Inserm, UMR-S 1136, Faculté de Médecine Saint-Antoine, Pierre Louis Institute of Epidemiology and Public Health, Nemesis Team, 27 rue Chaligny, 75020, Paris, France.
Sorbonne Universités, UPMC Univ Paris 06, UMR-S 1136, Pierre Louis Institute of Epidemiology and Public Health, Nemesis Team, Paris, France.
Eat Weight Disord. 2020 Jun;25(3):533-543. doi: 10.1007/s40519-018-00638-9. Epub 2019 Feb 7.
We aimed to describe the main psycho-social factors related to obesity in an adult population and to develop a unified construct (psycho-social profiles), to explore the associations between socioeconomic characteristics and these psycho-social profiles.
In its second wave, the RECORD Study assessed 6460 participants aged 30-79 years living in the Paris region between 2011 and 2014. Factor analyses followed by cluster analysis were applied to identify psycho-social profiles related to obesity. The two psycho-social profiles were adverse profile-negative body image, underestimation of the impact of weight in quality of life, low weight-related self-efficacy, and weight-related external locus of control; and favorable profile-positive body image, high self-efficacy, and internal locus of control. The relationship between three socioeconomic dimensions-current socioeconomic status, childhood socioeconomic status, and neighborhood education status-and psycho-social profiles was assessed through binomial logistic regression adjusted for age, gender, depression, living alone, and weight status.
Contrary to hypotheses, there were no associations between socioeconomic characteristics and obesity-related psycho-social profiles after adjustment for body mass index. Depressive symptoms (OR 2.21, 95% CI 2.70, 4.04) and being female (3.31, 95% CI 2.70, 4.40) were associated with an adverse psycho-social profile.
Psycho-social profiles could help to understand the multifactorial nature of the determinants of obesity.
Level V, cross-sectional descriptive study.
本研究旨在描述成年人肥胖相关的主要心理社会因素，并构建一个统一的结构（心理社会特征），以探索社会经济特征与这些心理社会特征之间的关联。
RECORD 研究的第二阶段评估了 2011 年至 2014 年间居住在巴黎地区的 6460 名 30-79 岁的参与者。采用因子分析和聚类分析来识别与肥胖相关的心理社会特征。两个心理社会特征为：不良特征-负面的身体形象、低估体重对生活质量的影响、低体重相关自我效能感和体重相关的外部控制源；有利特征-积极的身体形象、高自我效能感和内部控制源。通过二项逻辑回归调整年龄、性别、抑郁、独居和体重状况后，评估了三个社会经济维度（当前社会经济地位、儿童期社会经济地位和社区教育地位）与心理社会特征之间的关系。
与假设相反，在调整了体重指数后，社会经济特征与肥胖相关的心理社会特征之间没有关联。抑郁症状（OR 2.21，95%CI 2.70，4.04）和女性（3.31，95%CI 2.70，4.40）与不良心理社会特征相关。
心理社会特征有助于理解肥胖决定因素的多因素性质。
五级，横断面描述性研究。
