Preventing Chronic Disease最新文献

{"title":"Age-Dependent Geographic Convergence of Overdose and Cardiovascular Emergency Medical Services Calls: A Spatial Point Process Analysis.","authors":"Jeffrey Pesarsick, Ruchi Bhandari, Evonne Richards, Caroline Groth, Scott Findley, Brian Hendricks","doi":"10.5888/pcd23.250450","DOIUrl":"10.5888/pcd23.250450","url":null,"abstract":"<p><strong>Introduction: </strong>Overdose and cardiovascular disease are both leading causes of emergency medical services (EMS) activation. The objective of this study was to identify differential patterns in cardiac EMS activations by age and explore whether suspected overdose activity influenced these differences.</p><p><strong>Methods: </strong>EMS activations data were obtained using emsCharts software for Washington County, Pennsylvania, from 2017 through 2023. Poisson point process model (PPM) regression analyses were conducted to estimate the cardiac EMS activation per unit area, as a function of age and suspected overdose, adjusting for population size.</p><p><strong>Results: </strong>PPM regression analyses identified significant differences in EMS cardiac activations for people aged 18 to 45 years compared with people older than 45 years (β = -1.83, SE = 0.020, 95% CI = -1.86 to -1.79). EMS activations increased as population size increased (β = 0.21, SE = 0.001, 95% CI = 0.21 to 0.22). Analysis also identified significant differences in EMS activation per unit area for age groupings, depending on local suspected overdose activity (interaction term) (β = 0.02, SE = 0.001, 95% CI = 0.01 to 0.02). Likelihood-ratio tests indicated that using suspected overdose activity as an effect modifier on age-dependent cardiac EMS activations improved model fit (deviance = 228.12, df = 1, P < .001).</p><p><strong>Conclusions: </strong>The community-level occurrence of cardiac emergencies differs by age group, with younger adults experiencing more cardiovascular disease in neighborhoods with higher suspected overdose activity. This nuance is key to developing age-appropriate public health intervention materials to lessen early onset cardiovascular disease illness and death.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E28"},"PeriodicalIF":5.6,"publicationDate":"2026-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13426285/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148632758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations of Local Comprehensive Smoke-Free Ordinances With Cancer Incidence Trends in Louisiana.","authors":"Taylor C Johnson, Malesa Pereira, Earl Nupsius Benjamin-Robinson, Donna Williams","doi":"10.5888/pcd23.250336","DOIUrl":"10.5888/pcd23.250336","url":null,"abstract":"<p><strong>Introduction: </strong>Louisiana has a high prevalence of smoking-related cancers. Although the 2007 Louisiana Smoke-Free Air Act restricted smoking in many public places, exemptions for bars, casinos, and other venues left many workers unprotected. Comprehensive local ordinances were later adopted in Orleans Parish (2015) and Ouachita Parish (2017).</p><p><strong>Methods: </strong>We conducted an ecological analysis of Louisiana Tumor Registry data from 2007 through 2022 to examine age-adjusted incidence of lung cancer and tobacco-related cancers. Orleans and Ouachita Parishes were compared with parishes covered only by the partial statewide law. Trends were assessed with Joinpoint regression using annual percent change (APC), average annual percent change (AAPC), and tests of parallelism.</p><p><strong>Results: </strong>In the primary parish-level analysis, lung cancer trends differed between ordinance and nonordinance parishes (P = .04). Orleans Parish declined steadily (APC, -3.02%; P < .001). Ouachita Parish showed a 2016 joinpoint, preceding implementation of the 2017 smoke-free ordinance, followed by a post-2016 decline of -7.33% annually (P = .01). In sensitivity analyses combining Orleans and Ouachita Parishes, lung cancer declined more rapidly than in the remainder of Louisiana (AAPC, -3.08% vs -1.70%; P = .004); tobacco-related cancers also declined more rapidly (-1.26% vs -0.64%; P = .02).</p><p><strong>Conclusion: </strong>Comprehensive local smoke-free ordinances were associated with more favorable long-term cancer incidence trends than Louisiana's partial statewide law. Broader statewide coverage may help reduce tobacco-related cancer burden and inequities over time.