, 41: 82-87. 10.1002/eat.20466.CrossRef Crow S, Eisenberg ME, Story M, et al: Suicidal Behavior in Adolescents: Relationship to Weight Status, Weight Control Behaviors, and Body Dissatisfaction. International J of Eating Disorders. 2008, 41: 82-87. 10.1002/eat.20466.CrossRef
20.
go back to reference Tanofsky-Kraff M, Yanovski SZ, Wilfley DE, et al: Eating Disordered Behaviors, Body Fat, and Psychopathology in Overweight and Normal-weight Children. J of Consulting and Clinical Psychology. 2004, 72: 53-61. 10.1037/0022-006X.72.1.53.CrossRefPubMed Tanofsky-Kraff M, Yanovski SZ, Wilfley DE, et al: Eating Disordered Behaviors, Body Fat, and Psychopathology in Overweight and Normal-weight Children. J of Consulting and Clinical Psychology. 2004, 72: 53-61. 10.1037/0022-006X.72.1.53.CrossRefPubMed
21.
go back to reference Zhang HB, Tao FB, Zeng GY, et al: Effects of Depression Symptoms and Other Psychological Factors on Unhealthy Weight Reducing Behaviors of Adolescents. Chin J Sch Healt. 2000, 21: 348-349. Zhang HB, Tao FB, Zeng GY, et al: Effects of Depression Symptoms and Other Psychological Factors on Unhealthy Weight Reducing Behaviors of Adolescents. Chin J Sch Healt. 2000, 21: 348-349.
22.
go back to reference Goodman E, Whitaker R: A Prospective Study of the Role of Depression in the Development and Persistence of Adolescent obesity. Pediatrics. 2002, 110: 497-504. 10.1542/peds.110.3.497.CrossRefPubMed Goodman E, Whitaker R: A Prospective Study of the Role of Depression in the Development and Persistence of Adolescent obesity. Pediatrics. 2002, 110: 497-504. 10.1542/peds.110.3.497.CrossRefPubMed
23.
go back to reference Kurth Bärbel-Maria, Ellert Ute: Perceived or True Obesity: Which Causes More Suffering in Adolescents. Dtsch Arztebl Int. 2008, 105: 406-412.PubMedPubMedCentral Kurth Bärbel-Maria, Ellert Ute: Perceived or True Obesity: Which Causes More Suffering in Adolescents. Dtsch Arztebl Int. 2008, 105: 406-412.PubMedPubMedCentral
24.
go back to reference Daniels Judi: Weight and Weight Concerns: Are They Associated With Reported Depressive Symptoms in Adolescents?. J of Pediatric Health Care. 2005, 19: 33-41. Daniels Judi: Weight and Weight Concerns: Are They Associated With Reported Depressive Symptoms in Adolescents?. J of Pediatric Health Care. 2005, 19: 33-41.
26.
go back to reference Kovacsm : The Children's Depression Intentory (CDI) Manual. 1992, North Tonawanda, NY: Multi Health Systems Inc Kovacsm : The Children's Depression Intentory (CDI) Manual. 1992, North Tonawanda, NY: Multi Health Systems Inc
27.
go back to reference Yu David, Xu Li: Preliminary Use of the Children's Depression Inventiory in China. Chin Ment Heal J. 2000, 14: 225-227. Yu David, Xu Li: Preliminary Use of the Children's Depression Inventiory in China. Chin Ment Heal J. 2000, 14: 225-227.
28.
29.
go back to reference Juan Jin, Liwen Huang, Jianyi Guo: Obesity Status and Weight Ruding Behaviors of Adolescent in Zhuhai. World Health Digest Medical Periodical. 2008, 5: 312-313. Juan Jin, Liwen Huang, Jianyi Guo: Obesity Status and Weight Ruding Behaviors of Adolescent in Zhuhai. World Health Digest Medical Periodical. 2008, 5: 312-313.
30.
go back to reference Barker ET, Galambos NL: Body dissatisfaction of adolescent girls and boys: Risk and resource factors. J of Early Adolesc. 2003, 3: 141-165. 10.1177/0272431603023002002.CrossRef Barker ET, Galambos NL: Body dissatisfaction of adolescent girls and boys: Risk and resource factors. J of Early Adolesc. 2003, 3: 141-165. 10.1177/0272431603023002002.CrossRef
31.
go back to reference Ojala K, Vereecken C, Välimaa R, et al: Attempts to Lose Weight among Overweight and Nonoverweight Adolescents: A Cross-national Survey. Int J Behav Nutr Phys Act. 2007, 4: 50-54. 10.1186/1479-5868-4-50.CrossRefPubMedPubMedCentral Ojala K, Vereecken C, Välimaa R, et al: Attempts to Lose Weight among Overweight and Nonoverweight Adolescents: A Cross-national Survey. Int J Behav Nutr Phys Act. 2007, 4: 50-54. 10.1186/1479-5868-4-50.CrossRefPubMedPubMedCentral
32.
go back to reference Kurth BM, Ellert U: Estimated and Measured BMI and Self-Perceived Body Image of Adolescents in Germany: Part 1 - General Implications for Correcting Prevalence Estimations of Overweight and Obesity. Obes Facts. 2010, 3 (3): 181-190. 10.1159/000314638.CrossRefPubMed Kurth BM, Ellert U: Estimated and Measured BMI and Self-Perceived Body Image of Adolescents in Germany: Part 1 - General Implications for Correcting Prevalence Estimations of Overweight and Obesity. Obes Facts. 2010, 3 (3): 181-190. 10.1159/000314638.CrossRefPubMed
33.
