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Sample records for adolescent eating behaviors

  1. Barriers that influence eating behaviors in adolescents.

    PubMed

    Jenkins, Sandra; Horner, Sharon D

    2005-08-01

    Adolescence is a time of rapid growth and development with biologic, psychological, and emotional changes occurring simultaneously. We conducted a critical review of the literature to analyze key topics in the study of adolescents' eating behaviors and to identify barriers to healthy eating experienced by adolescents. The literature documents that nutritional deficits and poor eating established during adolescence have long-term health, growth, and developmental consequences. Gaps in the literature are identified and recommendations for future studies are proposed. PMID:16030505

  2. Risky eating behaviors and beliefs among adolescent girls.

    PubMed

    Cruz-Sáez, Soledad; Pascual, Aitziber; Salaberria, Karmele; Etxebarria, Itziar; Echeburúa, Enrique

    2015-02-01

    This study investigated the prevalence of weight control and binge eating behaviors in a sample of 767 adolescent girls aged 16-20 years, and the differences between adolescents with and without altered eating behaviors regarding anthropometric and body image variables and beliefs associated with eating disorders. Adolescents who engaged in unhealthy strategies were found to be at a higher risk of eating disorders, since these behaviors were accompanied by higher levels of drive for thinness and body dissatisfaction, as well as by beliefs associated with the importance of weight and body shape as a means of personal and social acceptance. PMID:24058109

  3. Parent Conversations about Healthful Eating and Weight: Associations with Adolescent Disordered Eating Behaviors

    PubMed Central

    Berge, Jerica M.; MacLehose, Rich; Loth, Katie A.; Eisenberg, Marla; Bucchianeri, Michaela M.; Neumark-Sztainer, Dianne

    2013-01-01

    Objective The prevalence of weight-related problems in adolescents is high. Parents of adolescents may wonder whether talking about eating habits and weight is useful or detrimental. This study aimed to examine the associations between parent conversations about healthful eating and weight and adolescent disordered eating behaviors. Design Cross-sectional analysis using data from two linked multi-level population-based studies. Setting Anthropometric assessments and surveys completed at school by adolescents and surveys completed at home by parents in 2009–2010. Participants Socio-economically and racially/ethnically diverse sample (81% ethnic minority; 60% low income) of adolescents from EAT (Eating and Activity in Teens) 2010 (n = 2,793, mean age=14.4) and parents from F-EAT (Families and Eating and Activity in Teens) (n = 3,709, mean age = 42.3). Main Exposure Parent conversations about healthful eating and weight/size. Outcome Measures Adolescent dieting, unhealthy weight control behaviors, and binge eating. Results Mothers and fathers who engaged in weight-related conversations had adolescents who were more likely to diet, use unhealthy weight control behaviors, and engage in binge eating. Overweight/obese adolescents whose mothers engaged in conversations that were focused only on healthful eating behaviors were less likely to diet and use unhealthy weight control behaviors. Additionally, sub-analyses with adolescents with data from two parents showed that when both parents engaged in healthful eating conversations, their overweight/obese adolescent children were less likely to diet and use unhealthy weight control behaviors. Conclusion Parent conversations focused on weight/size are associated with increased risk for adolescent disordered eating behaviors, whereas conversations focused on healthful eating are protective against disordered eating behaviors. PMID:23797808

  4. Individual and environmental influences on adolescent eating behaviors.

    PubMed

    Story, Mary; Neumark-Sztainer, Dianne; French, Simone

    2002-03-01

    Food choices of adolescents are not consistent with the Dietary Guidelines for Americans. Food intakes tend to be low in fruits, vegetables, and calcium-rich foods and high in fat. Skipping meals is also a concern among adolescents, especially girls. Factors influencing eating behaviors of adolescents need to be better understood to develop effective nutrition interventions to change eating behaviors. This article presents a conceptual model based on social cognitive theory and an ecological perspective for understanding factors that influence adolescent eating behaviors and food choices. In this model, adolescent eating behavior is conceptualized as a function of individual and environmental influences. Four levels of influence are described: individual or intrapersonal influences (eg, psychosocial, biological); social environmental or interpersonal (eg, family and peers); physical environmental or community settings (eg, schools, fast food outlets, convenience stores); and macrosystem or societal (eg, mass media, marketing and advertising, social and cultural norms). PMID:11902388

  5. Tailoring Cognitive Behavioral Treatment for Binge Eating in Adolescent Girls

    ERIC Educational Resources Information Center

    Yarborough, Bobbi Jo; DeBar, Lynn L.; Firemark, Alison; Leung, Sue; Clarke, Gregory N.; Wilson, G. Terence

    2013-01-01

    Whereas effective treatments exist for adults with recurrent binge eating, developmental factors specific to adolescents point to the need for a modified treatment approach for youth. We adapted an existing cognitive behavioral therapy treatment manual for adults with bulimia nervosa and binge eating disorder (Fairburn, 2008) for use with…

  6. Etiological model of disordered eating behaviors in Brazilian adolescent girls.

    PubMed

    Fortes, Leonardo de Sousa; Filgueiras, Juliana Fernandes; Oliveira, Fernanda da Costa; Almeida, Sebastião Sousa; Ferreira, Maria Elisa Caputo

    2016-01-01

    The objective was to construct an etiological model of disordered eating behaviors in Brazilian adolescent girls. A total of 1,358 adolescent girls from four cities participated. The study used psychometric scales to assess disordered eating behaviors, body dissatisfaction, media pressure, self-esteem, mood, depressive symptoms, and perfectionism. Weight, height, and skinfolds were measured to calculate body mass index (BMI) and percent body fat (%F). Structural equation modeling explained 76% of variance in disordered eating behaviors (F(9, 1,351) = 74.50; p = 0.001). The findings indicate that body dissatisfaction mediated the relationship between media pressures, self-esteem, mood, BMI, %F, and disordered eating behaviors (F(9, 1,351) = 59.89; p = 0.001). Although depressive symptoms were not related to body dissatisfaction, the model indicated a direct relationship with disordered eating behaviors (F(2, 1,356) = 23.98; p = 0.001). In conclusion, only perfectionism failed to fit the etiological model of disordered eating behaviors in Brazilian adolescent girls. PMID:27167040

  7. Assessing the Eating Behaviors of Low-Income, Urban Adolescents

    ERIC Educational Resources Information Center

    Fahlman, Mariane; McCaughtry, Nate; Martin, Jeffrey; Garn, Alex C.; Shen, Bo

    2012-01-01

    Background: There is a need for instruments that can accurately determine the effectiveness of nutrition interventions targeting low-income, inner-city adolescents. Purpose: To examine the development of a valid and reliable eating behavior scale (EBS) for use in school-based nutrition interventions in urban, inner-city communities dominated by…

  8. Clothing Interests, Body Satisfaction, and Eating Behavior of Adolescent Females: Related or Independent Dimensions?

    ERIC Educational Resources Information Center

    Littrell, Mary Ann; And Others

    1990-01-01

    Administered instruments measuring adolescents' dress concerns, body satisfaction, and eating behaviors to 751 adolescent girls. Items measuring clothing interests, body satisfaction, and eating behaviors were conceptually independent; clothing factors showed little or no correlation with either body satisfaction or eating factors. (Author/NB)

  9. Eating behaviors, victimization, and desire for supportive intervention among adolescents in weight-loss camps.

    PubMed

    King, Kelly M; Puhl, Rebecca M; Luedicke, Joerg; Peterson, Jamie Lee

    2013-12-01

    This study examined links between eating behaviors, weight-based victimization (WBV) and preferences for bullying intervention among adolescents. Adolescents enrolled in weight loss camps participated in an online survey (N = 361). Regression models examined relationships between key variables. Almost half of adolescents who experienced WBV engaged in unhealthy eating behaviors, which corresponded to less desire for supportive intervention. Unhealthy eating behaviors may offset adaptive coping strategies to deal with WBV, such as support from peers and family. PMID:24183141

  10. Inappropriate eating behavior: a longitudinal study with female adolescents

    PubMed Central

    Fortes, Leonardo de Sousa; Almeida, Sebastião de Sousa; Cipriani, Flávia Marcele; Ferreira, Maria Elisa C.

    2014-01-01

    Objective: To evaluate the inappropriate eating behaviors (IEB) of female adolescents over a one-year period. Methods: 290 adolescents aged between 11 and 14 years old participated in the three research stages (T1: first four months, T2: second four months and T3: third four months). The Eating Attitudes Test (EAT-26) was applied to assess the IEB. Weight and height were measured to calculate body mass index (BMI) in the three study periods. Analysis of variance for repeated measures was used to analyze the data, adjusted for the scores of the Body Shape Questionnaire and the Brazil Economic Classification Criteria. Results: Girls at T1 showed a higher frequency of IEB compared to T2 (p=0.001) and T3 (p=0.001). The findings also indicated higher values for BMI in T3 in relation to T1 (p=0.04). The other comparisons did not show statistically significant differences. Conclusions: IEB scores of female adolescents declined over one year. PMID:24676195

  11. Associations of disordered eating behavior with the family diabetes environment in adolescents with type 1 diabetes

    PubMed Central

    Caccavale, Laura J.; Nansel, Tonja R.; Quick, Virginia; Lipsky, Leah M.; Laffel, Lori M.B.; Mehta, Sanjeev N.

    2014-01-01

    Objective To examine associations of disordered eating behaviors with aspects of the family eating and diabetes management environments among adolescents with type 1 diabetes (T1D). Method Data were collected from 151 adolescents (M age = 15.6 years) with T1D and their parents. Adolescents and parents completed self-report measures of the family eating environment (priority, atmosphere and structure/rules surrounding family meals, and presence of restricted and special foods in the household), and diabetes family management environment (diabetes family conflict and responsibility sharing). Adolescents completed measures of parent modeling of healthy eating and disordered eating behaviors. Linear regression models were used to assess the relationship of disordered eating behaviors with aspects of the family eating and diabetes management environments. Results In unadjusted models, adolescent, but not parent, report of aspects of the family eating environment were associated with adolescents' disordered eating behaviors. Both adolescent and parent report of diabetes family conflict were positively associated with disordered eating behaviors. The adjusted adolescent model including all family eating and diabetes management variables accounted for 20.8% of the variance in disordered eating behaviors (p<.001, R2=.208). Factors associated with greater risk of disordered eating included being female (β=.168, p=.029), lower priority placed on family meals (β=-.273, p=.003), less parental modeling of healthy eating (β=-.197, p=.027), more food restrictions in the household β=.223, (p=.005), and greater diabetes family conflict (β=.195, p=.011). Conclusions Findings suggest that aspects of the family eating environment and diabetes family conflict may represent important factors for disordered eating risk in adolescents with T1D. PMID:25493461

  12. Latent Profile Analysis to Determine the Typology of Disinhibited Eating Behaviors in Children and Adolescents

    ERIC Educational Resources Information Center

    Vannucci, Anna; Tanofsky-Kraff, Marian; Crosby, Ross D.; Ranzenhofer, Lisa M.; Shomaker, Lauren B.; Field, Sara E.; Mooreville, Mira; Reina, Samantha A.; Kozlosky, Merel; Yanovski, Susan Z.; Yanovski, Jack A.

    2013-01-01

    Objective: We used latent profile analysis (LPA) to classify children and adolescents into subtypes based on the overlap of disinhibited eating behaviors--eating in the absence of hunger, emotional eating, and subjective and objective binge eating. Method: Participants were 411 youths (8-18 years) from the community who reported on their…

  13. Effects of Behavioral Weight Control Intervention on Binge Eating Symptoms among Overweight Adolescents

    ERIC Educational Resources Information Center

    Mehlenbeck, Robyn S.; Jelalian, Elissa; Lloyd-Richardson, Elizabeth E.; Hart, Chantelle N.

    2009-01-01

    This study examined change in binge eating symptoms reported by moderately overweight adolescents following participation in a behavioral weight control intervention. A total of 194 adolescents across two randomized controlled trials participated. Adolescents in both study samples endorsed a mild level of binge eating symptoms at baseline. Results…

  14. Dialectical Behavior Therapy Modified for Adolescent Binge Eating Disorder: A Case Report

    ERIC Educational Resources Information Center

    Safer, Debra L.; Couturier, Jennifer L.; Lock, James

    2007-01-01

    Given the lack of empirically supported treatments available for adolescents with eating disorders, it is important to investigate the clinical utility of extending treatments for adults with eating disorders to younger populations. Dialectical behavior therapy for binge eating disorder, based on the affect-regulation model, conceptualizes binge…

  15. Eating Behaviors and Overweight among Adolescents: A Population-Based Survey in Japan

    PubMed Central

    Shirasawa, Takako; Ohtsu, Tadahiro; Nishimura, Rimei; Morimoto, Aya; Hoshino, Hiromi; Tajima, Naoko; Kokaze, Akatsuki

    2013-01-01

    Objectives. The aim of the present study was to investigate the relationship between eating behaviors and overweight among population-based adolescents in Japan. Methods. Study subjects comprised adolescents in the seventh grade (age range, 12–13 years) from Ina, a town in Saitama Prefecture, Japan, between 1999 and 2008. The height and weight of the subjects were measured, and information concerning eating behaviors (eating speed and eating until full) was obtained using a self-administered questionnaire. Results. Among boys (n = 1586), fast eating speed significantly increased the odds ratio (OR) for overweight when compared with medium eating speed, regardless of eating until full or not; moreover, a more marked increase in the OR was observed among boys eating until full (OR: 2.78, 95% confidence interval: 1.76–4.38) than among those not eating until full (2.43, 1.41–4.20). Among girls (n = 1542), fast eating speed led to a significant increase in the OR in those eating until full; however, no significant increases were observed in the OR in those eating quickly and not until full. Conclusions. Among adolescents, fast eating speed was associated with overweight; furthermore, the combination of both fast eating speed and eating until full may have a significant effect on overweight. PMID:23956845

  16. Problematic eating behaviors in adolescents with low self-esteem and elevated depressive symptoms.

    PubMed

    Courtney, Elizabeth A; Gamboz, Julie; Johnson, Jeffrey G

    2008-12-01

    Previous research has indicated that low self-esteem may be an important risk factor for the development of eating disorders. Few longitudinal studies have examined the relationships between low self-esteem, depressive symptoms, and eating disorders in adolescents. The present study investigated whether low self-esteem was associated with depressive symptoms and problematic eating behaviors. Measures of low self-esteem and problematic eating behaviors were administered to a sample of 197 adolescent primary-care patients. Depressive symptoms and problematic eating behaviors were assessed ten months later. Youths with low self-esteem were at greater risk for high levels of depressive symptoms and eating disorder symptoms. In addition, depressive symptoms mediated the association of low self-esteem with problematic eating behaviors. PMID:18928903

  17. Differences between adolescents exhibiting moderate binging and non-binging eating behaviors.

    PubMed

    Cuzzocrea, Francesca; Costa, Sebastiano; Larcan, Rosalba; Toffle, Mary Ellen

    2015-01-01

    Much research has been conducted to study the association between personality and eating disorders using clinical samples. However, less research has been done on personality variables in non-clinical cases of adolescents prone to binge eating. The purpose of this study is to compare a group of 53 adolescents without binge eating with a group of 28 adolescents with moderate binging behaviors and to investigate the relationship between personality traits and eating behaviors. All participants completed BES, STAY, EPQ-R, IVE and EDI-2. The results demonstrated that the group with moderate binging presented higher scores in state and trait anxiety, psychoticism, neuroticism, and impulsivity than the adolescents without binge eating. The second hypothesis of this research was to analyze the relationship between personality characteristics and eating behaviors. In the group of adolescents without binge eating both neuroticism and psychoticism correlated with ED symptomatology. Similarly extraversion, impulsivity and venturesomeness correlated with ED symptomatology. In the group of adolescents with moderate binge eating, there was an association of trait anxiety, extraversion, venturesomeness and empathy with ED symptomatology in university samples. The results of this study represent a new stimulus to thoroughly investigate those aspects of personality that may be predictive of ED symptomatology and to develop preventative strategies. It is our opinion that it is necessary to focus attention not only on clinical or non-clinical samples, but also on adolescents who could be considered at risk. PMID:26543728

  18. Relationship between Eating Behavior, Breakfast Consumption, and Obesity among Finnish and Greek Adolescents

    ERIC Educational Resources Information Center

    Veltsista, Alexandra; Laitinen, Jaana; Sovio, Ulla; Roma, Eleftheria; Jarvelin, Marjo-Ritta; Bakoula, Chryssa

    2010-01-01

    Objective: To investigate the relationship between eating-related behaviors, particularly breakfast consumption, and weight status in Finnish and Greek adolescents. Methods: A total of 6,468 16-year-old Finnish adolescents and 2,842 17- and 18-year-old Greek adolescents, based on the latest follow-up of 2 population-based cohorts, were studied.…

  19. Influence of Parenting Practices on Eating Behaviors of Early Adolescents during Independent Eating Occasions: Implications for Obesity Prevention.