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E27"},"PeriodicalIF":5.6,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398301/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148581103","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the 2021-2024 Implementation of the Fresh Start Enhanced Food Is Medicine Intervention Among Rural, Underinsured People With Type 2 Diabetes.","authors":"Lauren R Sastre, Brandon Stroud, Raven Breinholt, Alessio Fratacangeli, Sarah Elliott, Amy Turner, Bhibha M Das, Sissy Lee-Elmore, Yolanda Cristiani, Jennifer A Buxton, Belen Rogers","doi":"10.5888/pcd23.250471","DOIUrl":"10.5888/pcd23.250471","url":null,"abstract":"<p><strong>Purpose and objectives: </strong>We aimed to evaluate the feasibility, acceptability, and impact of the Fresh Start produce prescription (FSPRx) intervention among rural, underinsured people with type 2 diabetes.</p><p><strong>Intervention approach: </strong>The 20-week FSPRx intervention was implemented in 15 counties in eastern North Carolina to provide 5 to 7 pounds of produce at 9 group classes and individual, telephone-based health coaching.</p><p><strong>Evaluation methods: </strong>We evaluated feasibility by reviewing program records, acceptability by reviewing surveys and interviews, and impact by reviewing validated pre-post questionnaires on knowledge, skills, and behavior and retrospective medical record review (glycated hemoglobin A_1c [HbA_1c]). Quantitative data were analyzed by using descriptive statistics, the Wilcoxon signed-rank test, paired sample t tests, repeated-measures analysis of variance (ANOVA), and multiple linear regression. We analyzed interview transcripts by inductive content analysis for themes.</p><p><strong>Results: </strong>Approximately half of enrolled participants (N = 414) completed pre-post measures (n = 225) and actively participated (n = 170). Participants were majority female (65.4%) and were White (36.5%) or Black (34.3%). Program satisfaction was 96.5%. Participation was moderate for coaching encounters and class attendance (mean [SD], 3.1 [4.5] encounters; 2.0 [2.9] classes, respectively). Food literacy and consumption of fruits, vegetables, and whole grains increased significantly. Glycemic control (mean HbA_1c) improved significantly, with the greatest decreases among participants with 4 or more classes and 4 or more health coaching encounters (0.44% in the full analytic sample). Group classes were the strongest predictor of improved HbA_1c (B = -0.07, P = .06). Interest was high for flexible remote education (program notebook, 97.1%).</p><p><strong>Implications for public health: </strong>Strengths of the FSPRx intervention were acceptability and impact, while feasibility was moderate. Although participation in group classes was the strongest predictor of improved HbA_1c, attendance was limited. Research is warranted to identify optimal integration of educational and behavioral support in Food Is Medicine programs, especially for rural populations.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E26"},"PeriodicalIF":5.6,"publicationDate":"2026-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13398303/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148581080","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trends in Sodium Content of Instant Foods in Thailand, 2018-2021: Progress and Remaining Challenges.","authors":"Chanatip Chailek, Patcharanee Pavadhgul, Wirin Kittipichai, Surasak Kantachuvesiri","doi":"10.5888/pcd23.250382","DOIUrl":"10.5888/pcd23.250382","url":null,"abstract":"<p><strong>Introduction: </strong>Excess sodium intake is a major risk factor for hypertension and cardiovascular disease. Thailand has implemented sodium-reduction strategies, including the Salt and Sodium Reduction Strategy (2016-2025), front-of-package labeling, and the Healthier Choice logo. This study aimed to describe trends in sodium content of instant foods sold in Thailand from 2018 to 2021.</p><p><strong>Methods: </strong>We conducted an analytical study using secondary data from 2 packaged-food surveys in retail stores in the Bangkok Metropolitan Region, Thailand, in 2018, 2019, and 2021 administered by the Thai Food and Drug Administration and the Low Salt Network. We applied descriptive statistics, Mann-Whitney U, Kruskal-Wallis, Wilcoxon signed-rank, and χ² tests, with P < .05 considered significant.