INTERRELATIONSHIPS BETWEEN PSYCHOLOGICAL-FACTORS, OVERWEIGHT, AND BLOOD-PRESSURE IN ADOLESCENTS

INTERRELATIONSHIPS BETWEEN PSYCHOLOGICAL-FACTORS, OVERWEIGHT, AND BLOOD-PRESSURE IN ADOLESCENTS
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DOI:
10.1016/0197-0070(90)90041-y
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发表时间:
1990-07-01
影响因子:
7.6
通讯作者:
JOHNSON, EH
JOHNSON, EH
中科院分区:
医学2区
文献类型:
--
作者:
JOHNSON, EH

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在参加健康科学课程的黑人和白人青少年样本中,研究了心理因素与身体因素(例如体重、超重和血压)之间的关系。黑人女性青少年的超重和肥胖程度明显高于其他群体。心理因素与女性的体重(体重/身高)没有显着相关。黑人 (6%) 和白人 (4%) 男性体重差异的一小部分是由愤怒特质解释的,即在压力情况下频繁的愤怒体验和愤怒的强度 (S-Anger-Reaction/TP)。特质愤怒还显着(p < 0.01)区分体重正常的黑人男性青少年和年龄和身高超重 20% 的黑人男性青少年。就年龄和身高而言,体重不足 20%、正常体重和超重 20% 的青少年的传统危险因素与血压之间的关系表明,很少有传统危险因素对超重青少年的血压预测有显着贡献。相比之下,抑制愤怒的心理测量(Anger-In、Anger Expression)与超重青少年的血压显着相关(p < 0.001)。关于超重和心理因素之间关联的研究结果很复杂。需要使用更好的超重测量方法进行前瞻性研究,以阐明所涉及的过程。
Relationships between psychological factors and physical factors such as body mass, overweight, and blood pressure were examined in a sample of black and white adolescents enrolled in health science courses. Black female adolescents were significantly more overweight and obese than either other group. Psychological factors were not significantly associated with body mass (weight/height) for females. A small percentage of the variance in body mass for black (6%) and white (4%) males was explained by Trait Anger, the frequent experience of anger and the intensity of anger (S-Anger-Reaction/TP) in pressure situations. Trait Anger also significantly (p < 0.01) discriminated between black male adolescents who were normal weight and those 20% overweight for age and height. The relationships between traditional risk factors and blood pressure among adolescents who were 20% underweight, normal weight, and 20% overweight for age and height suggest that few traditional risk factors contribute significantly to the prediction of blood pressure in overweight adolescents. In contrast, psychological measures of suppressed anger (Anger-In, Anger Expression) were significantly (p < 0.001) associated with blood pressure among overweight adolescents. The findings regarding the associations between overweight and psychological factors are complex. Prospective studies using better measures of overweight are needed to clarify the processes involved.