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Behaviors Among Overweight and Non-Overweight Adolescents
Attitude Comparison Between Obese and Normal Weight Teenagers
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Behaviors Among Overweight and Non-Overweight Adolescents

Weight Study Aim
To compare weight-specific and global psychosocial concerns and health-compromising behaviors among overweight and non-overweight youth across gender and ethnicity.

A cross-sectional school-based survey of 31,122 adolescents in grades 7 to 12. Based on self-reported heights and weights, respondents were categorized as non-overweight (body mass index (BMI) < 85th percentile), moderately overweight (85th percentile < BMI < 95th percentile), or severely overweight (BMI > 95th percentile).

Weight Study Results
Global psychosocial concerns, such as emotional well-being, suicidal ideation, future job concerns, and peer concerns, did not differ greatly between non-overweight, moderately overweight, and severely overweight adolescents. Substance abuse behaviors were equally or less prevalent among the overweight group. Overweight girls were significantly less likely to consume alcohol, whereas overweight boys were at lower risk for marijuana use. In contrast, overweight youth were more likely to perceive their health as only fair or poor and were more likely to express weight-specific concerns and engage in behaviors such as chronic dieting and binge eating than non-overweight youth. Overweight American Indian girls perceived their physical health more positively than non-overweight American Indian girls. Strong associations were found between overweight status and chronic dieting among African American boys and girls.

Weight Study Conclusions
Nutritional counseling and educational programs need to address the weight-specific concerns and behaviors of overweight adolescents. However, assumptions regarding global psychosocial concerns and health-compromising behaviors among overweight adolescents of different genders and ethnicities should be avoided. These broad issues need to be explored in more depth at both the research and intervention levels.

Source: Neumark-Sztainer D, Story M, French SA, Hannan PJ, Resnick MD, Blum RW. Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis, USA.

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