Does adolescent depression predict obesity in black and white young adult women?

2005 ◽  
Vol 35 (10) ◽  
pp. 1505-1513 ◽  
Author(s):  
DEBRA L. FRANKO ◽  
RUTH H. STRIEGEL-MOORE ◽  
DOUGLAS THOMPSON ◽  
GEORGE B. SCHREIBER ◽  
STEPHEN R. DANIELS
Keyword(s):  
Depressive Symptoms ◽  
Young Adult ◽  
White Women ◽  
Depression Scale ◽  
Black Girls ◽  
Health Study ◽  
Adult Women ◽  
Black And White ◽  
White Girls ◽  
Increased Risk

Background. To examine whether adolescent depressive symptoms predict young adult body mass index (BMI) and obesity in black and white women.Method. Participants included 1554 black and white adolescent girls from the National Heart, Lung, and Blood Institute Growth and Health Study (NGHS) who completed the Center for Epidemiological Studies – Depression Scale (CES-D) at ages 16 and 18 years.Results. Regression analyses showed that depressive symptoms at both ages 16 and 18 were associated with increased risk of obesity (BMI[ges ]30) and elevated BMI in young adulthood (age 21) in both black and white girls. Black girls exhibited a significantly greater likelihood of obesity and higher BMI (i.e. a main effect of race), but the race×CES-D interaction was not significant in any analysis.Conclusions. Depressive symptoms in adolescence appear to be predictive of obesity and elevated BMI in early adulthood for both black and white girls, even when taking prior BMI into account, indicating that depressive symptoms confer risk for obesity above and beyond the known tracking of body weight. Obesity prevention studies might consider assessing depressive symptoms in adolescence in order to more fully capture important risk variables.

Trajectories of Body Mass and Self-Concept in Black and White Girls

2012 ◽  
Vol 53 (1) ◽  
pp. 2-16 ◽  
Author(s):  
Sarah A. Mustillo ◽  
Kimber L. Hendrix ◽  
Markus H. Schafer
Keyword(s):  
Body Image ◽  
Body Mass ◽  
Growth Models ◽  
Self Esteem ◽  
Black Girls ◽  
Self Concept ◽  
Health Study ◽  
Black And White ◽  
White Girls ◽  
Body Image Discrepancy

As a stigmatizing condition, obesity may lead to the internalization of devalued labels and threats to self-concept. Modified labeling theory suggests that the effects of stigma may outlive direct manifestations of the discredited characteristic itself. This article considers whether obesity’s effects on self-concept linger when obese youth enter the normal body mass range. Using longitudinal data from the National Growth and Health Study on 2,206 black and white girls, we estimated a parallel-process growth mixture model of body mass linked to growth models of body image discrepancy and self-esteem. We found that discrepancy was higher and self-esteem lower in formerly obese girls compared to girls always in the normal range and comparable to chronically obese girls. Neither body image discrepancy nor self-esteem rebounded in white girls despite reduction in body mass, suggesting that the effects of stigma linger. Self-esteem, but not discrepancy, did rebound in black girls.

scholarly journals Measurement Properties of the Centers for Epidemiological Studies Depression Scale (CES-D) in a Sample of African American and Non-Hispanic White Pregnant Women

2009 ◽  
Vol 17 (2) ◽  
pp. 91-104 ◽  
Author(s):  
Renée B. Canady ◽  
Manfred Stommel ◽  
Claudia Holzman
Keyword(s):  
Depressive Symptoms ◽  
Pregnant Women ◽  
Living Arrangements ◽  
White Women ◽  
Racial Bias ◽  
Factor Model ◽  
Depression Scale ◽  
Epidemiological Studies ◽  
Measurement Properties ◽  
Black And White

This study investigated the appropriateness of using the CES-D scale for comparing depressive symptoms among pregnant women of different races. Black and White women were matched on education, age, Medicaid status, and marital status–living arrangements. The matching procedure yielded a study sample of 375 in each ethnic group. Using a confirmatory factor analysis, the fit of several factor models for the CES-D was evaluated. One CES-D item, “everything was an effort,” showed a low item-total correlation (0.04 among blacks, 0.22 among whites) and was excluded from further analysis. After imposing the constraints of equal factor loadings and factor covariance across both groups, a two-factor model with 19 CES-D items provided a good fit. Only the loading for the “was happy” item displayed a small difference between the two groups. Furthermore, the correlations between the original 20-item and the unbiased 18-item scales were r = 0.994 for Whites and r = 0.992 for Blacks. The results suggest that the 20-item CES-D can be used to compare depressive symptoms in White and Black pregnant women without introducing significant ethnic–racial bias in the measurement of these symptoms.

