Document Detail


Psychosocial stress and 13-year BMI change among blacks: the Pitt County Study.
MedLine Citation:
PMID:  19407807     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Adverse psychosocial exposures may partially drive the high rates of obesity among blacks. The objective of this study was to prospectively examine the relationship between perceived psychosocial stress and percent change in BMI among adult black men and women. We used data from 756 women and 416 men who were participants in the Pitt County Study, a community-based, prospective cohort study of blacks in eastern North Carolina. Participants were aged 25-50 years of age on entry into the study in 1988 and follow-up was obtained in 2001. Using multivariable linear regression, we calculated the adjusted mean percentage change in BMI over the follow-up period for each tertile of baseline measures of the Perceived Stress Scale (low, medium, and high), adjusted for potential confounders. For black women, higher levels of psychosocial stress at baseline predicted higher adjusted percentage increase in BMI over the 13-year follow-up: low stress 12.0% (95% CI 9.6-14.4), medium stress 16.3% (95% CI 13.7-18.9), and high stress 15.5% (95% CI 13.1-17.8). For black men, perceived stress was not associated with percent BMI change. These data suggest that interventions targeting obesity in black women should consider the potential impact of emotional stress on weight change.
Authors:
Angela G Fowler-Brown; Gary G Bennett; Melody S Goodman; Christina C Wee; Giselle M Corbie-Smith; Sherman A James
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Publication Detail:
Type:  Journal Article; Research Support, N.I.H., Extramural     Date:  2009-04-30
Journal Detail:
Title:  Obesity (Silver Spring, Md.)     Volume:  17     ISSN:  1930-7381     ISO Abbreviation:  Obesity (Silver Spring)     Publication Date:  2009 Nov 
Date Detail:
Created Date:  2009-10-27     Completed Date:  2010-01-29     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101264860     Medline TA:  Obesity (Silver Spring)     Country:  United States    
Other Details:
Languages:  eng     Pagination:  2106-9     Citation Subset:  IM    
Affiliation:
Department of Medicine, Division of General Medicine and Primary Care, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts, USA. afowler@bidmc.harvard.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
African Americans* / psychology
Body Mass Index*
Cohort Studies
Cross-Sectional Studies
Female
Humans
Hypertension / etiology
Male
Middle Aged
North Carolina / epidemiology
Obesity / prevention & control,  psychology
Risk Factors
Sex Factors
Social Perception
Stress, Psychological / epidemiology*
Weight Gain
Grant Support
ID/Acronym/Agency:
HL 65645/HL/NHLBI NIH HHS; R01 DK71083-01A1/DK/NIDDK NIH HHS

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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