Psychological Pathways Explaining the Prospective Association Between Obesity and Physiological Dysregulation
Psychological Pathways Explaining the Prospective Association Between Obesity and Physiological Dysregulation
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DOI：
10.1037/hea0001284
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发表时间：
2023-07-01
影响因子：
4.2
通讯作者：
Robinson，Eric
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文献类型：
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作者：
Putra，I. Gusti Ngurah Edi;Daly，Michael;Robinson，Eric
肥胖与一系列消极的心理状况有关，这些心理状况也可能影响生理健康。在两项研究中，我们测试了一系列心理指标是否可以解释为什么肥胖与生理失调有关，这些指标是通过心血管、免疫系统、方法我们使用了英国和美国老年人4年随访的代表性纵向数据，（≥ 50岁）来自英国老龄化纵向研究（2008/2009-2012/2013;研究1; n= 6，250）和健康与退休研究（2008/2010-2012/2014;研究2; n= 9，664）。各种各样的心理措施（例如，抑郁症状，生活满意度，体重耻辱，积极的影响）进行了测试，作为候选介质在研究1（n= 14）和2（n= 21）。在研究1中，只有体重耻辱（在基线和随访之间测量）解释了肥胖和生理失调之间37%的关联。在研究2中，只有体重耻辱从基线到随访的变化（而不是基线体重耻辱）解释了肥胖对未来生理失调的影响的13%。当控制了从基线到随访的体重指数变化时，两项研究中体重耻辱的中介作用部分减弱。没有其他的心理措施解释肥胖和生理失调之间的关联在either study.ConclusionsThe肥胖和生理失调之间的前瞻性关联在很大程度上没有解释的心理因素。然而，经历体重耻辱与体重增加有关，这一过程可能解释与肥胖相关的生理健康下降。（PsycInfo数据库记录（c）2023阿帕，保留所有权利）
ObjectiveObesity is associated with a range of negative psychological conditions that may also affect physiological health. Across two studies, we tested whether a range of psychological measures explain why obesity is prospectively associated with physiological dysregulation, measured via clinical indicators of cardiovascular, immune system, and metabolic function.MethodWe used comparable 4-year follow-up representative longitudinal data of UK and US older adults (≥ 50 years) from the English Longitudinal Study of Ageing (2008/2009–2012/2013; Study 1; n= 6,250) and the Health and Retirement Study (2008/2010–2012/2014; Study 2; n= 9,664). A diverse range of psychological measures (eg, depressive symptoms, life satisfaction, weight stigma, positive affect) were tested as candidate mediators in Studies 1 (n= 14) and 2 (n= 21).ResultsObesity predicted physiological dysregulation at follow-up across both studies. In Study 1, only weight stigma (measured between baseline and follow-up) explained 37% of the association between obesity and physiological dysregulation. In Study 2, only changes in weight stigma from baseline to follow-up (not baseline weight stigma) explained 13% of the effect of obesity on future physiological dysregulation. Mediation by weight stigma in both studies was partially attenuated when changes in body mass index from baseline to follow-up were controlled for. No other psychological measures explained the association between obesity and physiological dysregulation in either study.ConclusionsThe prospective association between obesity and physiological dysregulation was largely not explained by psychological factors. However, experiencing weight stigma is associated with increased weight gain and this process may explain obesity-related declines in physiological health.(PsycInfo Database Record (c) 2023 APA, all rights reserved)