The purpose of this study was 2-fold: 1) to determine the cross-sectional associations between psychological stress, physical activity enjoyment, and physical activity participation [moderate-to-vigorous physical activity (MVPA), total physical activity (TPA)]; and 2) to determine the moderating effect of physical activity enjoyment on the associations between stress, MVPA, and TPA in adolescents with overweight/obesity.
Design:
Cross-sectional, secondary data analysis of the Health and Culture Project and the Stress, Obesity, and Diabetes in Adolescents study.
Sample:
One hundred and ten adolescents (73% female; 65.4% non-white; age 15.8 ± 1.9 years) with overweight/obesity (BMI percentile ≥ 85th percentile) were included in this analysis.
Measures:
Psychological stress was assessed using the Perceived Stress Scale (PSS-14); enjoyment was measured via the Physical Activity Enjoyment Scale; and MVPA and TPA were objectively measured using accelerometry over a minimum of 4 days.
Results:
Higher perceived stress was associated with lower physical activity enjoyment (β = −0.41 ± 0.15; p = 0.008). Stress was not associated with MVPA or TPA (ps > 0.05), nor was enjoyment a significant moderator in the associations between stress and MVPA or stress and TPA (pinteraction > 0.05).
Conclusions:
These findings suggest that psychological stress is associated with lower physical activity enjoyment among adolescents with overweight/obesity. Longitudinal studies are needed to understand the long-term effects of stress on psychological factors that may serve as antecedents to physical activity participation among adolescents with overweight/obesity.
Rith-NajarianLRMcLaughlinKASheridanMANockMK. The biopsychosocial model of stress in adolescence: self-awareness of performance versus stress reactivity. Stress. 2014;17(2):193–203. doi:10.3109/10253890.2014.891102
2.
SteinbergLMorrisAS. Adolescent development. Ann Rev Psychol. 2001;52(1):83–110. doi:10.1146/annurev.psych.52.1.83
3.
HimmelsteinMPuhlR. Weight-based victimization from friends and family: implications for how adolescents cope with weight stigma. Pediatric Obes. 2019;14(1):e12453.
4.
TomiyamaAJ.Weight stigma is stressful. A review of evidence for the cyclic obesity/weight-based stigma model. Appetite. 2014;82:8–15. doi:10.1016/j.appet.2014.06.108
5.
Hayden-WadeHASteinRIGhaderiASaelensBEZabinskiMFWilfleyDE. Prevalence, characteristics, and correlates of teasing experiences among overweight children vs. non-overweight peers. Obes Res. 2005;13(8):1381–1392.
6.
LosekamSGoetzkyBKraelingSRiefWHilbertA. Physical activity in normal-weight and overweight youth: associations with weight teasing and self-efficacy. Obes Facts. 2010;3(4):239–244. doi:10.1159/000319433
7.
PuhlRMLuedickeJ. Weight-based victimization among adolescents in the school setting: emotional reactions and coping behaviors. J Youth Adolesc. 2012;41(1):27–40. doi:10.1007/s10964-011-9713-z
8.
SlaterATiggemannM. Gender differences in adolescent sport participation, teasing, self-objectification and body image concerns. J Adolesc. 2011;34(3):455–463.
9.
Abi NaderPWardSEltonsySBélangerM. The impact of life stresses on physical activity participation during adolescence: a 5-year longitudinal study. Prev Med. 2018;116:6–12. doi:10.1016/j.ypmed.2018.08.030
10.
McGlumphyKCShaverERAjibewaTAHassonRE. Perceived stress predicts lower physical activity in African-American boys, but not girls. Am J Health Behav. 2018;42(2):93–105.
11.
LiCYuanZClements-NoelleKFuYDeadmondMYangW. Physical activity and overweight/obesity among academic stressed adolescents. Biostatistics Epidemiol Int J. 2018;1(2):40–46. doi:10.30881/beij.00011
12.
GerberMPühseU. “Don’t crack under pressure!”—Do leisure time physical activity and self-esteem moderate the relationship between school-based stress and psychosomatic complaints?J Psychosomat Res. 2008;65(4):363–369.
13.
