Purpose: To assess whether there are individual, familial, academic or social differences between youths being overweight, obese or normal weight.
Methods: Data were drawn from the GenerationFRee study, a cross-sectional survey including 5179 youths aged 15-24. Using Cole’s cut-off points of body mass index (BMI), individuals were divided into normal weight (NW; N=4291), overweight (OW; N=646), and obese (OB, N=242). Groups were compared on age, gender, emotional wellbeing, self-reported health status, family structure, relationship with father and with mother, life satisfaction, socioeconomic status, pubertal timing, popularity among peers, easiness to make friends, at risk for eating disorders, parents nationality, own nationality, and academic track. All variables at the bivariate level were included in multinomial logistic regression using NW as the reference category. Results are given as Relative Risk Ratios (RRR) with 95% confidence interval

Akre, Christina

Barrense-Dias, Yara

Berchtold, André

Suris, J.C.

English

J.C. Suris

Yara Barrense-Dias

André Berchtold

Christina Akre

Crossref

Journal of Adolescent Health

Is Being Overweight or Obese Really a Problem?

Serveur académique lausannois

Poster Abstracts / 58 (2016) S63eS85 S65Multidimensional Anxiety Scale for Children (MASC), PediatricQuality of Life Enjoyment and Satisfaction Questionnaire (PQ-LES-Q), and Physical Health Questionnaire (PHQ-9) were collected.Data were analyzed using descriptive and paired t-tests.Results: A total of 43 adolescents enrolled in this program over 8cycles. Mean age of the sample was 15.9 + 1.0 years; 69.8% female;58.5% White, and 14.6% Hispanic. Mean BMI (mg/kg2) pre- andpost-intervention (37.6 + 5.5 and 38.2 + 6.2, respectively) did in-crease significantly (t¼-2.5, df ¼ 27, p¼.02). Mean diastolic bloodpressure (DBP) decreased from pre- and post-intervention (71.3 +11.7 and 67.3 + 8.6, respectively) but not significantly. Number ofMASC items > 65th percentile remained unchanged after partici-pation. Mean quality of life improved but not significantly (55.5% +13 and 57.7% + 16.4, respectively). Severity of depression decreased(6.3 + 5.4 and 5.1 + 4.5; t ¼ 1.96, df ¼ 30, p ¼ .06).Conclusions: Although BMI increased; 20% of the participant’s BMIdecreased or remained the same. DBP improvedwith participation,anxiety and quality of life remained unchanged after participation.On average, the sample described mild depression and depressivescores improved (close to significance) after the intervention.Along with elevated BMI, numerous physical and psychosocial co-morbidities can occur with obesity. This inter-disciplinary inter-vention has the potential to improve related co-morbidities of thisseemingly intractable epidemic. Future analyses will examine re-sults in relation to participation and retention levels.Sources of Support: We would like to acknowledge the followingsources of support: HRSA; T71MC24210 (Walker-Harding); andLeadership Education in Adolescent Health (LEAH).122.IDENTIFICATION OF CORRECT BODY SILHOUETTE DOES NOTEQUATE WITH PERCEIVED WEIGHT CATEGORYCathy Lynn Joyce, MD, PhD, FSAHM1, Alexander Adam Eschbach,PhD 2.1Rush University Medical Center; 2Northwest Neuropsychology INC.Purpose: At least 2.8 million people die each year as a result ofbeing overweight and obese. This study sought to determine ifparents and adolescents could identify their correct body imageusing silhouettes, and if parents correctly perceived their adoles-cents’ and their own weight category (normal weight, overweight,obese).Methods: Parents and their adolescents were from the PediatricGeneral and Subspecialty clinics at Rush University Medical Center.Parents/guardians completed a questionnaire regarding their ad-olescents’ and their own weight category. Stunkard’s and Pulvers’silhouettes were employed, and parents and adolescents chose theimage that most clearly resembled themselves. Nursing staff ob-tained heights, weights, and waist circumferences on allparticipants.Results: One-hundred and one adolescents (age 15.681.79, BMI25.13 5.82) and 144 parents/guardians (age 42.018.61, BMI32.596.92) were recruited. The adolescents consisted of 53 fe-males and 48 males, whose self-identified race was 52 AfricanAmericans, 28 Hispanics, 8 Caucasians, 3 Asian, and 10 Multiracial.Adolescents correctly identified their silhouettes by BMI categoryas follows using Stunkard’s silhouettes: 89.5% (34/38) normalweight, 38.8% (7/18) overweight, and 18.8% (6/32) obese.Employing Pulvers’ silhouettes, adolescents correctly identified92.1% (35/38) normal weight, 27.8% (5/18) overweight, and 37.5%(12/32) obese. Thirteen adolescents had missing silhouette data. Incomparison, parents/guardians using Stunkard’s silhouettescorrectly identified themselves as 80% (12/15) normal weight,68.2% (30/44) overweight, and 47.6% (40/84) obese. In contrast,employing Pulvers’ silhouettes, they correctly identified 66.7% (10/15) normal