Psychosocial Stress and Change in Weight Among US Adults
Psychosocial Stress and Change in Weight Among US Adults
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DOI：
10.1093/aje/kwp104
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发表时间：
2009-07-15
影响因子：
5
通讯作者：
Ayanian, John Z.
中科院分区：
文献类型：
--
作者：
Block, Jason P.;He, Yulei;Ayanian, John Z.
社会心理压力与体重增加的关联可能对临床实践、工作场所和公共卫生干预措施产生重要影响。为了确定 1995 年至 2004 年间多个领域的心理社会压力是否与体重增加相关，作者分析了美国 1,355 名男性和女性的具有全国代表性的纵向队列。体重指数的变化被评估为与工作、人际关系、生活限制和财务相关的社会心理压力的多个领域，并控制了与体重增加相关的其他因素。所有分析均按性别分层并加权以考虑复杂的调查设计。在基线体重指数较高的男性中，体重增加与工作相关需求相关的社会心理压力水平增加有关（与基线体重指数的相互作用，P < 0.001）、缺乏技能判断力（P = 0.014）、缺乏决策权威（P = 0.026）和支付账单困难（P = 0.004）。在基线体重指数较高的女性中，体重增加与工作相关需求（与基线体重指数的相互作用，P < 0.001）、感知的生活限制（P < 0.001）、家庭关系紧张（P = 0.016）和支付账单困难（P = 0.010）相关。解决社会心理压力的干预措施可能会限制超重和肥胖男性和女性的体重增加。
The association of psychosocial stress with weight gain may have important implications for clinical practice and workplace and public health interventions. To determine whether multiple domains of psychosocial stress were associated with weight gain from 1995 to 2004, the authors analyzed a nationally representative longitudinal cohort of 1,355 men and women in the United States. Change in body mass index was assessed for multiple domains of psychosocial stress related to work, personal relationships, life constraints, and finances, controlling for other factors associated with weight gain. All analyses were stratified by sex and weighted to account for the complex survey design. Among men with high baseline body mass index, weight gain was associated with increasing levels of psychosocial stress related to job-related demands (P < 0.001 for interaction with baseline body mass index), lack of skill discretion (P = 0.014), lack of decision authority (P = 0.026), and difficulty paying bills (P = 0.004). Among women with high baseline body mass index, weight gain was associated with job-related demands (P < 0.001 for interaction with baseline body mass index), perceived constraints in life (P < 0.001), strain in relations with family (P = 0.016), and difficulty paying bills (P = 0.010). Interventions to address psychosocial stress may limit weight gain among overweight and obese men and women.