    PubMed

    Reicks, Marla; Banna, Jinan; Cluskey, Mary; Gunther, Carolyn; Hongu, Nobuko; Richards, Rickelle; Topham, Glade; Wong, Siew Sun

    2015-10-01

    Among early adolescents (10-14 years), poor diet quality along with physical inactivity can contribute to an increased risk of obesity and associated biomarkers for chronic disease. Approximately one-third of United States (USA) children in this age group are overweight or obese. Therefore, attention to factors affecting dietary intake as one of the primary contributors to obesity is important. Early adolescents consume foods and beverages during eating occasions that occur with and without parental supervision. Parents may influence eating behaviors of early adolescents during eating occasions when they are present or during independent eating occasions by engaging in practices that affect availability of foods and beverages, and through perceived normative beliefs and expectations for intake. Therefore, the purpose of this article was to describe the influence of parenting practices on eating behaviors in general and when specifically applied to independent eating occasions of early adolescents. This information may be helpful to inform parenting interventions targeting obesity prevention among early adolescents focusing on independent eating occasions. PMID:26506384

  20. Influence of Parenting Practices on Eating Behaviors of Early Adolescents during Independent Eating Occasions: Implications for Obesity Prevention

    PubMed Central

    Reicks, Marla; Banna, Jinan; Cluskey, Mary; Gunther, Carolyn; Hongu, Nobuko; Richards, Rickelle; Topham, Glade; Wong, Siew Sun

    2015-01-01

    Among early adolescents (10–14 years), poor diet quality along with physical inactivity can contribute to an increased risk of obesity and associated biomarkers for chronic disease. Approximately one-third of United States (USA) children in this age group are overweight or obese. Therefore, attention to factors affecting dietary intake as one of the primary contributors to obesity is important. Early adolescents consume foods and beverages during eating occasions that occur with and without parental supervision. Parents may influence eating behaviors of early adolescents during eating occasions when they are present or during independent eating occasions by engaging in practices that affect availability of foods and beverages, and through perceived normative beliefs and expectations for intake. Therefore, the purpose of this article was to describe the influence of parenting practices on eating behaviors in general and when specifically applied to independent eating occasions of early adolescents. This information may be helpful to inform parenting interventions targeting obesity prevention among early adolescents focusing on independent eating occasions. PMID:26506384

  1. Weight perceptions, disordered eating behaviors, and emotional self-efficacy among high school adolescents.

    PubMed

    Zullig, Keith J; Matthews-Ewald, Molly R; Valois, Robert F

    2016-04-01

    Although emotional disorders and disordered eating behaviors are known to be related, the relationship between emotional self-efficacy (ESE) and disordered eating is unknown. This study examined the relationship between ESE and disordered eating in a statewide sample of public high school adolescents (n=2566). The Centers for Disease Control Youth Risk Behavior Survey and an adolescent ESE scale were utilized. Logistic regression adjusted for key covariates explored the relationship between low ESE and disordered eating among selected race and gender groups. Self-perceived weight as underweight or overweight; and dieting, vomiting or taking laxatives, taking diet pills, and fasting to lose weight were each associated (p<.05) with lower levels of ESE for certain race/gender groups. Findings provide increased justification for tailoring disordered eating interventions and treatments to accommodate the highest risk groups. Measures of ESE should be considered for adolescent mental health assessments in fieldwork, research, and evaluation efforts. PMID:26697720

  2. Using Theory of Planned Behavior to Predict Healthy Eating among Danish Adolescents

    ERIC Educational Resources Information Center

    Gronhoj, Alice; Bech-Larsen, Tino; Chan, Kara; Tsang, Lennon

    2013-01-01

    Purpose: The purpose of the study was to apply the theory of planned behavior to predict Danish adolescents' behavioral intention for healthy eating. Design/methodology/approach: A cluster sample survey of 410 students aged 11 to 16 years studying in Grade 6 to Grade 10 was conducted in Denmark. Findings: Perceived behavioral control followed by…

  3. The Unique and Additive Associations of Family Functioning and Parenting Practices with Disordered Eating Behaviors in Diverse Adolescents

    PubMed Central

    Berge, Jerica M.; Wall, Melanie; Larson, Nicole; Eisenberg, Marla E.; Loth, Katie A.; Neumark-Sztainer, Dianne

    2012-01-01

    Objective To examine the unique and additive associations of family functioning and parenting practices with adolescent disordered eating behaviors (i.e., dieting, unhealthy weight control behaviors, binge eating). Methods Data from EAT (Eating and Activity in Teens) 2010, a population-based study assessing eating and activity among racially/ethnically and socio-economically diverse adolescents (n = 2,793; mean age = 14.4, SD = 2.0; age range = 11–19) was used. Logistic regression models were used to examine associations between adolescent dieting and disordered eating behaviors and family functioning and parenting variables, including interactions. All analyses controlled for demographics and body mass index. Results Higher family functioning, parent connection, and parental knowledge about child’s whereabouts (e.g. who child is with, what they are doing, where they are at) were significantly associated with lower odds of engaging in dieting and disordered eating behaviors in adolescents, while parent psychological control was associated with greater odds of engaging in dieting and disordered eating behaviors. Although the majority of interactions were non-significant, parental psychological control moderated the protective relationship between family functioning and disordered eating behaviors in adolescent girls. Conclusions Clinicians and health care providers may want to discuss the importance of balancing specific parenting behaviors, such as increasing parent knowledge about child whereabouts while decreasing psychological control in order to enhance the protective relationship between family functioning and disordered eating behaviors in adolescents. PMID:23196919

  4. Teasing and disordered eating behaviors in Spanish adolescents.

    PubMed

    Rojo-Moreno, Luis; Rubio, Teresa; Plumed, Javier; Barberá, María; Serrano, Marisa; Gimeno, Natalia; Conesa, Llanos; Ruiz, Elías; Rojo-Bofill, Luis; Beato, Luis; Livianos, Lorenzo

    2013-01-01

    The purpose of this study is to investigate the associations between peer teasing and body dissatisfaction (BD), emotional symptoms, drive for thinness (DT), and abnormal eating behaviors, as well as to analyze the mediating role of gender and body mass index (BMI) in such disorders. We screened 57,997 school children between 13 and 16 years of age. Scores in weight-related teasing and competency-related teasing were higher among girls, as well as overweight or obese individuals. Weight-teasing correlated more strongly with abnormal eating attitudes and behaviors, whereas competency-teasing correlated with emotional symptoms. Multiple linear regression analysis showed that weight-teasing is significantly and independently associated with BD, especially in boys. Multivariate analysis revealed a significant association between weight-teasing and abnormal eating in girls, although its predictive value was very low (Exp(B) = 1.009). Mediation analysis and Path analysis showed the mediating role of DT in this association. Interventions on teasing do not seem to be a priority in eating disorder prevention programs. PMID:23241090

  5. Self-Reported Weight Perceptions, Dieting Behavior, and Breakfast Eating among High School Adolescents

    ERIC Educational Resources Information Center

    Zullig, Keith; Ubbes, Valerie A.; Pyle, Jennifer; Valois, Robert F.

    2006-01-01

    This study explored the relationships among weight perceptions, dieting behavior, and breakfast eating in 4597 public high school adolescents using the Centers for Disease Control and Prevention Youth Risk Behavior Survey. Adjusted multiple logistic regression models were constructed separately for race and gender groups via SUDAAN (Survey Data…

  6. Mindfulness and Eating Behavior in Adolescent Girls at Risk for Type 2 Diabetes

    PubMed Central

    Pivarunas, Bernadette; Kelly, Nichole R.; Pickworth, Courtney K.; Cassidy, Omni; Radin, Rachel M.; Shank, Lisa M.; Vannucci, Anna; Courville, Amber B.; Chen, Kong Y.; Tanofsky-Kraff, Marian; Yanovski, Jack A.; Shomaker, Lauren B.

    2015-01-01

    Objective The purpose of this investigation was to examine the relationship of dispositional mindfulness to binge eating and associated eating attitudes and behaviors among adolescent girls at risk for type 2 diabetes (T2D). Methods Participants were 114 overweight or obese adolescents enrolled in a study of girls with a family history of T2D and mild depressive symptoms. Adolescent self-reports of mindfulness, eating in the absence of hunger, and depressive symptoms were collected. An interview was administered to determine presence of binge eating episodes and a behavioral task was used to assess the reinforcing value of food relative to other non-snack food rewards. Body composition was assessed using dual-energy x-ray absorptiometry. Results In analyses accounting for race, percent body fat, lean mass, height, age, and depressive symptoms, dispositional mindfulness was associated with a lower odds of binge eating (p = .002). Controlling for the same potential confounds, mindfulness was also inversely associated with eating concern, eating in the absence of hunger in response to fatigue/boredom, and higher food reinforcement relative to physical activity (all p < .05). Conclusions In girls with a family history of T2D, independent of body composition and depressive symptoms, intra-individual differences in mindfulness are related to binge eating and associated attitudes and behaviors that may confer risk for obesity and metabolic problems. Further research is needed to determine the extent to which mindfulness plays a role in the etiology and/or maintenance of disinhibited eating in adolescents at risk for T2D. PMID:26172157

  7. Weight misperception and its association with dieting methods and eating behaviors in South Korean adolescents

    PubMed Central

    Lim, Hyunjung; Park, Sangshin; Kim, Cho-il; Joh, Hee-Kyung; Oh, Sang Woo

    2014-01-01

    BACKGROUND/OBJECTIVES There is little information on the association between weight misperception and eating behavior in Korean adolescents. Therefore, we investigated the association of food intake habits and dieting method and disturbed eating behavior (DEB) in relation to weight misperception. SUBJECTS/METHODS Data was collected by using a nationwide online panel survey from 6,943 adolescents enrolled in middle/high school. DEB was measured with the Eating Attitudes Test (EAT-26) and those who scored ≥ 20 on the EAT-26 were considered to have eating disorder. Logistic regressions were conducted to examine the association between weight misperception based on self-reported weight status and dieting method and eating behaviors. RESULTS The proportion of weight underestimation was 23.5% and that of overestimation was 24.0%. Weight overestimating girls were more likely to engage in various unhealthy dieting practices (OR = 1.69 for fasting; OR = 1.88 for laxative or diuretic use; OR = 2.05 for self-induced vomiting after meals; P < 0.05). Moreover, there was a strong association between overestimation and undesirable eating behaviors, especially among girls, e.g.: having breakfast (OR = 0.85), high consumption of fast foods (OR = 1.28) and regular sodas (OR = 1.39), but not among boys. In both genders, weight overestimation appears to be a major risk factor for DEB (OR = 1.34 for boys and OR = 1.41 for girls; P < 0.05). CONSLUSIONS Weight overestimation is associated with unhealthy weight control practices and eating behaviors. We particularly found a significant association between weight overestimation and DEB among nationwide Korean adolescents. PMID:24741407

  8. A Conceptual Framework for Healthy Eating Behavior in Ecuadorian Adolescents: A Qualitative Study

    PubMed Central

    Verstraeten, Roosmarijn; Van Royen, Kathleen; Ochoa-Avilés, Angélica; Penafiel, Daniela; Holdsworth, Michelle; Donoso, Silvana; Maes, Lea; Kolsteren, Patrick

    2014-01-01

    Objective The objective of this study was to identify factors influencing eating behavior of Ecuadorian adolescents - from the perspective of parents, school staff and adolescents - to develop a conceptual framework for adolescents' eating behavior. Study design Twenty focus groups (N = 144 participants) were conducted separately with adolescents aged 11–15 y (n (focus groups)  = 12, N (participants)  = 80), parents (n = 4, N = 32) and school staff (n = 4, N = 32) in rural and urban Ecuador. A semi-structured questioning route was developed based on the ‘Attitude, Social influences and Self-efficacy’ model and the socio-ecological model to assess the relevance of behavioral and environmental factors in low- and middle-income countries. Two researchers independently analyzed verbatim transcripts for emerging themes, using deductive thematic content analysis. Data were analyzed using NVivo 8. Results All groups recognized the importance of eating healthily and key individual factors in Ecuadorian adolescents' food choices were: financial autonomy, food safety perceptions, lack of self-control, habit strength, taste preferences and perceived peer norms. Environmental factors included the poor nutritional quality of food and its easy access at school. In their home and family environment, time and convenience completed the picture as barriers to eating healthily. Participants acknowledged the impact of the changing socio-cultural environment on adolescents' eating patterns. Availability of healthy food at home and financial constraints differed between settings and socio-economic groups. Conclusion Our findings endorse the importance of investigating behavioral and environmental factors that influence and mediate healthy dietary behavior prior to intervention development. Several culture-specific factors emerged that were incorporated into a conceptual framework for developing health promotion interventions in Ecuador. PMID:24489865

  9. Body Satisfaction and Eating Disorder Behaviors among Immigrant Adolescents in North America

    ERIC Educational Resources Information Center

    Magtoto, Joanne; Cox, David; Saewyc, Elizabeth

    2013-01-01

    Using a province-wide school-based health survey, this article investigated body satisfaction as a mediator of the association between eating disorder behaviors and immigrant status. Participants were a sample of adolescent girls (n = 15,066) and boys (n = 14,200) who completed the 2008 McCreary Centre Society Adolescent Health Survey IV.…

  10. Prevalence of Bulimic Behaviors and Trends in Eating Attitudes among Turkish Late Adolescents

    ERIC Educational Resources Information Center

    Kiziltan, Gul; Karabudak, Efsun; Unver, Sibel; Sezgin, Emine; Unal, Ayse

    2006-01-01

    The eating attitudes and the prevalence of bulimic behaviors in a group of 300 late adolescents were investigated using the key questions from the Bulimia Investigatory Test, Edinburgh (BITE), and additional questions. Only four subjects (1.3%) scored above the cut-off point on the BITE, and prevalence rates of males and females were the same.…

  11. Date Violence and Date Rape among Adolescents: Associations with Disordered Eating Behaviors and Psychological Health.

    ERIC Educational Resources Information Center

    Ackard, Diann M.; Neumark-Sztainer, Dianne

    2002-01-01

    A study assessed prevalence of date violence and rape in 81,247 adolescents. Approximately 9% of girls and 6% of boys had experienced date violence or rape. Date violence and rape was associated with higher rates of disordered eating behaviors and suicidal thoughts and attempts, and lower emotional well-being and self-esteem. (Contains…

  12. Family Functioning: Associations with Weight Status, Eating Behaviors, and Physical Activity in Adolescents

    PubMed Central

    Berge, Jerica M.; Wall, Melanie; Larson, Nicole; Loth, Katie A.; Neumark-Sztainer, Dianne

    2012-01-01

    Purpose This paper examines the relationship between family functioning (e.g. communication, closeness, problem solving, behavioral control) and adolescent weight status and relevant eating and physical activity behaviors. Methods Data are from EAT 2010 (Eating and Activity in Teens), a population-based study that assessed eating and activity among socioeconomically and racially/ethnically diverse youth (n = 2,793). Adolescents (46.8% boys, 53.2% girls) completed anthropometric assessments and surveys at school in 2009–2010. Multiple linear regression was used to test the relationship between family functioning and adolescent weight, dietary intake, family meal patterns, and physical activity. Additional regression models were fit to test for interactions by race/ethnicity. Results For adolescent girls, higher family functioning was associated with lower body mass index z-score and percent overweight, less sedentary behavior, higher intake of fruits and vegetables, and more frequent family meals and breakfast consumption. For adolescent boys, higher family functioning was associated with more physical activity, less sedentary behavior, less fast food consumption, and more frequent family meals and breakfast consumption. There was one significant interaction by race/ethnicity for family meals; the association between higher family functioning and more frequent family meals was stronger for non-white boys compared to white boys. Overall, strengths of associations tended to be small with effect sizes ranging from - 0.07 to 0.31 for statistically significant associations. Conclusions Findings suggest that family functioning may be protective for adolescent weight and weight-related health behaviors across all race/ethnicities, although assumptions regarding family functioning in the homes of overweight children should be avoided given small effect sizes. PMID:23299010

  13. A Multisite Investigation of Binge Eating Behaviors in Children and Adolescents

    ERIC Educational Resources Information Center

    Tanofsky-Kraff, Marian; Goossens, Lien; Eddy, Kamryn T.; Ringham, Rebecca; Goldschmidt, Andrea; Yanovski, Susan Z.; Braet, Caroline; Marcus, Marsha D.; Wilfley, Denise E.; Olsen, Cara; Yanovski, Jack A.

    2007-01-01

    The phenomenology of childhood and adolescent loss of control (LOC) eating is unknown. The authors interviewed 445 youths to assess aspects of aberrant eating. LOC was associated with eating forbidden food before the episode; eating when not hungry; eating alone; and experiencing secrecy, negative emotions, and a sense of "numbing" while eating…

  14. Cognitive Behavioral Therapy for Weight Management and Eating Disorders in Children and Adolescents

    PubMed Central

    Wilfley, Denise E.; Kolko, Rachel P.; Kass, Andrea E.

    2011-01-01

    Synopsis Eating disorders and obesity in children and adolescents involve harmful behavior and attitude patterns that infiltrate daily functioning. Cognitive behavioral therapy (CBT) is well-suited to treat these conditions, given the emphasis on breaking negative behavior cycles. This article reviews the current empirically-supported treatments and the considerations for youth with weight control issues. New therapeutic modalities (i.e., Enhanced CBT and the socio-ecological model) are discussed. Rationale is provided for extending therapy beyond the individual treatment milieu to include the family, peer network, and community domains to promote behavior change, minimize relapse, and support healthy long-term behavior maintenance. PMID:21440855

  15. Cognitive Behavioral Treatment for Recurrent Binge Eating in Adolescent Girls: A Pilot Trial

    ERIC Educational Resources Information Center

    DeBar, Lynn L.; Wilson, G. Terence; Yarborough, Bobbi Jo; Burns, Beryl; Oyler, Barbara; Hildebrandt, Tom; Clarke, Gregory N.; Dickerson, John; Striegel, Ruth H.

    2013-01-01

    There is a need for treatment interventions to address the high prevalence of disordered eating throughout adolescence and early adulthood. We developed an adolescent-specific manualized CBT protocol to treat female adolescents with recurrent binge eating and tested its efficacy in a small, pilot randomized controlled trial. We present lessons…

  16. Brief Report: Direct and Indirect Relations of Risk Factors with Eating Behavior Problems in Late Adolescent Females

    ERIC Educational Resources Information Center

    Mayer, Birgit; Muris, Peter; Meesters, Cor; Zimmermann-van Beuningen, Ritine

    2009-01-01

    This study explored correlations between risk factors and eating behavior problems in late adolescent, non-clinical females (N = 301). Participants completed questionnaires for assessing eating problems, the closely associated factors of Body Mass Index (BMI) and body dissatisfaction, and a number of other risk variables that are thought to be…

  17. Prevention of Disordered Eating among Adolescents.

    ERIC Educational Resources Information Center

    Massey-Stokes, Marilyn S.