scholarly journals 880Dietary inflammatory index and the risk of adult depression symptoms

2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Prem Shakya ◽  
Yohannes Adama Melaku ◽  
Amanda J Page ◽  
Robert J Adams ◽  
Nitin Shivappa ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Longitudinal Analysis ◽  
Negative Binomial ◽  
Meta Analysis ◽  
Depression Scale ◽  
Health Study ◽  
Current Evidence ◽  
Depression Symptoms ◽  
Inflammatory Index ◽  
Increased Risk

Abstract Background The link between diet, inflammation and depressive symptoms (DepS) are of increasing interest. The study aims to assess the association between the dietary inflammatory index (DII®) and DepS using the North-West Adelaide Health Study (NWAHS) cohort and update the previous meta-analysis. Methods A total of 1743 (mean□SD age 56.6±13.6 years, 51% female) and 859 (mean□SD age 58.4±12.1 years, 52.6% female) of NWAHS participants were included for cross-sectional and longitudinal analysis respectively. DII was determined using food frequency questionnaires, and the Center for Epidemiologic Studies Depression Scale (CES-D) assessed DepS. Log- and negative binomial regression were used to assess the association between quartiles of DII and DepS. Results In a fully adjusted model, higher DII score (i.e. pro-inflammatory diet) was associated with 79% increase in odds of reporting DepS (ORQuartile4vs1:1.79; 95% CI: 1.14-2.81; ptrend=0.026). Men with higher DII had two-fold higher odds of DepS (ORQuartile4vs1:2.27; 95% CI: 1.02-5.06; ptrend=0.089). Women with higher DII had an 81% increase in odds of DepS (ORQuartile4vs1:1.81; 95% CI: 1.01-3.26; ptrend=0.068). These associations were consistent in the longitudinal analysis. The meta-analysis (n = 12) showed that a pro-inflammatory diet was associated with a 45% increase in odds of having DepS (ORQuartile4vs1:1.45; 95% CI: 1.20,1.74, p-value<0.01). Conclusions A pro-inflammatory diet was positively associated with increased risk of DepS. Our findings support the current evidence that shows the role of pro-inflammatory diet in DepS. Key messages Increase the consumption of anti-inflammatory diet to reduce depressive symptoms

Weight Modification Efforts Reported by Black and White Preadolescent Girls: National Heart, Lung, and Blood Institute Growth and Health Study

PEDIATRICS ◽  
1996 ◽  
Vol 98 (1) ◽  
pp. 63-70 ◽  
Author(s):  
George B. Schreiber ◽  
Morton Robins ◽  
Ruth Striegel-Moore ◽  
Eva Obarzanek ◽  
John A. Morrison ◽  
...  
Keyword(s):  
Body Dissatisfaction ◽  
Weight Control ◽  
Black Girls ◽  
Health Study ◽  
Body Parts ◽  
Cross Sectional ◽  
Black And White ◽  
White Girls ◽  
Chronic Dieting ◽  
High Bmi

Objective. This study tested four hypotheses: (1) a high percentage of 9-and 10-year-old girls are already trying to lose weight; (2) more white than black girls are trying to lose weight; (3) more black than white girls are trying to gain weight; and (4) weight modification efforts of preadolescent girls are influenced by factors other than race, such as maternal criticism, body dissatisfaction, and socioeconomic status. Design. Cross-sectional analysis of baseline data on 2379 girls 9 and 10 years of age, which consisted of 1213 black and 1166 white enrollees. Results. Black girls were taller and heavier and showed earlier signs of puberty than white girls but were less dissatisfied with their weight, body shape, and body parts. Approximately 40% of 9-and 10-year-old girls reported that they were trying to lose weight. Of those girls classified in the fourth quartile of body mass index (BMI), approximately 75% were trying to lose weight. After adjusting for BMI, no significant black and white differences in the prevalence of those trying to lose weight were seen, but significantly more black than white girls were trying to gain weight. Multiple logistic regression identified a high BMI, the mother telling her she was too fat, and body dissatisfaction as the major factors associated with trying to lose weight. However, chronic dieting was only associated with a high BMI and the mother telling her she was too fat. An important predictor of girls who were trying to gain weight was being black, along with having a low BMI and the mother telling her she was too thin. Conclusions. Attempts at gaining weight are much more frequent among black preadolescent girls than their white counterparts. No racial difference was found between black and white girls in their efforts to lose weight or to practice chronic dieting. Because approximately 40% of 9-and 10-year-old girls are already trying to lose weight, pediatricians should capitalize on this concern by providing information on proper weight control techniques. Educational efforts should be directed to both the mother and the child, because weight control efforts of preadolescent girls are stimulated by their mothers' admonitions of being too fat or too thin. The high prevalence of dieting among the thinnest preadolescent girls also needs to be addressed by pediatricians.