go back to reference Mikolajczyk RT, Maxwell AE, El Ansari W, Stock C, Petkeviciene J, Guillen-Grima F: Relationship between perceived body weight and body mass index based on self- reported height and weight among university students: a cross-sectional study in seven European countries. BMC Public Health. 2010, 10: 40-10.1186/1471-2458-10-40.CrossRefPubMedPubMedCentral Mikolajczyk RT, Maxwell AE, El Ansari W, Stock C, Petkeviciene J, Guillen-Grima F: Relationship between perceived body weight and body mass index based on self- reported height and weight among university students: a cross-sectional study in seven European countries. BMC Public Health. 2010, 10: 40-10.1186/1471-2458-10-40.CrossRefPubMedPubMedCentral
34.
go back to reference Mingyi Qian, Jing Niu, Jing Nie: Abnormal Eating Behavior and the Influential Factors among Female Middle School Students in Beijing. Chin J Mental Health. 2004, 18: 638-640. Mingyi Qian, Jing Niu, Jing Nie: Abnormal Eating Behavior and the Influential Factors among Female Middle School Students in Beijing. Chin J Mental Health. 2004, 18: 638-640.
35.
go back to reference French SA, Jeffery RW: Consequences of Dieting to Lose Weight Effects on Physical and Mental-Health. Health Psychology. 1994, 13: 195-210. 10.1037/0278-6133.13.3.195.CrossRefPubMed French SA, Jeffery RW: Consequences of Dieting to Lose Weight Effects on Physical and Mental-Health. Health Psychology. 1994, 13: 195-210. 10.1037/0278-6133.13.3.195.CrossRefPubMed
36.
go back to reference Maureen T, Mary story , et al: Prevalence and Correlates of Weight-control Behaviors Among Caribbean Adolescent Students. J of Adolesc Health. 2002, 31: 208-211. Maureen T, Mary story , et al: Prevalence and Correlates of Weight-control Behaviors Among Caribbean Adolescent Students. J of Adolesc Health. 2002, 31: 208-211.
37.
go back to reference Fergusson DM, Goodwin RD, Horwood LJ: Major Depression and Cigarette Smoking: Results of a 21-year Longitudinal Study. Psychol Med. 2003, 33: 1357-67. 10.1017/S0033291703008596.CrossRefPubMed Fergusson DM, Goodwin RD, Horwood LJ: Major Depression and Cigarette Smoking: Results of a 21-year Longitudinal Study. Psychol Med. 2003, 33: 1357-67. 10.1017/S0033291703008596.CrossRefPubMed
38.
go back to reference Needham BL, Crosnoe R: Overweight Status and Depressive Symptoms during Adolescence. J Adolesc Health. 2005, 36: 48-55. 10.1016/j.jadohealth.2003.12.015.CrossRefPubMed Needham BL, Crosnoe R: Overweight Status and Depressive Symptoms during Adolescence. J Adolesc Health. 2005, 36: 48-55. 10.1016/j.jadohealth.2003.12.015.CrossRefPubMed
39.
go back to reference Ling Xu, Fangbiao Tao, Guangyou Li: Emotional Symptoms and Self-concept Evaluation of Overweight and Obese Female Adolescentsin Technical Secondary School. Chin J Dis Control Prev. 2004, 8: 560-563. Ling Xu, Fangbiao Tao, Guangyou Li: Emotional Symptoms and Self-concept Evaluation of Overweight and Obese Female Adolescentsin Technical Secondary School. Chin J Dis Control Prev. 2004, 8: 560-563.
40.
go back to reference Hoebel BG, Liebowitz SF: Brain Monoamines in the Modulation of Self-stimulation, Feeding and Body Weight. Brain Behavior and Bodily Diseases. Edited by: Weinger HA, Hoefer MA, Stunkard AJ. 1981, New York: Raven Press, 103-142. Hoebel BG, Liebowitz SF: Brain Monoamines in the Modulation of Self-stimulation, Feeding and Body Weight. Brain Behavior and Bodily Diseases. Edited by: Weinger HA, Hoefer MA, Stunkard AJ. 1981, New York: Raven Press, 103-142.
41.
go back to reference Friedman M, Brownell K: Psychological Correlates of Obesity: Moving to the Next Research Generation. Psychological Bulletin. 1995, 117: 3-20. 10.1037/0033-2909.117.1.3.CrossRefPubMed Friedman M, Brownell K: Psychological Correlates of Obesity: Moving to the Next Research Generation. Psychological Bulletin. 1995, 117: 3-20. 10.1037/0033-2909.117.1.3.CrossRefPubMed
42.
go back to reference Cortese Samuele, Falissard Bruno, Angriman Marco, et al: The Relationship between Body Size and Depression Symptoms in Adolescents. J Pediatr. 2009, 154: 86-90. 10.1016/j.jpeds.2008.07.040.CrossRefPubMed Cortese Samuele, Falissard Bruno, Angriman Marco, et al: The Relationship between Body Size and Depression Symptoms in Adolescents. J Pediatr. 2009, 154: 86-90. 10.1016/j.jpeds.2008.07.040.CrossRefPubMed
43.
go back to reference Chunhong Liu, Jijun Duan, Jiang Xia, Jie Gong, Dunjin Zhou: Dieting Behaviors and Its Influencing Factors Among the Adolescents in Wuhan. Chin J Sch Health. 2005, 26: 901-902. Chunhong Liu, Jijun Duan, Jiang Xia, Jie Gong, Dunjin Zhou: Dieting Behaviors and Its Influencing Factors Among the Adolescents in Wuhan. Chin J Sch Health. 2005, 26: 901-902.
Metadata
Title
Association between actual weight status, perceived weight and depressive, anxious symptoms in Chinese adolescents: a cross-sectional study
Authors
Jie Tang
Yizhen Yu
Yukai Du
Ying Ma
Huiping Zhu
Zhuoya Liu
Publication date
01-12-2010
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2010
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/1471-2458-10-594

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