    2000-01-01

    Discusses unhealthy dieting behaviors that can lead to eating disorders during adolescence. Outlines ways middle school and high school teachers and administrators can aid in the prevention of disordered eating among adolescents. Lists resources for eating disorders awareness and prevention. (SR)

  18. Adolescent eating disorder: bulimia.

    PubMed

    Muuss, R E

    1986-01-01

    Bulimia, an eating disorder, recently has emerged as a major mental health problem, especially among adolescent females. The bulimic experiences periods of compulsive binge eating followed by purges to rid the body of unwanted calories. Binges are triggered by intense emotional experiences, such as loneliness, anger, rejection, or stress. Associated features of bulimia are secretiveness, depression, drug abuse, preoccupation with body image and sexual attractiveness, and an awareness that the behavior is abnormal. The physical side effects include dental problems, inflamed esophagus, EEG abnormalities, abdominal or urinary disturbances, and changes in blood sugar level. Cognitive disturbances related to binging and purging are perfectionistic, egocentric, and distorted thinking, misconceptions about nutritional requirements, unreasonable goals and expectations, and disturbed affect. Bulimics resist treatment; however, such methods as cognitive, group, family, behavior, and drug therapy, and hospitalization appear promising. PMID:3461693

  19. Parental influence on eating behavior: Conception to adolescence

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The first years of life mark a time of rapid development and dietary change, as children transition from an exclusive milk diet to a modified adult diet. During these early years, children's learning about food and eating plays a central role in shaping subsequent food choices, diet quality, and wei...

  20. Disordered eating behaviors and body image in a longitudinal pilot study of adolescent girls: what happens 2 years later?

    PubMed

    Espinoza, Paola; Penelo, Eva; Raich, Rosa M

    2010-01-01

    We assessed the prospective association of risk factors for eating and body image disturbances after a 2-year follow-up in a community sample of Spanish adolescent girls. The participants included 128 Spanish girls aged 12-14, who took part in a 28-month prospective study. Aspects assessed were eating attitudes (Eating Attitudes Test), influence of the body shape model (questionnaire on influences of the aesthetic body shape model), extreme weight-control behaviors (Eating Disorder Examination-Questionnaire), body image (Body Image Questionnaire) and Body Mass Index (BMI). BMI, extreme weight-control behaviors and body image problems emerged as potential predictors of an increase in eating disturbances. An increased influence of the thinness model was significantly associated with reduced body satisfaction and body image problems. Preventive programs are needed to contribute reducing the impact of sociocultural influences with regard to thinness, the use of extreme weight-control behaviors and overweight in adolescents. PMID:19815475

  1. Are Body Dissatisfaction, Eating Disturbance, and Body Mass Index Predictors of Suicidal Behavior in Adolescents? A Longitudinal Study

    ERIC Educational Resources Information Center

    Crow, Scott; Eisenberg, Marla E.; Story, Mary; Neumark-Sztainer, Dianne

    2008-01-01

    Disordered eating, body dissatisfaction, and obesity have been associated cross sectionally with suicidal behavior in adolescents. To determine the extent to which these variables predicted suicidal ideation and attempts, the authors examined these relationships in a longitudinal design. The study population included 2,516 older adolescents and…

  2. The Effects of Gender and Family, Friend, and Media Influences on Eating Behaviors and Body Image during Adolescence

    ERIC Educational Resources Information Center

    Ata, Rheanna N.; Ludden, Alison Bryant; Lally, Megan M.

    2007-01-01

    The current study expands upon body image research to examine how gender, self-esteem, social support, teasing, and family, friend, and media pressures relate to body image and eating-related attitudes and behaviors among male and female adolescents (N = 177). Results indicated that adolescents were dissatisfied with their current bodies: males…

  3. Development of eating behaviors among children and adolescents.

    PubMed

    Birch, L L; Fisher, J O

    1998-03-01

    The prevalence of obesity among children is high and is increasing. We know that obesity runs in families, with children of obese parents at greater risk of developing obesity than children of thin parents. Research on genetic factors in obesity has provided us with estimates of the proportion of the variance in a population accounted for by genetic factors. However, this research does not provide information regarding individual development. To design effective preventive interventions, research is needed to delineate how genetics and environmental factors interact in the etiology of childhood obesity. Addressing this question is especially challenging because parents provide both genes and environment for children. An enormous amount of learning about food and eating occurs during the transition from the exclusive milk diet of infancy to the omnivore's diet consumed by early childhood. This early learning is constrained by children's genetic predispositions, which include the unlearned preference for sweet tastes, salty tastes, and the rejection of sour and bitter tastes. Children also are predisposed to reject new foods and to learn associations between foods' flavors and the postingestive consequences of eating. Evidence suggests that children can respond to the energy density of the diet and that although intake at individual meals is erratic, 24-hour energy intake is relatively well regulated. There are individual differences in the regulation of energy intake as early as the preschool period. These individual differences in self-regulation are associated with differences in child-feeding practices and with children's adiposity. This suggests that child-feeding practices have the potential to affect children's energy balance via altering patterns of intake. Initial evidence indicates that imposition of stringent parental controls can potentiate preferences for high-fat, energy-dense foods, limit children's acceptance of a variety of foods, and disrupt

  4. A multisite investigation of binge eating behaviors in children and adolescents.

    PubMed

    Tanofsky-Kraff, Marian; Goossens, Lien; Eddy, Kamryn T; Ringham, Rebecca; Goldschmidt, Andrea; Yanovski, Susan Z; Braet, Caroline; Marcus, Marsha D; Wilfley, Denise E; Olsen, Cara; Yanovski, Jack A

    2007-12-01

    The phenomenology of childhood and adolescent loss of control (LOC) eating is unknown. The authors interviewed 445 youths to assess aspects of aberrant eating. LOC was associated with eating forbidden food before the episode; eating when not hungry; eating alone; and experiencing secrecy, negative emotions, and a sense of "numbing" while eating (ps<.01). Hierarchical cluster analysis revealed a subgroup, most of whom reported LOC eating. Cluster members reported having a trigger initiate episodes, eating while watching television, and having decreased awareness regarding the amount consumed. The authors conclude that aspects of LOC eating during youth are similar to aspects of adult episodes, but a youth-specific presentation may exist. Findings may provide an intervening point to prevent excessive weight gain and eating disorders. PMID:18085907

  5. Predicting adolescent eating and activity behaviors: the role of social norms and personal agency.

    PubMed

    Baker, Christina Wood; Little, Todd D; Brownell, Kelly D

    2003-03-01

    Guided by the theory of planned behavior, this 2-week longitudinal study examined health behaviors in a sample of 279 adolescents. Social norms and perceived behavioral control (PBC) were tested as predictors of self-reported intentions and behaviors in 2 domains, eating and physical activity. Differentiating, as opposed to aggregating, parent and peer norms provided unique information. For PBC, the authors distinguished global causality beliefs from self-related agency beliefs and intraself (effort, ability) from extraself (parents, teachers) means. Intraself agency beliefs strongly predicted healthy intentions, whereas intraself causality beliefs had a negative influence. Patterns differed somewhat across behaviors and gender. Results highlight theoretical issues and provide potential targets for research on health promotion programs for youth. PMID:12683739

  6. Eating Disordered Adolescent Males.

    ERIC Educational Resources Information Center

    Eliot, Alexandra O.; Baker, Christina Wood

    2001-01-01

    Described a sample of eating disordered adolescent males who were seen for treatment at Boston Children's Hospital Outpatient Eating Disorders Clinic. Findings suggest the idea that clinicians, coaches, peers, and family should encourage young men to share concerns about body image and weight at an earlier, less severe juncture, with the assurance…

  7. Cognitive Behavioral Treatment for Recurrent Binge Eating in Adolescent Girls: A Pilot Trial.

    PubMed

    Debar, Lynn L; Wilson, G Terence; Yarborough, Bobbi Jo; Burns, Beryl; Oyler, Barbara; Hildebrandt, Tom; Clarke, Gregory N; Dickerson, John; Striegel, Ruth H

    2013-05-01

    There is a need for treatment interventions to address the high prevalence of disordered eating throughout adolescence and early adulthood. We developed an adolescent-specific manualized CBT protocol to treat female adolescents with recurrent binge eating and tested its efficacy in a small, pilot randomized controlled trial. We present lessons learned in recruiting adolescents, a description of our treatment approach, acceptability of the treatment for teens and parents, as well as results from the pilot trial. Participants in the CBT group had significantly fewer posttreatment eating binges than those in a treatment as usual/delayed treatment (TAU-DT) control group; 100% of CBT participants were abstinent at follow-up. Our results provide preliminary support for the efficacy of this adolescent adaptation of evidence-based CBT for recurrent binge eating. The large, robust effect size estimate observed for the main outcome (NNT=2) places this among the larger effects observed for any mental health intervention. PMID:23645978

  8. Cognitive Behavioral Treatment for Recurrent Binge Eating in Adolescent Girls: A Pilot Trial

    PubMed Central

    DeBar, Lynn L.; Wilson, G. Terence; Yarborough, Bobbi Jo; Burns, Beryl; Oyler, Barbara; Hildebrandt, Tom; Clarke, Gregory N.; Dickerson, John; Striegel, Ruth H.

    2013-01-01

    There is a need for treatment interventions to address the high prevalence of disordered eating throughout adolescence and early adulthood. We developed an adolescent-specific manualized CBT protocol to treat female adolescents with recurrent binge eating and tested its efficacy in a small, pilot randomized controlled trial. We present lessons learned in recruiting adolescents, a description of our treatment approach, acceptability of the treatment for teens and parents, as well as results from the pilot trial. Participants in the CBT group had significantly fewer posttreatment eating binges than those in a treatment as usual/delayed treatment (TAU-DT) control group; 100% of CBT participants were abstinent at follow-up. Our results provide preliminary support for the efficacy of this adolescent adaptation of evidence-based CBT for recurrent binge eating. The large, robust effect size estimate observed for the main outcome (NNT=2) places this among the larger effects observed for any mental health intervention. PMID:23645978

  9. Association between food marketing exposure and adolescents' food choices and eating behaviors.

    PubMed

    Scully, Maree; Wakefield, Melanie; Niven, Philippa; Chapman, Kathy; Crawford, David; Pratt, Iain S; Baur, Louise A; Flood, Victoria; Morley, Belinda

    2012-02-01

    The present study examined associations between food marketing exposure and adolescents' food choices and reported consumption of energy-dense and nutrient-poor (EDNP) foods. A cross-sectional survey of 12,188 Australian secondary students aged 12-17 years was conducted, using a web-based self-report questionnaire. Measures included students' level of exposure to commercial television and non-broadcast types of food marketing, whether they had tried a new product or requested a product they had seen advertised, and their reported consumption of fast food, sugary drinks and sweet and salty snacks. Results indicated greater exposure to commercial television, print/transport/school food marketing and digital food marketing were all independently associated with students' food choices. High commercial television viewers (>2h/day) were more likely to report higher consumption of EDNP foods (ORs ranged from 1.31 for fast food to 1.91 for sweet snacks). Some associations between digital food marketing exposure and students' eating behaviors were found; however, print/transport/school food marketing was only related to sweet snack consumption. These study results suggest that cumulative exposure to television food advertising and other food marketing sources are positively linked to adolescents' food choices and eating behaviors. Policy changes to restrict food marketing to young people should include both television and non-broadcast media. PMID:22001023

  10. Effects of parental relations and upbringing in troubled adolescent eating behaviors.

    PubMed

    Bäck, Emma A

    2011-01-01

    Family relations may constitute a risk for developing eating problems. Not enough is known about parent-child relationship quality and upbringing in food situations. Self-report data from 80 high school students (45 males) showed that females had more eating problems than males, and their problems were related both to insecure mother attachment, controlling for body/weight dissatisfaction, and to more memories of childhood food rules. Secure mother attachment was related to decreased eating problems, via increasing body/weight satisfaction. Especially the mother- daughter relationship seems to affect adolescent girls' eating habits and can either protect against or enhance the risk for eating problems. PMID:21932971

  11. Dialectical behavior therapy for adolescent binge eating, purging, suicidal behavior, and non-suicidal self-injury: a pilot study.

    PubMed

    Fischer, Sarah; Peterson, Claire

    2015-03-01

    There are few published randomized controlled trials examining treatment for symptoms of bulimia nervosa (BN) in adolescents. Additionally, many adolescents presenting for treatment for BN symptoms endorse co-occurring mood disturbances, suicidality, and nonsuicidal self-injury (NSSI), and may not meet full Diagnostic and Statistical Manual-IV-Text Revision (DSM-IV-TR) diagnostic criteria for BN. In addition to the limited number of randomized controlled trials, published treatment studies of BN symptoms in adolescence do not specifically address the multiple comorbid symptoms that these adolescents often report. The purpose of this pilot study was to examine the feasibility and effectiveness of an outpatient dialectical behavior therapy (DBT) program for adolescents with symptoms of BN, suicide attempts, and NSSI. Ten eligible participants enrolled in the study; 3 dropped within 4 weeks of initiating treatment. In addition to binge eating and suicidal behavior, participants also endorsed a number of other comorbid mood disorders and substance abuse. Seven participants completed 6 months of treatment and 6-month follow-up assessments. Treatment included access to a crisis management system, individual therapy, skills training, and a therapist consultation team. At posttreatment, participants had significantly reduced self-harm; (Cohen's d = 1.35), frequency of objective binge episodes (Cohen's d = .46), frequency of purging (Cohen's d = .66), and Global Eating Disorder Examination scores (Cohen's d = .64). At follow-up, 6 participants were abstinent of NSSI; 3 participants were abstinent from binge eating. At follow-up, treatment gains were maintained and enhanced. Results indicate that it is feasible to address multiple forms of psychopathology during the treatment of BN symptoms in this age-group. PMID:24773094

  12. Genetic Influences on Adolescent Eating Habits

    ERIC Educational Resources Information Center

    Beaver, Kevin M.; Flores, Tori; Boutwell, Brian B.; Gibson, Chris L.

    2012-01-01

    Behavioral genetic research shows that variation in eating habits and food consumption is due to genetic and environmental factors. The current study extends this line of research by examining the genetic contribution to adolescent eating habits. Analysis of sibling pairs drawn from the National Longitudinal Study of Adolescent Health (Add Health)…

  13. Eating Disorders in Adolescent Males

    ERIC Educational Resources Information Center

    Ray, Shannon L.

    2004-01-01

    Research indicates that the primary onset of eating disorders occurs in adolescence and that there is a growing prevalence of adolescent males with eating disorders. This article describes the eating disorders of anorexia nervosa and bulimia nervosa as they relate to adolescent males. Diagnostic criteria, at-risk groups, and implications for…

  14. Self-Reported Eating Disorders of Black, Low-Income Adolescents: Behavior, Body Weight Perceptions, and Methods of Dieting.

    ERIC Educational Resources Information Center

    Balentine, Margaret; And Others

    1991-01-01

    Study identified African-American low-income adolescents who thought they had bulimia or anorexia nervosa, identified common behaviors, and compared actual and perceived body weight and dieting methods. About 12 percent suspected an eating disorder and perceived themselves as heavier more often than their peers. Fasting was the most common dieting…

  15. Onset of Disordered Eating Attitudes and Behaviors in Early Adolescence: Interplay of Pubertal Status, Gender, Weight, and Age.

    ERIC Educational Resources Information Center

    O'Dea, Jennifer A.; Abraham, Suzanne

    1999-01-01

    Investigates the interplay of puberty, gender, weight, and age in regard to body image and disordered eating behaviors and attitudes in a sample of early adolescents. Results reveal that after menarche, females had increased personal expectations and were dissatisfied with weight/shape changes. Young males at puberty desired to build up their…

  16. Sexual Orientation, Weight Concerns, and Eating-Disordered Behaviors in Adolescent Girls and Boys.

    ERIC Educational Resources Information Center

    Austin, S. Bryn; Ziyadeh, Najat; Kahn, Jessica A.; Camargo, Carlos A.; Colditz, Graham A.; Field, Alison E.

    2004-01-01

    Objective: To examine sexual orientation group differences in eating disorder symptoms in adolescent girls and boys. Method: Cross-sectional associations were examined using multivariate regression techniques using data gathered in 1999 from 10,583 adolescents in the Growing Up Today Study, a cohort of children of women participating in the…

  17. Disturbed Eating Behavior and Omission of Insulin in Adolescents Receiving Intensified Insulin Treatment

    PubMed Central

    Wisting, Line; Frøisland, Dag Helge; Skrivarhaug, Torild; Dahl-Jørgensen, Knut; Rø, Øyvind

    2013-01-01

    OBJECTIVE To establish the prevalence of disturbed eating behavior (DEB) and insulin omission among adolescents with type 1 diabetes using intensive insulin treatment in a nationwide population-based study. RESEARCH DESIGN AND METHODS The Diabetes Eating Problem Survey–Revised (DEPS-R) is a diabetes-specific screening tool for DEB. Clinical data and HbA1c were obtained from the Norwegian Childhood Diabetes Registry. RESULTS A total of 770 children and adolescents 11–19 years of age with type 1 diabetes completed the DEPS-R. A total of 27.7% of the females and 8.6% of the males scored above the DEPS-R cutoff. Participants scoring above the cutoff had significantly higher HbA1c (9.2% [77 mmol/mol]; SD, 1.6) than participants scoring below the cutoff (8.4% [68 mmol/mol]; SD, 1.3; P < 0.001). The prevalence of DEB increased significantly with age and weight, from 7.2% in the underweight group to 32.7% in the obese group, and from 8.1% in the youngest age-group (11–13 years) to 38.1% in the oldest age-group (17–19 years). A total of 31.6% of the participants reported insulin restriction and 6.9% reported insulin omission after overeating. Patients reporting insulin restriction had significantly higher HbA1c (9.0% [75 mmol/mol]; SD, 1.7) than nonrestrictors (8.3% [67 mmol/mol]; SD, 1.2; P < 0.001). CONCLUSIONS One-fourth of girls with type 1 diabetes scored above the cutoff for DEB and one-third reported skipping their insulin dose entirely at least occasionally after overeating. Both DEB and insulin restriction were associated with poorer metabolic control, which may increase the risk of serious late diabetes complications. PMID:23963896

  18. American Indian Adolescents and Disordered Eating

    ERIC Educational Resources Information Center

    Buser, Juleen K.

