Psychological well-being and weight-related teasing in childhood obesity: a case–control study

Blanco, Miriam; Solano, Santos; Alcántara, A I; Parks, Melissa; Román, Francisco J.; Sepúlveda, Ana R.

doi:10.1007/s40519-019-00683-y

Cited by 29 publications

(16 citation statements)

References 51 publications

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“…10,11 Studies in children have reached similar conclusions. 12 These results are consistent with those reported in previous studies from other countries. [13][14][15] In Spain, however, there are still no prevalence data for WBI.…”

supporting

confidence: 93%

Validation of the modified weight bias internalization scale in a Spanish adult population

2021

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Weight bias internalization has received considerable attention in recent years and has been associated with serious psychological and physical consequences in Westernized societies. The modified weight bias internalization scale (WBIS-M) is one of the most frequently used instruments for assessing internalized weight stigma across different body weight categories. The aim of this study was to adapt the WBIS-M for use in Spanish adult populations. The sample consisted of 678 participants from the Spanish general population recruited through the internet, 79.6% of whom were women. The scale was translated into Spanish and then backtranslated. To study the internal structure, a cross-validation analysis was carried out including both exploratory and confirmatory factor analyses to assess the scale's psychometric properties.Internal consistency was evaluated using Cronbach's alpha and McDonald's omega and a test-retest was conducted to assess one-month stability. Results confirmed that the Spanish adaptation of the WBIS-M is an 11-item unidimensional scale, like the original version and shows excellent psychometric properties. In conclusion, the Spanish WBIS-M version seems to be a robust psychometric tool for use in clinical and research settings.

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supporting

confidence: 93%

Validation of the modified weight bias internalization scale in a Spanish adult population

2021

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“…An ongoing evaluation study will provide important results for the future. Second, the moderate mediation effect of peerrelated problems may reflect the increased perceived interpersonal stress among adolescents with obesity, especially the experience of weight-related teasing and victimization, which has been shown to be a significant mediator in the relation between BMI or obesity and psychosocial health [18,26,28,29]. Similarly, the importance of addressing weight stigma "as a psychosocial contributor to obesity" in improving the success of weight management programs was emphasized in a current study [51].…”

Section: Discussionmentioning

confidence: 75%

“…Previous research on potential psychological mediators has focused on the mediating effects of weight-related teasing, body dissatisfaction, or victimization. Overall, these psychological factors mediated the inverse association of BMI or obesity and global HRQoL [28], psychological well-being [29], and emotional well-being [26]. Similarly, in the only longitudinal study among adolescents, the positive association between obesity and mental health problems 2 years later was reduced but still remained significant when victimization was included as a mediating factor [18].…”

Section: Introductionmentioning

confidence: 88%

Mediating Effects of Mental Health Problems in a Clinical Sample of Adolescents with Obesity

Hampel

Stachow²,

Wienert

2021

Obes Facts

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Introduction: The prevalence rates of obesity have increased in recent decades; despite leveling off in recent German studies among children and adolescents, obesity rates remain high. Psychosocial factors have an adverse impact on the maintenance of obesity. Hence, this study examined the mediating effects of mental health problems on the relation between the body mass index standard deviation score (BMI-SDS) and global health-related quality of life (HRQoL) among adolescent inpatients with obesity while controlling for gender and age-group. Methods: Three simple mediation analyses with gender and age-group as covariates were conducted for n = 313 adolescents with obesity (nfemale = 193, 61.7%) aged 12–17 (M = 14.19, SD = 1.52; BMI-SDS: M = 2.67, SD = 0.52). The adolescents were asked to report their global HRQoL at admission, and their parents estimated the children’s mental health problems at home prior to inpatient rehabilitation. Results: Emotional, peer-related, and conduct problems mediated the unfavorable effects of BMI-SDS on global HRQoL, showing high, moderate, and small effect sizes, respectively (completely standardized indirect effect of emotional problems: β = −0.09, SE = 0.03, 95% B-CI = −0.15 to −0.04; conduct problems: β = −0.03, SE = 0.02, 95% B-CI = −0.06 to −0.01; peer-related problems: β = −0.10, SE = 0.03, 95% B-CI = −0.16 to −0.05). Conclusion: Mental health problems may be one salient pathway through which BMI-SDS impairs global HRQoL among adolescents with obesity. Hence, inpatient rehabilitation programs for adolescents with obesity should increase their focus more on the development of psychosocial skills. Thus, the promotion of emotion regulation and social-emotional competencies is suggested.

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“…It is even more valuable to understand these underlying consequences of childhood obesity early since paediatric obesity tracks strongly into adulthood, resulting in higher risk of adult adiposity, 34 heart disease, 35 low HDL cholesterol level, hypertension, and high triglyceride and glycated haemoglobin levels 36 . Studies also report that having severe obesity in childhood is significantly associated with an increased risk of self‐esteem issues, 37 poor academic performance, 38 and premature mortality 39 . Additionally, individuals with higher BMIs have increased healthcare resource utilisation costs when compared to those with healthy BMIs 40 with prescriptions and hospitalizations acquiring the highest, and most costs 41 .…”

Section: Discussionmentioning

confidence: 99%

Distribution of comorbidities as primary diagnoses by obesity class among patients in a large US paediatric healthcare system

et al. 2021

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Summary There is little documentation of the distribution of specific health conditions across obesity classes (I, II, III), especially for paediatric populations who are seen for routine care in large United States US healthcare systems. The aim of this study was to assess the odds of presenting ≥2 obesity‐related comorbidities as well as assess the overall distribution of these co‐morbidities in children by class I/II/III obesity status controlling for key sociodemographic characteristics. This retrospective (2015–2019) electronic health record review analysed 49 276 patients from the Children's Health System of Texas diagnosed with obesity‐related health conditions by obesity status (no obesity, class I, II, III). Crude and adjusted logistic regression models examined the association between obesity class and the likelihood of ≥2 comorbidities as primary diagnoses. Patients with class I obesity were 22% more likely (OR 1.22, 95% CI, 1.16, 1.27), patients with class II obesity were almost 50% more likely (OR 1.44, 95% CI, 1.35, 1.53) and those with class III obesity twice as likely (OR 2.04, 95% CI 1.91, 2.18) to be diagnosed with ≥2 comorbidities as primary diagnoses, compared with patients classified with no obesity. Children with obesity, particularly severe obesity, should be monitored closely by paediatricians for possible diagnoses of risk factors that could lead to adult chronic disease.

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Psychological well-being and weight-related teasing in childhood obesity: a case–control study

Cited by 29 publications

References 51 publications

Validation of the modified weight bias internalization scale in a Spanish adult population

Validation of the modified weight bias internalization scale in a Spanish adult population

Mediating Effects of Mental Health Problems in a Clinical Sample of Adolescents with Obesity

Distribution of comorbidities as primary diagnoses by obesity class among patients in a large US paediatric healthcare system

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