Psychosocial concerns and weight control behaviors among overweight and nonoverweight Native American adolescents
Psychosocial concerns and weight control behaviors among overweight and nonoverweight Native American adolescents
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DOI：
10.1016/s0002-8223(97)00154-5
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发表时间：
1997-06-01
影响因子：
--
通讯作者：
Blum, RW
中科院分区：
文献类型：
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作者：
NeumarkSztainer, D;Story, M;Blum, RW
目的比较居住在保留地或附近的超重和非超重的美国土著青少年的社会心理和体重相关的问题以及体重控制、饮食和锻炼行为。和健康促进行为。研究人群研究人群包括11人，868名7 - 12年级的美国土著青少年。进行统计分析方差分析和卡方检验用于检查体重状况与心理社会和体重相关的关注和行为之间的关联。分层分析是按性别和性别和年龄。结果自我报告的体重和身高表明，25%的研究人群超重。超重青年报告健康问题的可能性是非超重青年的两倍。虽然有很高比例的非超重青年表达了与身体或体重相关的担忧，并报告说他们有饮食失调的行为，但这些担忧在超重青年中的患病率明显更高。超重的年轻人也不太可能从事促进健康的行为。相比之下，全球心理社会问题的差异是minimal.Applications超重美洲原住民青年关注他们的体重，但似乎没有重大的心理社会问题与超重。考虑到研究人群中肥胖、心理社会和体重相关问题和行为的高患病率，针对肥胖预防和整体健康促进的干预措施至关重要。目前的挑战是制定文化上适当的干预措施，旨在促进健康的体重控制行为，不会导致负面的心理社会后果。
Objective To compare the psychosocial and weight-related concerns and weight control, eating, and exercise behaviors of overweight and nonoverweight Native American adolescents living on or near reservations.Study design A cross-sectional survey assessed psychosocial, health, and weight-specific concerns; disordered eating; and health-promoting behaviors.Study population The study population included 11,868 Native American youth in grades 7 through 12.Statistical analyses performed Analyses of variance and chi(2) tests were used to examine associations between weight status and psychosocial and weight-related concerns and behaviors. Stratified analyses were done by gender and by gender and age.Results Self-reported weights and heights indicated that 25% of the study population was overweight. Overweight youth were twice as likely to report health concerns as nonoverweight youth. Although a high percentage of nonoverweight youth expressed body- or weight-related concerns and reported engaging in disordered eating behaviors, prevalence rates for these concerns were significantly higher among overweight youth. Overweight youth were also somewhat less likely to engage in health-promoting behaviors. In contrast, differences in global psychosocial concerns were minimal.Applications Overweight Native American youth were concerned about their weight, but did not appear to have major psychosocial concerns associated with being overweight. Interventions aimed at obesity prevention and overall health promotion are essential, given the high prevalence of obesity and of psychosocial and weight-related concerns and behaviors among the study population as a whole. The challenge is to develop culturally appropriate interventions aimed at the promotion of healthful weight control behaviors that will not lead to negative psychosocial consequences.