    2010-01-01

    School counselors play an important role in identifying and intervening with students struggling with disordered eating (e.g., Bardick et al., 2004). Research has shown that American Indian adolescents report higher rates of certain disordered eating behaviors than other racial groups. The literature on the prevalence and etiology of disordered…

  19. Adolescent tanning, disordered eating, and risk taking.

    PubMed

    Schwebel, David C

    2014-04-01

    Indoor tanning and eating disorder behaviors are both significant adolescent public health risks. Recent results by Amrock and Weitzman provocatively suggest a link between the two, perhaps because of a shared cause of dysfunctional cognition about body image. This commentary discusses a possible model to explain the association between indoor tanning and eating disorder behaviors among teenagers. It also presents various strategies to prevent the negative outcomes, with a focus on preventing adolescent tanning behavior. Prevention strategies worth consideration include counseling by pediatricians or other health professionals, improved parental supervision and monitoring, and policy change to prohibit adolescent use of tanning facilities. PMID:24695120

  20. Family weight talk and dieting: How much do they matter for body dissatisfaction and disordered eating behaviors in adolescent girls?

    PubMed Central

    Neumark-Sztainer, Dianne; Bauer, Katherine W.; Friend, Sarah; Hannan, Peter J.; Story, Mary; Berge, Jerica M.

    2010-01-01

    Objectives To learn about parent weight talk, parent dieting, and family weight-teasing in the homes of adolescent girls at risk for obesity and weight-related problems. To examine associations between these family variables and girls’ weight status, body satisfaction, and disordered eating behaviors. Methods Data were collected at baseline from girls participating in a school-based intervention to prevent weight-related problems. Participants included 365 adolescent girls from 12 high schools. The girls’ mean age was 15.8 years; 46% were overweight or obese; and over 75% were racial/ethnic minorities. Results A high percentage of girls reported parent weight talk (i.e., comments about one’s own weight and encouragement of daughter to diet), parent dieting, and family weight-teasing. For example, 45% of the girls reported that their mothers encouraged them to diet and 58% reported weight-teasing by family members. Weight-teasing was strongly associated with higher BMI, body dissatisfaction, unhealthy and extreme weight control behaviors, and binge eating with loss of control in the girls. Parent weight talk, particularly by mothers, was associated with a number of disordered eating behaviors. Mother dieting was associated with girls’ unhealthy and extreme weight control behaviors. In no instances were family weight talk and dieting variables associated with better outcomes in the girls. Conclusions Parent weight-related comments and dieting behaviors, and family weight-teasing, may contribute to disordered eating behaviors in adolescent girls. Health care providers can help parents provide a supportive home environment by discouraging weight-based comments, which may be intended to be helpful, but can have unintentional harmful consequences. PMID:20708566

  1. Gender Perspectives on Adolescent Eating Behaviors: A Study on the Eating Attitudes and Behaviors of Junior Secondary Students in Hong Kong

    ERIC Educational Resources Information Center

    Lai Yeung, Wai-ling Theresa

    2010-01-01

    Objective: This research aimed to investigate the eating attitudes and behaviors of junior secondary students in Hong Kong, with a specific focus on possible gender differences. Design: A survey was conducted in 2005 to solicit data about participants' food knowledge, eating attitudes and behavior, perceptions of cooking skills and body weight,…

  2. Ethnicity, ethnic identity, self-esteem, and at-risk eating disordered behavior differences of urban adolescent females.

    PubMed

    Rhea, Deborah J; Thatcher, W Gregory

    2013-01-01

    The purpose of this study was two-fold: to determine the relationship between ethnic identity and self-esteem as dimensions of one's self-concept; and to determine if differences exist among one's ethnicity, ethnic identity, and/or self-esteem when examining at-risk eating disordered behaviors. A total of 893 urban adolescent females completed three behavioral subscales: the Eating Disorder Inventory, Rosenberg's Self-Esteem Scale, and Phinney's Multigroup Ethnic Identity Measure. As hypothesized, ethnic identity was significantly associated with self-esteem to form one's self-concept. When compared to Mexican American and White females, only Black females who were in the higher ethnic identity and self-esteem categories had significantly lower at-risk eating disordered scores. Our findings suggest eating disorder status in Mexican American and White females may not be associated as much with ethnic identity as with other acculturation and self-concept factors. Further, this study demonstrated ethnicity, self-esteem, and ethnic identity play significant roles in eating disorder risks. PMID:23600553

  3. The Association between Disturbed Eating Behavior and Socioeconomic Status: The Online Korean Adolescent Panel Survey (OnKAPS)

    PubMed Central

    Lee, Hae-Jeung; Park, Sangshin; Kim, Cho-il; Choi, Doo-won; Lee, Jung Sun; Oh, Sun Min; Cho, Eunyoung; Park, Hye Kyung; Kwon, Kwang-il; Oh, Sang Woo

    2013-01-01

    Background A limited amount of research, primarily conducted in Western countries, has suggested that higher socioeconomic status (SES) is associated with higher risk of eating disorders (EDs). However, little is known about this association in Asian countries. We examined the association of SES with disturbed eating behavior (DEB) and related factors in Korean adolescents. Subjects A nationwide online panel survey was conducted in a sample of adolescents (n = 6,943, 49.9% girls). DEB was measured with the 26-item Eating Attitudes Test (EAT-26). Participants who scored ≥20 on the EAT-26 were considered to have DEB. Participants’ SES was determined based on self-reported household economic status. Results The prevalence of DEB was 12.7%: 10.5% among boys and 14.8% among girls. Both boys and girls with DEB were more likely to perceive themselves as obese, experience higher levels of stress, and have lower academic achievement. The risk for DEB was significantly higher in boys of higher SES than in those of middle SES (OR = 1.45, 95%CI = 1.05–1.99 for high SES; OR = 5.16, 95%CI: 3.50–7.61 for highest SES). Among girls, higher risk of DEB was associated with the highest and lowest SES (OR = 1.52, 95%CI: 1.13–2.06 for lowest SES; OR = 2.22, 95%CI: 1.34–3.68 for highest SES). Conclusions Despite the lower prevalence of obesity in Korea compared with Western countries, the prevalence of DEB in Korean adolescents was high, especially among girls. Moreover, the association between SES and DEB followed a U-shaped curve for girls and a J-shaped curve for boys. PMID:23472117

  4. Parent-Adolescent Conversations about Eating, Physical Activity and Weight: Prevalence across Sociodemographic Characteristics and Associations with Adolescent Weight and Weight-Related Behaviors

    PubMed Central

    Berge, Jerica M.; MacLehose, Richard F; Loth, Katie A.; Eisenberg, Marla E.; Fulkerson, Jayne A.; Neumark-Sztainer, Dianne

    2015-01-01

    This paper aims to describe the prevalence of parent-adolescent conversations about eating, physical activity and weight across sociodemographic characteristics and to examine associations with adolescent BMI, dietary intake, physical activity and sedentary behaviors. Data from two linked epidemiological studies were used for cross-sectional analysis. Parents (n=3,424; 62% females) and adolescents (n=2,182; 53.2% girls) were socioeconomically and racially/ethnically diverse. Fathers reported more parent-adolescent conversations about healthful eating and physical activity with their sons and mothers reported more weight-focused conversations with their daughters. Parents of Hispanic/Latino and Asian/Hmong youth and parents from lower SES categories engaged in more conversations about weight and size. Adolescents whose mothers or fathers had weight-focused conversations with them had higher BMI percentiles. Adolescents who had two parents engaging in weight-related conversations had higher BMI percentiles. Healthcare providers may want to talk about the types of weight-related conversations parents are having with their adolescents and emphasize avoiding conversations about weight specifically. PMID:24997555

  5. [Adolescent eating disorders].

    PubMed

    Herpertz-Dahlmann, Beate; Hagenah, Ulrich; Vloet, Timo; Holtkamp, Kristian

    2005-04-01

    Anorexia and Bulimia nervosa are common psychiatric disorders in adolescent girls. In discrepancy to ICD-10 and DSM-IV we would propose the 10th BMI percentile as weight criterium for anorexia nervosa. Both disorders have a high somatic and psychiatric comorbidity; the most severe complication at long term follow-up is osteoporosis. The most prevalent psychiatric disorders are affective disorders, anxiety and obsessive-compulsive disorder and substance abuse. There is undoubtedly a genetic predisposition and a range of general and personal environmental risk factors. Treatment of adolescent eating disorders mostly requires a multimodal approach which consists of several components, e.g. weight rehabilitation, nutritional counselling, individual and family psychotherapy, and treatment of comorbid psychiatric disorders. PMID:15918539

  6. Adolescent Eating Disorders Predict Psychiatric, High-Risk Behaviors and Weight Outcomes in Young Adulthood

    PubMed Central

    Micali, Nadia; Solmi, Francesca; Horton, Nicholas J.; Crosby, Ross D.; Eddy, Kamryn T.; Calzo, Jerel P.; Sonneville, Kendrin R.; Swanson, Sonja A.; Field, Alison E.

    2015-01-01

    Objective To investigate whether anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other specified feeding and eating disorders (OSFED), including purging disorder (PD), subthreshold BN, and BED at ages 14 and 16, are prospectively associated with later depression, anxiety disorders, alcohol and substance use, and self-harm. Method Eating disorders were ascertained at 14 and 16 years of age in 6,140 youth at age 14 (58% of those eligible) and 5,069 at age 16 (52% of those eligible) as part of the prospective Avon Longitudinal Study of Parents and Children (ALSPAC). Outcomes (depression, anxiety disorders, binge drinking, drug use, deliberate self-harm, weight status) were measured using interviews and questionnaires about 2 years following predictors. Generalized estimating equation models adjusting for gender, socio-demographic variables, and prior outcome were used to examine prospective associations between eating disorders and each outcome. Results All eating disorders were predictive of later anxiety disorders. AN, BN, BED, PD, and OSFED were prospectively associated with depression (respectively AN: odds ratio [OR]=1.39 [95% CIs: 1.00-1.94]; BN: OR=3.39[1.25-9.20]; BED: OR=2.00 [1.06-3.75]; PD: OR=2.56 [1.38-4.74]). All eating disorders but AN predicted drug use and deliberate self-harm (BN: OR=5.72[2.22-14.72], PD: OR=4.88[2.78-8.57], subthreshold BN: OR=3.97[1.44-10.98], subthreshold BED: OR=2.32[1.43-3.75]). Whilst BED and BN predicted obesity (respectively OR=3.58 [1.06-12.14] and OR=6.42 [1.69-24.30]), AN was prospectively associated with underweight. Conclusions Adolescent eating disorders, including subthreshold presentations, predict negative outcomes, including mental health disorders, substance use, deliberate self-harm, and weight outcomes. This study highlights the high public health and clinical burden of eating disorders among adolescents. PMID:26210334

  7. Eating Disorder Not Otherwise Specified in Adolescents

    ERIC Educational Resources Information Center

    Eddy, Kamryn T.; Doyle, Angela Celio; Hoste, Renee Rienecke; Herzog, David B.; Le Grange, Daniel

    2008-01-01

    A study to examine the kind of eating disorders not otherwise specified (EDNOS) among adolescents encountered during treatment at an outpatient eating disorder clinic is conducted. Results indicate that EDNOS is more predominant among adolescents seeking treatment for eating disorders.

  8. Personal and socio-environmental predictors of dieting and disordered eating behaviors from adolescence to young adulthood: 10-year longitudinal findings

    PubMed Central

    Loth, K; MacLehose, R; Bucchianeri, M; Crow, S; Neumark-Stainer, D

    2015-01-01

    Aim To identify personal and socio-environmental factors associated with the persistence of dieting or disordered eating from adolescence to young adulthood, as well as factors associated with the initiation of dieting or disordered eating during young adulthood. Methods Participants (n= 4,746) completed EAT-I surveys as adolescents; EAT-III surveys were completed 10 years later by 1,902 of the original participants (1082 females and 820 males). Results Study results indicate that there are personal factors, including weight concerns, weight importance, depressive symptoms and body satisfaction, present during adolescence that are predictive of an individual's engagement in dieting or disordered eating behaviors ten years later. For example, among both males and females weight importance was found to be predictive of continued dieting and disordered eating from adolescence through young adulthood. For example, 26.1% of males with low levels of weight concern at baseline reported engaging in persistent disordered eating as compared to 60.4% of males with high levels of weight concern at baseline (Prevalence difference: 34.3, 95% CI: 10.5, 58.1; p<0.01). Parental weight concerns, peer dieting and weight teasing at baseline were not found to be predictive of dieting or disordered eating at 10-year follow-up. Conclusions Personal factors identified during adolescence were found to be predictive of both persistent dieting and disordered eating from adolescence into young adulthood, as well as initiation of these behaviors during young adulthood. In particular, weight concerns and weight importance were found to be predictive in most models providing support for inclusion of these factors in adolescent health screening. PMID:24925491

  9. Adolescent rats are more prone to binge eating behavior: a study of age and obesity as risk factors.

    PubMed

    Bekker, Liza; Barnea, Royi; Brauner, Akiva; Weller, Aron

    2014-08-15

    Binge eating (BE) is characterized by repeated, intermittent over-consumption of food in a brief period of time. This study aims to advance the understanding of potential risk factors for BE such as obesity, overeating and adolescence as an age group. We used the Otsuka Long Evans Tokushima Fatty (OLETF) rat, a genetic overeating-induced obesity model with increased preferences for sweet and fat. Adolescent and adult rats from both strains (OLETF and the lean control strain, Long Evans Tokushima Otsuka [LETO]) received limited access to a palatable liquid diet (Ensure vanilla) for three weeks. Water and chow were available throughout the study, but access to Ensure was limited to two hours, three times a week (3TW group) or every work day (5TW group). As expected, OLETF rats consumed more Ensure and were more BE-prone (BEP) than LETO rats at both ages. Adolescent rats showed a significantly larger binge size as demonstrated by a greater increase in Ensure intake, compared to adults. Furthermore, while the adults reduced their chow intake, compensating for increased Ensure intake, the adolescents increased their chow intake too. Finally, the adolescent rats showed binge like behavior earlier in the study and they tended to be BEP more than the adults. Our findings in rats suggest that adolescents and in particular obese adolescents are at risk for BE, and BE can lead to overweight, thus providing the basis for examination of biological mechanisms of this process in animal models. PMID:24815316

  10. Mother-reported parental weight talk and adolescent girls’ emotional health, weight control attempts, and disordered eating behaviors

    PubMed Central

    2013-01-01

    Background The aim of this paper is to explore the relationships between mothers’ report of parental weight talk about her daughter, herself, and others, and adolescent girls’ weight-related behaviors and cognitions among a socio-demographically diverse population of mothers and their adolescent daughters. Methods Data were drawn from the baseline assessment of 218 mother/adolescent daughter dyads. Mothers completed survey items regarding the frequency of weight talk by parents, and girls completed survey items assessing outcomes including body dissatisfaction, depressive symptomology, use of extreme weight control methods, and binge eating. Results More frequent comments to daughters about their weight were associated with higher depressive symptomology (p = 0.041), greater prevalence of extreme weight control behaviors (p = 0.040), and greater prevalence of binge eating (p = 0.048) among girls after adjustment for socio-demographic characteristics and girls’ standardized body mass index (BMI). For example, among girls whose parents never commented on their weight, 4.2% reported use of any extreme weight control behaviors, while 23.2% of girls whose parents frequently commented on their weight reported use of any of these behaviors. Mothers’ more frequent talk about their own weight, shape, or size was associated with lower self-worth (p = 0.007) and higher depressive symptomology (p = 0.004) among girls. Conclusions Frequent parental weight talk as perceived by mothers was associated with adolescent girls’ use of harmful weight control methods and poor psychological health, while no associations were found between weight talk and girls’ use of healthful weight control strategies. Interventions that help parents create a family environment that supports healthful activities while reducing weight-related talk may be particularly effective in decreasing the prevalence of harmful outcomes among adolescent girls. PMID:24999423

  11. Food advertising and television exposure: influence on eating behavior and nutritional status of children and adolescents.

    PubMed

    Costa, Suzane Mota Marques; Horta, Paula Martins; dos Santos, Luana Caroline

    2012-03-01

    This study aimed to evaluate the influence of food advertising and television exposure on eating behaviour and nutritional status of children and adolescents. It was a cross sectional study developed among 116 students from a private school in Brazil. Socio-demographic and health conditions were evaluated. Anthropometric data, food consumption, physical activity, television viewing habits and behaviour in relation to food advertising were also investigated. Among the results, a 1:2 relationship was identified between the number of televisions and residents per household. Excessive weight was present in 25.8% of subjects and 66.4% of children watched television while eating. Children were exposed to television for a median of 3.0 hours daily (95% CI: 2.9 to 3.6). There was a direct association between attraction to foods advertised and purchasing the product (p < 0.001) and a positive relationship between the number of televisions per household and body weight (r = 0.246, p = 0.015) and the amount of liquid consumed during meals (r = 0.277, p = 0.013). Findings also highlighted the association between watching television while eating and the reduced probability of fruit consumption (p = 0.032), contrasted with a greater likelihood of daily artificial juice intake (p = 0.039). In conclusion, watching television is associated with lower probability of daily consumption of fruits and the number of television at household is positively related to BMI in children and adolescents. PMID:23477208

  12. Physical self-concept and disturbed eating attitudes and behaviors in French athlete and non-athlete adolescent girls: direct and indirect relations.

    PubMed

    Monthuy-Blanc, Johana; Maïano, Christophe; Morin, Alexandre J S; Stephan, Yannick

    2012-06-01

    This study aims to investigate the direct and indirect associations between physical self-subdomains, physical self-worth, global self-worth, and disturbed eating attitudes and behaviors among French non-elite athlete and non-athlete adolescent girls. A sample of adolescent girls including 50 ballet dancers, 41 basketball players, and 47 non-athletes was used in this study. Data obtained from the ballet dancer and basketball player subsamples revealed significant, sample-specific as well as common, direct relations between global and physical self-perceptions and disturbed eating attitudes and behaviors, as well as significant indirect relations (via global self-worth and physical self-worth) between specific physical self-perceptions and disturbed eating attitudes and behaviors. In contrast, no association was found between global and physical self-perceptions in the sample of non-athlete adolescent girls. PMID:22622324

  13. Eating Disorders in Adolescent Athletes.

    ERIC Educational Resources Information Center

    Patel, Dilip R.; Greydanus, Donald E.; Pratt, Helen D.; Phillips, Elaine L.

