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Review
. 2022 Mar;32(1):337-354.
doi: 10.1111/jora.12610. Epub 2021 Sep 7.

Weighing the Risk: Developmental Pathways and Processes Underlying Obesity to Substance Use in Adolescence

H Isabella Lanza  1
Affiliations
Review

Weighing the Risk: Developmental Pathways and Processes Underlying Obesity to Substance Use in Adolescence

H Isabella Lanza. J Res Adolesc. 2022 Mar.

Abstract

Research on co-occurring obesity and substance use in adolescence has grown substantially in the past decade, but questions on the pathways and processes underlying co-occurrence remain. This review first synthesizes empirical findings on the relationship between obesity and substance use (e.g., alcohol, cannabis, tobacco use). Multidisciplinary theoretical frameworks referencing behavioral medicine, neuroscience, psychology, and public health are then used to inform an interdisciplinary, conceptual model focused on pathways and processes by which obesity increases risk of substance use. Recommendations for future research underscore the importance of prospective studies that encompass multiple domains of development. Recommendations for practice include family-based interventions that promote adaptive self-regulation, targeted antibullying or victimization interventions, and increased attention by health professionals on risky behavior associated with adolescent obesity.

Keywords: co-occurring; obesity; substance use.

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Figures

Figure 1.
Figure 1.
Conceptual Model Presenting Pathways and Processes Underlying Adolescent Obesity to Substance Use
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