Weight Status and Mental Well-Being Among Adolescents : The Mediating Role of Self-Perceived Body Weight : A Cross-National Survey
Fismen, A.-S., Galler, M., Klepp, K.-I., Chatelan, A., Residori, C., Ojala, K., Dzielska, A., Kelly, C., Melkumova, M., Musić Milanović, S., Nardone, P., Štefanová, E., Flodgren, G., Bakke, T., Ercan, O., Samdal, O., & Helleve, A. (2022). Weight Status and Mental Well-Being Among Adolescents : The Mediating Role of Self-Perceived Body Weight : A Cross-National Survey. Journal of Adolescent Health, 71(2), 187-195. https://doi.org/10.1016/j.jadohealth.2022.02.010
Published inJournal of Adolescent Health
Embargoed until: 2023-08-01Request copy from author
© 2022 Published by Elsevier Inc. on behalf of Society for Adolescent Health and Medicine.
Purpose Overweight and obesity are associated with poor mental health in adolescents. However, little is known about whether the influence of overweight and obesity on mental well-being is mediated by self-perceived body weight. Exploring the mechanisms underlying the relationships between obesity and mental well-being is of interest to policy makers and others working in the field of adolescent health. Methods This study was based on nationally representative data from adolescents (age 15 years) who participated in the 2017/2018 Health Behaviour in School-aged Children study (47 countries, N = 76,998). Mixed regression models that included gender and socioeconomic status as covariates were used to identify associations between weight status and mental well-being (life satisfaction and subjective health complaints) and to explore whether self-perceived body weight (feeling too thin or too fat) has a mediating effect. Associations between weight status, self-perceived weight, and mental well-being were further assessed country by country. Results Self-perceived body weight mediated the observed associations between overweight or obesity and mental well-being. Perceiving one's body weight as “too thin” or “too fat” was associated with poorer mental well-being, regardless of weight status. Self-perceived body weight varied by gender, socioeconomic status, and country. Discussion Self-perceived body weight may explain, to a greater extent than body mass index, variation in mental well-being among adolescents. These results are important to policy makers, clinicians, and others targeting adolescent health. ...
PublisherElsevier Inc.; Society for Adolescent Health and Medicine
ISSN Search the Publication Forum1054-139X
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Additional information about fundingThe CO-CREATE project has received funding from the European Union's Horizon 2020 research and innovation program under grant agreement No 774210. M.G. is part of the “Edulia - Bringing down barriers to children's healthy eating” project, which has received funding from the European Union's Horizon 2020 research and innovation program under the Marie Skłodowska-Curie grant agreement No 764985.
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