    2003-01-01

    Reviews research on eating disorders in adolescent athletes, including prevalence, its uncommonness among male athletes, risk factors, medical complications, prevention strategies, and implications for sport and exercise participation, management, and prognosis. (EV)

  14. Predicting Developmental Change in Healthy Eating and Regular Exercise among Adolescents in China and the United States: The Role of Psychosocial and Behavioral Protection and Risk

    ERIC Educational Resources Information Center

    Jessor, Richard; Turbin, Mark S.; Costa, Frances M.

    2010-01-01

    This article reports a cross-national study of developmental change in health-enhancing behavior--healthy eating and regular exercise--among adolescents in China and the United States. The application of a conceptual framework comprising psychosocial and behavioral protective and risk factors--both proximal and distal and at both the individual…

  15. Ethnic Differences in BMI, Weight Concerns, and Eating Behaviors: Comparison of Native American, White, and Hispanic Adolescents

    PubMed Central

    Lynch, Wesley C.; Heil, Daniel P.; Wagner, Elise; Havens, Michael D.

    2007-01-01

    Evidence suggests that substantial proportions of adolescents, regardless of ethnicity or gender, are engaged in excessive weight control behaviors. Crago and Shisslak (2003), however, have noted that small samples and poorly validated instruments have limited the value of previous ethnic difference studies. Using the McKnight Risk Factor Survey, we compared Native American, White, and Hispanic adolescents. Native students were divided into groups with one (NA-mixed) or two (NA) Native American biological parents. Surveys were completed by 5th through 10th grade students. BMI z-scores were significantly higher for boys and girls in the NA group, and boys in this group were significantly more engaged in weight control behaviors, including purging. A higher percentage of Native and Hispanic girls preferred a larger body size. BMI was positively correlated with weight and shape concerns and with weight control behaviors, regardless of ethnicity or gender. Overweight among Native adolescents may put them at greater risk for eating problems than their White peers. PMID:18089263

  16. Eating Disorder Behaviors, Strength of Faith, and Values in Late Adolescents and Emerging Adults: An Exploration of Associations

    ERIC Educational Resources Information Center

    King, Stephanie L.

    2012-01-01

    Adolescents entering college are often affected by eating disorders and during this transition to emerging adulthood, individuals begin to establish personal values and beliefs, which makes this population interesting when studying Eating Disorders, values, and faith. This research project seeks to examine the association among strength of…

  17. Overweight and Obese Adolescent Girls: The Importance of Promoting Sensible Eating and Activity Behaviors from the Start of the Adolescent Period

    PubMed Central

    Todd, Alwyn S.; Street, Steven J.; Ziviani, Jenny; Byrne, Nuala M.; Hills, Andrew P.

    2015-01-01

    The adolescent period is associated with changes in eating and activity behaviors in girls. Less reliance on parental provision and choice of food, coupled with a decrease in participation in physical activity and sport, can create an energy imbalance, predisposing to weight gain. Physiological alterations to body composition, reduction in insulin sensitivity, and psychological adjustments may further amplify the risk of becoming overweight and maintaining an unhealthy level of body fat into childbearing years. During pregnancy excess body fat is a risk factor for poor pregnancy outcomes and may predispose an infant to a lifelong heightened risk of being overweight and developing chronic disease. Interventions aimed at preventing the accumulation of body fat in adolescent girls and young women may have far reaching impact and be critically important in reducing intergenerational weight gain. Lifestyle interventions in adolescence have the potential to modify adult obesity risk by switching at-risk individuals from a high to lower obesity risk trajectory. This paper discusses multiple approaches to assist at-risk individuals reduce obesity risk. A key focus is placed on engagement in food preparation and choice, and opportunities for physical activity and sport. Support, education, and opportunity at home and at school, are often associated with the success of lifestyle interventions, and may enable adolescents to make positive choices, and engage in health promoting behaviors during adolescence and childbearing years. PMID:25690003

  18. Relationships among Adolescent Girls' Eating Behaviors and Their Parents' Weight-Related Attitudes and Behaviors.

    ERIC Educational Resources Information Center

    Wertheim, Eleanor H.; Mee, Virginia; Paxton, Susan J.

    1999-01-01

    Studied the weight-loss behaviors of 369 Australian tenth-grade girls and possible parental influences related to weight and shape. Parental encouragement to lose weight was a more significant predictor of daughter's dietary restraint than parents' own dietary-restraint levels. (SLD)

  19. Mental Health Literacy and Eating-Disordered Behavior: Beliefs of Adolescent Girls Concerning the Treatment of and Treatment-Seeking for Bulimia Nervosa

    ERIC Educational Resources Information Center

    Mond, J. M.; Marks, P.; Hay, P. J.; Rodgers, B.; Kelly, C.; Owen, C.; Paxton, S. J.

    2007-01-01

    This research examined the "mental health literacy" of adolescents concerning eating-disordered behavior. A vignette describing a fictional 16-year old female meeting diagnostic criteria for bulimia nervosa was presented to 522 female high school students, followed by a series of questions concerning treatment of and treatment-seeking for the…

  20. Eating attitudes and their psychological correlates among Turkish adolescents.

    PubMed

    Baş, Murat; Aşçi, F Hülya; Karabudak, Efsun; Kiziltan, Gül

    2004-01-01

    This study examined the eating attitudes and psychological characteristics of Turkish late adolescents. Seven hundred eighty-three university students were administered the Eating Attitudes Test, Rosenberg Self-Esteem Scale, State-Trait Anxiety Inventory, and Social Physique Anxiety Scale. More than one in ten (9.2% of the males and 13.1% of the females) had abnormal eating attitude scores. Chi-square analysis revealed that there were no significant differences in the prevalance of abnormal eating behaviors based on gender. Analysis of covariance indicated that participants who had disturbed eating attitudes had lower self-esteem, higher social physique anxiety, and higher trait anxiety than those who had normal eating attitudes. It was concluded that the prevalence of disturbed eating attitudes was high among these Turkish late adolescents, and that disturbed eating attitudes were related to several psychological characteristics. PMID:15673232

  1. Adolescent Eating Disorder: Anorexia Nervosa.

    ERIC Educational Resources Information Center

    Muuss, Rolf E.

    1985-01-01

    Examines anorexia nervosa, an eating disorder seen with increasing frequency, especially among adolescent girls. Presents five theories about causation, discusses early characteristics, typical family patterns, physical and medical characteristics, social adjustment problems, and society's contribution to anorexia. Describes course of the…

  2. Adolescents' Perceptions of Healthy Eating and Communication about Healthy Eating

    ERIC Educational Resources Information Center

    Chan, Kara; Prendergast, Gerard; Gronhoj, Alice; Bech-Larsen, Tino

    2009-01-01

    Purpose: The purpose of this paper is to explore Chinese adolescents' perceptions of healthy eating, their perceptions of various socializing agents shaping their eating habits, and their opinions about various regulatory measures which might be imposed to encourage healthy eating. Design/methodology/approach: Four focus group interview sessions…

  3. Eating and Exercising: Nebraska Adolescents' Attitudes and Behaviors. Technical Report 25.

    ERIC Educational Resources Information Center

    Newman, Ian M.

    This report describes selected eating and exercise patterns among a sample of 2,237 Nebraska youth in grades 9-12 selected from a random sample of 24 junior and senior high schools. The eating patterns reported cover food selection, body image, weight management, and weight loss methods. The exercise patterns relate to the frequency of "hard"…

  4. [Adolescent behavioral disorders].

    PubMed

    Karila, Laurent; Larrar, Michael; Ferreri, Mélanie

    2014-04-01

    Adolescence is a period of physical and mental transition between childhood and adulthood, two supposedly quieter periods. Puberty and social pressures generate painful psychic conflicts even for a subject without particular problem. Behavioral disorders of adolescents are numerous and heterogeneous. It is oppositional defiant disorder, conduct disorder, hyperactive disorder with attention deficit which often begin during childhood to evolve negatively in adolescence. Eating disorders, addictive disorders, self-mutilation and scarification are also found. Therapeutic management should be multimodal and involve different actors in the health, education and social areas. PMID:24855786

  5. Eating Disordered Behaviors and Body Disapproval in Adolescent Males Adjudicated for Sexual and Nonsexual Crimes.

    PubMed

    O'Brien, Jennifer E; Li, Wen; Burton, David L

    2015-01-01

    Using a large sample of adjudicated delinquent male youth (N = 696), we compared data from youth who had been adjudicated for sexually aggressive crimes and those who had been adjudicated for nonsexual offenses on eating dysfunction, body disapproval, history of sexual abuse, and pornography exposure. The sample included 526 (75.8%) youth adjudicated for sexual offenses and 170 (24.4%) youth adjudicated for nonsexual crimes. The average age of the sample was 16.8 years (SD = 1.6), and approximately half of the sample (47.7%, n = 310) self-identified as White. The results of hierarchical multiple regressions indicated that sexually aggressive youth scored significantly higher than nonsexually offending youth on both eating dysfunction and body disapproval measures. Pornography exposure and substance use predicted body disapproval and eating dysfunction in the entire sample of adjudicated youth. History of sexual abuse was a significant predictor of body disapproval in all adjudicated youth but was not a significant predictor of eating dysfunction. Implications for research and practice are offered. PMID:26701282

  6. Eating disorders throughout female adolescence.

    PubMed

    Dominé, F; Dadoumont, C; Bourguignon, J-P

    2012-01-01

    Eating disorders (EDs) are conditions which are becoming more and more widespread among adolescents and they often lead them to seek the opinion of a professional health caregiver, including gynecologists and pediatricians. EDs, and particularly anorexia nervosa (AN), are usually classified as psychological or psychiatric disorders, but they may have major somatic implications and complications as osteoporosis, nutritional deficiencies, cerebral atrophy, cardiac and metabolic disorders. A key issue in the management is prevention or reduction of both the serious somatic consequences and the important mental health consequences (e.g. depression, psychosocial withdrawal, phobia and suicide), integrating different perspectives (psychological or psychiatric - individual and familial -, genetic, nutritional, pediatric, gynecological). Adolescence is a critical period for the onset of EDs though they may also involve younger children. In this case, the consequences on the development (height, weight, puberty) can also be significant. In this review, we will focus on eating disorders in adolescent girls with an emphasis on AN. We describe variations in ED characteristics and their management depending on age at occurrence. A possible ED should be considered by pediatricians consulted about delayed female growth and puberty as well as gynecologists in patients with primary or secondary amenorrhea or infertility. PMID:22846535

  7. Eating habits and behaviors

    MedlinePlus

    ... down what you eat, how much, and what times of the day you are eating. Include notes about what else you were doing ... meals: Know what you will eat ahead of time so you can avoid ... buying) or eating at fast-food restaurants. Plan your dinners at ...

  8. Sociocultural pressures and adolescent eating in the absence of hunger.

    PubMed

    Reina, Samantha A; Shomaker, Lauren B; Mooreville, Mira; Courville, Amber B; Brady, Sheila M; Olsen, Cara; Yanovski, Susan Z; Tanofsky-Kraff, Marian; Yanovski, Jack A

    2013-03-01

    Parental feeding practices and sociocultural pressures theoretically influence eating behavior. Yet, whether these factors relate to eating in the absence of hunger (EAH) is unknown. We assessed if sociocultural pressures were associated with EAH among 90 adolescents (Mage=15.27, SD=1.39; 48% female). Parents completed the Child Feeding Questionnaire. Adolescents completed the Perceived Sociocultural Pressures Scale, Sociocultural Attitudes Towards Appearance Questionnaire-3, and Multidimensional Body Self-Relations Questionnaire-Appearance Scales. On two occasions, EAH was assessed as snack food intake after adolescents ate to satiety. Controlling for body composition and demographics, parental restriction and family pressure to be thin were associated with greater EAH. Media pressure was related to more EAH in girls. Appearance orientation and preoccupation with becoming overweight mediated links between sociocultural pressures and EAH. Findings support the notion that sociocultural pressures and their links to body image may contribute to the course of disinhibited eating behaviors during adolescence. PMID:23394966

  9. Sociocultural pressures and adolescent eating in the absence of hunger

    PubMed Central

    Reina, Samantha A.; Shomaker, Lauren B.; Mooreville, Mira; Courville, Amber B.; Brady, Sheila M.; Olsen, Cara; Yanovski, Susan Z.; Tanofsky-Kraff, Marian; Yanovski, Jack A.

    2013-01-01

    Parental feeding practices and sociocultural pressures theoretically influence eating behavior. Yet, whether these factors relate to eating in the absence of hunger (EAH) is unknown. We assessed if sociocultural pressures were associated with EAH among 90 adolescents (Mage = 15.27, SD = 1.39; 48% female). Parents completed the Child Feeding Questionnaire. Adolescents completed the Perceived Sociocultural Pressures Scale, Sociocultural Attitudes Towards Appearance Questionnaire-3, and Multidimensional Body Self-Relations Questionnaire-Appearance Scales. On two occasions, EAH was assessed as snack food intake after adolescents ate to satiety. Controlling for body composition and demographics, parental restriction and family pressure to be thin were associated with greater EAH. Media pressure was related to more EAH in girls. Appearance orientation and preoccupation with becoming overweight mediated links between sociocultural pressures and EAH. Findings support the notion that sociocultural pressures and their links to body image may contribute to the course of disinhibited eating behaviors during adolescence. PMID:23394966

  10. Adolescent Eating Disorder: Bulimia.

    ERIC Educational Resources Information Center

    Muuss, Rolf E.

    1986-01-01

    Defines bulimia and lists associated features of bulimia, physical side effects, and cognitive disturbances related to binging and purging. Asserts that bulimics resist treatment; but that such methods as cognitive, group, family, behavior, and drug therapy, and hospitalization appear promising. (Author/ABB)

  11. Bulimia nervosa and binge-eating disorder in adolescents.

    PubMed

    Schneider, Marcie

    2003-02-01

    Bulimia nervosa (BN) and binge-eating disorder (BED) are separate entities with the common denominator of binge eating. In this chapter, Diagnostic and Statistical Manual of Mental Disorders, 4th edition (DSM-IV) criteria for BN are reviewed, including both recurrent episodes of binge eating and inappropriate compensatory behaviors to prevent weight gain in one whose self-evaluation is unduly influenced by body weight and shape. Two percent of adolescent females and 0.3% of adolescent males fulfill criteria for BN. Risk factors, medical complications of binge eating (vomiting, use of ipecac, diet pills, diuretics, and laxatives), physical and laboratory findings, and treatment options and outcome are discussed. BED is seen in 1-2% of adolescents. The DSM-IV lists BED under Eating Disorder Not Otherwise Specified. DSM-IV research criteria for BED is reviewed, including binge eating, distress over binge eating, and absence of regular extreme compensatory behaviors. The mean age of onset is 17.2 years. Up to 30% of obese patients have BED. Risk factors are discussed. Because most patients with BED are obese, medical evaluation is similar to that for obesity. Treatment goals must be geared not only toward decreased binge eating but toward weight loss. Outcome is discussed. PMID:12529196

  12. Socioeconomic differences in overweight and weight-related behaviors across adolescence and young adulthood: 10-year longitudinal findings from Project EAT.

    PubMed

    Watts, Allison W; Mason, Susan M; Loth, Katie; Larson, Nicole; Neumark-Sztainer, Dianne

    2016-06-01

    Reducing socioeconomic disparities in weight-related health is a public health priority. The purpose of this paper was to examine 10-year longitudinal patterns in overweight and weight-related behaviors from adolescence to young adulthood as a function of family-level socioeconomic status (SES) and educational attainment. Project EAT (Eating and Activity in Teens and Young Adults) followed a diverse sample of 2287 adolescents from 1999 to 2009. Mixed-effects regression tested longitudinal trends in overweight, fast food, breakfast skipping, physical inactivity, and screen use by family-level SES. The influence of subsequent educational attainment in young adulthood was examined. Results revealed that the prevalence of overweight increased significantly from adolescence to young adulthood with the greatest change seen in those from low SES (mean change=30.7%, 95% CI=25.6%-35.9%) as compared to high SES families (mean change=21.7%, 95% CI=18.2%-25.1%). Behavioral changes from adolescence to young adulthood also differed by SES background; the prevalence of frequent fast food intake (≥3times/week) increased most dramatically in those from low SES (mean change=6%, 95% CI=0.5%-11%) as compared to high SES families (mean change=-1.2%, 95% CI=-5.2%-2.9%). Overall trends suggest that a higher educational attainment mitigates the negative impacts of a low SES background. These findings suggest that continued effort is needed to ensure that public health strategies addressing obesity and related behaviors reach adolescents and young adults from low SES backgrounds and do not contribute to widening socioeconomic gaps in weight-related health. PMID:26970036

  13. The young and adolescents: Initiating change in children’s eating behavior

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Limited success in existing interventions for initiating dietary behavior change among children is forcing a more detailed analysis of how to promote change. The mediating variable model provides a conceptual framework for understanding how behavior change interventions work and integrates more basi...

  14. Preventing Obesity and Eating Disorders in Adolescents.

    PubMed

    Golden, Neville H; Schneider, Marcie; Wood, Christine

    2016-09-01

    Obesity and eating disorders (EDs) are both prevalent in adolescents. There are concerns that obesity prevention efforts may lead to the development of an ED. Most adolescents who develop an ED did not have obesity previously, but some teenagers, in an attempt to lose weight, may develop an ED. This clinical report addresses the interaction between obesity prevention and EDs in teenagers, provides the pediatrician with evidence-informed tools to identify behaviors that predispose to both obesity and EDs, and provides guidance about obesity and ED prevention messages. The focus should be on a healthy lifestyle rather than on weight. Evidence suggests that obesity prevention and treatment, if conducted correctly, do not predispose to EDs. PMID:27550979

  15. Should different marketing communication strategies be used to promote healthy eating among male and female adolescents?