</p><p><strong>Results: </strong>We analyzed data for 788 products. In 2021, the median (IQR) sodium content was 1,750.0 (1,289.1-2,267.3) mg/100 g, an 11.6% decrease from 2018 (P = .02). Overall, we found significant reductions of sodium in rice porridge/soup, brand C, egg noodles, cup products, and items manufactured in Thailand and China. Conversely, among 57 identical products available in both 2018 and 2021, median sodium content did not change significantly (P = .06); 33.3% decreased, 19.3% increased, and 47.4% were unchanged. The proportion of Healthier Choice products increased from 4.5% in 2018 to 21.1% in 2021 (P < .001), including both noodles and rice porridge/soup.</p><p><strong>Conclusion: </strong>Sodium levels in instant foods in Thailand declined modestly, and Healthier Choice products increased substantially. However, most items remain above World Health Organization benchmarks, with inconsistent reformulation. Revising Healthier Choice criteria, setting mandatory sodium targets, and strengthening monitoring could accelerate sodium reduction and improve cardiovascular health.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E24"},"PeriodicalIF":5.6,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13377997/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148473854","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"When Policy Exists but Practice Fails: Rethinking Cognitive Screening as a Public Health Delivery Problem.","authors":"Brian Kim","doi":"10.5888/pcd23.260152","DOIUrl":"10.5888/pcd23.260152","url":null,"abstract":"","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E25"},"PeriodicalIF":5.6,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13377996/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148474048","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Food Service Directors' Knowledge and Beliefs About Ultraprocessed Foods in California's San Joaquin Valley Schools.","authors":"Anjali Gupta, Alix Zuceth Duran Gomez, Donna Matheson, Aditi Sharma, Viviane Richard, Lorrene D Ritchie, Ashley de la Rosa, Deiglis Delgado, Genoveva Islas, Christina A Hecht, Kenneth Hecht, Anisha I Patel, Andrea Pedroza-Tobias","doi":"10.5888/pcd23.250379","DOIUrl":"10.5888/pcd23.250379","url":null,"abstract":"<p><strong>Introduction: </strong>Ultraprocessed foods (UPFs) are industrial formulations of ingredients typically not used in home cooking and often high in added sugars, saturated fat, or sodium. UPF intake is associated with obesity, type 2 diabetes, hypertension, and other chronic diseases. Although the National School Lunch Program and School Breakfast Program must meet US Department of Agriculture nutrition standards, federal standards do not specifically address food processing. However, reducing UPFs in schools is gaining momentum. As food service directors (FSDs) are key implementers of school nutrition policies, we sought to characterize their knowledge and beliefs about UPFs in school meals.</p><p><strong>Methods: </strong>In this qualitative study, we conducted 20 semistructured interviews with FSDs in California's low-income, largely rural San Joaquin Valley from January through June 2024. Two analysts double-coded transcripts and used inductive thematic analysis to identify key themes.</p><p><strong>Results: </strong>Of 20 FSDs, 16 completed the demographic survey. Participants' mean age was 49.5 years (IQR, 41.0-59.5), 15 were women, 8 identified as White, and 6 identified as Hispanic or Latino. Seven FSDs reported that they had never heard of UPFs. After receiving a definition, FSDs generally described UPFs as less healthy than scratch-cooked foods, although several perceived UPFs served in schools as healthier than UPFs sold elsewhere. FSDs cited student food insecurity, food safety concerns, and student acceptance as reasons for serving UPFs; others worried that serving UPFs at school could reinforce unhealthy eating habits.</p><p><strong>Conclusion: </strong>Training that is free of conflicts of interest and food labeling systems that are clearer may improve FSDs' ability to identify UPFs and implement policies to reduce UPFs in school meals.