Assessing the relationship between weight stigma, stress, depression, and sleep in Chinese adolescents

Wang, Zhanxia; Dang, Jiajia; Zhang, Xinge; Moore, Justin B.; Li, Rui

doi:10.1007/s11136-020-02620-4

Cited by 24 publications

(18 citation statements)

References 56 publications

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“…The strong association between teasing and those two health risk behaviors may be attributed to two aspects: first, teasing has a stronger effect on the psychological factors than weight perception and actual body weight (BMI) [ 8 ]; second, binge eating behavior and poor sleep quality may be influenced by bad mental health statuses, which are caused by weight teasing. For example, stigmas increase the level of stress and depression [ 19 , 49 ], which triggers eating and directly affects fat storage [ 50 ]. Based on this, interventions for food addiction and psychological distress may benefit adolescents who overeat due to weight stigmas [ 49 ].…”

Section: Discussionmentioning

confidence: 99%

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Body Weight, Weight Self-Perception, Weight Teasing and Their Association with Health Behaviors among Chinese Adolescents—The Shanghai Youth Health Behavior Survey

Tan

et al. 2022

Nutrients

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Weight-related status has been associated with the physical and psychological health of adolescents. This cross-sectional study evaluated three different kinds of weight-related statuses (Body Mass Index (BMI), weight self-perception and weight teasing from others) among Chinese adolescents and identified their associations with health risk behaviors (lack of healthy dietary behavior, unhealthy dietary behavior, binge eating behavior, lack of physical activity (PA), sedentary behaviors (SB) and sleep disturbance). A stratified random cluster sampling method was used to select 10,070 students aged 11–18 years old from schools in Shanghai. Self-reported questionnaires were collected, weight-related statuses were divided into three categories and six specific health risk behaviors were classified into two groups: positive or negative. Overall, 27.82% of the adolescents were classified as being overweight and obese (35.61% of boys and 18.21% of girls), 43.45% perceived themselves as too heavy and 30.46% experienced weight teasing in the past. Among overweight or obese participants, 50.55% have been teased about their weight, and 77.48% perceived themselves as too heavy. Weight perception and weight teasing were significantly associated with health risk behaviors rather than the actual body weight status based on BMI, especially regarding binge eating behavior (body weight status (BMI): p > 0.05, underweight perception: OR = 1.18, 95%CI 1.03–1.34; weight teasing for more than once a year: OR = 2.00, 95%CI 1.76–2.27). In addition, weight perception and weight teasing were significantly associated with health risk behaviors, mainly in normal and overweight/obese groups but not in underweight groups. Weight teasing and weight self-perception play an independent and stronger role than actual body weight in the health behaviors of adolescents. This calls for more attention and intervention to reduce peer bullying and stigmas on weight among adolescents.

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Section: Discussionmentioning

confidence: 99%

“…Weight teasing, on the other hand, has been shown to have a strong association with disordered living habits, such as disordered eating in American adolescents [ 3 ]. Stigmas could also contribute to poor sleep quality, mediated by stress and depression in Chinese adolescents [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Body Weight, Weight Self-Perception, Weight Teasing and Their Association with Health Behaviors among Chinese Adolescents—The Shanghai Youth Health Behavior Survey

Tan

et al. 2022

Nutrients

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“…According to previous research, potential confounding variables including age, gender, household socioeconomic status, exercise duration, internet use time (for entertainment), midday napping, class rank [ 29 ], interpersonal relationship, smoking [ 13 ], drinking [ 30 ], and BMI [ 31 ] were selected. The household socioeconomic status was classified by the percentile of family per capita income as follows: 1 = low; 2 = moderate; 3 = high.…”

Section: Methodsmentioning

confidence: 99%

The Associations between Sleep Duration, Academic Pressure, and Depressive Symptoms among Chinese Adolescents: Results from China Family Panel Studies

Zhou

Cheng

et al. 2021

IJERPH

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Depressive symptoms are a common mental health problem among adolescents, which may affect their physical and mental health development and impose heavy burdens on individual families and society. This study aimed to examine the associations between sleep duration, academic pressure, and depressive symptoms among Chinese adolescents and to construct the mediation model to explore the mediating effect of sleep duration. The data are from the China Family Panel Studies (CFPS). Methodologically, the aforementioned associations were explored by constructing a structural equation model and applying multivariate multilevel logistic regression. In this study, we found that approximately 6.49% of the 3724 Chinese adolescents had depressive symptoms. Sleep duration of <6 h/night (OR = 2.39, 95%CI = 1.33–4.32) and high/maximum academic pressure (high: OR = 1.43, 95%CI = 1.02–1.99; maximum: OR = 2.43, 95%CI = 1.58–3.73) were both associated with an increased risk of depressive symptoms in adolescents. Meanwhile, the multiplicative interaction between sleep duration and academic pressure was significantly associated with depressive symptoms in adolescents (p < 0.001). The sleep duration played a partial mediating role in the relationship between academic pressure and depressive symptoms (a*b = 0.006, 95%BootCI = 0.001–0.012). Our study highlights that it is essential to mitigate the academic pressure of adolescents to increase their sleep duration and further reduce the occurrence of depressive symptoms by adopting corresponding preventive measures.

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“…Weight stigma is a state of social devaluation of people with overweight or obesity. It often includes negative associations and stereotypes expressed differently, leading to prejudice, social exclusion, blatant unfair treatment, negative stereotypes, and discrimination [3]. Weight stigma can be divided into two types: perceived weight stigma and internalized weight stigma.…”

Section: Introductionmentioning

confidence: 99%

The Relationship Between Weight Self-Stigma and Quality of Life Among Youth in the Jazan Region, Saudi Arabia

Khodari¹,

Shami

Shajry³

et al. 2021

Cureus

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Background: Studies on the role of weight self-stigma on the quality of life of young adults are limited. Therefore, the present study aimed to examine the relationship between different forms of weight selfstigma (self-devaluation and fear of enacted stigma) and the quality of life among Saudi youth in the Jazan region.Methods: A cross-sectional study was performed using a sample of 399 participants who were invited through social media platforms. We used Arabic, validated versions of the weight self-stigma questionnaire (WSSQ) and the World Health Organization quality of life questionnaire. Data analysis was performed by independent samples t-test and analysis of variance with Tukey's post hoc test.Results: The study sample consisted of 399 participants aged 21.12 years ± 2.91 years. A total of 264 (66.2%) were female. The overall weight self-stigma score of the study population was 34.81 ± 10.73 on the WSSQ. The analysis showed a significant association between weight self-stigma and quality of life and body mass index (BMI; p < 0.01). In addition, participants who were overweight and obese had more self-devaluation and fear of enacted stigma than did participants with normal weight. Participants with high weight selfstigma had lower quality of life than did those with less weight self-stigma. Conclusions:The results of this study show that weight self-stigma is negatively correlated with the individual's quality of life. Weight self-stigma was positively associated with BMI.

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Assessing the relationship between weight stigma, stress, depression, and sleep in Chinese adolescents

Cited by 24 publications

References 56 publications

Body Weight, Weight Self-Perception, Weight Teasing and Their Association with Health Behaviors among Chinese Adolescents—The Shanghai Youth Health Behavior Survey

Body Weight, Weight Self-Perception, Weight Teasing and Their Association with Health Behaviors among Chinese Adolescents—The Shanghai Youth Health Behavior Survey

The Associations between Sleep Duration, Academic Pressure, and Depressive Symptoms among Chinese Adolescents: Results from China Family Panel Studies

The Relationship Between Weight Self-Stigma and Quality of Life Among Youth in the Jazan Region, Saudi Arabia

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