Depressive symptoms are associated with excess weight and unhealthier lifestyle behaviors in urban adolescents

Fiorella Castillo, Lori Francis, Judith Wylie-Rosett, Carmen R. Isasi

Research output: Contribution to journalArticle

15 Citations (Scopus)

Abstract

Background: Adolescence is a critical period for the development of depressive symptoms and obesity. This study examined the association of depressive symptoms with standardized BMI (BMI z-score), lifestyle behaviors, and self-efficacy measures in a sample of urban adolescents.

Methods: A school-based study was conducted among adolescents (N=1508) enrolled from 11 public schools. Depressive symptoms were assessed with Kandel's depressive symptoms scale for adolescents. Fruit and vegetable intake and intake of energy-dense foods were assessed by a short food frequency questionnaire. Sedentary behavior and physical activity (PA) were obtained by self-report. Height and weight were measured directly and BMI z-scores were calculated. Mixed-effects models were used to examine the association of depressive symptoms with BMI z-score and lifestyle behaviors, accounting for clustering at school level and adjusting for confounders. Self-efficacy measures were evaluated as potential mediators.

Results: The sample was 53% female, 75% Hispanic, and 82% US born, with a mean age of 13.9 years. Higher depressive symptoms were associated with higher BMI z-score (β=0.02; p=0.02), intake of energy-dense foods (β=0.42; p<0.001), and sedentary behavior (β=0.48; p<0.001), but lower PA (β=-0.03; p=0.01). There was an interaction by gender in the association of depressive symptoms and PA. Self-efficacy mediated the association of depressive symptoms and PA.

Conclusions: Obesity prevention and treatment programs should consider addressing the role of negative emotions as part of their preventive strategies.

Original languageEnglish (US)
Pages (from-to)400-407
Number of pages8
JournalChildhood Obesity
Volume10
Issue number5
DOIs
StatePublished - Oct 1 2014

Fingerprint

Life Style
Depression
Weights and Measures
Self Efficacy
Exercise
Energy Intake
Food
Obesity
Hispanic Americans
Vegetables
Self Report
Cluster Analysis
Fruit
Emotions

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Depressive symptoms are associated with excess weight and unhealthier lifestyle behaviors in urban adolescents. / Castillo, Fiorella; Francis, Lori; Wylie-Rosett, Judith; Isasi, Carmen R.

In: Childhood Obesity, Vol. 10, No. 5, 01.10.2014, p. 400-407.

Research output: Contribution to journalArticle

@article{1a4bf65568b9491dbb96049c4a06c3b2,
title = "Depressive symptoms are associated with excess weight and unhealthier lifestyle behaviors in urban adolescents",
abstract = "Background: Adolescence is a critical period for the development of depressive symptoms and obesity. This study examined the association of depressive symptoms with standardized BMI (BMI z-score), lifestyle behaviors, and self-efficacy measures in a sample of urban adolescents.Methods: A school-based study was conducted among adolescents (N=1508) enrolled from 11 public schools. Depressive symptoms were assessed with Kandel's depressive symptoms scale for adolescents. Fruit and vegetable intake and intake of energy-dense foods were assessed by a short food frequency questionnaire. Sedentary behavior and physical activity (PA) were obtained by self-report. Height and weight were measured directly and BMI z-scores were calculated. Mixed-effects models were used to examine the association of depressive symptoms with BMI z-score and lifestyle behaviors, accounting for clustering at school level and adjusting for confounders. Self-efficacy measures were evaluated as potential mediators.Results: The sample was 53{\%} female, 75{\%} Hispanic, and 82{\%} US born, with a mean age of 13.9 years. Higher depressive symptoms were associated with higher BMI z-score (β=0.02; p=0.02), intake of energy-dense foods (β=0.42; p<0.001), and sedentary behavior (β=0.48; p<0.001), but lower PA (β=-0.03; p=0.01). There was an interaction by gender in the association of depressive symptoms and PA. Self-efficacy mediated the association of depressive symptoms and PA.Conclusions: Obesity prevention and treatment programs should consider addressing the role of negative emotions as part of their preventive strategies.",
author = "Fiorella Castillo and Lori Francis and Judith Wylie-Rosett and Isasi, {Carmen R.}",
year = "2014",
month = "10",
day = "1",
doi = "10.1089/chi.2014.0042",
language = "English (US)",
volume = "10",
pages = "400--407",
journal = "Childhood Obesity",
issn = "2153-2168",
publisher = "Mary Ann Liebert Inc.",
number = "5",

