title: Do depression, self-esteem, body-esteem, and eating attitudes vary by BMI among African American adolescents?
abstract: OBJECTIVE
  To examine how psychosocial factors vary by body weight and gender among African-American adolescents.
  
  
  METHODS
  A community sample of 235 low-income, predominantly African-American adolescents completed measures of depression, self-esteem, body-esteem, and eating attitudes. Measured weight and height were converted to body mass index (kg/m(2)) age and gender-adjusted z-scores. Data were analyzed using 2-factor multivariate analysis of variance.
  
  
  RESULTS
  Obese youths had significantly worse scores on all psychosocial domains than normal weight youths, with no differences between overweight and normal weight youths. Obese youths had significantly worse scores than overweight youths on body-esteem and self-esteem. Female adolescents had significantly worse scores than males on depressed mood, body-esteem, and eating attitudes.
  
  
  CONCLUSIONS
  Among a community sample of predominantly African-American adolescents, obesity, not overweight, was associated with poor psychosocial health. Findings suggest that overweight may be perceived as normative, and that weight-related programs consider adolescents' psychosocial functioning.
authors.affiliation: Department of Pediatrics, University of Maryland School of Medicine, 737 W. Lombard Street, Room 161, Baltimore, MD 21201, USA. mblack@peds.umaryland.edu.
authors.forename: Dawn
authors.initials: D
authors.lastname: Witherspoon
authors.forename: Laura
authors.initials: L
authors.lastname: Latta
authors.forename: Yan
authors.initials: Y
authors.lastname: Wang
authors.forename: Maureen M
authors.initials: MM
authors.lastname: Black
mesh_terms: D000293:Adolescent; D001741:Black or African American / Q000208:ethnology*; D001828:Body Image; D015992:Body Mass Index; D002648:Child; D004435:Eating / Q000523:psychology; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D008297:Male; D050177:Overweight / Q000523:psychology*; D063766:Pediatric Obesity / Q000523:psychology; D011203:Poverty / Q000523:psychology; D012649:Self Concept
keywords: African-American; adolescents; depression; obesity; psychosocial functioning
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