Association Between Actual Weight Status, Perceived Weight and Depressive, Anxious Symptoms in Chinese Adolescents: a Cross-sectional Study

Overview

Journal BMC Public Health

Publisher Biomed Central

Specialty Public Health

Date 2010 Oct 12

PMID 20932280

Citations 31

Authors

Jie Tang

Yizhen Yu

Yukai Du

Ying Ma

Huiping Zhu

Zhuoya Liu

Affiliations

Soon will be listed here.

Abstract

Background: The purpose of this study was to describe actual measured weight and perceived weight and to explore associations with depressive, anxiety symptoms in school adolescents in China.

Methods: A sample of 1144 Chinese adolescents was randomly selected from four schools in Wuhan, China, including 665 boys and 479 girls with ages ranging between 10 and 17 years. Actual measured weight and height and perceived weight status were compared to anxiety and depressive symptoms measured using the revised Self-Rating Anxiety Scale and Children's Depression Inventory. A general linear model was used to compare differences in psychological symptoms among the teenagers with different measured and perceived weights.

Results: When compared with standardized weight tables (WHO age- and gender-specific body mass index (BMI) cutoffs (2007 reference)), girls were more likely to mis-perceive themselves as overweight, whereas more boys misclassified their weight status as underweight. The adolescents who perceived themselves as overweight were more likely to experience depressive and anxiety symptoms (except girls) than those who perceived themselves as normal and/or underweight. However, no significant association was found between depressive and anxiety symptoms actual measured weight status.

Conclusions: Perceived weight status, but not the actual weight status, was associated with psychological symptoms.

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References

Needham B, Crosnoe R . Overweight status and depressive symptoms during adolescence. J Adolesc Health. 2005; 36(1):48-55. DOI: 10.1016/j.jadohealth.2003.12.015. View

French S, Jeffery R . Consequences of dieting to lose weight: effects on physical and mental health. Health Psychol. 1994; 13(3):195-212. DOI: 10.1037//0278-6133.13.3.195. View

Goodman E, Whitaker R . A prospective study of the role of depression in the development and persistence of adolescent obesity. Pediatrics. 2002; 110(3):497-504. DOI: 10.1542/peds.110.3.497. View

Mikolajczyk R, Maxwell A, El Ansari W, Stock C, Petkeviciene J, Guillen-Grima F . Relationship between perceived body weight and body mass index based on self- reported height and weight among university students: a cross-sectional study in seven European countries. BMC Public Health. 2010; 10:40. PMC: 2824734. DOI: 10.1186/1471-2458-10-40. View

Kurth B, Ellert U . Perceived or true obesity: which causes more suffering in adolescents? Findings of the German Health Interview and Examination Survey for Children and Adolescents (KiGGS). Dtsch Arztebl Int. 2009; 105(23):406-12. PMC: 2696846. DOI: 10.3238/arztebl.2008.0406. View

Khor G, Zalilah M, Phan Y, Ang M, Maznah B, Norimah A . Perceptions of body image among Malaysian male and female adolescents. Singapore Med J. 2009; 50(3):303-11. View

Xie B, Liu C, Chou C, Xia J, Spruijt-Metz D, Gong J . Weight perception and psychological factors in Chinese adolescents. J Adolesc Health. 2003; 33(3):202-10. DOI: 10.1016/s1054-139x(03)00099-5. View

McGuire M, Story M, Neumark-Sztainer D, Halcon L, Campbell-Forrester S, Blum R . Prevalence and correlates of weight-control behaviors among Caribbean adolescent students. J Adolesc Health. 2002; 31(2):208-11. DOI: 10.1016/s1054-139x(02)00380-4. View

ZUNG W . A rating instrument for anxiety disorders. Psychosomatics. 1971; 12(6):371-9. DOI: 10.1016/S0033-3182(71)71479-0. View

10.

Vander Wal J, Thelen M . Eating and body image concerns among obese and average-weight children. Addict Behav. 2000; 25(5):775-8. DOI: 10.1016/s0306-4603(00)00061-7. View

11.

Kolotkin R, Crosby R, Williams G, Hartley G, Nicol S . The relationship between health-related quality of life and weight loss. Obes Res. 2001; 9(9):564-71. DOI: 10.1038/oby.2001.73. View

12.

Daniels J . Weight and weight concerns: are they associated with reported depressive symptoms in adolescents?. J Pediatr Health Care. 2005; 19(1):33-41. DOI: 10.1016/j.pedhc.2004.07.007. View

13.

Friedman M, Brownell K . Psychological correlates of obesity: moving to the next research generation. Psychol Bull. 1995; 117(1):3-20. DOI: 10.1037/0033-2909.117.1.3. View

14.

McCabe M, Ricciardelli L . Body image and strategies to lose weight and increase muscle among boys and girls. Health Psychol. 2003; 22(1):39-46. View

15.

Pesa J, Syre T, Jones E . Psychosocial differences associated with body weight among female adolescents: the importance of body image. J Adolesc Health. 2000; 26(5):330-7. DOI: 10.1016/s1054-139x(99)00118-4. View

16.

Bearman S, Martinez E, Stice E, Presnell K . The Skinny on Body Dissatisfaction: A Longitudinal Study of Adolescent Girls and Boys. J Youth Adolesc. 2006; 35(2):217-229. PMC: 1540456. DOI: 10.1007/s10964-005-9010-9. View

17.

Kurth B, Ellert U . Estimated and measured BMI and self-perceived body image of adolescents in Germany: part 1 - general implications for correcting prevalence estimations of overweight and obesity. Obes Facts. 2010; 3(3):181-90. PMC: 6452159. DOI: 10.1159/000314638. View

18.

Crow S, Eisenberg M, Story M, Neumark-Sztainer D . Suicidal behavior in adolescents: relationship to weight status, weight control behaviors, and body dissatisfaction. Int J Eat Disord. 2007; 41(1):82-7. DOI: 10.1002/eat.20466. View

19.

Cortese S, Falissard B, Angriman M, Pigaiani Y, Banzato C, Bogoni G . The relationship between body size and depression symptoms in adolescents. J Pediatr. 2008; 154(1):86-90. DOI: 10.1016/j.jpeds.2008.07.040. View

20.

Ji C, Sun J . [Analyses of the epidemiological status of overweight and obesity in Chinese students and the prevalence changes in recent 15 years]. Beijing Da Xue Xue Bao Yi Xue Ban. 2004; 36(2):194-7. View