Socioenvironmental, Personal, and Behavioral Correlates of Severe Obesity among an Ethnically/Racially Diverse Sample of US Adolescents

Bauer, Katherine W.; Marcus, Marsha D.; Larson, Nicole; Neumark‐Sztainer, Dianne

doi:10.1089/chi.2017.0067

Cited by 14 publications

(10 citation statements)

References 37 publications

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“…These findings are concerning, given the well-established individual health risks associated with obesity (59,60) , food insecurity (61)(62)(63)(64) and disordered eating (65)(66)(67)(68)(69) . Previous results reported by our team and others reveal that both binge eating (33,49,70) and restrictive eating (33,36,71) are positively associated with overweight. Despite these findings, food insecurity, disordered eating and overweight are most often investigated and addressed as separate and unrelated (33,(72)(73)(74)(75)(76)(77) .…”

Section: Discussionsupporting

confidence: 51%

“…Height was measured to the nearest 0•1 cm using a Shorr board and weight to the nearest 0•1 kg using a calibrated scale. Centers for Disease Control and Prevention guidelines were used to calculate BMI and BMI percentile for each adolescent (48,49) . Adolescents' BMI was then dichotomised to represent weight status; a BMI ≥ 85th percentile was categorised as overweight, and a BMI < 85th percentile was categorised as not overweight.…”

Section: Adolescent Socio-demographic Characteristicsmentioning

confidence: 99%

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Household food insecurity: associations with disordered eating behaviours and overweight in a population-based sample of adolescents

Hooper¹,

Telke²,

Larson³

et al. 2020

Public Health Nutr.

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Objective: To examine how household food insecurity is related to adolescent weight status and disordered eating. Design: Cross-sectional, population-based study. Adolescents self-reported unhealthy weight control behaviours, binge eating and meal frequency; weight status was measured. Household food insecurity was assessed by asking parents to respond to the validated six-item US Household Food Security Survey Module. Setting: Adolescents surveyed within Minneapolis/St. Paul public middle and high schools completed surveys at school, and their parents/guardians were surveyed by mail during the 2009–2010 academic year. Participants: Ethnically/racially diverse, primarily low-income adolescents (mean age: 14·4 years, range: 10–22 years) and their parents/guardians (n 2285 dyads). Results: More than one-third (38·9 %) of the adolescents experienced past-year household food insecurity, 43·2 % reported disordered eating and 39·6 % were overweight. Generalised regression models showed that food insecure (FI) compared with food secure (FS) adolescents had higher prevalence of overweight (FI: 42·3 % v. FS: 37·9 %, P = 0·039), lower breakfast consumption (FI: 4·1 times/week v. FS: 4·4 times/week, P = 0·005) and greater use of unhealthy weight control behaviours (FI: 49·0 % v. FS: 39·5 %, P < 0·001) in unadjusted models. Models adjusted for parental education, ethnicity/race, sex and age found that food insecurity was associated with higher prevalence of unhealthy weight control behaviours (FI: 44·5 % v. FS: 37·8 %, P = 0·007), but not with weight status or other eating behaviours. Conclusions: These results suggest that food insecurity may be an independent risk factor for unhealthy weight control behaviours, indicating a need to approach these intersecting issues in a comprehensive manner.

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Section: Discussionsupporting

confidence: 51%

Section: Adolescent Socio-demographic Characteristicsmentioning

confidence: 99%

Household food insecurity: associations with disordered eating behaviours and overweight in a population-based sample of adolescents

Hooper¹,

Telke²,

Larson³

et al. 2020

Public Health Nutr.