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E23"},"PeriodicalIF":5.6,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13353300/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mapping Social Vulnerability and Proximity to Pharmacies in Minnesota, 2009-2024.","authors":"Emma Goldner, Emily Styles, Lindsay Sorge, Anjoli Punjabi, Olihe Okoro, Sarah Westberg, Chrystian Pereira, James Peacock","doi":"10.5888/pcd23.250451","DOIUrl":"10.5888/pcd23.250451","url":null,"abstract":"","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E22"},"PeriodicalIF":5.6,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13353299/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148426115","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors of Voucher Redemption in Produce Prescription Programs in a Primarily Low-Income Population With Type 2 Diabetes.","authors":"Tolulope V Adebile, Kayla Rutt, Christina Scartozzi, William A Calo, Jennifer L Kraschnewski, Kelseanna Hollis-Hansen, Susan Veldheer","doi":"10.5888/pcd23.250441","DOIUrl":"10.5888/pcd23.250441","url":null,"abstract":"<p><strong>Introduction: </strong>Food as Medicine initiatives, including produce prescription (PRx) programs, provide incentives (ie, vouchers) for participants to purchase free or reduced-cost produce. Voucher redemption is central to PRx effectiveness, yet predictors of redemption are poorly characterized. Prior evaluations often excluded nonusers, potentially overestimating effects. We applied an intent-to-treat (ITT) approach to examine the association between baseline characteristics and voucher redemption rates (VRRs) in a PRx program among primarily low-income Hispanic/Latino adults with type 2 diabetes.</p><p><strong>Methods: </strong>In this single-arm, pre-post study, 154 participants were enrolled in a 7-month PRx program offering up to $90 in fruit and vegetable vouchers for attending monthly nutrition education sessions. Binomial logistic regression assessed predictors of ITT-VRRs, including transportation access, baseline fruit and vegetable intake, and knowledge of produce preparation.</p><p><strong>Results: </strong>The sample was majority female (66.2%), Hispanic/Latino (83.1%), and low income (using public health insurance [88.9%] or food insecure [76.0%]). Most participants shared purchased produce with others in the household (61.2%). The ITT-VRR was 65.8%, versus 84.3% in per-protocol analysis. Higher odds of ITT-VRR were associated with transportation access (personal car [odds ratio, 2.28; 95% CI, 1.94-2.67]), while little/no self-reported knowledge of how to prepare fruit and vegetables was associated with lower odds (odds ratio, 0.58; 95% CI, 0.52-0.63).</p><p><strong>Conclusion: </strong>Transportation access and baseline knowledge of how to prepare fruit and vegetables were associated with voucher redemption, suggesting vouchers alone may not sustain engagement or dietary change. To enhance program equity and effectiveness, future PRx programs may consider pairing vouchers with strategies addressing transportation challenges and supporting fruit and vegetable preparation-related capability.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E21"},"PeriodicalIF":5.6,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13334710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental Perceived Stress and Its Association With Childhood Obesity in Spain: The PASOS Study.","authors":"Silvia García, Marina Ródenas-Munar, Luis Cereijo, Marta Sevilla-Sanchez, Narcis Gusi, Santiago F Gómez, Marcela González-Gross, Julia Wärnberg, Susana Aznar, Susana Pulgar, Lluís Serra-Majem, Adela Martín-Oliveros, Elena Marín-Cascales, Montse Fitó, Luis Carmona-Rosado, Miguel Ángel González-Valeiro, Jesús Sánchez Gomez, Paula Berruezo, Augusto G Zapico, Isabel María Morales-Gil, Evelyn Martin-Moraleda, Estefanía Herrera-Ramos, Ana Mateos-Lardiés, Pedro E Alcaraz, Helmut Schröder, Idoia Labayen, Cristina Bouzas, Josep A Tur","doi":"10.5888/pcd23.260028","DOIUrl":"10.5888/pcd23.260028","url":null,"abstract":"<p><strong>Introduction: </strong>Parental perceived stress (PPS) is proposed to be a factor influencing children's weight status through behavioral and environmental mechanisms. We assessed the association between PPS and weight status among Spanish children and adolescents.