Obesity in Adolescence Predicts Lower Educational Attainment and Income in Adulthood: The Project EAT Longitudinal Study.
Obesity in Adolescence Predicts Lower Educational Attainment and Income in Adulthood: The Project EAT Longitudinal Study.
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DOI：
10.1002/oby.22273
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发表时间：
2018-09
期刊：
影响因子：
--
通讯作者：
Neumark-Sztainer D
中科院分区：
文献类型：
--
作者：
French SA;Wall M;Corbeil T;Sherwood NE;Berge JM;Neumark-Sztainer D
在当代队列研究中，对青少年肥胖与成人社会经济结局之间的前瞻性关联以及潜在的中介因素进行了研究。分析了1998-1999年（EAT-I项目）和2015-2016年（EAT-IV项目）收集的1796名参与者的纵向数据，这些参与者在两个时间点提供了青少年（平均年龄=14.8岁）自我报告的人口统计学和心理社会变量（EAT-I）和随访结果（EAT-IV）。直接测量体重和身高。采用logistic回归分析，对本科以上学历、收入> 50，000美元、随访时的伴侣状况进行基线肥胖（> BMI第95百分位数）检查。自尊，抑郁和体重相关的戏弄进行了检查，作为中介使用多变量概率回归。所有分析均根据种族、基线年龄和父母社会经济地位进行调整。肥胖女孩获得学士学位的可能性明显较低（OR 0.32，95% CI [0.18，0.58]; p < .001），年收入> 50，000美元（OR 0.57，95% CI [0.33，0.99]; p < .04）或在成年期有伴侣（OR 0.45，95% CI [0.27，0.75]; p < .002）。在男孩中没有观察到这种联系。在女孩中，抑郁分别介导了青少年肥胖与成人教育和收入之间8.5%和23.6%的关联。患有肥胖症的少女受教育程度和收入较低，在成年后更不可能成为伴侣。抑郁可能部分介导了这种关联。
Prospective associations between obesity in adolescence and adult socioeconomic outcomes, and potential mediators, were examined in a contemporary cohort. Longitudinal data collected in 1998–1999 (Project EAT-I) and 2015–2016 (EAT-IV) were analyzed for 1796 participants who provided data at both time points Adolescents (mean age=14.8 years) self-reported demographic and psychosocial variables (EAT-I) and follow-up outcomes (EAT-IV). Body weight and height were directly measured. Bachelor’s degree or more education, income > US $50,000, and partnered status at follow up were examined by baseline obesity (>95th BMI percentile) using logistic regression. Self-esteem, depression and weight-related teasing were examined as mediators using multivariate probit regressions. All analyses were adjusted for race, baseline age and parent socioeconomic status. Girls with obesity were significantly less likely to have achieved a Bachelor’s degree (OR 0.32, 95% CI [0.18, 0.58]; p < .001), earn > $50,000 annually (OR 0.57, 95% CI [0.33, 0.99]; p < .04) or be partnered (OR 0.45, 95% CI [0.27, 0.75]; p < .002) in adulthood. No associations were observed among boys. Among girls, depression mediated 8.5% and 23.6% of the association between adolescent obesity and adult education and income, respectively. Adolescent girls with obesity have lower educational attainment and income and are less likely to be partnered in later adulthood. Depression may partly mediate the associations.
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DOI：
10.1001/archpedi.1994.02170070019003
发表时间：
1994-07-01
影响因子：
--
作者：
SARGENT, JD;BLANCHFLOWER, DG
通讯作者：
BLANCHFLOWER, DG
影响因子：
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作者：
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通讯作者：
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DOI：
10.1001/jama.2014.732
发表时间：
2014-02-26
期刊：
JAMA
影响因子：
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作者：
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通讯作者：
Flegal KM
影响因子：
7.6
作者：
Eisenberg, Marla E.;Neumark-Sztainer, Dianne;Wall, Melanie
通讯作者：
Wall, Melanie
影响因子：
158.5
作者：
GORTMAKER, SL;MUST, A;DIETZ, WH
通讯作者：
DIETZ, WH