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Eat Weight Disord. 2019 Feb 7. doi: 10.1007/s40519-018-00638-9. [Epub ahead of print]

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

Author information

1
Inserm, UMR-S 1136, Faculté de Médecine Saint-Antoine, Pierre Louis Institute of Epidemiology and Public Health, Nemesis Team, 27 rue Chaligny, 75020, Paris, France. sfuegut@gmail.com.
2
Sorbonne Universités, UPMC Univ Paris 06, UMR-S 1136, Pierre Louis Institute of Epidemiology and Public Health, Nemesis Team, Paris, France. sfuegut@gmail.com.
3
Inserm, UMR-S 1136, Faculté de Médecine Saint-Antoine, Pierre Louis Institute of Epidemiology and Public Health, Nemesis Team, 27 rue Chaligny, 75020, Paris, France.
4
Sorbonne Universités, UPMC Univ Paris 06, UMR-S 1136, Pierre Louis Institute of Epidemiology and Public Health, Nemesis Team, Paris, France.
5
Social and Cardiovascular Epidemiology Research Group, School of Medicine, University of Alcalá, Alcalá de Henares, Madrid, Spain.
6
Department of Epidemiology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, US.
7
IRD (French Research Institute for Sustainable Development), UMR NUTRIPASS, IRD-Univ. Montpellier-SupAgro, Montpellier, France.

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.

KEYWORDS:

Childhood; Depression; Obesity; Psycho-social factors; Residential neighborhood; Socioeconomic status

PMID:
30730040
DOI:
10.1007/s40519-018-00638-9
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