Self Cite

View full text Add to dashboard Cite

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“…13 However, an individual's behaviors play a large role in body composition and fitness levels. [13][14][15] Physical activity levels, sedentary/screen time, dietary intake, and sleep are the 4 primary obesogenic behaviors that have been linked to overweight and obesity and fitness levels, either independently or in combination with one another. [16][17][18][19] Are We Simply Intervening on Interventions?…”

Section: Obesogenic Behaviors: the Behaviors Behind Obesity Epidemicmentioning

confidence: 99%

Summer Weight Gain and Fitness Loss: Causes and Potential Solutions

Weaver

Beets

Brazendale

et al. 2018

American Journal of Lifestyle Medicine

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Over the past 3 decades, public health professionals have worked to stem the rising childhood obesity epidemic. Despite the field's best efforts, no progress has been made in reducing child obesity. One reason for this failure may be that obesity prevention and treatment efforts have predominately been delivered during the 9-month school year. However, recent evidence suggests that the summer, not the school year, is when unhealthy changes in body composition (ie, accelerated increases in percent body fat) and fitness losses occur. This unhealthy change in body composition and fitness loss during the summer could be explained by the "Structured Days Hypothesis," which posits that children engage in a greater number of unhealthy obesogenic behaviors on unstructured days when compared with structured days. Furthermore, the summer may be contributing to a widening "health gap" between children from low-income and middle-to upperincome families. During summer, fewer opportunities exist for children from low-income households to access healthy structured programs that do not require fees for participation. Moving forward, public health professionals should prioritize efforts to mitigate unhealthy changes in body composition and fitness loss during the summer by identifying ways to provide access to structured programming during this timeframe for children from low-income households.

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“…48 The prevalence of binge eating is reported to be higher in children with severe obesity (17%) than mild to moderate obesity (10%). 49 Therefore, assessing those symptoms and offering proper treatment is important in clinical practice to facilitate better weight management outcomes. Simple screening tests for depression, anxiety, ADHD, and eating disorders can be completed through questionnaires.…”

Section: Psychosocial Factorsmentioning

confidence: 99%

Severe Obesity in Children and Adolescents: Metabolic Effects, Assessment, and Treatment

Chung

Rhie

2021

Journal of Obesity & Metabolic Syndrome

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This is a PDF file of an article accepted, but it is not yet the definitive version of record.2 Childhood obesity has been increasing steadily in recent decades, and severe childhood obesity has emerged as a major public health problem both nationally and internationally. A current concern is that lockdown due to the coronavirus disease 2019 (COVID-19) pandemic could exacerbate the spread of childhood obesity and increase the gap in obesity risk. Recent research results indicate the aggravation of obesity after school closures. The consequences of severe childhood obesity are more devastating than those of mild to moderate obesity. Children with severe obesity are at greater risk than others for hypertension, type 2 diabetes, metabolic syndrome, non-alcoholic fatty liver disease, atherosclerosis, and adult obesity. Accurately assessing and diagnosing a child with severe obesity is the key to implementing successful therapy. A detailed and accurate patient history and physical examination are important to discriminate monogenic obesity and metabolic syndrome diagnoses from severe obesity without an underlying cause. Psychosocial factors, including eating behaviors, should be assessed to facilitate better weight management outcomes. Treatment options for severe pediatric obesity include lifestyle modification therapy, pharmacotherapy, and metabolic and bariatric surgery. However, lifestyle modification should be the priority. Although progress has been made, safe and effective treatment for severe pediatric obesity is still challenging. More efforts and innovations are needed to find a solution for the huge medical and emotional burden that these children and their families carry. Public health organizations also need to make efforts to encourage and normalize healthy eating habits and exercise to prevent severe obesity in childhood.

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Socioenvironmental, Personal, and Behavioral Correlates of Severe Obesity among an Ethnically/Racially Diverse Sample of US Adolescents

Abstract: Adolescents with severe obesity report several unique socioenvironmental, personal, and behavioral concerns that may diminish quality of life and may predict increased weight gain over time.

Cited by 14 publications

References 37 publications

Household food insecurity: associations with disordered eating behaviours and overweight in a population-based sample of adolescents

Household food insecurity: associations with disordered eating behaviours and overweight in a population-based sample of adolescents

Summer Weight Gain and Fitness Loss: Causes and Potential Solutions

Severe Obesity in Children and Adolescents: Metabolic Effects, Assessment, and Treatment

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