}

TY - JOUR

T1 - Depressive symptoms are associated with excess weight and unhealthier lifestyle behaviors in urban adolescents

AU - Castillo, Fiorella

AU - Francis, Lori

AU - Wylie-Rosett, Judith

AU - Isasi, Carmen R.

PY - 2014/10/1

Y1 - 2014/10/1

N2 - Background: Adolescence is a critical period for the development of depressive symptoms and obesity. This study examined the association of depressive symptoms with standardized BMI (BMI z-score), lifestyle behaviors, and self-efficacy measures in a sample of urban adolescents.Methods: A school-based study was conducted among adolescents (N=1508) enrolled from 11 public schools. Depressive symptoms were assessed with Kandel's depressive symptoms scale for adolescents. Fruit and vegetable intake and intake of energy-dense foods were assessed by a short food frequency questionnaire. Sedentary behavior and physical activity (PA) were obtained by self-report. Height and weight were measured directly and BMI z-scores were calculated. Mixed-effects models were used to examine the association of depressive symptoms with BMI z-score and lifestyle behaviors, accounting for clustering at school level and adjusting for confounders. Self-efficacy measures were evaluated as potential mediators.Results: The sample was 53% female, 75% Hispanic, and 82% US born, with a mean age of 13.9 years. Higher depressive symptoms were associated with higher BMI z-score (β=0.02; p=0.02), intake of energy-dense foods (β=0.42; p<0.001), and sedentary behavior (β=0.48; p<0.001), but lower PA (β=-0.03; p=0.01). There was an interaction by gender in the association of depressive symptoms and PA. Self-efficacy mediated the association of depressive symptoms and PA.Conclusions: Obesity prevention and treatment programs should consider addressing the role of negative emotions as part of their preventive strategies.

AB - Background: Adolescence is a critical period for the development of depressive symptoms and obesity. This study examined the association of depressive symptoms with standardized BMI (BMI z-score), lifestyle behaviors, and self-efficacy measures in a sample of urban adolescents.Methods: A school-based study was conducted among adolescents (N=1508) enrolled from 11 public schools. Depressive symptoms were assessed with Kandel's depressive symptoms scale for adolescents. Fruit and vegetable intake and intake of energy-dense foods were assessed by a short food frequency questionnaire. Sedentary behavior and physical activity (PA) were obtained by self-report. Height and weight were measured directly and BMI z-scores were calculated. Mixed-effects models were used to examine the association of depressive symptoms with BMI z-score and lifestyle behaviors, accounting for clustering at school level and adjusting for confounders. Self-efficacy measures were evaluated as potential mediators.Results: The sample was 53% female, 75% Hispanic, and 82% US born, with a mean age of 13.9 years. Higher depressive symptoms were associated with higher BMI z-score (β=0.02; p=0.02), intake of energy-dense foods (β=0.42; p<0.001), and sedentary behavior (β=0.48; p<0.001), but lower PA (β=-0.03; p=0.01). There was an interaction by gender in the association of depressive symptoms and PA. Self-efficacy mediated the association of depressive symptoms and PA.Conclusions: Obesity prevention and treatment programs should consider addressing the role of negative emotions as part of their preventive strategies.

UR - http://www.scopus.com/inward/record.url?scp=84912042094&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84912042094&partnerID=8YFLogxK

U2 - 10.1089/chi.2014.0042

DO - 10.1089/chi.2014.0042

M3 - Article

VL - 10

SP - 400

EP - 407

JO - Childhood Obesity

JF - Childhood Obesity

SN - 2153-2168

IS - 5

ER -