Abstract
Both substance use and obesity are prevalent among youth. As youth age, substance use rates increase and over the past three decades, obesity rates among youth have tripled. While these two factors have both short- and long-term health impacts, little research has explored how substance use and obesity among youth may be related. This study explores the bi-directional longitudinal relationships between substance use and body composition. Participants (N = 704; 50.7% female) were mostly white (86.4%) with a baseline mean age of 14.7 years. Objectively measured body composition was used to calculate body mass index z-scores (BMI z-score) and percent body fat. Cross-lagged structural equation models, accounting for clustering at the school level, were run to determine the longitudinal association between body composition and self-reported substance use (alcohol, cigarette, and marijuana), adjusting for socio-demographic characteristics, pubertal status, and weight satisfaction. Baseline alcohol use predicted decreased BMI z-score at follow-up and a similar association with percent body fat approached significance. Baseline cigarette use predicted increased percent body fat. No longitudinal associations were seen between baseline body composition and future substance use. Our results suggest that substance use contributes to subsequent body composition; however, body composition does not contribute to subsequent substance use. Continued research that explores these relationships longitudinally is greatly needed.
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Bollen, K. A., & Curran, P. J. (2006). Latent curve models: A structural equation perspective. Hoboken, NJ: Wiley-Interscience.
Caria, M. P., Bellocco, R., Zambon, A., Horton, N. J., & Galanti, M. R. (2009). Overweight and perception of overweight as predictors of smokeless tobacco use and of cigarette smoking in a cohort of Swedish adolescents. Addiction, 104(4), 661–668.
United States Department of Agriculture. (2010). Report of the dietary guidelines advisory committee on the dietary guidelines for Americans. Washington, DC: U.S. Department of Agriculture, Agricultural Research Service.
Donovan, J. E., Jessor, R., & Costa, F. M. (1988). Syndrome of problem behavior in adolescence: A replication. Journal of Consulting and Clinical Psychology, 56(5), 762–765.
Eaton, D. K., Kann, L., Kinchen, S., Shanklin, S., Ross, J., Hawkins, J., et al. (2010). Youth risk behavior surveillance—United States, 2009. MMWR Surveillance Summaries: Morbidity and Mortality Weekly Report. Surveillance Summaries/CDC, 59(5), 1–142.
Farhat, T., Iannotti, R. J., & Simons-Morton, B. G. (2010). Overweight, obesity, youth, and health-risk behaviors. American Journal of Preventive Medicine, 38(3), 258–267.
Flegal, K. M., Ogden, C. L., Yanovski, J. A., Freedman, D. S., Shepherd, J. A., Graubard, B. I., et al. (2010). High adiposity and high body mass index-for-age in US children and adolescents overall and by race-ethnic group. The American Journal of Clinical Nutrition, 91(4), 1020–1026.
Fonseca, H., Matos, M. G., Guerra, A., & Pedro, J. G. (2009). Are overweight and obese adolescents different from their peers? International Journal of Pediatric Obesity, 4(3), 166–174.
Freedman, D. S., Wang, J., Thornton, J. C., Mei, Z., Pierson, R. N., Jr., Dietz, W. H., et al. (2008). Racial/ethnic differences in body fatness among children and adolescents. Obesity, 16(5), 1105–1111.
Gold, D. R., Wang, X., Wypij, D., Speizer, F. E., Ware, J. H., & Dockery, D. W. (1996). Effects of cigarette smoking on lung function in adolescent boys and girls. The New England Journal of Medicine, 335(13), 931–937.
Goodman, E., Hinden, B. R., & Khandelwal, S. (2000). Accuracy of teen and parental reports of obesity and body mass index. Pediatrics, 106, 52–58.
Goodman, E., & Huang, B. (2002). Socioeconomic status, depressive symptoms, and adolescent substance use. Archives of Pediatric & Adolescent Medicine, 156(5), 448–453.
Hall, W., & Degenhardt, L. (2009). Adverse health effects of non-medical cannabis use. Lancet, 374(9698), 1383–1391.
Harakeh, Z., Engels, R. C., Monshouwer, K., & Hanssen, P. F. (2010). Adolescent’s weight concerns and the onset of smoking. Substance Use and Misuse, 45(12), 1847–1860.
Hu, L. T., & Bentler, P. M. (1999). Cutoff criteria for fit indices in covariance structure analysis: Conventional criteria versus new alternatives. Structural Equation Modeling, 6, 1–55.
Jessor, R., & Jessor, S. L. (1977). Problem behavior and psychosocial development: A longitudinal study of youth. New York: Academic Press.
Johnston, L. D., O’Malley, P. M., & Bachman, J. G. (1998). National survey results on drug use from the monitoring the future study, 1975–1997.
Johnston, L. D., O’Malley, P. M., Bachman, J. G., & Schulenberg, J. E. (2011). Monitoring the future national survey results on drug use, 1975–2010: Volume I, Secondary school students. Ann Arbor: Institute of Social Research, The University of Michigan.
Killeya-Jones, L. A., Nakajima, R., & Costanzo, P. R. (2007). Peer standing and substance use in early-adolescent grade-level networks: A short-term longitudinal study. Prevention Science, 8(1), 11–23.
Kirkham, T. C. (2005). Endocannabinoids in the regulation of appetite and body weight. Behavioural Pharmacology, 16(5–6), 297–313.
Kirkham, T. C., & Williams, C. M. (2001). Endogenous cannabinoids and appetite. Nutrition Research Reviews, 14(1), 65–86.
Koval, J. J., Pederson, L. L., Zhang, X., Mowery, P., & McKenna, M. (2008). Can young adult smoking status be predicted from concern about body weight and self-reported BMI among adolescents? Results from a ten-year cohort study. Nicotine Tobacco Research, 10(9), 1449–1455.
Kuczmarski, R. J., Ogden, C. L., Guo, S. S., et al. (2002). 2000 CDC growth charts for the United States: Methods and development. National Center for Health Statistics. Vital Health Statistics, 11(246), 1–203.
Lahmann, P. H., Lissner, L., Gullberg, B., & Berglund, G. (2002). A prospective study of adiposity and all-cause mortality: The Malmo diet and cancer study. Obesity Research, 10(5), 361–369.
Laska, M. N., Pasch, K. E., Lust, K., Story, M., & Ehlinger, E. (2009). Latent class analysis of lifestyle characteristics and health risk behaviors among college youth. Prevention Science, 10(4), 376–386.
Lytle, L. A. (2009). Examining the etiology of childhood obesity: The IDEA study. American Journal of Community Psychology, 44(3–4), 338–349.
Lytle, L. A., Kelder, S. H., Perry, C. L., & Klepp, K. I. (1995). Covariance of adolescent health behaviors: The Class of 1989 study. Health Education Research, 10(2), 133–146.
Murasko, J. E. (2011). Trends in the associations between family income, height and body mass index in US children and adolescents: 1971–1980 and 1999–2008. Annals of Human Biology, 38(3), 290–306.
Muthen, B. O., Du Toit, S. H. C., & Spisic, D. (1997). Robust inference using weighted least squares and quadratic estimating equations in latent variable modeling with categorical and continuous outcomes.
Muthen, L. K., & Muthen, B. O. (1998–2010). Mplus user’s guide (6th ed.). Los Angeles, CA: Muthen & Muthen.
Neumark-Sztainer, D., Falkner, N., Story, M., Perry, C., Hannan, P. J., & Mulert, S. (2002). Weight-teasing among adolescents: Correlations with weight status and disordered eating behaviors. International Journal of Obesity Related Metabolic Disorders, 26(1), 123–131.
Ogden, C. L., Carroll, M. D., Curtin, L. R., Lamb, M. M., & Flegal, K. M. (2010). Prevalence of high body mass index in US children and adolescents, 2007–2008. Journal of the American Medical Association, 303(3), 242–249.
O’Loughlin, J., Paradis, G., Renaud, L., & Sanchez Gomez, L. (1998). One-year predictors of smoking initiation and of continued smoking among elementary schoolchildren in multiethnic, low-income, inner-city neighbourhoods. Tobacco Control, 7(3), 268–275.
Page, R. M., Scanlan, A., & Allen, O. (1995). Adolescent perceptions of body weight and attractiveness: Important issues in alcohol and illicit drug use? Journal of Child and Adolescent Substance Abuse, 4(4), 43–55.
Pasch, K. E., Nelson, M. C., Lytle, L. A., Moe, S. G., & Perry, C. L. (2008). Adoption of risk-related factors through early adolescence: Associations with weight status and implications for causal mechanisms. Journal of Adolescent Health, 43(4), 387–393.
Patton, G. C., & Viner, R. (2007). Pubertal transitions in health. Lancet, 369(9567), 1130–1139.
Pearce, M. J., Boergers, J., & Prinstein, M. J. (2002). Adolescent obesity, overt and relational peer victimization, and romantic relationships. Obesity Research, 10(5), 386–393.
Petersen, A. C., Crockett, L. J., Richards, M., & Boxer, A. (1988). A self-report measure of pubertal status: Reliability, validity and initial norms. Journal of Youth and Adolescence, 17(2), 117.
Sherry, B., Jefferds, M. E., & Grummer-Strawn, L. M. (2007). Accuracy of adolescent self-report of height and weight in assessing overweight status: A literature review. Archives of Pediatric & Adolescent Medicine, 161(12), 1154–1161.
Shih, R. A., Miles, J. N., Tucker, J. S., Zhou, A. J., & D’Amico, E. J. (2010). Racial/ethnic differences in adolescent substance use: Mediation by individual, family, and school factors. Journal of Studies on Alcohol and Drugs, 71(5), 640–651.
Strauss, R. S., & Pollack, H. A. (2003). Social marginalization of overweight children. Archives of Pediatrics and Adolescent Medicine, 157(8), 746–752.
United States Department of Health and Human Services. (2000). Reducing tobacco use: A report of the surgeon general. Georgia: Atlanta.
van den Berg, P. A., Mond, J., Eisenberg, M., Ackard, D., & Neumark-Sztainer, D. (2010). The link between body dissatisfaction and self-esteem in adolescents: Similarities across gender, age, weight status, race/ethnicity, and socioeconomic status. Journal of Adolescent Health, 47(3), 290–296.
Widome, R., Forster, J. L., Hannan, P. J., & Perry, C. L. (2007). Longitudinal patterns of youth access to cigarettes and smoking progression: Minnesota Adolescent Community Cohort (MACC) study (2000–2003). Preventive Medicine, 45(6), 442–446.
Acknowledgment
This research was funded through a grant from the National Cancer Institute as part of their Transdisciplinary Research in Energetics and Cancer (TREC) Initiative. Grant # 1U54CA116849 and through a grant supported by the Etiology of Childhood Obesity (ECHO) with funding from the National Heart, Lung and Blood Institute, Grant #R01HL085978. The content of this manuscript is solely the responsibility of the authors and does not necessarily represent the official views of the National Cancer Institute, National Heart, Lung and Blood Institute, or the National Institutes of Health.
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Pasch, K.E., Velazquez, C.E., Cance, J.D. et al. Youth Substance Use and Body Composition: Does Risk in One Area Predict Risk in the Other?. J Youth Adolescence 41, 14–26 (2012). https://doi.org/10.1007/s10964-011-9706-y
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DOI: https://doi.org/10.1007/s10964-011-9706-y