ElmesmariRMartinAReillyJJPatonJY. Comparison of accelerometer measured levels of physical activity and sedentary time between obese and non-obese children and adolescents: a systematic review. BMC Pediatrics. 2018;18(1):106.
14.
PiercyKLTroianoRPBallardRM, et al.The physical activity guidelines for Americans. JAMA. 2018;320(19):2020–2028. doi:10.1001/jama.2018.14854
15.
DaleLPVanderlooLMooreSFaulknerG. Physical activity and depression, anxiety, and self-esteem in children and youth: an umbrella systematic review. Mental Health Phys Activity. 2019;16:66–79. doi:10.1016/j.mhpa.2018.12.001
16.
BiddleSJHAsareM. Physical activity and mental health in children and adolescents: a review of reviews. Br J Sports Med. 2011;45(11):886–895. doi:10.1136/bjsports-2011-090185
17.
LabbrozziDRobazzaCBertolloMBucciIBortoliL. Pubertal development, physical self-perception, and motivation toward physical activity in girls. J Adolesc. 2013;36(4):759–765.
18.
TaylorIMNtoumanisNStandageMSprayCM. Motivational predictors of physical education students’ effort, exercise intentions, and leisure-time physical activity: a multilevel linear growth analysis. J Sport Exerc Psychol. 2010;32(1):99–120.
19.
FaithMSLeoneMAAyersTSHeoMPietrobelliA. Weight criticism during physical activity, coping skills, and reported physical activity in children. Pediatrics. 2002;110(2):e23–e23.
20.
StetsonBARahnJMDubbertPMWilnerBIMercuryMG. Prospective evaluation of the effects of stress on exercise adherence in community-residing women. Health Psychol. 1997;16(6):515.
21.
Stults-KolehmainenMALuTCiccoloJTBartholomewJBBrotnowLSinhaR.Higher chronic psychological stress is associated with blunted affective responses to strenuous resistance exercise: RPE, pleasure, pain. Psychol Sport Exerc. 2016;22:27–36. doi:10.1016/j.psychsport.2015.05.004
22.
FaircloughSStrattonG. Physical activity, fitness, and affective responses of normal-weight and overweight adolescents during physical education. Pediatric Exerc Sci. 2006;18(1):53–63.
23.
AjibewaTAZhouMBarryMR, et al.Adolescent stress: a predictor of dieting behaviors in youth with overweight/obesity. Appetite. 2020;147:104560.
24.
NelsonDSGerrasJMMcGlumphyKC, et al.Racial discrimination and low household education predict higher body mass index in African American youth. Child Obes. 2018;14(2):114–121.
25.
PuyauMRAdolphALVohraFAButteNF. Validation and calibration of physical activity monitors in children. Obes Res. 2002;10(3):150–157.
26.
TrostSGPateRRFreedsonPSSallisJFTaylorWC. Using objective physical activity measures with youth: how many days of monitoring are needed?Med Sc Sports Exerc. 2000;32(2):426.
27.
TroianoRPBerriganDDoddKWMasseLCTilertTMcDowellM. Physical activity in the United States measured by accelerometer. Med Sci Sports Exerc. 2008;40(1):181–188.
28.
KendzierskiDDeCarloKJ. Physical activity enjoyment scale: two validation studies. J Sport Exerc Psychol. 1991;13(1):50–64.
29.
MotlRWDishmanRKSaundersRDowdaMFeltonGPateRR. Measuring enjoyment of physical activity in adolescent girls. Am J Prev Med. 2001;21(2):110–117.
30.
CarraroAYoungMCRobazzaC. A contribution to the validation of the physical activity enjoyment scale in an Italian sample. Social Behav Person: Int J. 2008;36(7):911–918.
31.
CohenSKamarckTMermelsteinR. A global measure of perceived stress. J Health Social Behav. Published online. 1983;24(4):385–396.
32.
FinkelsteinDMKubzanskyLDCapitmanJGoodmanE.Socioeconomic differences in adolescent stress: the role of psychological resources. J Adolesc Health. 2007;40(2):127–134. doi:10.1016/j.jadohealth.2006.10.006
33.
ShorrIJ. How to Weigh and Measure Children. Hunger Watch; 1984.
34.
PetersenACCrockettLRichardsMBoxerA. A self-report measure of pubertal status: reliability, validity, and initial norms. J Youth Adolesc. 1988;17(2):117–133.