    PubMed

    Chan, Kara; Ng, Yu-Leung; Prendergast, Gerard

    2014-01-01

    A study was conducted to examine how interpersonal norms, media norms, attitudes, perceived behavioral control, perceived barriers, and self-efficacy had an influence on healthy eating intention among adolescents. A probability sample of 544 adolescents aged 12 to 18 was conducted. Results indicated that girls had a more favorable attitude and intention toward healthy eating than boys. Healthy eating intention among boys was predicted by attitude, perceived behavioral control, perceived barriers, and self-efficacy, and among girls was predicted by perceived behavioral control and self-efficacy. Different marketing strategies to promote healthy eating among adolescent boys and girls should be adopted. PMID:25405634

  16. ERICA: prevalence of healthy eating habits among Brazilian adolescents

    PubMed Central

    Barufaldi, Laura Augusta; Abreu, Gabriela de Azevedo; Oliveira, Juliana Souza; dos Santos, Debora França; Fujimori, Elizabeth; Vasconcelos, Sandra Mary Lima; de Vasconcelos, Francisco de Assis Guedes; Tavares, Bruno Mendes

    2016-01-01

    ABSTRACT OBJECTIVE To describe the prevalence of eating habits considered healthy in adolescents according to sex, age, education level of the mother, school type, session of study, and geographic region. METHODS The assessed data come from the Study of Cardiovascular Risks in Adolescents (ERICA), a cross-sectional, national and school-based study. Adolescents of 1,247 schools of 124 Brazilian municipalities were evaluated using a self-administered questionnaire with a section on aspects related to eating behaviors. The following eating behaviors were considered healthy: consuming breakfast, drinking water, and having meals accompanied by parents or legal guardians. All prevalence estimates were presented proportionally, with their respective 95% confidence intervals. The Chi-square test was used to evaluate the differences in healthy eating habits prevalences according to other variables. The module survey of the Stata program version 13.0 was used to analyze complex data. RESULTS We evaluated 74,589 adolescents (72.9% of the eligible students). Of these, 55.2% were female, average age being 14.6 years (SD = 1.6). Among Brazilian adolescents, approximately half of them showed healthy eating habits when consuming breakfast, drinking five or more glasses of water a day, and having meals with parents or legal guardians. All analyzed healthy eating habits showed statistically significant differences by sex, age, type of school, session of study, or geographic region . CONCLUSIONS We suggest that specific actions of intersectoral approach are implemented for the dissemination of the benefits of healthy eating habits. Older female adolescents (15 to 17 years old) who studied in public schools, resided in the Southeast region, and whose mothers had lower education levels, should be the focus of these actions since they present lower frequencies concerning the evaluated healthy habits. PMID:26910548

  17. ERICA: prevalence of healthy eating habits among Brazilian adolescents.

    PubMed

    Barufaldi, Laura Augusta; Abreu, Gabriela de Azevedo; Oliveira, Juliana Souza; dos Santos, Debora França; Fujimori, Elizabeth; Vasconcelos, Sandra Mary Lima; de Vasconcelos, Francisco de Assis Guedes; Tavares, Bruno Mendes

    2016-02-01

    OBJECTIVE To describe the prevalence of eating habits considered healthy in adolescents according to sex, age, education level of the mother, school type, session of study, and geographic region. METHODS The assessed data come from the Study of Cardiovascular Risks in Adolescents (ERICA), a cross-sectional, national and school-based study. Adolescents of 1,247 schools of 124 Brazilian municipalities were evaluated using a self-administered questionnaire with a section on aspects related to eating behaviors. The following eating behaviors were considered healthy: consuming breakfast, drinking water, and having meals accompanied by parents or legal guardians. All prevalence estimates were presented proportionally, with their respective 95% confidence intervals. The Chi-square test was used to evaluate the differences in healthy eating habits prevalences according to other variables. The module survey of the Stata program version 13.0 was used to analyze complex data. RESULTS We evaluated 74,589 adolescents (72.9% of the eligible students). Of these, 55.2% were female, average age being 14.6 years (SD = 1.6). Among Brazilian adolescents, approximately half of them showed healthy eating habits when consuming breakfast, drinking five or more glasses of water a day, and having meals with parents or legal guardians. All analyzed healthy eating habits showed statistically significant differences by sex, age, type of school, session of study, or geographic region . CONCLUSIONS We suggest that specific actions of intersectoral approach are implemented for the dissemination of the benefits of healthy eating habits. Older female adolescents (15 to 17 years old) who studied in public schools, resided in the Southeast region, and whose mothers had lower education levels, should be the focus of these actions since they present lower frequencies concerning the evaluated healthy habits. PMID:26910548

  18. Determinants of children's eating behavior.

    PubMed

    Scaglioni, Silvia; Arrizza, Chiara; Vecchi, Fiammetta; Tedeschi, Sabrina

    2011-12-01

    Parents have a high degree of control over the environments and experiences of their children. Food preferences are shaped by a combination of genetic and environmental factors. This article is a review of current data on effective determinants of children's eating habits. The development of children's food preferences involves a complex interplay of genetic, familial, and environmental factors. There is evidence of a strong genetic influence on appetite traits in children, but environment plays an important role in modeling children's eating behaviors. Parents use a variety of strategies to influence children's eating habits, some of which are counterproductive. Overcontrol, restriction, pressure to eat, and a promise of rewards have negative effects on children's food acceptance. Parents' food preferences and eating behaviors provide an opportunity to model good eating habits. Satiety is closely related to diet composition, and foods with low energy density contribute to prevent overeating. Parents should be informed about the consequences of an unhealthy diet and lifestyle and motivated to change their nutritional habits. Parents should be the target of prevention programs because children model themselves on their parents' eating behaviors, lifestyles, eating-related attitudes, and dissatisfaction regarding body image. Pediatricians can have an important role in the prevention of diet-related diseases. Informed and motivated parents can become a model for children by offering a healthy, high-satiety, low-energy-dense diet and promoting self-regulation from the first years of life. PMID:22089441

  19. The influence of puberty onset, body mass index, and pressure to be thin on disordered eating behaviors in children and adolescents.

    PubMed

    Tremblay, Line; Lariviere, Michel

    2009-04-01

    The main objective of this study is to verify the hypothesis that pubertal development, obesity, body satisfaction, as well as family and peer influences predict unhealthy eating habits in children and adolescents. A randomized stratified sample of young Quebecers aged 9, 13, and 16 years on March 31, 1999 [608 children aged of 9 years (325 girls and 283 boys) and 662 adolescents aged of 13 and 16 years (349 girls and 313 boys)] were used. Children's weight, height, and Body Mass Index (BMI) were recorded. Questionnaires were administered to children and a parent (usually the mother). Among 9-year-old children, this study found that weight loss or weight control behaviors were predicted mainly by the onset of puberty, lower maternal abusive control, and the level of peer pressure. Among adolescents, mother's BMI, income, peer pressure, and negative comments about the child's weight most strongly predicted behaviors to control weight, strategies to lose weight and the frequency of such behaviors. The findings suggest that both parents and children need to understand the impact of comments on a child's behavior. PMID:19447348

  20. Eating Disorders in Paraguayan Adolescents

    ERIC Educational Resources Information Center

    Ramirez, Maria E.; McIntosh, David E.; Kruczek, Theresa

    2013-01-01

    Eating disorders, once thought to be exclusively a disorder of the more affluent Western countries, are now spreading around the world. Despite the wealth of information on the prevalence of eating disorders in developed countries, epidemiological data for South America is scarce. The 26-item Eating Attitude Test (EAT-26) was used to explore the…

  1. Eating habits and behaviors

    MedlinePlus

    ... events where food is served You stop at fast-food restaurants for breakfast and choose high fat, high ... buying unhealthy foods (impulse buying) or eating at fast-food restaurants. Plan your dinners at the beginning of ...

  2. Adolescent Eating Disorders: Anorexia and Bulimia. Publication 352-004.

    ERIC Educational Resources Information Center

    Bayer, Alan E.; Baker, Daniel H.

    This document presents an overview of anorexia nervosa and bulimia in adolescents. A brief review of the historical background of these eating disorders is included. Causes of anorexia and bulimia are discussed and physical, behavioral, emotional, and perceptual characteristics of the disorders are listed in a section on symptoms. The need for a…

  3. Family Meal Frequency among Children and Adolescents with Eating Disorders

    PubMed Central

    Elran-Barak, Roni; Sztainer, Maya; Goldschmidt, Andrea B.; Le Grange, Daniel

    2014-01-01

    Purpose: Previous studies on family meals and disordered eating have mainly drawn their samples from the general population. The goal of the current study is to determine family meal frequency among children and adolescents with Anorexia Nervosa (AN), Bulimia Nervosa (BN), and Feeding or Eating Disorder Not Elsewhere Classified (FED-NEC), and to examine if family meal frequency is associated with eating disorder psychopathology. Methods: Participants included 154 children and adolescents (M=14.92±2.62), who met criteria for AN (n=60), BN (n=32), or FED-NEC (n=62). All participants completed the Eating Disorder Examination (EDE) and the Family Meal Questionnaire (FMQ) prior to treatment at the University of Chicago Eating Disorders Program. Results: AN and BN participants significantly differed in terms of family meal frequency. A majority of participants with AN (71.7%), compared to less than half (43.7%) of participants with BN, reported eating dinner with their family frequently (five or more times per week). Family meal frequency during dinner was significantly and negatively correlated with dietary restraints and eating concerns among participants with BN (r=-.381, r=-.366, p<.05) and FED-NEC (r=-.340, r=-.276, p<.05). Conclusions: AN patients' higher family meal frequency may beexplained bytheir parents' relatively greater vigilance over eating, whereas families of BN patients may be less aware of eating disorder behaviors and hence less insistent upon family meals. Additionally, children and adolescents with AN may be more inhibited and withdrawn, and therefore are perhaps more likely to stay at home and eat together with their families. PMID:24529833

  4. The Concurrence of Eating Disorders with Histories of Child Abuse among Adolescents.

    ERIC Educational Resources Information Center

    Hernandez, Jeanne

    1995-01-01

    Examines the relationship between eating disorders and history of physical abuse, incest, and extrafamilial sexual abuse. Results of a survey of adolescents (n=6,224) indicate that eating disorders are correlated with all 3 types of abuse. Presence of an eating disorder also correlates with presence of other addictive behaviors, family history of…

  5. Zolpidem-induced compulsive evening eating behavior.

    PubMed

    Kim, Hyung Ki; Kwon, Jun Tack; Baek, Jeehun; Park, Duck Su; Yang, Kwang Ik

    2013-01-01

    Zolpidem is associated with an amnestic sleep-related eating disorder, but not with compulsive eating behaviors. A 57-year-old woman receiving zolpidem for insomnia showed compulsive evening eating behavior under a wakeful state. Her compulsive evening eating behavior disappeared when zolpidem treatment was halted. Here, we report her case. PMID:24045611

  6. The Social Environment of Schools and Adolescent Nutrition: Associations between the School Nutrition Climate and Adolescents' Eating Behaviors and Body Mass Index

    ERIC Educational Resources Information Center

    Cvjetan, Branko; Utter, Jennifer; Robinson, Elizabeth; Denny, Simon

    2014-01-01

    Background: The aim of this study was to determine the association between the school nutrition climate and students' eating behaviors and body mass index (BMI). Methods: Data were collected as part of Youth'07, a nationally representative health survey of high school students in New Zealand. Overall, 9107 randomly selected students from…

  7. Irregular breakfast eating and health status among adolescents in Taiwan

    PubMed Central

    Yang, Rea-Jeng; Wang, Edward K; Hsieh, Yeu-Sheng; Chen, Mei-Yen

    2006-01-01

    Background Regular breakfast eating (RBE) is an important contributor to a healthy lifestyle and health status. The aims of the present study were to evaluate the relationships among irregular breakfast eating (IRBE), health status, and health promoting behavior (HPB) for Taiwanese adolescents. Methods A cross-sectional, descriptive design was used to investigate a cluster sample of 1609 (7th -12th grade) adolescents located in the metropolitan Tao-Yuan area during the 2005 academic year. The main variables comprised breakfast eating pattern, body weight, and health promoting behaviors. Data were collected by a self-administered questionnaire. Results A total of 1609 participants were studied, 64.1% in junior high school and 35.9% in high school, boys (47.1%) and girls (52.9%) ranging in age from 12–20 years. Of the total participant population, 28.8% were overweight and nearly one quarter (23.6%) reported eating breakfast irregularly during schooldays. The findings indicated that adolescents with RBE had a lower risk of overweight (OR for IRBE vs. RBE = 1.51, 95% CI: 1.12, 2.04), and that the odds of becoming overweight were 51% greater for IRBE than for RBE even after controlling for demographical and HPB variables. IRBE also was a strong indicator for HPB. However, the profile of the high-risk IRBE group was predominantly junior high schoolchildren and/or children living without both parents. Conclusion This study provides valuable information about irregular breakfast eating among adolescents, which is associated with being overweight and with a low frequency of health promoting behavior. School and family health promotion strategies should be used to encourage all adolescents to eat breakfast regularly. PMID:17150112

  8. Dopamine and binge eating behaviors

    PubMed Central

    Bello, Nicholas T.; Hajnal, Andras

    2010-01-01

    Central dopaminergic mechanisms are involved in the motivational aspects of eating and food choices. This review focuses on human and animal data examining the importance of dopamine on binge eating behaviors. Early works examining dopamine metabolites in the cerebrospinal fluid and plasma of bulimic individuals suggested decreased dopamine turnover during the active phase of the illness. While neuroimaging studies of dopamine mechanisms in bulimia nervosa (BN) and binge eating disorder (BED) are limited, genetic studies in humans have implicated an increased frequency of dopamine transporter and associated D2 receptor polymorphisms with binge pathology. Recent examinations of rodent models of dietary-induced binge eating (DIBE) have investigated plausible dopamine mechanisms involved in sustaining binge eating behaviors. In DIBE models, highly palatable foods (fats, sugars and their combination), as well as restricted access conditions appear to promote ingestive responses and result in sustained dopamine stimulation within the nucleus accumbens. Taken together with studies examining the comorbidity of illicit drug use and eating disorders, the data reviewed here support a role for dopamine in perpetuating the compulsive feeding patterns of BN and BED. As such, we propose that sustained stimulation of the dopamine systems by bingeing promoted by preexisting conditions (e.g., genetic traits, dietary restraint, stress, etc.) results in progressive impairments of dopamine signaling. To disrupt this vicious cycle, novel research-based treatment options aiming at the neural substrates of compulsive eating patterns are necessary. PMID:20417658

  9. Adolescent Girls and Their Mothers Talk About Experiences of Binge and Loss of Control Eating

    PubMed Central

    Palmberg, Allison A.; Stern, Marilyn; Kelly, Nichole R.; Bulik, Cynthia; Belgrave, Faye Z.; Trapp, Stephen K.

    2013-01-01

    Evidence suggests that adolescents’ experience of binge eating (BE) might differ in important ways from that of adults. Moreover, although BE appears more common in African American women than other disordered eating behaviors, little is known about the influence of cultural factors on this behavior in adolescents. The current investigation used qualitative methodology to examine the perceptions of White and African American adolescent girls and their mothers regarding experiences of binge and loss of control eating. Five focus groups were completed with 19 adolescent girls (aged 13–17, 58 % African American, 41 % White) who endorsed loss of control eating behaviors. Their mothers (N = 19) also completed separate, concurrent focus groups addressing food and eating behaviors. Responses to focus group questions were analyzed using thematic qualitative analysis. Adolescents’ awareness of their eating behaviors varied greatly. Girls reported some awareness of how emotions influence their eating behaviors, and described using food to achieve autonomy. Mothers evidenced awareness of their daughters’ problematic eating behaviors, the effects of emotions on eating for both their daughters and themselves, and sociocultural factors influencing diet. Data from these focus groups can inform the development of innovative interventions for adolescent girls engaging in loss of control eating. PMID:25400491

  10. An Update on Evidence-Based Psychosocial Treatments for Eating Disorders in Children and Adolescents.

    PubMed

    Lock, James

    2015-01-01

    Eating disorders are relatively common and serious disorders in adolescents. However, there are few controlled psychosocial intervention studies with this younger population. This review updates a previous Journal of Clinical Child and Adolescent Psychology review published in 2008. The recommendations in this review were developed after searching the literature including PubMed/Medline and employing the relevant medical subject headings. In addition, the bibliographies of book chapters and treatment guideline articles were reviewed; last, colleagues were asked for suggested additional source materials. Psychosocial treatments examined include family therapy, individual therapy, cognitive behavioral therapy, interpersonal psychotherapy, cognitive training, and dialectical behavior therapy. Using the most recent Journal of Clinical Child and Adolescent Psychology methodological review criteria, family treatment-behavior (FT-B) is the only well-established treatment for adolescents with anorexia nervosa. Family treatment-systemic and insight oriented individual psychotherapy are probably efficacious treatments for adolescents with anorexia nervosa. There are no well-established treatments for adolescents with bulimia nervosa, binge eating disorder, or avoidant restrictive food intake disorder. Possibly efficacious psychosocial treatments for adolescent bulimia nervosa include FT-B and supportive individual therapy. Internet-delivered cognitive behavioral therapy is a possibly efficacious treatment for binge eating disorder. Experimental treatments for adolescent eating disorders include enhanced cognitive behavioral therapy, dialectical behavioral therapy, cognitive training, and interpersonal psychotherapy. FT-B is the only well-established treatment for adolescent eating disorders. Additional research examining treatment for eating disorders in youth is warranted. PMID:25580937

  11. Laboratory-Based Studies of Eating among Children and Adolescents

    PubMed Central

    Tanofsky-Kraff, Marian; Haynos, Ann F.; Kotler, Lisa A.; Yanovski, Susan Z.; Yanovski, Jack A.

