Evidence map›Paper›PMID 25675249›Full record

ArticlePloS one2015

Perceived stress and coping strategies in relation to body mass index: cross-sectional study of 12,045 Japanese men and women.

Chisato Shimanoe, Megumi Hara, Yuichiro Nishida, Hinako Nanri, Yasuko Otsuka, Kazuyo Nakamura, Yasuki Higaki, Takeshi Imaizumi, Naoto Taguchi, Tatsuhiko Sakamoto and 3 more

Abstract readMulticenter Study
In one paragraph

Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Chisato ShimanoeDepartment of Preventive Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Megumi HaraDepartment of Preventive Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Yuichiro NishidaDepartment of Preventive Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Hinako NanriDepartment of Preventive Medicine, Faculty of Medicine, Saga University, Saga, Japan; Department of Public Health, Showa University School of Medicine, Shinagawa-ku, Tokyo, Japan.
Yasuko OtsukaDepartment of Preventive Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Kazuyo NakamuraSt. Mary's College Faculty of Nursing, Kurume, Japan.
Yasuki HigakiLaboratory of Exercise Physiology, Faculty of Sports and Health Science, Fukuoka University, Fukuoka, Japan.
Takeshi ImaizumiDepartment of Preventive Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Naoto TaguchiDepartment of Preventive Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Tatsuhiko SakamotoChikushi Office for Health, Human Services and Environmental Issues, Fukuoka Prefectural Government, Onojo, Japan.
Mikako HoritaDepartment of Preventive Medicine, Faculty of Medicine, Saga University, Saga, Japan.
Koichi ShinchiDivision of International Health and Nursing, Faculty of Medicine, Saga University, Saga, Japan.
Keitaro TanakaDepartment of Preventive Medicine, Faculty of Medicine, Saga University, Saga, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAccumulated evidence suggests a weak positive relationship between psychosocial stress and body mass index (BMI), but little is known about stress coping strategies and BMI.

objectiveWe aimed to examine if perceived stress and coping strategies are related to BMI, with any of their mutual interactions on BMI.

methodsThis cross-sectional study included 5,063 men and 6,982 women aged 40-69 years. A self-administered questionnaire ascertained perceived stress and 5 items of coping strategies (emotion expression, emotional support seeking, positive reappraisal, problem solving, and disengagement). Analyses were performed by gender with adjustment for age, socioeconomic status, and lifestyle factors.

resultsNo significant associations were detected between perceived stress and BMI in either men (P(trend) = 0.09) or women (P(trend) = 0.58). In men, however, 'disengagement' showed an inverse association with BMI (P(trend) < 0.001), and 'positive reappraisal' and 'problem solving' revealed a positive association with BMI (P(trend) = 0.04 and 0.007, respectively) even after controlling for perceived stress. A possible interaction between perceived stress and 'disengagement' on BMI was found in men (P(interaction) = 0.027); the inverse association between 'disengagement' and BMI was more evident in higher levels of stress (β = -0.13, P(trend) = 0.21 in low; β = -0.22, P(trend) = 0.01 in medium; and β = -0.24, P(trend) = 0.06 in high). In men, 'disengagement' was inversely associated with overweight/obesity (odds ratio 0.79, 95% confidential interval 0.67-0.95), and "positive reappraisal" was positively associated with it (1.25, 1.02-1.54).

conclusionsCoping strategies may have an important role in developing overweight/obesity, particularly in men.

Indexed as

Adaptation, PsychologicalAsian PeopleBody Mass IndexAdultAgedCohort StudiesCross-Sectional StudiesFemaleHumansJapanMaleMiddle AgedRisk FactorsStress, Psychological

Identifiers

PMID25675249
PMCPMC4326352

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.