Higher Incidence of Metabolic Syndrome in Black Women With Polycystic Ovary Syndrome: A Longitudinal Study

2021 ◽  
Author(s):  
Iris Lee ◽  
Julia Vresilovic ◽  
Maryam Irfan ◽  
Robert Gallop ◽  
Anuja Dokras
Keyword(s):  
Metabolic Syndrome ◽  
Black Women ◽  
Polycystic Ovary Syndrome ◽  
White Women ◽  
Polycystic Ovary ◽  
Adult Women ◽  
Ovary Syndrome ◽  
Black And White ◽  
Increased Risk ◽  
Medication Status

Abstract Context Cross-sectional studies have identified an increased risk of metabolic syndrome (MetSyn) in women with polycystic ovary syndrome (PCOS), but longitudinal data are limited and primarily include White and European cohorts. Objective To compare the longitudinal risk of MetSyn in Black and White women with PCOS and to identify potential factors mediating the risk of MetSyn. Methods Longitudinal cohort study with a follow-up of 5.3 years at an academic medical center of 247 adult women with hyperandrogenic PCOS phenotype with 2 or more visits at least 3 years apart. The main outcome measure was incidence of MetSyn in Black and White women with PCOS. Results Using a mixed-effects model over time, the incidence of MetSyn was higher in Black women (45.9 ± 4.74 per 100 person-years) than in White women (31.3 ± 3.03 per 100 person-years) (P < .01) after adjusting for age and medication status. This difference persisted among women under age 30. Among Black women who did not have MetSyn at their prior visit, 28.0% had MetSyn at the next visit, compared with 12.1% of White women after adjusting for age and medication status (P < .01). In both races, the model-based estimated rates of MetSyn increased significantly with increase in body mass index and free testosterone. Conclusion We describe a persistent higher incidence of MetSyn in Black than in White women with PCOS. In addition to early cardiometabolic screening at the time of diagnosis, our findings highlight the need for ongoing and frequent screening in this population.

scholarly journals Role of depressive symptoms in cardiometabolic diseases and subsequent transitions to all-cause mortality: an application of multistate models in a prospective cohort study

2021 ◽  
pp. svn-2020-000693
Author(s):  
Yanan Qiao ◽  
Siyuan Liu ◽  
Guochen Li ◽  
Yanqiang Lu ◽  
Ying Wu ◽  
...  
Keyword(s):  
Heart Disease ◽  
Depressive Symptoms ◽  
Depression Scale ◽  
European Population ◽  
Multistate Models ◽  
Cardiometabolic Diseases ◽  
Increased Risk ◽  
All Cause Mortality ◽  
Patients With Diabetes

Background and purposeThe role of depression in the development and outcome of cardiometabolic diseases remains to be clarified. We aimed to examine the extent to which depressive symptoms affect the transitions from healthy to diabetes, stroke, heart disease and subsequent all-cause mortality in a middle-aged and elderly European population.MethodsA total of 78 212 individuals aged ≥50 years from the Survey of Health Ageing and Retirement in Europe were included. Participants with any baseline cardiometabolic diseases including diabetes, stroke and heart disease were excluded. Depressive symptoms were measured by the Euro-Depression scale at baseline. Participants were followed up to determine the occurrence of cardiometabolic diseases and all-cause mortality. We used multistate models to estimate the transition-specific HRs and 95% CIs after adjustment of confounders.ResultsDuring 500 711 person-years of follow-up, 4742 participants developed diabetes, 2173 had stroke, 5487 developed heart disease and 7182 died. Depressive symptoms were significantly associated with transitions from healthy to diabetes (HR: 1.12, 95% CI: 1.05 to 1.20), stroke (HR: 1.31, 95% CI: 1.18 to 1.44), heart disease (HR: 1.26, 95% CI: 1.18 to 1.34) and all-cause mortality (HR: 1.41, 95% CI: 1.34 to 1.49). After cardiometabolic diseases, depressive symptoms were associated with the increased risk of all-cause mortality in patients with diabetes (HR: 1.54, 95% CI: 1.25 to 1.89), patients who had stroke (HR: 1.29, 95% CI: 1.03 to 1.61) and patients with heart disease (HR: 1.21, 95% CI: 1.02 to 1.44).ConclusionsDepressive symptoms increase the risk of diabetes, stroke and heart disease, and affect the risk of mortality after the onset of these cardiometabolic conditions. Screening and treatment of depressive symptoms may have profound implications for the prevention and prognosis of cardiometabolic diseases.

