Subjective Social Status Is Associated with Dysregulated Eating Behaviors and Greater Body Mass Index in an Urban Predominantly Black and Low-Income Sample.

Subjective Social Status Is Associated with Dysregulated Eating Behaviors and Greater Body Mass Index in an Urban Predominantly Black and Low-Income Sample.
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DOI:
10.3390/nu13113893
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发表时间:
2021-10-29
期刊:
影响因子:
5.9
通讯作者:
Michopoulos V
Michopoulos V
中科院分区:
医学2区
文献类型:
--
作者:
Stojek MM;Wardawy P;Gillespie CF;Stevens JS;Powers A;Michopoulos V

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背景资料:较高的主观社会地位(SSS)或一个人对自己社会地位的看法与更好的健康结果有关,但很少有研究探讨SSS与肥胖的关系。情绪化进食和食物成瘾与肥胖有关。一些研究表明,操纵SSS可能会导致食物摄入量的改变,但SSS和饮食失调之间的关系,如情绪化饮食和食物成瘾(FA),还没有被检查。本研究的目的是检查SSS在社区和更大的社会,饮食失调(情绪化饮食和FA),和身体质量指数(BMI)在大多数少数民族样本之间的关联。研究方法:参与者(N = 89; 93%黑人,86%女性,56%肥胖; 72%收入低于2000美元),从佐治亚州亚特兰大市的一家公立医院招募,完成了麦克阿瑟量表,荷兰饮食行为问卷,耶鲁食物成瘾量表,贝克抑郁量表,创伤后应激障碍症状检查表和人口统计学问卷。结果:22%的样本符合FA标准; FA患者的BMI显著高于无FA患者(p = 0.018)。在分层线性回归中,SSS社区(但不是社会)预测情绪化进食(β = 0.26,p = 0.029)和FA(β = 0.30,p = 0.029)的严重程度较高,BMI(β = 0.28,p = 0.046)较高,独立于抑郁症和PTSD症状。结论:研究结果表明,在美国以低收入为主的黑人中,他们在社区中的角色与饮食模式和体重有关。鉴于样本量较小,应谨慎解释结果。
Background: Higher subjective social status (SSS) or a person’s perception of their social standing is related to better health outcomes, but few studies examined SSS in relation to obesity. Emotional eating and food addiction have been linked to obesity. Some studies indicated that manipulating SSS may lead to altered food intake, but the relationship between SSS and dysregulated eating, such as emotional eating and food addiction (FA), has not been examined. The goal of this study was to examine the associations between SSS in the community and the larger society, dysregulated eating (emotional eating and FA), and body mass index (BMI) in a majority racial minority sample. Methods: The participants (N = 89; 93% Black, 86% women, and 56% with obesity; 72% income lower than USD 2000), recruited from a publicly funded hospital in Atlanta, GA, completed the MacArthur Scale, Dutch Eating Behaviors Questionnaire, Yale Food Addiction Scale, Beck Depression Inventory, PTSD Symptom Checklist, and demographics questionnaire. Results: Twenty-two percent of the sample met the criteria for FA; those with FA had significantly higher BMI than those without (p = 0.018). In the hierarchical linear regression, the SSS community (but not in society) predicted higher severity of emotional eating (β = 0.26, p = 0.029) and FA (β = 0.30, p = 0.029), and higher BMI (β = 0.28, p = 0.046), independent from depression and PTSD symptoms. Conclusions: The findings indicate that, among Black individuals with predominantly low income in the U.S., perceived role in their community is associated with eating patterns and body mass. Given the small sample size, the results should be interpreted with caution.
DOI: 10.1001/jama.2016.4226
发表时间: 2016-04-26
期刊: JAMA
影响因子: --
作者:
Chetty R;Stepner M;Abraham S;Lin S;Scuderi B;Turner N;Bergeron A;Cutler D
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发表时间: 2008-12-01
影响因子: 4.9
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DOI: 10.1016/s0306-4522(98)00583-1
发表时间: 1999-03-01
期刊: NEUROSCIENCE
影响因子: 3.3
作者:
Bassareo, V;Di Chiara, G
通讯作者: Di Chiara, G