Relationship between chronic psychosocial stress and BMI among adolescents
10.3760/cma.j.issn.0254-6450.2016.01.008
- VernacularTitle:青少年慢性心理社会应激与体质指数变化的关联研究
- Author:
Qingyun LU
1
,
2
;
Fangli HOU
;
Zhaocheng ZHANG
;
Fangbiao TAO
Author Information
1. 230032 合肥,安徽医科大学公共卫生学院儿少卫生与妇幼保健学系安徽人口健康与优生省级实验室
2. 226009 南通大学公共卫生学院儿少卫生学教研室
- Keywords:
Psychosocial stress;
Stressful events;
Body mass index;
Adolescent
- From:
Chinese Journal of Epidemiology
2016;37(1):40-44
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the influence of chronic psychosocial stress on BMI in adolescents.Methods Physical examination and questionnaire survey were conducted among the students of junior grade 1 and senior grade 1 in 10 middle schools in Xuzhou in September 2011.Their body height and weight were measured at baseline survey and the self-report information about socio-demographic data,emotional symptoms (depressive symptoms,anxiety symptoms),and life style/behavior were collected from them.Chronic psychosocial stress was assessed with Multidimensional Life Events Rating Questionnaire (MLERQ),which consists of five items,stress of family life,school life,peer relation,gender relation and health growth.Results A total of 5 473 valid questionnaires were collected for analysis (2 841 from boys and 2 632 from girls).The follow-up measurement of body height and weight were conducted in September 20 13.A total of 4 316 students (2 171 boys,2 145 girls) were surveyed,and 1 157 students missed the follow up.The psychosocial stress score in the overweight and obese girls at baseline survey was positively associated with BMI-Z increase at follow up survey (P<0.01).No such effect was observed among the boys at follow-up survey.Conclusion High level of chronic psychosocial stress could lead to BMI increase in overweight and obese girls,suggesting that female adolescents are susceptible population of psychosocial stress induced obesity.