weight, 50% (22/44) overweight, and 89.3% (75/84)obese. Parents/guardians did not correctly identify their adoles-cents’weight category accurately compared to BMI (33/101¼33.6%) or their own (49/143¼34.2%).Conclusions: Pulvers’ silhouettes, when employed by adults forself identification of body image, were superior to Stunkard’s inidentifying individuals in the obese category, but not with ado-lescents. Correct self-identification of body image did not reflect anaccurate perception of weight category. Yet, previous research hasshown that parents can correctly identify obese silhouettes whennot associated with their adolescents. Parents need to be instruc-ted how to correlate body image, perceived weight, and actual BMIto become motivated to lose weight, both for themselves and theirchildren and adolescents.Sources of Support: Study funded by RUMC, Department ofPediatrics.123.IS BEING OVERWEIGHT OR OBESE REALLY A PROBLEM?J.C. Suris, MD, MPH, PhD 1, Yara Barrense-Dias, MA 1, André Berchtold,PhD 2, Christina Akre, MA 1.1Lausanne University Hospital; 2University of Lausanne.Purpose: To assess whether there are individual, familial, aca-demic or social differences between youths being overweight,obese or normal weight.Methods: Data were drawn from the GenerationFRee study, across-sectional survey including 5179 youths aged 15-24. UsingCole’s cut-off points of body mass index (BMI), individuals weredivided into normal weight (NW; N¼4291), overweight (OW;N¼646), and obese (OB, N¼242). Groups were compared on age,gender, emotional wellbeing, self-reported health status, familystructure, relationship with father and with mother, life satisfac-tion, socioeconomic status, pubertal timing, popularity amongpeers, easiness to make friends, at risk for eating disorders, parentsnationality, own nationality, and academic track. All variables atthe bivariate level were included in multinomial logistic regressionusing NW as the reference category. Results are given as RelativeRisk Ratios (RRR) with 95% confidence interval.Results: At the bivariate level, both OWand OB were more likely tobe male, older, have lower life satisfaction, poorer health, higherrisk of eating disorder, and advanced puberty. They were also morelikely to be foreigners, to have foreign parents and to be an ap-prentice. OW and obese youths reported significantly less easinessto make friends. At the multivariate level, and compared to NW,OW were more likely to be male (RRR: 2.23 [1.81:2.74]), older(RRR: 1.07 [1.00:1.14]), apprentice (RRR: 1.69 [1.35:2.11]), withadvanced pubertal timing (RRR: 1.55 [1.26:1.91]), and at higher riskof eating disorder (RRR: 2.02 [1.59:2.57]). Obese youths were alsomore likely to be male (RRR: 1.41 [1.03:1.92]), older (RRR: 1.17[1.08:1.28]), apprentice (RRR: 1.72 [1.21:2.43]), at higher risk ofeating disorder (RRR: 2.02 [1.39:2.92]) and with less easiness tomake friends (RRR: 0.57 [0.34:0.95]).Conclusions: Our results show that the main risk related to nothaving a normal weight is having an eating disorder, but no dif-ferences are observed regarding emotional wellbeing, life satis-faction, family structure or socioeconomic status when controllingPoster Abstracts / 58 (2016) S63eS85S66for covariates. Nevertheless, OW youths are more likely to reportstarting their puberty earlier than their peers and obese youthshave more difficulties making friends. Health professionals dealingwith these youths need to do a thorough anamnesis to discard aneating disorder and to make sure that they have no issuesregarding their social life, especially the higher their BMI.Sources of Support: This survey was financed by the ProgrammeIntercantonal de Lutte contre la Dépendance au Jeu (PILDJ) and thecanton of Fribourg.POSTER SESSION I: CHRONIC ILLNESS124.MORE IMPORTANT THAN YOU THOUGHT: SOME CHRONICALLYILL ADOLESCENTS RELY A LOT ON THEIR HEALTHPROFESSIONALJ.C. Suris, MD, MPH, PhD 1, Yara Barrense-Dias, MA 1, André Berchtold,PhD 2, Christina Akre, MA 1.1Lausanne University Hospital; 2University of Lausanne.Purpose: To assess who do chronically ill adolescents rely on intheir entourage.Methods: Data were drawn from the GenerationFRee study, across-sectional survey including 5149 youths aged 15-24 dividedinto 3 groups: healthy controls (HC; N¼4529), chronically illwithout limitations (CI; N¼517) and chronically ill with limitations(CIWL; N¼103). Groups were compared on perceived health status,socio-demographic variables and whether they could rely a lot ontheir father, their mother, their girl/boyfriend, their best friend ortheir health professional in case of difficulty. All variables signifi-cant at the bivariate level were included in a multinomial logisticregression using HC as the reference category. Results are given asRelative Risk Ratios (RRR) with 95% CI.Results: At the bivariate level there were significantly more fe-males in the CI and CIWL groups but no differences in age.Perceived health, emotional