Psychological Stress and Lowered Physical Activity Enjoyment in Adolescents With Overweight/Obesity

Tiwaloluwa A. Ajibewa; Lexie R. Beemer; Kendrin R. Sonneville; Alison L. Miller; Claudia Toledo-Corral; Leah E. Robinson; Rebecca E. Hasson

doi:10.1177/0890117121997042

Psychological Stress and Lowered Physical Activity Enjoyment in Adolescents With Overweight/Obesity

Tiwaloluwa A. Ajibewa, Lexie R. Beemer, Kendrin R. Sonneville, Alison L. Miller, Claudia Toledo-Corral, Leah E. Robinson, Rebecca E. Hasson^*

^*Corresponding author for this work

Preventive Medicine

Research output: Contribution to journal › Article › peer-review

15 Scopus citations

Abstract

Purpose: 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 (p_interaction > 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.

Original language	English (US)
Pages (from-to)	766-774
Number of pages	9
Journal	American Journal of Health Promotion
Volume	35
Issue number	6
DOIs	https://doi.org/10.1177/0890117121997042
State	Published - Jul 2021

Funding

We would like to thank the Health and Culture Study team (HCP), the Stress, Obesity, and Diabetes in Adolescents (SODA) study team, Michigan Clinical Research Unit and Michigan Consulting for Statistics, Computing and Analytics Research. We are also grateful for our study participants and their families for their involvement. The results of this study are presented clearly, honestly, and without fabrication, falsification, or inappropriate data manipulation. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the American Diabetes Association (Grant # 7-13-JF-24), the University of Michigan School of Public Health Momentum Center, and the University of Michigan Office of Research. The Health and Culture Project is registered at www.clinicaltrials.gov (No. NCT02938663).

Keywords

adolescence
MVPA
obesity
physical activity enjoyment
psychological stress

ASJC Scopus subject areas

Health(social science)
Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/0890117121997042

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title = "Psychological Stress and Lowered Physical Activity Enjoyment in Adolescents With Overweight/Obesity",

abstract = "Purpose: 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.",

keywords = "adolescence, MVPA, obesity, physical activity enjoyment, psychological stress",

author = "Ajibewa, {Tiwaloluwa A.} and Beemer, {Lexie R.} and Sonneville, {Kendrin R.} and Miller, {Alison L.} and Claudia Toledo-Corral and Robinson, {Leah E.} and Hasson, {Rebecca E.}",

note = "Funding Information: We would like to thank the Health and Culture Study team (HCP), the Stress, Obesity, and Diabetes in Adolescents (SODA) study team, Michigan Clinical Research Unit and Michigan Consulting for Statistics, Computing and Analytics Research. We are also grateful for our study participants and their families for their involvement. The results of this study are presented clearly, honestly, and without fabrication, falsification, or inappropriate data manipulation. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the American Diabetes Association (Grant # 7-13-JF-24), the University of Michigan School of Public Health Momentum Center, and the University of Michigan Office of Research. The Health and Culture Project is registered at www.clinicaltrials.gov (No. NCT02938663). Publisher Copyright: {\textcopyright} The Author(s) 2021.",

year = "2021",

month = jul,

doi = "10.1177/0890117121997042",

language = "English (US)",

volume = "35",

pages = "766--774",

journal = "American Journal of Health Promotion",

issn = "0890-1171",

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AU - Ajibewa, Tiwaloluwa A.

AU - Beemer, Lexie R.

AU - Sonneville, Kendrin R.

AU - Miller, Alison L.

AU - Toledo-Corral, Claudia

AU - Robinson, Leah E.

AU - Hasson, Rebecca E.

N1 - Funding Information: We would like to thank the Health and Culture Study team (HCP), the Stress, Obesity, and Diabetes in Adolescents (SODA) study team, Michigan Clinical Research Unit and Michigan Consulting for Statistics, Computing and Analytics Research. We are also grateful for our study participants and their families for their involvement. The results of this study are presented clearly, honestly, and without fabrication, falsification, or inappropriate data manipulation. The author(s) disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This work was supported by the American Diabetes Association (Grant # 7-13-JF-24), the University of Michigan School of Public Health Momentum Center, and the University of Michigan Office of Research. The Health and Culture Project is registered at www.clinicaltrials.gov (No. NCT02938663). Publisher Copyright: © The Author(s) 2021.

PY - 2021/7

Y1 - 2021/7

N2 - Purpose: 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.

AB - Purpose: 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.

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KW - obesity

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KW - psychological stress

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Psychological Stress and Lowered Physical Activity Enjoyment in Adolescents With Overweight/Obesity

Abstract

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UN SDGs

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