Factors associated with weight resilience in obesogenic environments in female African-American adolescents.
Factors associated with weight resilience in obesogenic environments in female African-American adolescents.
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DOI：
10.1016/j.jand.2012.02.004
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发表时间：
2012-05
影响因子：
4.8
通讯作者：
Naar-King, Sylvie
中科院分区：
文献类型：
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作者：
Brogan, Kathryn;Carcone, April Idalski;Jen, K. -L. Catherine;Ellis, Deborah;Marshall, Sharon;Naar-King, Sylvie
本研究采用描述性的横断面分析，探讨肥胖的社会生态模型中的非裔美国女性青少年居住在肥胖的环境。目标是确定促进体重弹性的因素，定义为保持健康的体重，尽管生活在鼓励不活动和破坏健康体重行为的环境中。在2005年至2008年期间，体重弹性（n=32）和肥胖（n=35）非洲裔美国女性青少年（12至17岁）生活在底特律，MI，和他们的照顾者完成了个人，家庭和家庭外的体重弹性因素的措施。在双变量分析中与体重弹性相关的变量进行了多变量分析，使用logistic回归来检验这些因素独立预测青少年体重弹性或肥胖组的假设。正如假设的那样，青少年体重弹性的几率是由较低的照顾者体重指数预测的（以kg/m2计算）（比值比[OR]=0.790; 95%置信区间[CI]：0.642至0.973），较低的看护者痛苦（OR=0.796; 95%CI：0.635至0.998），更高的护理人员监测和监督运动（OR=5.746; 95% CI：1.435 - 23.004），更频繁地在提供全方位服务的杂货店购物（OR=5.147; 95% CI：1.137 ~ 23.298），同伴对进食的支持度较高（OR=0.656; 95% CI：0.445 ~ 0.969）。与预测相反，较低的饮食自我效能（OR=0.597; 95%CI：0.369至0.965）也预测体重弹性。该模型正确分类了92.5%的病例。研究结果表明，在多个系统中增加心理社会的体重弹性因素可能是一个重要的干预策略，肥胖的非洲裔美国女性青少年居住在肥胖的环境。
This study used a descriptive, cross-sectional analysis to examine a social ecological model of obesity among African-American female adolescents residing in obesogenic environments. The goal was to identify factors that promote weight resilience, defined as maintaining a healthy body weight despite living in an environment that encourages inactivity and undermines healthy weight behaviors. During 2005 to 2008, weight-resilient (n=32) and obese (n=35) African-American female adolescents (12 to 17 years) living in Detroit, MI, and their caregivers completed measures of individual, family, and extrafamilial weight-resilience factors. Variables related to weight resilience in bivariate analyses were subjected to multivariate analysis using logistic regression to test the hypothesis that these factors independently predicted adolescent membership into the weight-resilient or obese group. As hypothesized, the odds of an adolescent being weight resilient were predicted by lower caregiver body mass index (calculated as kg/m2) (odds ratio [OR]=0.790; 95% confidence interval [CI]: 0.642 to 0.973), lower caregiver distress (OR=0.796; 95% CI: 0.635 to 0.998), higher caregiver monitoring and supervision of exercise (OR=5.746; 95% CI: 1.435 to 23.004), more frequent full-service grocery store shopping (OR=5.147; 95% CI: 1.137 to 23.298), and more peer support for eating (OR=0.656; 95% CI: 0.445 to 0.969). Contrary to prediction, lower eating self-efficacy (OR=0.597; 95% CI: 0.369 to 0.965) also predicted weight resilience. The model correctly classified 92.5% of all cases. Findings suggest that increasing psychosocial weight-resilience factors across multiple systems might be an important intervention strategy for obese African-American female adolescents residing in obesogenic environments.
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影响因子：
--
作者：
Cutler, Gretchen J.;Flood, Andrew;Neumark-Sztainer, Dianne
通讯作者：
Neumark-Sztainer, Dianne
DOI：
10.1038/oby.2004.74
发表时间：
2004-04-01
期刊：
OBESITY RESEARCH
影响因子：
--
作者：
Martin, PD;Dutton, GR;Brantley, PJ
通讯作者：
Brantley, PJ
影响因子：
6.9
作者：
Jelalian, Elissa;Hart, Chantelle N.;Wing, Rena R.
通讯作者：
Wing, Rena R.
影响因子：
5.1
作者：
CHEADLE, A;PSATY, BM;KRISTAL, A
通讯作者：
KRISTAL, A
影响因子：
7.6
作者：
Naar-King, Sylvie;Ellis, Deborah;Brogan, Kathryn
通讯作者：
Brogan, Kathryn