</p><p><strong>Methods: </strong>We used data from the first wave of the PASOS (Physical Activity, Sedentarism, and Obesity in Spanish Youth) study (2019-2020). The study included 1,023 children and adolescents whose parents completed the Perceived Stress Scale. Anthropometric measurements and data on physical activity, sleep, screen time, and dietary quality were collected. We classified parents into \"low\" stress (<50th percentile on Perceived Stress Scale) and \"high\" stress (≥50th percentile on Perceived Stress Scale). We assessed the association between PPS and obesity, adjusted for parents' perception of their own health and children's general fitness. We conducted linear regression analysis between PPS and children's body mass index (BMI) z score and waist-to-height ratio.</p><p><strong>Results: </strong>Children of parents with high PPS had higher mean BMI (19.9 [SD, 3.8] vs 19.5 [3.3]; P = .009) and poorer general fitness (P = .003) than children of parents with low PPS. The prevalence of obesity was higher among children of high-stress (vs low-stress) parents (4.0% vs 1.6%); this association remained significant after adjustment (adjusted OR = 2.76; 95% CI, 1.08-7.06; P = .03). The linear analysis showed positive associations between PPS and both children's BMI z score and waist-to-height ratio.</p><p><strong>Conclusion: </strong>Higher PPS was associated with an increased likelihood of obesity in Spanish children and adolescents. These findings underscore the importance of addressing family stress in strategies for preventing childhood obesity.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E20"},"PeriodicalIF":5.6,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13334709/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148377851","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-Sectional and Longitudinal Associations Between Weight Perception and Cardiometabolic Health Among Adolescents Followed Into Emerging Adulthood.","authors":"Mikelina Djekovic, Abdulghafoor Alani, C Blair Burnette, Rachael K Nelson, Julie C Lumeng, Samantha L Hahn","doi":"10.5888/pcd23.250386","DOIUrl":"10.5888/pcd23.250386","url":null,"abstract":"<p><strong>Introduction: </strong>Several US public health and clinical initiatives notify adolescents of body mass index (BMI) or weight status; however, few studies have examined whether weight perception is independently associated with objective cardiometabolic markers. We assessed cross-sectional and longitudinal associations between weight perception and cardiometabolic health among adolescents followed into emerging adulthood.</p><p><strong>Methods: </strong>We analyzed wave 4 (mean [SE] age, 19.2 [0.04] y) and wave 7 data collected 3 years later from the NEXT PLUS Generation Health Study, a nationally representative cohort of US adolescents followed into emerging adulthood (analytic n = 454 at wave 4; n = 330 at wave 7). To assess cross-sectional and longitudinal associations between weight perception (perceived their weight as overweight vs did not perceive their weight as overweight) and cardiometabolic outcomes (fasting blood glucose, hemoglobin A_1c, high-sensitivity C-reactive protein, triglycerides, total cholesterol, high-density lipoprotein cholesterol, low-density lipoprotein [LDL] cholesterol, systolic blood pressure, diastolic blood pressure, and waist circumference), linear regressions adjusting for sociodemographic variables were performed with and without additional adjustment for BMI.</p><p><strong>Results: </strong>In cross-sectional models adjusted for sociodemographic characteristics and BMI, participants who perceived their weight as overweight had higher adjusted mean total cholesterol (mean difference, 12.3 mg/dL; P = .045) and LDL cholesterol (mean difference, 8.3 mg/dL; P = .04). In longitudinal models, perceiving one's weight as overweight was not associated with cardiometabolic outcomes after adjustment for BMI.</p><p><strong>Conclusion: </strong>Perceiving one's weight as overweight is associated with worse cardiometabolic health. Health professionals should consider the possible implications of policies aimed at informing adolescents of their BMI status before implementation. Future studies are warranted to explore the causal pathway of this association.</p>","PeriodicalId":51273,"journal":{"name":"Preventing Chronic Disease","volume":"23 ","pages":"E19"},"PeriodicalIF":5.6,"publicationDate":"2026-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13309069/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148334260","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}