Weight Development and Mental Health Symptoms in Adolescent Girls

青春期女孩的体重发育和心理健康症状

基本信息

批准号：
8240509
负责人：
KATHLEEN M MCTIGUE
金额：
$ 38.41万
依托单位：
UNIVERSITY OF PITTSBURGH AT PITTSBURGH
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-05-11 至 2014-01-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8240509
关键词：
Address Adolescence Adolescent Adult African American Age Award Behavior Behavior Disorders Behavioral Body Composition Body Weight Child Collaborations Communities Conduct Disorder Country Crime Data Development Disadvantaged Disease Disruptive Behavior Disorder Early identification Eating Eating Behavior Emotional Emotional disorder Environment Environmental Risk Factor Epidemic Epidemiology Ethnic group Family Female Female Adolescents Functional disorder Gray unit of radiation dose Health Health behavior Home environment Individual International K-Series Research Career Programs Lead Life Link Longitudinal Studies Mediating Mediator of activation protein Mental Depression Mental Health Mental disorders Minority Modeling Mood Disorders Natural History Neighborhoods Obesity Onset of illness Outcome Overweight Pattern Physical activity Population Population Group Poverty Predisposition Psyche structure Psychology Regulation Relative (related person)Research Research Personnel Risk Risk Factors Role Safety Sampling Sampling Studies Shapes Social Development Socioeconomic Status Stress Symptoms Vision Weight Weight Gain Woman Work Youth aged base combat depressive symptoms diet and exercise early adolescence fitness girls high risk improved insight low socioeconomic status physical conditioning population based racial and ethnic residence skills social stressor treatment strategy trend

项目摘要

DESCRIPTION (provided by applicant): The inter-relationship between the development of overweight and mental health problems is not well understood. Yet, understanding patterns of body weight development, and why some individuals are especially vulnerable to the accumulation of excess body weight may offer insight into causal mechanisms for the US obesity epidemic, and thus point towards avenues for combating epidemic trends. It also can be useful for early identification of high-risk individuals, and to tailor treatment strategies to be most appropriate for their specific patterns of risk. Conversely, if body weight adversely influences mental health development, the ongoing obesity epidemic raises concern for possible mental health implications. We propose to consider the inter-relationship between the development of body weight status and the development of specific mental health problems. Youth with emotional or behavioral dysregulation are predisposed to develop emotional mental health problems (e.g., mood disorders) and behavioral mental health problems (e.g., disruptive behavior disorder), respectively. We hypothesize that they may also be particularly vulnerable to weight gain. Conversely, overweight may increase depression risk, suggesting a possible reciprocal relationship that could lead to a cyclic pattern of worsening mental health and body weight status. Mental health concerns may thus increase individual susceptibility to an obesogenic environment, or act in synergy with environmental factors predisposing to weight gain (e.g. poverty, crime or other safety issues). We propose to examine such risk in the Pittsburgh Girls Study (PGS), a longitudinal community-based study of 2451 urban girls, currently aged 12 to 12 years, that was initiated to provide insight into the natural history of behavioral and emotional problems in girls. Focusing on this sample with high overweight risk (e.g., female; over half African American; frequent family poverty; and with home residences over-representing disadvantaged neighbor-hoods), can both provide etiologic insight and may highlight the most severe of both overweight and mental health outcomes. It is particularly important since individuals with lower socioeconomic status are frequently under-represented in health research. The project extends an ongoing and fruitful collaboration from Dr. McTigue's career development award on the role of environmental factors on weight development in the PGS. Combining insight from the rich PGS data on psycho-social development with that on weight-related behaviors, fitness, and body composition thus promises to provide unique and important insight into the development of weight-related health risk i US women. PUBLIC HEALTH RELEVANCE: object Narrative As overweight continues to rise among US adolescents, it is important to understand who has the highest risk of developing health problems related to their weight. This study will examine adolescent girls who are at high risk of overweight, to see whether certain underlying mental health problems may increase the rate of weight gain in adolescent girls, and, on the other hand, whether overweight also worsens mental health risk. We will draw inferences about possible long-term implications for the girls' health, as well as consider ways in which these findings may be used to improve identification and treatment of girls with high mental health or overweight risk.

描述（由申请人提供）：对超重和心理健康问题的发展之间的相互关系尚不清楚。但是，了解体重发育的模式，以及为什么某些人特别容易受到过度体重的积累的影响，可能会洞悉美国肥胖症流行病的因果机制，从而朝着打击流行病趋势的途径。它对于早期识别高风险个体以及定制治疗策略最适合其特定风险模式也很有用。相反，如果体重对心理健康发展产生不利影响，那么持续的肥胖症就会引起人们对可能的心理健康影响的关注。我们建议考虑体重状况的发展与特定心理健康问题的发展之间的关系。患有情绪或行为失调的年轻人倾向于出现情绪心理健康问题（例如情绪障碍）和行为心理健康问题（例如，破坏性行为障碍）。我们假设它们也可能特别容易体重增加。相反，超重可能会增加抑郁症的风险，这表明可能导致心理健康和体重状况恶化的环境关系。因此，心理健康问题可能会增加对肥胖环境的个人敏感性，或与易感体重增加的环境因素协同作用（例如贫困，犯罪或其他安全问题）。我们建议在匹兹堡女孩研究（PGS）中检查这种风险，这是一项基于纵向的社区研究，对2451名城市女孩，目前为12至12岁，旨在启动，以洞悉女孩在女孩中行为和情感问题的自然历史。专注于具有高度超重风险的样本（例如，女性；超过一半的非裔美国人；频繁的家庭贫困；与家庭住宅相比，贫困的邻居居民占有不利的邻国），都可以提供病因学见解，并且可能会强调最严重的超重和心理健康局面。这一点尤其重要，因为社会经济地位较低的人在卫生研究中经常代表不足。该项目扩展了McTigue博士的职业发展奖，该项目涉及环境因素在PGS体重发展中的作用。从富裕的PGS数据中，关于心理社会发展的洞察力与与体重有关的行为，健身和身体成分的见解有望为与体重相关的健康风险的发展提供独特而重要的见解。公共卫生相关性：作为对象叙事，随着美国青少年的超重持续增长，重要的是要了解谁有发展与体重相关的健康问题的风险最高。这项研究将检查有超重风险的青春期女孩，以了解某些潜在的心理健康问题是否会增加青少年女孩体重增加率，另一方面，超重是否也会恶化心理健康风险。我们将提出有关对女孩健康的可能长期影响的推断，并考虑这些发现可用于改善精神健康高或超重风险的女孩的识别和治疗的方法。