aa-18 - RESEARCH ARTICLE Correlates of Depressive Symptoms...

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R ESEARCH A RTICLE Correlates of Depressive Symptoms in Urban Youth at Risk for Type 2 Diabetes Mellitus S ARAH S. J ASER , PhD a M ARITA G. H OLL , PhD b V ANESSA J EFFERSON , MSN c M ARGARET G REY , DrPH, RN, FAAN d ABSTRACT BACKGROUND: Rates of overweight in youth have increased at an alarming rate, particularly in minority youth, and depressive symptoms may affect the ability of youth to engage in healthy lifestyle behaviors to manage weight and reduce their risk for health problems. The purpose of this study was to examine the relationships between depressive symptoms, clinical risk factors, and health behaviors and attitudes in a sample of urban youth at risk for type 2 diabetes mellitus (T2DM). METHODS: We obtained self-report questionnaire data on depressive symptoms and health attitudes and behaviors related to diet and exercise and clinical data on risk markers (eg, fasting insulin) from 198 youth from an urban setting. Seventh-grade stu- dents were eligible if they were at risk for developing T2DM because they had a body mass index (BMI) in the 85th percentile or higher and a family history of diabetes. RESULTS: Clinically signiFcant levels of depressive symptoms were evident in approx- imately 21% of the sample, and Hispanic youth reported higher levels of depressive symptoms than black youth. Higher levels of depression were associated with several health behaviors and attitudes, in particular less perceived support for physical activity and poorer self-efFcacy for diet. Depressive symptoms were also related to some clini- cal risk markers, such as higher BMI and fasting insulin levels. CONCLUSIONS: Because depressive symptoms may affect ability to engage in healthy behavior changes, evaluation and treatment of depressive symptoms should be considered in preventive interventions for youth at risk for T2DM. Keywords: child and adolescent health; mental health; nutrition and diet; physical Ftness and sport. Citation: Jaser SS, Holl MG, Jefferson V, Grey M. Correlates of depressive symptoms in urban youth at risk for type 2 diabetes mellitus. J Sch Health. 2009; 79: 286-292. Accepted on ±ebruary 12, 2009 a Postdoctoral Associate, ([email protected]), Yale University School of Nursing, PO Box 9740, New Haven, CT 06536. b Associate Research Scientist, ([email protected]), Yale University, 300 George St., New Haven, CT 06511. c Diabetes and Chronic Disease Progress Coordinator, ([email protected]), Yale University, PO Box 208237, New Haven, CT 06520. d Dean and Annie Goodrich Professor of Nursing, ([email protected]), Yale University School of Nursing, PO Box 9740, New Haven, CT 06536. Address correspondence to: Sarah S. Jaser, Postdoctoral Associate, ([email protected]), Yale University School of Nursing, PO Box 9740, New Haven, CT 06536. 286 d Journal of School Health d June 2009, Vol. 79, No. 6 d ª 2009, American School Health Association
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INTRODUCTION Rates of overweight in youth have increased at an alarming rate in recent decades, particularly in minor- ity youth.
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aa-18 - RESEARCH ARTICLE Correlates of Depressive Symptoms...

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