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This study examined the association of depressive symptoms with standardized BMI (BMI\n                      <jats:italic toggle=\"yes\">z<\/jats:italic>\n                      -score), lifestyle behaviors, and self-efficacy measures in a sample of urban adolescents.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>\n                      A school-based study was conducted among adolescents (\n                      <jats:italic toggle=\"yes\">N<\/jats:italic>\n                      =1508) enrolled from 11 public schools. Depressive symptoms were assessed with Kandel's depressive symptoms scale for adolescents. Fruit and vegetable intake and intake of energy-dense foods were assessed by a short food frequency questionnaire. Sedentary behavior and physical activity (PA) were obtained by self-report. Height and weight were measured directly and BMI\n                      <jats:italic toggle=\"yes\">z<\/jats:italic>\n                      -scores were calculated. Mixed-effects models were used to examine the association of depressive symptoms with BMI\n                      <jats:italic toggle=\"yes\">z<\/jats:italic>\n                      -score and lifestyle behaviors, accounting for clustering at school level and adjusting for confounders. Self-efficacy measures were evaluated as potential mediators.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>\n                      The sample was 53% female, 75% Hispanic, and 82% US born, with a mean age of 13.9 years. Higher depressive symptoms were associated with higher BMI\n                      <jats:italic toggle=\"yes\">z<\/jats:italic>\n                      -score (\u03b2=0.02;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =0.02), intake of energy-dense foods (\u03b2=0.42;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt;0.001), and sedentary behavior (\u03b2=0.48;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      &lt;0.001), but lower PA (\u03b2=\u22120.03;\n                      <jats:italic toggle=\"yes\">p<\/jats:italic>\n                      =0.01). There was an interaction by gender in the association of depressive symptoms and PA. Self-efficacy mediated the association of depressive symptoms and PA.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions:<\/jats:title>\n                    <jats:p>Obesity prevention and treatment programs should consider addressing the role of negative emotions as part of their preventive strategies.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1089\/chi.2014.0042","type":"journal-article","created":{"date-parts":[[2016,5,18]],"date-time":"2016-05-18T10:17:24Z","timestamp":1463566644000},"page":"400-407","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":32,"title":["Depressive Symptoms Are Associated with Excess Weight and Unhealthier Lifestyle Behaviors in Urban Adolescents"],"prefix":"10.1177","volume":"10","author":[{"given":"Fiorella","family":"Castillo","sequence":"first","affiliation":[{"name":"Ross University School of Medicine","place":["Dominica"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lori","family":"Francis","sequence":"additional","affiliation":[{"name":"The Pennsylvania State University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Judith","family":"Wylie-Rosett","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carmen R.","family":"Isasi","sequence":"additional","affiliation":[{"name":"Albert Einstein College of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,9,2]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1093\/ajcn\/59.5.955"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/s10567-010-0072-1"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2010.01.008"},{"key":"e_1_3_3_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2003.12.028"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2003.12.015"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1037\/a0018645"},{"key":"e_1_3_3_8_2","doi-asserted-by":"crossref","first-page":"981","DOI":"10.1001\/archpedi.162.10.981","article-title":"Association between depressive symptoms in childhood and adolescence and overweight in later life: Review of the recent literature","volume":"162","author":"Liem ET","year":"2008","unstructured":"Liem ET, , Sauer PJ, , Oldehinkel AJ, et al. 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