Weight status and mental well-being among adolescents: The mediating role of self-perceived body weight. A cross-national survey

Angeline Chatelan, Anna Dzielska, Anne-Siri Fismen, Arnfinn Helleve, Caroline Residori, Colette Kelly, Eliška Štefanová, Gerd Flodgren, Knut-Inge Klepp, Kristiina Ojala, Marina Melkumova, Martina Galler, Oddrun Samdal, Oya Ercan, Paola Nardone, Sanja Musi? Milanovi?, Therese Bakke

Anne-Siri Fismen, Martina Galler, Knut-Inge Klepp, Angeline Chatelan, Caroline Residori, Kristiina Ojala, Anna Dzielska, Colette Kelly, Marina Melkumova, Sanja Musi? Milanovi?, Paola Nardone, Eliška Štefanová, Gerd Flodgren, Therese Bakke, Oya Ercan, Oddrun Samdal, Arnfinn Helleve

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.

Zitiervorschlag

Fismen, A.?S., Galler, M., Klepp, K.?I., Chatelan, A., Residori, C., Ojala, K., Dzielska, A., Kelly, C., Melkumova, M., Musi? Milanovi?, 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. The Journal of adolescent health : official publication of the Society for Adolescent Medicine. Vorab-Onlinepublikation. https://doi.org/10.1016/j.jadohealth.2022.02.010

https://doi.org/10.1016/j.jadohealth.2022.02.010

Verwandte Projekte

HBSC-Befragung 2018

In der HBSC-Befragung 2018, wurden über 8 000 Schülerinnen und Schüler befragt. Unter anderem wurde erhoben, wie viele von ihnen rauchen, wie häufig sie Sport treiben und wie wohl sie sich in der Schule und zu Hause fühlen. Da es sich bei HBSC um eine Partnerstudie der WHO handelt, können die Ergebnisse mit denen aus 50 Ländern in Europa, Asien und Nordamerika verglichen werden.

Mehr erfahrenRead moreEn savoir plus