title: Psychosocial concerns and weight control behaviors among overweight and nonoverweight Native American adolescents.
abstract: OBJECTIVE
  To compare the psychosocial and weight-related concerns and weight control, eating, and exercise behaviors of overweight and nonoverweight Native American adolescents living on or near reservations.
  
  
  METHODS
  A cross-sectional survey assessed psychosocial, health, and weight-specific concerns; disordered eating; and health-promoting behaviors.
  
  
  METHODS
  The study population included 11,868 Native American youth in grades 7 through 12.
  
  
  METHODS
  Analyses of variance and chi 2 tests were used to examine associations between weight status and psychosocial and weight-related concerns and behaviors. Stratified analyses were done by gender and by gender and age.
  
  
  RESULTS
  Self-reported weights and heights indicated that 25% of the study population was overweight. Overweight youth were twice as likely to report health concerns as nonoverweight youth. Although a high percentage of nonoverweight youth expressed body- or weight-related concerns and reported engaging in disordered eating behaviors, prevalence rates for these concerns were significantly higher among overweight youth. Overweight youth were also somewhat less likely to engage in health-promoting behaviors. In contrast, differences in global psychosocial concerns were minimal.
  
  
  CONCLUSIONS
  Overweight Native American youth were concerned about their weight, but did not appear to have major psychosocial concerns associated with being overweight. Interventions aimed at obesity prevention and overall health promotion are essential, given the high prevalence of obesity and of psychosocial and weight-related concerns and behaviors among the study population as a whole. The challenge is to develop culturally appropriate interventions aimed at the promotion of healthful weight control behaviors that will not lead to negative psychosocial consequences.
authors.affiliation: Division of Epidemiology, School of Public Health, University of Minnesota, Minneapolis 55454, USA.
authors.forename: D
authors.initials: D
authors.lastname: Neumark-Sztainer
authors.forename: M
authors.initials: M
authors.lastname: Story
authors.forename: M D
authors.initials: MD
authors.lastname: Resnick
authors.forename: R W
authors.initials: RW
authors.lastname: Blum
mesh_terms: D000293:Adolescent; D000367:Age Factors; D001827:Body Height / Q000502:physiology; D015992:Body Mass Index; D001835:Body Weight / Q000502:physiology*; D002648:Child; D003430:Cross-Sectional Studies; D015444:Exercise / Q000502:physiology; D005247:Feeding Behavior / Q000502:physiology; D005260:Female; D015438:Health Behavior; D006304:Health Status; D006306:Health Surveys; D006801:Humans; D007198:Indians, North American / Q000523:psychology*; D008297:Male; D009765:Obesity / Q000453:epidemiology / Q000503:physiopathology* / Q000517:prevention & control / Q000523:psychology; D012737:Sex Factors; D012944:Social Support; D014481:United States / Q000453:epidemiology; D015431:Weight Loss / Q000502:physiology*