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Psychological pathways explaining the prospective association between obesity and physiological dysregulation
I Gusti Ngurah Edi Putra1, Michael Daly2, Angelina Sutin3
1University of Liverpool, Institute of Population Health, Department of Psychology.
Summary
Psychological factors largely do not explain the link between obesity and physiological dysregulation. However, weight stigma may contribute to obesity-related health declines by increasing weight gain.
Area of Science:
- Gerontology
- Psychology
- Public Health
Background:
- Obesity is linked to negative psychological conditions that can impact physiological health.
- Understanding the psychological mediators of obesity-related physiological dysregulation is crucial for targeted interventions.
Purpose of the Study:
- To investigate whether psychological measures mediate the prospective association between obesity and physiological dysregulation in older adults.
- To examine the roles of depressive symptoms, life satisfaction, weight stigma, and positive affect as potential mediators.
Main Methods:
- Utilized longitudinal data from the English Longitudinal Study of Ageing (Study 1) and the Health and Retirement Study (Study 2).
- Included representative samples of U.K. and U.S. older adults (≥50 years) with 4-year follow-up.
- Assessed a range of psychological measures and clinical indicators of cardiovascular, immune, and metabolic function.
Main Results:
- Obesity prospectively predicted physiological dysregulation in both studies.
- Weight stigma, particularly changes in weight stigma over time, partially explained the association between obesity and physiological dysregulation.
- No other tested psychological measures significantly mediated this relationship.
Conclusions:
- Psychological factors, except for weight stigma, do not largely explain the prospective association between obesity and physiological dysregulation.
- Weight stigma may contribute to obesity-related physiological declines through its association with increased weight gain.
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