    2008-01-01

    The prevalence of pediatric overweight has increased dramatically over the past three decades, likely due to changes in food intake as well as physical activity. Therefore, information examining eating patterns among children and adolescents is needed to illuminate which aspects of eating behavior require modification to prevent and treat pediatric overweight. Because child self-report and parent-report of children's eating habits are often inconsistent and limited by recall and other biases, laboratory-based studies in which food intake is observed and monitored have increased in number. Such studies offer objective and controlled methods of measuring and describing eating behaviors. However, to our knowledge, no publication exists that consolidates, reviews, and provides critical commentary on the literature to date in pediatric samples. In this paper, we review the literature of studies utilizing laboratory methods to examine eating behavior in samples ranging from birth through adolescence. Our review includes all relevant articles retrieved from the PubMed, Medline and PsychInfo search engines. Specifically, we examine meal-feeding studies conducted during the various developmental stages (infancy, preschool, middle childhood, and adolescence), with a focus on methodology. Included in our review are feeding studies related to dietary regulation, exposure and preference, as well as paradigms examining disordered eating patterns and their relationship to body composition. We have structured this review so that both consistent and inconsistent findings are presented by age group, and innovative methods of assessment are discussed in more detail. Following each section, we summarize findings and draw potential conclusions from the available data. We then discuss clinical implications of the research data and suggest directions for the next generation of studies of feeding behavior in children. PMID:19030122

  12. Laboratory-Based Studies of Eating among Children and Adolescents.

    PubMed

    Tanofsky-Kraff, Marian; Haynos, Ann F; Kotler, Lisa A; Yanovski, Susan Z; Yanovski, Jack A

    2007-01-01

    The prevalence of pediatric overweight has increased dramatically over the past three decades, likely due to changes in food intake as well as physical activity. Therefore, information examining eating patterns among children and adolescents is needed to illuminate which aspects of eating behavior require modification to prevent and treat pediatric overweight. Because child self-report and parent-report of children's eating habits are often inconsistent and limited by recall and other biases, laboratory-based studies in which food intake is observed and monitored have increased in number. Such studies offer objective and controlled methods of measuring and describing eating behaviors. However, to our knowledge, no publication exists that consolidates, reviews, and provides critical commentary on the literature to date in pediatric samples. In this paper, we review the literature of studies utilizing laboratory methods to examine eating behavior in samples ranging from birth through adolescence. Our review includes all relevant articles retrieved from the PubMed, Medline and PsychInfo search engines. Specifically, we examine meal-feeding studies conducted during the various developmental stages (infancy, preschool, middle childhood, and adolescence), with a focus on methodology. Included in our review are feeding studies related to dietary regulation, exposure and preference, as well as paradigms examining disordered eating patterns and their relationship to body composition. We have structured this review so that both consistent and inconsistent findings are presented by age group, and innovative methods of assessment are discussed in more detail. Following each section, we summarize findings and draw potential conclusions from the available data. We then discuss clinical implications of the research data and suggest directions for the next generation of studies of feeding behavior in children. PMID:19030122

  13. Westernization, intuitive eating, and BMI: an exploration of Jordanian adolescents.

    PubMed

    Wirtz, Amanda L; Madanat, Hala N

    The purpose of this study was to validate the Arabic-version of the adapted Marin Bidimensional Acculturation Scale and investigate the relationship between Westernization, intuitive eating, and body mass index (BMI) in a sample of Jordanian female adolescents. A total of 199 subjects between the ages of 11-18 were surveyed. Participants who scored higher on the Arabic domain exhibited higher Intuitive Eating Scale (IES) intrinsic subscale scores (r = 0.147, P = 0.048) suggesting that those who are more orientated toward Arabic culture may respond more naturally to physical hunger cues than their more Westernized counterparts. Reinforcing intuitive eating attitudes and behaviors and emphasizing body ideals resonant with the Arabic culture may propagate the continuation of intuitive eating in this population, potentially reducing the risk of obesity and other nutrition-related non-communicable diseases. PMID:23896036

  14. Are obesity risk genes associated with binge eating in adolescence?

    PubMed Central

    Micali, Nadia; Field, Alison E; Treasure, Janet L; Evans, David M

    2015-01-01

    Objective Cognitions and behaviors characteristic of binge eating are associated with a polymorphism in the FTO gene, robustly related to body mass index (BMI) and obesity risk. We investigated the association between binge eating and the individual and combined effect of 32 SNPs robustly associated with BMI in a population-based sample. We hypothesized that higher BMI and binge eating might share a common genetic etiology. Methods Binge eating was assessed in adolescents from the Avon Longitudinal Study of Parents and Children at age 14 (n = 5,958) and 16 years (n = 4,948). We tested associations between 32 BMI-related SNPs and binge eating in crude and BMI-, age-, and gender-adjusted regression models. Results Crude analyses showed an association between binge eating and rs1558902 (FTO) that persisted after adjustment for BMI (OR = 1.20, P = 8 × 10−3). A weighted allelic score consisting of all 32 BMI-related SNPs was associated with binge eating (P = 8 × 10−4); this association attenuated (P = 0.08) when rs1558902 was removed from the weighted allelic score. Conclusions BMI-related genes are associated with adolescent binge eating, in particular an FTO polymorphism. Although replication is needed, our findings have biological plausibility and are consistent with a postulated effect of FTO on appetite and food intake. Future studies should aim to understand the mechanisms underlying the relationship between FTO, binge eating, and obesity. PMID:26193063

  15. Dietary correlates of emotional eating in adolescence.

    PubMed

    Nguyen-Michel, Selena T; Unger, Jennifer B; Spruijt-Metz, Donna

    2007-09-01

    To better understand the relation between emotional eating and dietary choices, dietary correlates of emotional eating were investigated in an adolescent sample. Participants were 617 predominantly Latino middle school students from seven schools in Los Angeles County. Analyses of cross-sectional data revealed that emotional eating was associated with increased frequency of intake of sweet high energy-dense foods, such as cake and ice cream, salty high energy-dense foods like chips, and soda. Gender stratified analyses revealed an association between emotional eating and more frequent fruit and vegetable intake in boys only, and a positive association between emotional eating and salty high energy-dense intake in both boys and girls. These data support previous literature that reports a preference for high energy-dense food in emotional eating, and shows that this association may be generalizable to Latino youth. Considering that emotional eating may lead to overeating because it often takes place in the absence of hunger, it may be appropriate to develop interventions to teach youth healthier substitutions and regulate mood by means other than eating in order to reduce risk for obesity, especially in high risk populations, such as Latinos. PMID:17466408

  16. Treatment of Adolescent Eating Disorders: Progress and Challenges

    PubMed Central

    Lock, James

    2010-01-01

    Objective Although eating disorders are common psychiatric disorders that usually onset during adolescence, few evidence-based treatments for this age group have been identified. A critical review of treatments used for Anorexia Nervosa (AN) and Bulimia Nervosa (BN) and related conditions (EDNOS) is provided that summarizes the rationale for the treatments, evidence of effectiveness available, and outcomes. Method Critical review of published randomized clinical trials (RCTs). Results There are only seven published RCTs of psychotherapy for AN in adolescents with a total of 480 subjects. There are only two published RCTs for outpatient psychotherapy for adolescent BN with a total of 165 subjects. There are no published RCTs examining medications for adolescent AN or BN. For adolescent AN, Family-Based Treatment (FBT) is the treatment with the most evidence supporting its use. Three RCTs suggest that FBT is superior to individual therapy at the end of treatment; however, at follow-up differences between individual and family approaches are generally reduced. For adolescent BN, one study found no differences between Cognitive Behavioral Therapy and FBT at the end of treatment or follow-up, while the other found FBT superior to individual therapy. Conclusions Although the evidence remains limited, FBT appears to be the first line treatment for adolescent AN. There is little evidence to support a specific treatment for adolescent BN. There is a need for additional studies of treatment of child and adolescent eating disorders. New treatments studies may build on current evidence as well as examine new approaches based on novel findings in the neurosciences about cognitive and emotional processes in eating disorders. PMID:21532979

  17. Development of significant disordered eating in an adolescent following gastric bypass surgery.

    PubMed

    Sondike, Stephen B; Pisetsky, Emily M; Luzier, Jessica L

    2016-03-01

    The development of eating pathology is a concern following bariatric surgery, even in the absence of any pre-surgical psychopathology. No consistent risk factors have emerged in the literature to identify those at greatest risk. However, post-surgical guidelines encourage eating behaviors that would be considered disordered in other contexts. We present a case of an adolescent developing bulimia nervosa following gastric bypass surgery and the escalation of her symptoms from diligently following recommended food behaviors to a full-syndrome clinical eating disorder. We discuss the differences between appropriate post-surgical eating behaviors and disordered eating behaviors. We provide recommendations for clinicians to screen for eating pathology and referrals to an interprofessional treatment team to address eating disordered behaviors and cognitions. PMID:26449853

  18. Body image and eating patterns among adolescents

    PubMed Central

    2013-01-01

    Background Data on the association between body self-perception and eating patterns among adolescents are scarce. This study assessed the association between body image and eating patterns among normal-weight, overweight and obese adolescents. Methods A cross-sectional survey (n = 1231; 12–17 years old) was carried out in the Balearic Islands, Spain. Anthropometry, body image, socio-economic determinants, and food consumption were studied. Results Fifty-one percent of boys and sixty percent of girls that wished to be thinner had less than or equal to 3 eating occasions per day. Overfat girls that wish to be thinner skipped breakfast more frequently than normal-fat girls. Overfat boys and girls that wished a thinner body reported lower consumption of several food groups than normal-fat adolescents and overfat boys satisfied with their own body image (i.e. breakfast cereals, pasta and rice dishes, other oils and fats, high fat foods, soft drinks and chocolates in boys; and dairy products and chocolates in girls).A restriction of Western diet foods and energy intake was associated with a wish to be thinner among overfat adolescents. Conclusions Many overfat boys were satisfied with their body image while practically all overfat girls reported wishing a thinner body. Meal patterns and food consumption were associated with body dissatisfaction and overfat status among adolescents. PMID:24289180

  19. Adolescents' Views of Food and Eating: Identifying Barriers to Healthy Eating

    ERIC Educational Resources Information Center

    Stevenson, Clifford; Doherty, Glenda; Barnett, Julie; Muldoon, Orla T.; Trew, Karen

    2007-01-01

    Contemporary Western society has encouraged an obesogenic culture of eating amongst youth. Multiple factors may influence an adolescent's susceptibility to this eating culture, and thus act as a barrier to healthy eating. Given the increasing prevalence of obesity amongst adolescents, the need to reduce these barriers has become a necessity.…

  20. Cognitive-Behavioral Theories of Eating Disorders

    ERIC Educational Resources Information Center

    Williamson, Donald A.; White, Marney A.; York-Crowe, Emily; Stewart, Tiffany M.

    2004-01-01

    This article presents an integrated cognitive-behavioral theory of eating disorders that is based on hypotheses developed over the past 30 years. The theory is evaluated using a selected review of the eating disorder literature pertaining to cognitive biases, negative emotional reactions, binge eating, compensatory behaviors, and risk factors for…

  1. Eating among Teens: Do Family Mealtimes Make a Difference for Adolescents' Nutrition?

    ERIC Educational Resources Information Center

    Neumark-Sztainer, Dianne

    2006-01-01

    Adolescents are at risk for poor dietary intake and unhealthy weight control behaviors. Family meals appear to play an important role in helping adolescents make healthier food choices and avoid engaging in unhealthy weight control and binge eating behaviors. (Contains 2 figures.)

  2. Medical complications of eating disorders in adolescents.

    PubMed

    Palla, B; Litt, I F

    1988-05-01

    Anorexia nervosa and bulimia are occurring with increased frequency among adolescents and preadolescents. To determine the range and severity of medical complications encountered in younger anorectic and bulimic patients, we reviewed the medical records of 65 adolescents and preadolescents, aged 10 to 20 years, who were observed in the Eating Disorders Clinic of the Children's Hospital at Stanford. Significant medical instability was present in the majority of our patients. A total of 55% of anorectic patients and 22% of bulimic patients required hospitalization for medical reasons during the study period. Cardiovascular abnormalities were frequent, including bradycardia, prolonged corrected QT intervals, dysrhythmias, and marked orthostatic pulse and BP instability. Hypothermia, with temperatures less than 35.5 degrees C, was common. Renal abnormalities included pyuria, hematuria, and proteinuria. Electrolyte derangements occurred in patients who vomited or purged. Hypokalemia was most common, but hypocalcemia, hypomagnesemia, and hypophosphatemia were also noted. The majority of our pediatric patients with eating disorders had evidence of physiologic derangement requiring medical intervention. The need for adolescents and preadolescents with eating disorders to receive ongoing medical monitoring in concert with psychiatric treatment and the need for therapists and medical practitioners to become familiar with the potential medical sequelae of eating disorders are underscored by our data. PMID:3162764

  3. Are there gender-specific pathways from early adolescence psychological distress symptoms toward the development of substance use and abnormal eating behavior?

    PubMed

    Beato-Fernández, Luis; Rodríguez-Cano, Teresa; Pelayo-Delgado, Esther; Calaf, Myralys

    2007-02-01

    The aim of the present longitudinal community study was to test whether psychological distress at 13 years of age predicted reported substance use problems in boys and abnormal eating behavior in girls 2 years later. The sample consisted of 500 male and 576 female students. The use of substances was evaluated using a semi-structured interview, psychological distress with the General Health Questionnaire (GHQ) and eating psychopathology with the Eating Attitudes Test (EAT-40), and the Bulimic Investigatory Test Edinburgh (BITE). Controlling the effect of initial substance use problems, psychological distress predicted later reported substance use problems in males. Girls with an initial score above the cut-off point on the GHQ were two times more likely to be at risk of having an eating disorder 2 years later. Therefore, psychological distress might take different developmental pathways in males and females, leading toward eating problems in the latter versus substance use in the former. PMID:17001526

  4. Smoking, Physical Activity, and Eating Habits Among Adolescents.

    PubMed

    Lee, Bokim; Yi, Yunjeong

    2016-01-01

    The purpose of this study was to compare physical activity and eating habits of adolescent smokers with those of adolescent non-smokers in South Korea. This was a secondary analysis of data collected from the 2012 Korean Youth Risk Behavior Web-Based Survey. The sample included 72,229 adolescents aged 12 to 18. A multiple logistic regression analysis was performed to examine the association between smoking status and physical activity and between smoking status and eating habits, while controlling for other factors. Boys and girls were analyzed separately for all analyses. The proportion of self-reporting smokers was 11%. Surprisingly, girl smokers exercised significantly more frequently than non-smokers. Adolescent smokers were significantly less likely to consume fruits, vegetables, and milk/dairy products, and they ate significantly more fast-food than non-smokers. Health care professionals who plan smoking cessation programs should pay attention to South Korean adolescents' specific characteristics and cultural values in terms of health behavior. PMID:25082709

  5. [Eating disorders in early adolescence--study from the section on young adolescent nutrition in Jerusalem].

    PubMed

    Halevy, N; Halevy, A

    2000-04-01

    Young adolescents were assessed with regard to cognitive, socio-cultural and behavioral components of eating disturbances. An anonymous questionnaire was administered to 5th-8th grade pupils, 280 girls and 251 boys, to assess eating habits, body image, self-confidence, environmental-cultural influences, risk behaviors and socio-economic state. Girls scored consistently higher on all weight-control behaviors. Discontent with own body, and attitudes and behaviors associated with eating disorders, were reported by under-studied populations such as boys and younger girls. Both frequency and severity of weight-control behaviors were associated with "social age." Highly significant differences between scores of 6th and 7th graders indicate that they may be at a time of increased susceptibility. Measuring the influence of the mass media gave inconsistent results. PMID:10883175

  6. Gender-Related Self-Discrepancies and Bulimic Eating Behavior.

    ERIC Educational Resources Information Center

    Klingenspor, Barbara

    2002-01-01

    Explored the link between development of bulimic eating behavior and suppression of masculine traits in adolescence. German high school students completed a sex role inventory. Among girls, higher risk of developing bulimia appeared to be caused by increasing discrepancies between actual and ideal self-concept on masculine-typed personality…

  7. The BASC-2 Profiles of Female Adolescents At-Risk of Developing an Eating Disorder

    ERIC Educational Resources Information Center

    Stachowitz, Annie L.

    2012-01-01

    Eating disorders, disordered eating, and body dissatisfaction prevalence rates are on the rise among adolescent females. The present study sought to examine a commonly used social-emotional instrument, the Behavior Assessment System for Children-Second Edition, Self-Report of Personality (BASC-2, SRP), for the emergence of a common profile of…

  8. [A tool for assessing eating behaviors: ESSCA].

    PubMed

    Carrard, Isabelle; Kruseman, Maaike; Chappuis, Mathilde; Schmutz, Noémi; Volery, Magali

    2016-03-23

    Eating behaviors are key when considering overweight or obesity management. Many issues varying in severity can interfere with the treatment. This article provides a semi-structured interview to address the determinants of food intake--hunger food craving--problematic eating behaviors--snacking, emotional eating--and eating disorders particularly related to overweight. Convenient for healthcare practitioners, this instrument comes with an interview guide to standardize its use. The relatively complete picture of the patient's eating behavior resulting from this assessment contributes to the treatment proposal. PMID:27188052

  9. "I Should Remember I Don't Want to become Fat": Adolescents' Views on Self-Regulatory Strategies for Healthy Eating

    ERIC Educational Resources Information Center

    Stok, F. Marijn; de Vet, Emely; de Ridder, Denise T. D.; de Wit, John B. F.

    2012-01-01

    Few studies have investigated the strategies adolescents identify to self-regulate eating behavior. Aiming to address this gap in the literature, the current article describes a bottom-up investigation of strategies adolescents identify for the successful self-regulation of eating behavior. Sixty-two adolescents generated statements about…

  10. Vegetarianism and eating disorders: association between eating attitudes and other psychological factors among Turkish adolescents.

