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Stress and weight gain in parents of cancer patients

International Journal of Obesity volume 29, pages 244–250 (2005)Cite this article

Abstract

OBJECTIVE:

To investigate the effects of chronic stress on weight changes and related behavioral changes in parents with a child who had just been diagnosed with cancer compared to parents with healthy children.

DESIGN:

Longitudinal case–control study with assessments occurring over a three-month period following the child's diagnosis of cancer.

SUBJECTS:

In total, 49 parents of healthy children and 49 parents of cancer patients aged 19–58 y.

MEASUREMENTS:

Body weight, diet, physical activity, self-reported mood and stress.

RESULTS:

Parents of cancer patients were more likely to gain weight, and experienced significantly greater weight gain over the 3 months than parents of healthy children. The magnitude of weight gain was related to the degree of psychological distress that the parents experienced. Parents of cancer patients reported lower levels of physical activity and lower caloric intake than parents of healthy children, with the most marked differences between groups occurring in the area of physical activity.

CONCLUSION:

Findings suggest that a major stressor, such as a child's diagnosis of cancer, is associated with weight gain. Further research is needed to determine how long these weight gains persist and whether other types of stress also produce weight gains. Such studies should focus not only on the effect of stress on eating behavior but also on physical activity.

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References

  1. Greeno CG, Wing RR . Stress-induced eating. Psychol Bull. 1994; 115: 444–464.

    Article  CAS  Google Scholar 

  2. Lattimore PJ . Stress-induced eating: an alternative method for inducing ego-threatening stress. Appetite 2001; 36: 187–188.

    Article  CAS  Google Scholar 

  3. Epel E, Lapidus R, McEwen B, Brownell K . Stress may add bite to appetite in women: a laboratory study of stress-induced cortisol and eating behavior. Psychoneuroendocrinology 2001; 26: 37–49.

    Article  CAS  Google Scholar 

  4. Rutledge T, Linden W . To eat or not to eat: affective and physiological mechanisms in the stress-eating relationship. J Behav Med 1998; 21: 221–240.

    Article  CAS  Google Scholar 

  5. Herman CP, Polivy J, Lank CN, Heatherton TF . Anxiety, hunger, and eating behavior. J Abnorm Psychol 1987; 96: 264–269.

    Article  CAS  Google Scholar 

  6. Laitinen J, Ek E, Sovio U . Stress-related eating and drinking behavior and body mass index and predictors of this behavior. Prev Med 2002; 34: 29–239.

    Article  Google Scholar 

  7. Ng DM, Jeffery RW . Relationships between perceived stress and health behaviors in a sample of working adults. Health Psychol 2003; 22: 638–642.

    Article  Google Scholar 

  8. Rosmond R, Dallman MF, Björntorp P . Stress-related cortisol secretion in men: relationships with abdominal obesity and endocrine, metabolic and hemodynamic abnormalities. J Clin Endocr Metab 1998; 83: 1853–1859.

    CAS  PubMed  Google Scholar 

  9. Korkeila M, Kaprio J, Rissanen A, Koshenvuo M, Sorensen TI . Predictors of major weight gain in adult Finns: stress, life satisfaction and personality traits. Int J Obes Relat Metab Disord 1998; 22: 949–957.

    Article  CAS  Google Scholar 

  10. Fredman L, Daly MP . Weight change: an indicator of caregiver stress. J Aging Health 1997; 9: 43–69.

    Article  CAS  Google Scholar 

  11. Vitaliano PP, Russo J, Scanlan JM, Greeno CG . Weight changes in caregivers of Alzheimer's care recipients: psychobehavioral predictors. Psychol Aging 1996; 11: 155–163.

    Article  CAS  Google Scholar 

  12. Dahlquist LM, Czyzewski DI, Jones CL . Parents of children with cancer: a longitudinal study of emotional distress, coping style, and marital adjustment two and twenty months after diagnosis. J Pediatr Psychol 1996; 21: 541–554.

    Article  CAS  Google Scholar 

  13. Grootenhuis MA, Last BF . Adjustment and coping by parents of children with cancer: a review of the literature. Support Care Cancer 1997; 5: 466–484.

    Article  CAS  Google Scholar 

  14. Hoekstra-Weebers JE, Jaspers JP, Kamps WA, Klip, EC . Risk factors for psychological maladjustment of parents of children with cancer. J Am Acad Child Adolesc Psychiatry 1999; 38: 1526–1535.

    Article  CAS  Google Scholar 

  15. Sawyer MG, Antoniou G, Toogood I, Rice M, Baghurst PA . A prospective study of the psychological adjustment of parents and families of children with cancer. J Paediatr Child Health 1993; 29: 352–356.

