Other Titles

Symposium: Factors influencing overweight and health lifestyles in adolescents: Supporting evidence to guide effective interventions

Abstract

Session presented on Sunday, July 27, 2014:

Purpose: Overweight/obesity is a major public health problem in adolescence. The prevalence of overweight/obesity is even higher in minority populations. Understanding differences in key variables that may impact overweight/obesity is important for designing culturally sensitive interventions to address and prevent this problem. Cognitive theory guided the study and contends that how individuals think affects how they feel and how they behave. The sample was comprised of 779 adolescents at 11 high schools in the Southwest United States who were participating in a randomized controlled trial to assess the efficacy of the COPE Healthy Lifestyles TEEN program on their physical, mental health and academic outcomes.

Methods: Baseline measures obtained included BMI along with valid and reliable scales, acculturation, perceived difficulty in leading a healthy lifestyle, self-concept, depression and anxiety.

Results: The mean age of respondents was 14.8 years with approximately 48% male and 52% female. Sixty-seven percent of the sample was Hispanic. Independent sample t-tests identified several significant differences between Hispanic and non-Hispanic teens. Beck Self-concept t-scores were significantly lower in Hispanic teens (p=.001). All four acculturation subscales were significantly different, including assimilation (p=.000), separation (p=.000), integration (p=.000), and marginalization (p=.011). Hispanic teens had significantly higher BMI percentiles (p=.003). Hispanic teens also perceived it was more difficult to live a healthy lifestyle (p=.046). There were no significant differences on their steps per day, self-reported healthy lifestyle behaviors, anxiety or depression.

Conclusion: Adolescence is an important time to influence healthy lifestyle beliefs and behaviors. Beliefs regarding living a healthy lifestyle and self-concept should be targeted in interventions to enhance healthy lifestyle behaviors in Hispanic teens in order to prevent and treat obesity.

Author Details

Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FAANP, FNAP, FAAN

Sigma Membership

Beta Upsilon

Lead Author Affiliation

The Ohio State University, Columbus, Ohio, USA

Type

Presentation

Format Type

Text-based Document

Study Design/Type

N/A

Research Approach

N/A

Keywords:

Adolescents, Interventions, Overweight/Obesity

Conference Name

25th International Nursing Research Congress

Conference Host

Sigma Theta Tau International

Conference Location

Hong Kong

Conference Year

2014

Rights Holder

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All permission requests should be directed accordingly and not to the Sigma Repository.

All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.

Review Type

Abstract Review Only: Reviewed by Event Host

Acquisition

Proxy-submission

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Differences in BMI, self-concept and perceived difficulty in leading a healthy lifestyle between Hispanic and non-Hispanic teens

Hong Kong

Session presented on Sunday, July 27, 2014:

Purpose: Overweight/obesity is a major public health problem in adolescence. The prevalence of overweight/obesity is even higher in minority populations. Understanding differences in key variables that may impact overweight/obesity is important for designing culturally sensitive interventions to address and prevent this problem. Cognitive theory guided the study and contends that how individuals think affects how they feel and how they behave. The sample was comprised of 779 adolescents at 11 high schools in the Southwest United States who were participating in a randomized controlled trial to assess the efficacy of the COPE Healthy Lifestyles TEEN program on their physical, mental health and academic outcomes.

Methods: Baseline measures obtained included BMI along with valid and reliable scales, acculturation, perceived difficulty in leading a healthy lifestyle, self-concept, depression and anxiety.

Results: The mean age of respondents was 14.8 years with approximately 48% male and 52% female. Sixty-seven percent of the sample was Hispanic. Independent sample t-tests identified several significant differences between Hispanic and non-Hispanic teens. Beck Self-concept t-scores were significantly lower in Hispanic teens (p=.001). All four acculturation subscales were significantly different, including assimilation (p=.000), separation (p=.000), integration (p=.000), and marginalization (p=.011). Hispanic teens had significantly higher BMI percentiles (p=.003). Hispanic teens also perceived it was more difficult to live a healthy lifestyle (p=.046). There were no significant differences on their steps per day, self-reported healthy lifestyle behaviors, anxiety or depression.

Conclusion: Adolescence is an important time to influence healthy lifestyle beliefs and behaviors. Beliefs regarding living a healthy lifestyle and self-concept should be targeted in interventions to enhance healthy lifestyle behaviors in Hispanic teens in order to prevent and treat obesity.