scholarly journals Cross-cultural measurement invariance of the Revised Child Anxiety and Depression Scale across 11 world-wide societies

2016 ◽  
Vol 26 (4) ◽  
pp. 430-440 ◽  
Author(s):  
D. Stevanovic ◽  
Z. Bagheri ◽  
O. Atilola ◽  
P. Vostanis ◽  
D. Stupar ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Ethnic Groups ◽  
Measurement Invariance ◽  
Factor Model ◽  
Child Anxiety ◽  
Depression Scale ◽  
The Philippines ◽  
Cross Cultural ◽  
Health Study ◽  
Anxiety And Depression

Background.In order to compare estimates by one assessment scale across various cultures/ethnic groups, an important aspect that needs to be demonstrated is that its construct across these groups is invariant when measured using a similar and simultaneous approach (i.e., demonstrated cross-cultural measurement invariance). One of the methods for evaluating measurement invariance is testing for differential item functioning (DIF), which assesses whether different groups respond differently to particular items. The aim of this study was to evaluate the cross-cultural measurement invariance of the Revised Child Anxiety and Depression Scale (RCADS) in societies with different socioeconomic, cultural, and religious backgrounds.Methods.The study was organised by the International Child Mental Health Study Group. Self-reported data were collected from adolescents residing in 11 countries: Brazil, Bulgaria, Croatia, Indonesia, Montenegro, Nigeria, Palestinian Territories, the Philippines, Portugal, Romania and Serbia. The multiple-indicators multiple-causes model was used to test the RCADS items for DIF across the countries.Results.Ten items exhibited DIF considering all cross-country comparisons. Only one or two items were flagged with DIF in the head-to-head comparisons, while there were three to five items flagged with DIF, when one country was compared with the others. Even with all cross-culturally non-invariant items removed from nine language versions tested, the original factor model representing six anxiety and depressive symptoms subscales was not significantly violated.Conclusions.There is clear evidence that relatively small number of the RCADS items is non-invariant, especially when comparing two different cultural/ethnic groups, which indicates on its sound cross-cultural validity and suitability for cross-cultural comparisons in adolescent anxiety and depressive symptoms.

The influence of workplace stress and coping on depressive symptoms among registered nurses in Bangladesh

2022 ◽  
Author(s):  
Reva Mondal ◽  
Yajai Sitthimongkol ◽  
Nopporn Vongsirimas ◽  
Natkamol Chansatitporn ◽  
Kathy Hegadoren
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Coping Strategies ◽  
Registered Nurses ◽  
Depression Scale ◽  
Workplace Stress ◽  
Unique Contribution ◽  
Workplace Stressors ◽  
Increased Risk ◽  
The Relationship

Background: Nurses report high levels of workplace stress, which has been linked to an increased risk for experiencing depressive symptoms.Nurses’ workplace stress is also linked to increased absenteeism and decreased job satisfaction. Objectives: The objectives of this study were to examine: (1) the incidence of depressive symptoms among hospital-based registered nurses in Bangladesh; (2) common sources of workplace stress and their relationships to individual characteristics and depressive symptom scores; and (3) the potential mediating roles of coping strategies in the relationship between workplace stress and depressive symptoms. Methods: A cross-sectional study design involved three hundred and fifty-two registered nurses. Data were collected using a demographic questionnaire and three standardized tools measuring sources of nurses’ workplace stress, coping strategies, and depressive symptoms. Results: More than half of the participants scored ≥ 16 on the CES-D, which was associated with a major depression episode. Total NSS scores had a small but significant influence on scores on the depression scale. Coping strategies had no mediated effect on the relationship between workplace stress and scores on the depression scale. Low-reliability coefficients for subscales of two of the standardized tools highlight the challenge for researchers in developing countries to address contextual differences that may influence the meanings attached to individual items.  Conclusion: Findings suggest that the mental health of registered nurses in Bangladesh requires immediate attention in part by attending to workplace stressors. Further research should focus on a deeper understanding of Bangladeshi registered nurses’ work experiences and the unique contribution that workplace stressors have on their physical and mental health.

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