35.
HassonRE. Addressing disparities in physical activity participation among African American and Latino Youth. Kinesiol Rev. 2018;7(2):163–172. doi:10.1123/kr.2018-0015
36.
HsuARCNguyen-RodriguezSSpruijt-MetzD. Age, physical activity motivation and perceived stress in minority girls. Californian J Health Promot. 2019;17(2):1–12. doi:10.32398/cjhp.v17i2.2285
37.
LaugeroKDFalconLMTuckerKL. Relationship between perceived stress and dietary and activity patterns in older adults participating in the Boston Puerto Rican health study. Appetite. 2011;56(1):194–204. doi:10.1016/j.appet.2010.11.001
38.
NaggaraORaymondJGuilbertFRoyDWeillAAltmanDG. Analysis by categorizing or dichotomizing continuous variables is inadvisable: an example from the natural history of unruptured aneurysms. Am J Neuroradiol. 2011;32(3):437–440. doi:10.3174/ajnr.A2425
39.
RoystonPAltmanDGSauerbreiW. Dichotomizing continuous predictors in multiple regression: a bad idea. Stat Med. 2006;25(1):127–141. doi:10.1002/sim.2331
40.
WoodsCBTannehillDWalshJ. An examination of the relationship between enjoyment, physical education, physical activity and health in Irish adolescents. Irish Educ Stud. 2012;31(3):263–280.
41.
LeBlancAGJanssenI. Difference between self-reported and accelerometer measured moderate-to-vigorous physical activity in youth. Pediatric Exerc Sci. 2010;22(4):523–534.
42.
Barr-AndersonDJYoungDRSallisJF, et al.Structured physical activity and psychosocial correlates in middle-school girls. Prev Med. 2007;44(5):404–409.
43.
SallisJFProchaskaJJTaylorWC. A review of correlates of physical activity of children and adolescents. Med Sci Sports Exerc. 2000;32(5):963–975.
44.
StankovIOldsTCargoM. Overweight and obese adolescents: what turns them off physical activity?Int J Behav Nutri Phys Activity. 2012;9(1):1–15.
45.
ZabinskiMFSaelensBESteinRIHayden-WadeHAWilfleyDE. Overweight children’s barriers to and support for physical activity. Obes Res. 2003;11(2):238–246.
46.
FrömelKŠafářMJakubecLGroffikDŽatkaR. Academic stress and physical activity in adolescents. BioMed Res Int. 2019;2020:Article ID 4696592. doi:10.1155/2020/4696592
47.
SmithKEHaedt-MattAMasonTB, et al.Associations between naturalistically assessed physical activity patterns, affect, and eating in youth with overweight and obesity. J Behav Med. Published online April 17, 2020. doi:10.1007/s10865-020-00152-3
48.
BuddELMcQueenAEylerAAHaire-JoshuDAuslanderWFBrownsonRC. The role of physical activity enjoyment in the pathways from the social and physical environments to physical activity of early adolescent girls. Prev Med. 2018;111:6–13.
49.
DeforcheBIDe BourdeaudhuijIMTangheAP. Attitude toward physical activity in normal-weight, overweight and obese adolescents. J Adolesc Health. 2006;38(5):560–568. doi:10.1016/j.jadohealth.2005.01.015
50.
GoldschmidtABAspenVPSintonMMTanofsky-KraffMWilfleyDE. Disordered eating attitudes and behaviors in overweight youth. Obesity. 2008;16(2):257–264.
51.
RohdePSticeEMartiCN. Development and predictive effects of eating disorder risk factors during adolescence: implications for prevention efforts. Int J Eating Disord. 2015;48(2):187–198.
52.
CillessenAHRoseAJ. Understanding popularity in the peer system. Current Directions in Psycholog Sci. 2005;14(2):102–105.
53.
EpsteinLHRoemmichJN. Reducing sedentary behavior: role in modifying physical activity. Exerc Sport Sci Rev. 2001;29(3):103–108.
54.
ChaputJKlingenbergLAstrupASjödinAM. Modern sedentary activities promote overconsumption of food in our current obesogenic environment. Obes Rev. 2011;12(5):e12–e20.
