Abstract 15886: Depressive Symptoms, Anxiety, and Perceived Social Support Do Not Predict Weight Change in Overweight and Obese Rural Adults With Low Education Attainment
Introduction: Barriers to achieving weight loss in overweight and obese rural dwelling adults with low education attainment include limited resources and the effects of poor psychosocial health on obesity risk. Improving psychosocial health may be one strategy to promote weight loss in this population. However, it is currently unknown whether psychosocial factors predict body weight change in rural residents with excess body weight and low education attainment.
Purpose: To determine if psychosocial factors of depressive symptoms, anxiety, and perceived social support predict weight change in overweight and obese rural adults with a high school education or less.
Methods: This secondary analysis includes rural adults in Kentucky having a body mass index ≥25kg/m2 (n = 172, age = 56 ± 13; 71% female; 99% Caucasian) who participated in a comprehensive lifestyle intervention to reduce cardiovascular disease risk. Participants completed baseline assessments of depressive symptoms, anxiety, and social support using the 9-item Patient Health Questionnaire, Brief Symptom Inventory Anxiety subscale, and the Perceived Social Support scale, respectively. Body weight was assessed at baseline and approximately 4-6 months using professional-grade digital scales. Multivariable linear and binary logistic regressions were used to determine if baseline psychosocial factors predicted weight change controlling for age, sex, income, and baseline weight.
Results: Average percent weight change for the sample was -0.2 ± 3.5%. Average percent weight change was -2.8 ± 2.2% among those who maintained/lost weight and 2.6 ± 2.3% among those who gained weight. Psychosocial factors did not predict body weight change in any regression model. Older age predicted weight loss in all models.
Conclusions: These findings suggest that baseline depressive symptoms, anxiety, and poor social support do not interfere with weight loss in overweight and obese rural residents with low education attainment.
Author Disclosures: D. Abshire: None. T. Lennie: None. C. Barbosa-Leiker: None. E. Burduli: None. D. Moser: Research Grant; Significant; HRSA Funding.
- © 2016 by American Heart Association, Inc.