NDLI: Depressive symptoms in severely obese compared with normal weight adolescents: results from a community-based longitudinal study.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Goodman, Elizabeth Must, Aviva
Description	Country affiliation: United States Author Affiliation: Goodman E ( Center for Child and Adolescent Health Policy, Massachusetts General Hospital for Children, Department of Pediatrics, Harvard Medical School, Boston, Massachusetts 02114, USA. egoodman3@partners.org)
Abstract	PURPOSE: Little is known about the relationship between severe obesity and depressive symptoms, particularly in community as opposed to clinic-based samples. This study determined the relationship of severe obesity and depressive symptoms over 3 years in a community-based sample of non-Hispanic black and white adolescents in grades 7-12 at baseline. METHODS: The nested matched cohort study using data from a longitudinal school-based study of youth followed up for 3 years. A total of 51 severely obese participants (body mass index-for-age ≥99% and a body mass index ≥40 at one or more study visit) were identified and paired with an age-, gender-, and race-matched normal weight subject. Depressive symptoms (Center for Epidemiological Studies Depression [CES-D] scale) were assessed at baseline, 2 and 3 years later. High-depressive symptoms were defined by CES-D score above cut points predictive of major depressive disorder or use of antidepressant medication. RESULTS: Pairs were 73% non-Hispanic black, 67% females. There was no relationship between weight status and high-depressive symptoms at any assessment point. However, a positive association between weight status and CES-D scores, while not present at baseline or at 2 years, emerged at 3 years (p = .02). This relationship was present only among non-Hispanic whites (p = .006 whites, p = .25 blacks) and did not differ by gender. CONCLUSION: Severely obese youth in this community sample did not have increased likelihood of high levels of depressive symptoms. However, significantly increased depressive symptoms among non-Hispanic white youth at the end of the follow-up period suggests that this racial/ethnic group may be particularly vulnerable to the psychological effects of obesity in late adolescence and/or early adulthood.
File Format	HTM / HTML
ISSN	1054139X
e-ISSN	18791972
DOI	10.1016/j.jadohealth.2010.10.015
Journal	Journal of Adolescent Health
Issue Number	1
Volume Number	49
Language	English
Publisher	Elsevier
Publisher Date	2011-07-01
Publisher Place	United States
Access Restriction	Open
Subject Keyword	Discipline Pediatrics Depression Physiopathology Obesity Psychology Adolescent Antidepressive Agents Therapeutic Use Cohort Studies Diagnosis Drug Therapy Longitudinal Studies Severity Of Illness Index Research Support, N.i.h., Extramural Research Support, Non-u.s. Gov't
Content Type	Text
Resource Type	Article
Subject	Public Health, Environmental and Occupational Health Pediatrics, Perinatology and Child Health Psychiatry and Mental Health

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