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Risk of severe obesity development: Examining the role of psychological well-being related measures and sociodemographic factors in two longitudinal UK cohort studies.

作者信息

Putra I Gusti Ngurah Edi, Wilkinson Sam, Daly Michael, Robinson Eric

机构信息

Department of Public Health, Policy and Systems, Institute of Population Health, University of Liverpool, Liverpool, UK.

Department of Psychology, Institute of Population Health, University of Liverpool, Liverpool, UK.

出版信息

Br J Health Psychol. 2025 May;30(2):e12798. doi: 10.1111/bjhp.12798.


DOI:10.1111/bjhp.12798
PMID:40256883
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12010312/
Abstract

OBJECTIVE: To examine the prospective association between psychological well-being related measures and severe obesity development in young and middle-aged UK adults. DESIGN: A longitudinal analysis of two cohort studies. METHODS: We used data from the 1958 National Child Development Study (NCDS) and the 1970 British Cohort Study (BCS) to examine the association between baseline psychological well-being related measures (depressive symptoms, life satisfaction and self-efficacy) and severe obesity development (defined as body mass index - BMI ≥35 kg/m) and residualized BMI change scores at follow-up. We analysed repeated measures of baseline and follow-up pairs with 6- to 7-year follow-up on average (n = 22,390 and 23,811 observations in NCDS and BCS, respectively) using panel data logistic and linear models controlling for sociodemographic factors. We conducted additional analyses using analytical sample sizes with longer follow-up (16-17 years). RESULTS: Although a range of sociodemographic factors (e.g., being female, non-married) were associated with increased risk of severe obesity development, we found limited evidence that psychological well-being related measures were associated with severe obesity development across cohorts and pooled analyses. Depressive symptoms, life satisfaction and self-efficacy were, however, associated with relatively small changes in continuous BMI change across analyses, and this tended to be limited to participants without obesity (BMI 18.5 to <30 kg/m) and not those already living with obesity (BMI 30 to <35 kg/m) at baseline. CONCLUSIONS: There is limited evidence that psychological well-being related measures prospectively predict the development of severe obesity. Poorer psychological well-being is associated with modest changes in body weight in individuals without obesity.

摘要

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本文引用的文献

[1]
Psychological well-being factors and the likelihood of transitioning from overweight and obesity to normal weight at population level: Evidence from two cohort studies of UK adults.

J Health Psychol. 2025-1-31

[2]
The global prevalence of emotional eating in overweight and obese populations: A systematic review and meta-analysis.

Br J Psychol. 2025-5

[3]
Obesity, psychological well-being related measures, and risk of seven non-communicable diseases: evidence from longitudinal studies of UK and US older adults.

Int J Obes (Lond). 2024-9

[4]
Depressive disorder subtypes, depressive symptom clusters, and risk of obesity and diabetes: A systematic review.

J Affect Disord. 2024-5-15

[5]
Cross-sectional and longitudinal associations between self-esteem and BMI depends on baseline BMI category in a population-based study.

BMC Public Health. 2024-1-19

[6]
Feeling too low to be active: Physical inactivity mediates the relationship between mental and physical health.

Soc Sci Med. 2024-1

[7]
Correction to: Update on the Obesity Epidemic: After the Sudden Rise, Is the Upward Trajectory Beginning to Flatten?

Curr Obes Rep. 2023-12

[8]
Obesity and psychological distress.

Philos Trans R Soc Lond B Biol Sci. 2023-10-23

[9]
State-Specific Prevalence of Severe Obesity Among Adults in the US Using Bias Correction of Self-Reported Body Mass Index.

Prev Chronic Dis. 2023-7-13

[10]
The lifetime health and economic burden of obesity in five European countries: what is the potential impact of prevention?

Diabetes Obes Metab. 2023-8

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