title: BMI, Body Image, Emotional Well-Being and Weight-Control Behaviors in Urban African American Adolescents.
abstract: OBJECTIVE
  While urban African American adolescents face significant health disparities associated with overweight and obesity that follow them into adulthood; there is limited data on body image, emotional well-being, and weight control behaviors in this population to design effective public health interventions.
  
  
  OBJECTIVE
  This study was designed to understand the association of weight status to adolescent weight control, body image, and emotional well-being responses, in African American high school students.
  
  
  METHODS
  The study cohort consisted of 776 students, mean age 15.8 years (±1.2). Data from Guidelines for Adolescent Preventive Services (GAPS) student surveys and anthropometric studies were collected at School-Based Health Centers.
  
  
  METHODS
  Associations between adolescent responses on the GAPS and body mass index (BMI) status (healthy weight: 5th to less than 85th percentile, overweight: 85th to less than 95th percentile, obese: 95th percentile or greater) were estimated using logistic regression and dose- response plots.
  
  
  RESULTS
  There were statistically significant associations between BMI category and weight control (ranging from a mean 5.18 to 7.68 odds of obesity) and body image (3.40 to 13.26 odds of obesity) responses. Responses to weight control and body image questions exhibited a dose-response for odds of overweight and obesity. Feelings of depressed mood were associated with obesity (1.47 times the odds of obesity compared to students who did not endorse depressed mood; 95% CI, 1.01 to 2.13) but not overweight status.
  
  
  CONCLUSIONS
  Overweight and obese urban African American adolescents are more likely to screen positively on weight control risk behaviors and negative body image questions than their normal weight peers. The weight control and body image measures on the GAPS may provide information to identify youth in need of services and those motivated for brief school-based weight control interventions.
authors.affiliation: Howard University College of Medicine.
authors.forename: Delenya
authors.initials: D
authors.lastname: Allen
authors.affiliation: Kennedy Krieger Institute, Department of Neurology and Developmental Medicine; Johns Hopkins School of Medicine, Division of General Pediatrics and Adolescent Medicine; Johns Hopkins Bloomberg School of Public Health, Department of Mental Health.
authors.forename: Harolyn M E
authors.initials: HM
authors.lastname: Belcher
authors.affiliation: Johns Hopkins School of Medicine, Division of General Pediatrics and Adolescent Medicine.
authors.forename: Allen
authors.initials: A
authors.lastname: Young
authors.affiliation: Jackson State University.
authors.forename: Lillian Williams
authors.initials: LW
authors.lastname: Gibson
authors.affiliation: Johns Hopkins Bloomberg School of Public Health, Department of Biostatistics.
authors.forename: Elizabeth
authors.initials: E
authors.lastname: Colantuoni
authors.affiliation: Johns Hopkins School of Medicine, Division of General Pediatrics and Adolescent Medicine.
authors.forename: Maria
authors.initials: M
authors.lastname: Trent
keywords: African American; Obesity; overweight; weight control behaviors