wellbeing, relationship with fatherand with mother and socioeconomic status decreased as the levelof limitation increased. Relying on their father or their mother fordifficulties also decreased as the level of limitation increased, whileit increased for health professionals. At the multivariate level,compared to HC, CI had a poorer relationship with their mother(RRR: 0.93 [0.88:0.99] and a poorer health status (RRR:3.84[2.61:5.69], while CIWL reported poorer emotional wellbeing(RRR: 1.83 [1.08:3.10] and health status (RRR: 17.80 [10.33:30.64]but were more likely to rely on their health provider in case ofdifficulty (RRR: 1.26 [1.04:1.51].Conclusions: The only difference between youths living with anon-limiting CI and their healthy peers is that the former report apoorer relationship with their mother and rate their health statuslower. However, those with limiting conditions not only rate theirhealth as poor but are almost twice more likely to have a pooremotional wellbeing. While they show no difference in relying ontheir parents, they seem to have a better relationship with theirhealth provider. Chronically ill adolescents have more contact withhealth services and should have a privileged relationship withtheir providers. However, this only seems to be the case for thosewhose condition limits their daily activities. Health professionalsshould be aware of the important role they can play in the life ofthese youths.Sources of Support: This survey was financed by the ProgrammeIntercantonal de Lutte contre la Dépendance au Jeu (PILDJ) and thecanton of Fribourg.125.A RANDOMIZED PILOT STUDY OF AN ADAPTED MINDFULNESS-BASED INTERVENTION FOR ADOLESCENTS WITH CHRONIC PAINNicholas Chadi, MD 1, Audrey McMahon, MD 2, Thuy Mai Luu, MD 3,Nancy Haley, MD 3.1Hospital for Sick Children; 2Sherbrooke University Hospital Center;3Sainte-Justine University Hospital Center.Purpose: Chronic pain in children and adolescents is a commoncondition that results in significant impairments in quality of life.Mindfulness is an approach that takes roots in ancient Buddhistmeditative practices. It has been used with promising results invarious adult and adolescent populations to address such condi-tions as depression, anxiety and chronic pain. The primary objec-tive of this study was to determine the feasibility, validity andacceptability of a randomized pilot trial measuring the impact of anadapted mindfulness-based intervention in adolescents withchronic pain. This study also aimed to gather pilot data exploringchanges in health-related quality of life, perceived pain intensity,mood and anxiety symptoms, psychological distress, as well assalivary cortisol levels among participants.Methods: This study was single-center, single-blinded, prospec-tive, experimental, longitudinal trial conducted in a pediatric ter-tiary care center. All participants had a reported history of chronicpain of more than three months. Participants were randomizedinto an intervention group and a wait -list control group. Bothgroups successively followed an adapted 8-week mindfulnesscurriculum designed specifically for adolescents with chronic pain.Participants were required to keep a personal log book, providesaliva samples and fill-in series of questionnaire packages duringthe 4-month study period for measurement of quality of life, painperception, anxiety, depression, psychological distress and cortisollevels. Five pre-determined criteria were established by a panel ofexperts to assess the feasibility, validity and acceptability of thestudy model. These criteria were: enrollment and attrition rates,compliance to study protocol, adequate monitoring of outcomesand quality control of the intervention.Results: Nineteen participants completed the study and had amean age of 15.8 years (range 13.9 -17.8). Attrition rates were low(17%). Attendance tomindfulness sessions (84%) and compliance tostudy protocol (100%) were high. Curriculum review by an externalreviewer showed complete observance (100%) of curriculum ob-jectives. All participants reported a positive change in the way theycoped with pain. The majority of participants stated that theywould recommend the program to a friend (89%) and most re-ported a positive effect on sleep quality (68%). No changes inquality of life, depression, anxiety, pain perception, and psycho-logical distress were detected. Significant reductions in pre-postmindfulness session salivary cortisol levels were observed(p<0.001).Conclusions: Mindfulness is a promising therapeutic avenue forwhich limited data exists in adolescents with chronic pain. Ourstudy indicates the feasibility of conducting such interventions inteenagers. More research is needed to demonstrate the efficacyand bio-physiological impacts of mindfulness-based interventionsin teenagers with chronic pain.

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Is Being Overweight or Obese Really a Problem?

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