Exploring the association between internalized weight bias and mental health among Canadian adolescents

IF 2.7 3区医学 Q1 PEDIATRICS

Pediatric Obesity Pub Date : 2024-04-27 DOI:10.1111/ijpo.13118

Kristen M. Lucibello, Gary S. Goldfield, Angela S. Alberga, Scott T. Leatherdale, Karen A. Patte

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Abstract

Background

Internalized weight bias (IWB) has been identified as a correlate of higher depressive and anxiety symptoms in adolescents with higher weights. However, there has been limited investigation into how IWB relates to positive mental health and whether these associations differ across genders.

Objectives

To examine the associations between IWB and mental health (depression, anxiety, flourishing) in adolescents with higher weights, and to test the potential moderating role of gender.

Methods

Canadian adolescents with higher weights (N = 7538, 60% boys, 36% girls, 4% gender diverse, ages 12–19) from the COMPASS study completed a survey during the 2021–2022 school year. Data were analysed using generalized linear models.

Results

Highest IWB and poorest mental health were noted within gender diverse adolescents, followed by girls then boys. Gender moderated the relationship between higher IWB and higher depression, higher anxiety and lower flourishing, with the strongest relationships noted among girls.

Conclusion

IWB interventions should be tailored to gender subgroups that may be particularly vulnerable to maladaptive mental health outcomes associated with IWB. System-level changes that mitigate perpetuation of weight bias and discrimination which lead to IWB are also essential, particularly for girls.

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探索加拿大青少年内化体重偏差与心理健康之间的关系

摘要背景内化体重偏差（IWB）已被确定为体重较重青少年抑郁和焦虑症状较高的相关因素。方法COMPASS研究中的加拿大体重偏高青少年（N = 7538，60%为男生，36%为女生，4%为不同性别，年龄在12-19岁之间）在2021-2022学年期间完成了一项调查。我们使用广义线性模型对数据进行了分析。结果发现，不同性别青少年的 IWB 最高，心理健康最差，其次是女孩，再次是男孩。性别调节了较高的 IWB 与较高的抑郁、较高的焦虑和较低的欣欣向荣之间的关系，其中女孩之间的关系最为密切。结论IWB 干预措施应针对性别亚群量身定制，这些亚群可能特别容易出现与 IWB 相关的适应不良的心理健康结果。系统层面的变革也很重要，这些变革可以减轻导致 IWB 的体重偏见和歧视的长期存在，尤其是对女孩而言。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Pediatric Obesity PEDIATRICS-

CiteScore

7.30

自引率

5.30%

发文量

117

审稿时长

6-12 weeks

期刊介绍： Pediatric Obesity is a peer-reviewed, monthly journal devoted to research into obesity during childhood and adolescence. The topic is currently at the centre of intense interest in the scientific community, and is of increasing concern to health policy-makers and the public at large. Pediatric Obesity has established itself as the leading journal for high quality papers in this field, including, but not limited to, the following: Genetic, molecular, biochemical and physiological aspects of obesity – basic, applied and clinical studies relating to mechanisms of the development of obesity throughout the life course and the consequent effects of obesity on health outcomes Metabolic consequences of child and adolescent obesity Epidemiological and population-based studies of child and adolescent overweight and obesity Measurement and diagnostic issues in assessing child and adolescent adiposity, physical activity and nutrition Clinical management of children and adolescents with obesity including studies of treatment and prevention Co-morbidities linked to child and adolescent obesity – mechanisms, assessment, and treatment Life-cycle factors eg familial, intrauterine and developmental aspects of child and adolescent obesity Nutrition security and the "double burden" of obesity and malnutrition Health promotion strategies around the issues of obesity, nutrition and physical activity in children and adolescents Community and public health measures to prevent overweight and obesity in children and adolescents.