Paper Information

Journal:   ARCHIVES OF IRANIAN MEDICINE   SEPTEMBER 2014 , Volume 17 , Number 9; Page(s) 608 To 612.
 
Paper: 

EFFECT OF PSYCHOLOGICAL DISTRESS ON WEIGHT CONCERN AND WEIGHT CONTROL BEHAVIORS

 
DOI: 

0141709/AIM.005

 
Author(s):  ROOHAFZA HAMIDREZA, KABIR ALI, SADEGHI MASOUMEH*, SHOKOUH PEDRAM, AALAEI ANDABILI SEYED HOSSEIN, MEHRABI YADOLLAH, SARRAFZADEGAN NIZAL
 
* CARDIAC REHABILITATION RESEARCH CENTER, ISFAHAN CARDIOVASCULAR RESEARCH INSTITUTE, WHO COLLABORATING CENTER FOR RESEARCH AND TRAINING IN CARDIOVASCULAR DISEASES CONTROL ISFAHAN UNIVERSITY OF MEDICAL SCIENCES, ISFAHAN, IRAN
 
Abstract: 

BACKGROUND: Obesity is associated with chronic disorders like coronary artery diseases, metabolic syndrome, cancers, and psychiatric disorders. Stress may contribute to weight gain by disrupting weight concern, and lead to uncontrolled eating behavior. This study aimed to investigate the effects of stress on weight concern and control behaviors in normal weight and obese adults.
METHODS: A total of 9544 subjects were selected by multi-stage random sampling from three provinces in central Iran. Information related to weight concern and control behavior was registered in normal weight and obese participants. Psychological distress was measured by a 12-item General Health Questionnaire (GHQ-12) and subjects were divided into high and low stress groups. Logistic regression was used for analysis.
RESULTS: The mean age of participants was 38.7 ± 15.5 years and 50% (4772) of them were males. The adjusted odds ratio (OR) for age, sex and education of high stress to low stress level for weight concern, weight control behavior and acceptable physical activity behavior was more than 1; but the OR was less than 1 for waist circumference, obesity and healthy diet behavior. Among obese participants, higher levels of stress were associated with lower weight concern with OR, 95%CI: 0.821, (0.682 – 0.988), lower acceptable physical activity with OR = 0.833, 95%CI: (0.624 – 0.912), but higher rates of healthy diet behavior with OR = 1.360, 95% CI: (1.040 – 1.780).
CONCLUSION: Individuals with high stress level have lower weight concern and lower physical activity; therefore, they are prone to weight gain and obesity. It could be concluded that stress management should be considered as a crucial component of obesity prevention and control programs.

 
Keyword(s): IRAN, OBESITY, PSYCHOLOGICAL DISTRESS, WEIGHT CONCERN, WEIGH CONTROL BEHAVIOR
 
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