Psycho-social factors related to obesity and their associations with socioeconomic characteristics: the RECORD study.

Autor: Fuentes, Sonsoles; Brondeel, Ruben; Franco, Manuel; Sureda, Xisca; Traissac, Pierre; Cleary, Laura Kate; Chaix, Basile

Publication year: 2020

Eating and weight disorders : EWD

issn:1590-1262 1124-4909

doi: 10.1007/s40519-018-00638-9

Abstract:

OBJECTIVES: We aimed to describe the main psycho-social factors related to obesity in an adult population and to develop a unified construct (psycho-social profiles), to explore the associations between socioeconomic characteristics and these psycho-social profiles. METHODS: In its second wave, the RECORD Study assessed 6460 participants aged 30-79 years living in the Paris region between 2011 and 2014. Factor analyses followed by cluster analysis were applied to identify psycho-social profiles related to obesity. The two psycho-social profiles were adverse profile-negative body image, underestimation of the impact of weight in quality of life, low weight-related self-efficacy, and weight-related external locus of control; and favorable profile-positive body image, high self-efficacy, and internal locus of control. The relationship between three socioeconomic dimensions-current socioeconomic status, childhood socioeconomic status, and neighborhood education status-and psycho-social profiles was assessed through binomial logistic regression adjusted for age, gender, depression, living alone, and weight status. RESULTS: Contrary to hypotheses, there were no associations between socioeconomic characteristics and obesity-related psycho-social profiles after adjustment for body mass index. Depressive symptoms (OR 2.21, 95% CI 2.70, 4.04) and being female (3.31, 95% CI 2.70, 4.40) were associated with an adverse psycho-social profile. CONCLUSIONS: Psycho-social profiles could help to understand the multifactorial nature of the determinants of obesity. LEVEL OF EVIDENCE: Level V, cross-sectional descriptive study.

Language: eng

Rights:

Pmid: 30730040

Tags: Humans; Aged; Female; Male; Adult; Middle Aged; Cross-Sectional Studies; Body Mass Index; Sex Factors; Educational Status; Depression; *Internal-External Control; Obesity; Waist Circumference; *Self Efficacy; Body Image/*psychology; Childhood; Quality of Life/*psychology; Depression/psychology; Psycho-social factors; Obesity/*etiology/psychology; Residential neighborhood; Social Factors; Socioeconomic status

Link: https://pubmed.ncbi.nlm.nih.gov/30730040/