    Article  CAS  Google Scholar 

  16. Sawyer MG, Streiner DL, Antoniou G, Toogood I, Rice M . Influence of parental and family adjustment on the later psychological adjustment of children treated for cancer. J Am Acad Child Adolesc Psychiatry 1998; 37: 815–822.

    Article  CAS  Google Scholar 

  17. Speechly KN, Noh S . Surviving childhood cancer, social support, and parents' psychological adjustment. J Pediatr Psychol 1992; 17: 15–31.

    Article  Google Scholar 

  18. Buzzard IM, Faucett CL, Jeffery RW, McBane L, McGovern P, Baxter JS, Shapiro AC, Blackburn GL, Chlebowski RT, Elashoff RM, Wynder EL . Monitoring dietary change in a low-fat intervention study: advantages of using 24-hour dietary recalls vs. food records. J Am Diet Assoc 1996; 96: 574–579.

    Article  CAS  Google Scholar 

  19. Stunkard AJ, Messick S . The three-factor eating questionnaire to measure dietary restraint, disinhibition, and hunger. J Psychosom Res 1985; 29: 71–83.

    Article  CAS  Google Scholar 

  20. Paffenbarger RS, Wing AL, Hyde RT . Physical activity as an index of heart attack risk in college alumni. Am J Epidemiol 1978; 108: 161–175.

    Article  Google Scholar 

  21. Wing RR, Epstein LH, Patternostro-Bayles M, Kriska A, Nowalk MP, Gooding W . Exercise in a behavioral weight control programme for obese patients with Type 2 (non-insulin-dependent) diabetes. Diabetologia 1988; 31: 902–909.

    Article  CAS  Google Scholar 

  22. Harris JK, French SA, Jeffery RW, McGovern PG, Wing RR . Dietary and physical activity correlates of long-term weight loss. Obes Res 1994; 2: 307–313.

    Article  CAS  Google Scholar 

  23. Cohen S, Kamarck T, Mermelstein R . A global measure of perceived stress. J Health Soc Behav 1983; 24: 385–396.

    Article  CAS  Google Scholar 

  24. Rahe RH . Epidemiological studies of life changes and illness. Int J Psychiatry Med 1975; 6: 131–146.

    Google Scholar 

  25. McNair PM, Lorr M, Droppleman LF . POMS manual, 2nd edn. San Diego; Educational and Industrial Testing Service; 1981.

    Google Scholar 

  26. Cassileth BR, Lusk EJ, Brown LL, Cross PA . Psychosocial status of cancer patients and next of kin: normative data from the Profile of Mood States. J Psychol Oncol 1985; 3: 99–105.

    Article  Google Scholar 

  27. Lichtman SW, Pisarska K, Berman ER, Pestone M, Dowling H, Offenbacher E, Weisel H, Heshka S, Matthews DE, Heymsfield SB . Discrepancy between self-reported and actual caloric intake and exercise in obese subjects. N Engl J Med 1992; 327: 1893–1898.

    Article  CAS  Google Scholar 

  28. Haukkala A, Uutela A, Salomaa V . Depressive symptoms, cynical hostility, and weight change: a 3-year follow-up among middle aged men and women. Int J Behav Med 2001; 8: 116–133.

    Article  Google Scholar 

  29. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association: Washington, DC; 1994.

  30. Barefoot JC, Heitmann BL, Helms MJ, Williams RB, Surwit RS, Siegler I . Symptoms of depression and changes in body weight from adolescents to mid-life. Int J Obes Relat Metab Disord 1998; 22: 688–694.

    Article  CAS  Google Scholar 

  31. DiPietro L, Anda RF, Williamson DF, Stunkard AJ . Depressive symptoms and weight change in a national cohort of adults. Int J Obes Relat Metab Disord 1992; 16: 745–753.

    CAS  PubMed  Google Scholar 

  32. Godart NT, Flament MF, Perdereau F, Jeammet P . Comorbidity between eating disorders and anxiety disorders: a review. Int J Eat Disord 2002; 32: 253–270.

    Article  CAS  Google Scholar 

  33. U.S.D.H.H.S.. Physical activity and health: a report of the Surgeon General, US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Atlanta, GA, 1996.

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Author notes

  1. A W Smith: Currently a Cancer Prevention Fellow in the Division of Cancer Prevention, National Cancer Institute, National Institutes of Health.

Authors and Affiliations

  1. University of Pittsburgh Cancer Institute, Pittsburgh, PA, USA

    A W Smith & A Baum

  2. Brown Medical School/The Miriam Hospital, Providence, RI, USA

    R R Wing

Authors
  1. A W Smith
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  2. A Baum
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  3. R R Wing
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Corresponding author

Correspondence to A W Smith.

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Smith, A., Baum, A. & Wing, R. Stress and weight gain in parents of cancer patients. Int J Obes 29, 244–250 (2005). https://doi.org/10.1038/sj.ijo.0802835

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