    PubMed

    Baş, Murat; Karabudak, Efsun; Kiziltan, Gül

    2005-06-01

    The purpose of this study was to determine whether differences exist in eating attitudes, self-esteem, social trait anxiety and social physique anxiety of self-reported vegetarian and nonvegetarian Turkish adolescents. The sample for the Turkish University' students is designed to provide the estimates of vegetarian indicators and prevalence. The participants were 608 females and 597 males, in total 1205 adolescents aged between 17 and 21 years. Disturbed eating behaviors (EAT-26> or =20) was found in 45.2% (14 of vegetarian) of the total vegetarian sample; which included two of the male vegetarians and 12 of the female vegetarians. The mean BMI was 19.78+/-1.49 kg/m(2) for female vegetarians and 20.78+/-2.46 kg/m(2) for female nonvegetarians (p<0.05). Male vegetarians had significantly higher score than male nonvegetarians on EAT-26 (17.25+/-11.18 for male vegetarians and 9.38+/-6.60 for male nonvegetarians), dieting (6.50+/-7.65 for male vegetarians and 2.55+/-3.87 for male nonvegetarians) and oral control (6.13+/-4.67 for male vegetarians and 3.20+/-3.19 for male nonvegetarians) scores (p<0.05). Besides, female vegetarians had significantly higher score than female nonvegetarians on EAT-26 (22.04+/-13.62 for female vegetarians and 11.38+/-8.28 for female nonvegetarians), dieting (10.35+/-9.58 for female vegetarians and 4.41+/-5.30 for female nonvegetarians), oral control (7.78+/-5.13 for female vegetarians and 3.33+/-3.51 for female nonvegetarians) and STAI (51.39+/-7.28 for female vegetarians and 47.29+/-5.13 for female nonvegetarians) scores (p<0.05). As a conclusion, the present study indicated abnormal eating attitudes, low self-esteem, high social physique anxiety, and high trait anxiety in Turkish vegetarian adolescents. The vegetarian adolescents may be more likely to display disordered eating attitudes and behaviors than nonvegetarians. PMID:15927731

  11. A review on eating disorders and adolescence.

    PubMed

    Kirkcaldy, B D; Siefen, G R; Kandel, I; Merrick, J

    2007-06-01

    Eating disorders in adolescence are a public health concern with both personal costs and a financial burden for the community health services. This paper is a review of incidence and gender differences of eating disorders; comorbid psychopathology, including substance abuse, mood disorders, anxiety disorders and personality disorders; developmental and intellectual factors; family, socio-cultural functioning and birth order; self-injury and suicidal behaviour with health outcome and therapy success rate. We have also asked several questions from our clinical experience and tried to answer them with our clinical knowledge and based on literature review. Overall, there is an indication that therapy success is significantly correlated with (low) manifestation, specifically for social problems and aggressivity. Due to the complexity of factors involved in the manifestation of eating disorders, the inclusion of cognitive-behavioural therapy as well as family-oriented therapeutic concepts coupled with medical treatment would appear to offer an intervention inventory, which would be most effective in offering adolescents optimal treatment programmes. The implications of our review is discussed in terms of psychotherapeutic treatment plans for adolescents in clinical care. PMID:17519869

  12. The Use of the BASC-2 for the Identification of Female Adolescents at Risk for Developing an Eating Disorder

    ERIC Educational Resources Information Center

    Stachowitz, Annie L.; Choi, Hee-Sook; Schweinle, Amy

    2014-01-01

    Eating disorders, disordered eating, and body dissatisfaction prevalence rates are on the rise among adolescent females. The present study examined the potential use of a commonly used social--emotional instrument, the Behavior Assessment System for Children-Second Edition (BASC-2), for detecting the presence of possible eating disorders in…

  13. Psychological Distress as a Mediator of the Relation between Perceived Maternal Parenting and Normative Maladaptive Eating among Adolescent Girls

    ERIC Educational Resources Information Center

    Blodgett Salafia, Elizabeth H.; Gondoli, Dawn M.; Corning, Alexandra F.; McEnery, Amanda M.; Grundy, Amber M.

    2007-01-01

    Burgeoning research on the adolescent (e.g., middle-school) years suggests that this is a particularly vulnerable period for the development of maladaptive eating patterns. Prior research has established a link between perceptions of maternal parenting practices and adolescent onset of problematic eating behaviors. The authors hypothesized that…

  14. Maternal Influences on Daughters' Restrained Eating Behavior

    PubMed Central

    Francis, Lori A.; Birch, Leann L.

    2008-01-01

    This study examined whether mothers' preoccupation with their own weight and eating was linked to daughters' restrained eating behavior. Participants included 173 non-Hispanic, White mother–daughter dyads, measured longitudinally when daughters were ages 5, 7, 9, and 11. Mothers who were preoccupied with their own weight and eating reported higher levels of restricting daughters' intake and encouraging daughters to lose weight over time. Mothers' encouragement of daughters' weight loss was linked to daughters' restrained eating behavior; this relationship was partially mediated by daughters' perception of maternal pressure to lose weight. These findings suggest that mothers' preoccupation with weight and eating, via attempts to influence daughters' weight and eating, may place daughters at risk for developing problematic eating behaviors. PMID:16287400

  15. Maternal influences on daughters' restrained eating behavior.

    PubMed

    Francis, Lori A; Birch, Leann L

    2005-11-01

    This study examined whether mothers' preoccupation with their own weight and eating was linked to daughters' restrained eating behavior. Participants included 173 non-Hispanic, White mother-daughter dyads, measured longitudinally when daughters were ages 5, 7, 9, and 11. Mothers who were preoccupied with their own weight and eating reported higher levels of restricting daughters' intake and encouraging daughters to lose weight over time. Mothers' encouragement of daughters' weight loss was linked to daughters' restrained eating behavior; this relationship was partially mediated by daughters' perception of maternal pressure to lose weight. These findings suggest that mothers' preoccupation with weight and eating, via attempts to influence daughters' weight and eating, may place daughters at risk for developing problematic eating behaviors. PMID:16287400

  16. Five-year longitudinal and secular shifts in adolescent beverage intake: findings from project EAT (Eating Among Teens)-II.

    PubMed

    Nelson, Melissa C; Neumark-Sztainer, Dianne; Hannan, Peter J; Story, Mary

    2009-02-01

    Detailed research examining concurrent longitudinal and secular changes in adolescent beverage intake is not currently available, particularly since the year 2000. This study's objective was to evaluate these trends in beverage intake in a large, diverse adolescent cohort. Project EAT (Eating Among Teens)-II is a 5-year longitudinal study (n=2,516) including two cohorts, which allows for the observation of longitudinal changes from early to mid-adolescence (junior high to high school) and from mid- to late adolescence (high school to post high school). Project EAT-II also examined secular trends in adolescent health behavior from 1999-2004 in mid-adolescence. Daily beverage servings were assessed using the Youth and Adolescent Food Frequency Questionnaire. Longitudinal findings indicate that intake of soda and sugar-sweetened beverages (including soda, sweetened iced teas, and fruit drinks) increased significantly among younger males, and alcohol increased across all groups (P<0.01). Consumption of certain beverages decreased with age: fruit juice (among all males and older females, P< or =0.02), milk (older adolescents, P<0.01), other milk beverages (all females and older males, P<0.01), diet soda (younger adolescents, P<0.01), and coffee/tea (all males and younger females, P<0.01). Significant secular decreases were observed in fruit juice and coffee/tea for males and females (P< or =0.05). Overall, these findings reflect recent secular and longitudinal shifts in adolescent beverage consumption during the critical transition period from early to mid-adolescence and mid- to late adolescence. Although additional research is needed to better understand nuances in adolescent consumption patterns, registered dietitians and other health care practitioners working with adolescents should address the importance of limiting sugar-sweetened beverages with low nutrient density. PMID:19167959

  17. Preliminary Finnish measures of eating competence suggest association with health-promoting eating patterns and related psychobehavioral factors in 10-17 year old adolescents.

    PubMed

    Tanja, Tilles-Tirkkonen; Outi, Nuutinen; Sakari, Suominen; Jarmo, Liukkonen; Kaisa, Poutanen; Leila, Karhunen

    2015-05-01

    Eating competence is an attitudinal and behavioral concept, based on The Satter Eating Competence Model. In adults, it has been shown to be associated with a higher quality of diet. Eating competence or its association with the quality of diet has not been studied in adolescents. The aim of the current study was to explore the utility of using a preliminary Finnish translation of the ecSI 2.0 for evaluating presumed eating competence and its association with food selection, meal patterns and related psychobehavioral factors in 10-17 year old adolescents. Altogether 976 10-17 years old Finnish adolescents filled in the study questionnaire. When exploring the construct validity of ecSI 2.0, the confirmatory factor analysis (CFA) indicated acceptable model fit and all four components of the ecSI 2.0 (eating attitudes, food acceptance, internal regulation of food intake, management of eating context) correlated with each other and were internally consistent. Over half (58%) of the adolescents scored 32 or higher and were thus classified as presumably eating competent (pEC). Eating competence was associated with greater meal frequency, more frequent consumption of vegetables and fruits, and more health-promoting family eating patterns. In addition the pEC, adolescents more often perceived their body size as appropriate, had less often tried to lose weight and had a higher self-esteem and a stronger sense of coherence than the not pEC ones. Family eating patterns and self-esteem were the main underlying factors of eating competence. In conclusion, this preliminary study suggests eating competence could be a useful concept to characterize eating patterns and related behaviors and attitudes in adolescents. However, these preliminary findings need to be confirmed in further studies with an instrument fully validated for this age group. PMID:26007335

  18. Preliminary Finnish Measures of Eating Competence Suggest Association with Health-Promoting Eating Patterns and Related Psychobehavioral Factors in 10–17 Year Old Adolescents

    PubMed Central

    Tanja, Tilles-Tirkkonen; Outi, Nuutinen; Sakari, Suominen; Jarmo, Liukkonen; Kaisa, Poutanen; Leila, Karhunen

    2015-01-01

    Eating competence is an attitudinal and behavioral concept, based on The Satter Eating Competence Model. In adults, it has been shown to be associated with a higher quality of diet. Eating competence or its association with the quality of diet has not been studied in adolescents. The aim of the current study was to explore the utility of using a preliminary Finnish translation of the ecSI 2.0 for evaluating presumed eating competence and its association with food selection, meal patterns and related psychobehavioral factors in 10–17 year old adolescents. Altogether 976 10–17 years old Finnish adolescents filled in the study questionnaire. When exploring the construct validity of ecSI 2.0, the confirmatory factor analysis (CFA) indicated acceptable model fit and all four components of the ecSI 2.0 (eating attitudes, food acceptance, internal regulation of food intake, management of eating context) correlated with each other and were internally consistent. Over half (58%) of the adolescents scored 32 or higher and were thus classified as presumably eating competent (pEC). Eating competence was associated with greater meal frequency, more frequent consumption of vegetables and fruits, and more health-promoting family eating patterns. In addition the pEC, adolescents more often perceived their body size as appropriate, had less often tried to lose weight and had a higher self-esteem and a stronger sense of coherence than the not pEC ones. Family eating patterns and self-esteem were the main underlying factors of eating competence. In conclusion, this preliminary study suggests eating competence could be a useful concept to characterize eating patterns and related behaviors and attitudes in adolescents. However, these preliminary findings need to be confirmed in further studies with an instrument fully validated for this age group. PMID:26007335

  19. Childhood hyperactivity/inattention and eating disturbances predict binge eating in adolescence

    PubMed Central

    Sonneville, Kendrin R.; Calzo, Jerel P.; Horton, Nicholas J.; Field, Alison E.; Crosby, Ross D.; Solmi, Francesca; Micali, Nadia

    2015-01-01

    Background Identifying childhood predictors of binge eating and understanding risk mechanisms could help improve prevention and detection efforts. The aim of this study was to examine whether features of attention deficit-hyperactivity disorder (ADHD), as well as childhood eating disturbances, predicted binge eating later in adolescence. Method We studied specific risk factors for the development of binge eating during mid-adolescence among 7,120 males and females from the Avon Longitudinal Study of Parents and Children (ALSPAC), a cohort study of children in the United Kingdom, using data from multiple informants to develop structural equation models. Repeated assessment of eating disturbances during childhood (mid-childhood overeating, late-childhood overeating, and early-adolescent strong desire for food), as well as teacher and parent reported hyperactivity/inattention during mid- and late-childhood, were considered as possible predictors of mid-adolescent binge eating. Results Prevalence of binge eating during mid-adolescence in our sample was 11.6%. The final model of predictors of binge eating during mid-adolescence included direct effects of late-childhood overeating (standardized estimate: 0.145, 95% CI: 0.038, 0.259; p=0.009) and early-adolescent strong desire for food (standardized estimate: 0.088, 95% CI: −0.002, 0.169; p=0.05). Hyperactivity/inattention during late-childhood indirectly predicted binge eating during mid-adolescence (standardized estimate: 0.085, 95% CI: 0.007, 0.128; p=0.03) via late-childhood overeating and early-adolescent strong desire for food. Conclusions Our findings indicate that early ADHD symptoms, in addition to an overeating phenotype, contribute to risk for adolescent binge eating. These findings lend support to the potential role of hyperactivity/inattention in the development of overeating and binge eating. PMID:26098685

  20. Disordered Eating among Female Adolescents: Prevalence, Risk Factors, and Consequences

    ERIC Educational Resources Information Center

    Bryla, Karen Y.

    2003-01-01

    Disordered eating among American adolescent females represents a significant health issue in our current cultural climate. Disordered eating receives insufficient attention, however, due to the public's unfamiliarity with symptoms and consequences, absence of treatment options, and unreliable instrumentation to detect disordered eating. Disordered…

  1. Encouraging Healthy Eating Behaviors in Toddlers

    ERIC Educational Resources Information Center

    Brawley, Larra; Henk, Jennifer

    2014-01-01

    Young children's eating behaviors have a direct link to their future health and attitudes regarding food. Similarly, positive nutrition during the toddler years leads to increased brain development and thus children are generally healthier (Weaver, More, & Harris, 2008). This makes eating behaviors extremely important. During the toddler…

  2. Emotional Eating Scale for children and adolescents: psychometric characteristics in a Spanish sample.

    PubMed

    Perpiñá, Conxa; Cebolla, Ausiàs; Botella, Cristina; Lurbe, Empar; Torró, Maria-Isabel

    2011-01-01

    The aims of this study were to validate the Emotional Eating Scale version for children (EES-C) in a Spanish population and study the differences in emotional eating among children with binge eating (BE), overeating (OE), and no episodes of disordered eating (NED). The questionnaire was completed by 199 children aged 9 to 16 years. Confirmatory factor analysis revealed five scales: eating in response to anger, anxiety, restlessness, helplessness, and depression. The EES-C showed good internal consistency and test-retest reliability, and it showed moderate relationships with measures of disordered-eating [Children's Eating Attitudes Test-26 (ChEAT-26), Questionnaire of Eating and Weight Patterns-Adolescent Version (QEWP-A)] and psychopathology (State-Trait Anxiety Inventory for Children, Children's Depression Inventory, Child Behavior Checklist). There were significant differences between the BE/NED groups (with the OE group in the middle position) in desire to eat when Anger (the girls in BE group, and the oldest children in OE group obtaining higher scores) or Helplessness were present. Eating due to Depression was higher in the older groups. Multiple regression analysis conducted showed that anxiety-trait was the best predictor of emotional eating. Results support the potential utility of the EES-C in the study of emotional eating in children and its validity in the Spanish population. PMID:21534053

  3. Body image disturbance in children and adolescents with eating disorders. Current evidence and future directions.

    PubMed

    Legenbauer, Tanja; Thiemann, Pia; Vocks, Silja

    2014-01-01

    Body image is multifaceted and incorporates perceptual, affective, and cognitive components as well as behavioral features. Only few studies have examined the character of body-image disturbance in children/adolescents with eating disorders. It is unknown whether body-image disturbances in children/adolescent with eating disturbances are comparable to those of adult patients with eating disorders. Body-image disturbance might differ quantitatively and qualitatively according to the cognitive developmental status and the age of the individual. This paper provides an overview of the current evidence for body-image disturbance in children/adolescents with eating disorders, and how they compare with those adults with eating disorders. Current evidence indicates that older adolescent patients show similar deficits as adult patients with eating disorders, in particular for the attitudinal body-image component. However, evidence for a perceptual body-image disturbance in adolescent patients, in particular anorexia nervosa, is not conclusive. Reliable statements for childhood can hardly be made because clinical studies are not available. Investigations of body-image disturbance in children have focused on the predictive value for eating disorders. Limitations of the current evidence are discussed, and future directions for research and therapy are indicated. PMID:24365963

  4. Associations between friends' disordered eating and muscle-enhancing behaviors

    PubMed Central

    Eisenberg, Marla E.; Wall, Melanie; Shim, Jin Joo; Bruening, Meg; Loth, Katie; Neumark-Sztainer, Dianne

    2012-01-01

    Dieting, unhealthy weight control and muscle-enhancing behaviors are common among adolescents: friends are a probable source of influence on these behaviors. The present study uses data provided by nominated friends to examine associations between friends' disordered eating and muscle-enhancing behaviors and participants' own behaviors in a diverse sample of American youth. Male and female adolescents (mean age = 14.4) completed surveys and identified their friends from a class roster; friends' survey data were then linked to each participant. Participants (N = 2126) who had at least one nominated friend were included in the analytic sample. Independent variables were created using the same weight control and muscle-enhancing behaviors reported by nominated friends, and were used in logistic regression models to test associations between participants' and their friends' behaviors, stratified by gender. Results indicated that dieting, disordered eating and muscle-enhancing behaviors were common in this sample, and selected friends' behaviors were associated with the same behaviors in participants. For example, girls whose friends reported extreme weight control behaviors had significantly greater odds of using these behaviors than girls whose friends did not report these same behaviors (OR = 2.39). This research suggests that friends' weight- and shape-related behaviors are a feature of social relationships, and is the first report demonstrating these associations for muscle-enhancing behaviors. Capitalizing on the social element may be important to the development of increasingly effective intervention and prevention programs. PMID:23010337

  5. Are There Gender-Specific Pathways from Early Adolescence Psychological Distress Symptoms toward the Development of Substance Use and Abnormal Eating Behavior?

    ERIC Educational Resources Information Center

    Beato-Fernandez, Luis; Rodriguez-Cano, Teresa; Pelayo-Delgado, Esther; Calaf, Myralys

    2007-01-01

    The aim of the present longitudinal community study was to test whether psychological distress at 13 years of age predicted reported substance use problems in boys and abnormal eating behavior in girls 2 years later. The sample consisted of 500 male and 576 female students. The use of substances was evaluated using a semi-structured interview,…

  6. Globalization and eating disorder risk: Peer influence, perceived social norms, and adolescent disordered eating in Fiji

    PubMed Central

    Gerbasi, Margaret E.; