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- W2178149112 abstract "<h3>Background</h3> Overweight is the most common health problem that faces children and adolescents. Although the correlation among overweight, low self-esteem, and depression is well known, social isolation among overweight children and adolescents has not been studied. <h3>Objective</h3> To investigate social networks of overweight and normal-weight adolescents in a large, nationally representative sample. <h3>Design</h3> Cross-sectional, nationally representative cohort study. <h3>Population</h3> A total of 90 118 adolescents aged 13 to 18 years who were enrolled in the National Longitudinal Study of Adolescent Health, of which a 1:5 subsample was selected for detailed in-home assessment, including height and weight measurements (n = 17 557). Overweight was defined according to body mass index (>95th percentile for age and sex). <h3>Main Outcome Measures</h3> This analysis focuses on the number of friendship nominations each adolescent received from other adolescents. The number of friendship nominations and other social network measures were calculated using statistical software. <h3>Results</h3> Overweight adolescents were more likely to be socially isolated and to be peripheral to social networks than were normal-weight adolescents. Although overweight adolescents listed similar numbers of friends as normal-weight adolescents, overweight adolescents received significantly fewer friendship nominations from others than were received by normal-weight adolescents (mean [SE] number of friendship nominations, 3.39 [0.08] vs 4.79 [0.04];<i>P</i><.001). Overweight adolescents were also more likely to receive no friendship nominations than were normal-weight adolescents (odds ratio, 1.71; 95% confidence interval, 1.39-2.20). Decreased television viewing (<i>P</i><.001), increased levels of sports participation (<i>P</i><.001), and increased participation in school clubs (<i>P</i><.001) were associated with significantly more friendship nominations and higher network centrality scores among both overweight and normal-weight adolescents. <h3>Conclusions</h3> Many overweight adolescents are socially marginalized. Such isolation may aggravate the social and emotional consequences of overweight in this age group." @default.
- W2178149112 created "2016-06-24" @default.
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- W2178149112 date "2003-08-01" @default.
- W2178149112 modified "2023-10-14" @default.
- W2178149112 title "Social Marginalization of Overweight Children" @default.
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- W2178149112 doi "https://doi.org/10.1001/archpedi.157.8.746" @default.
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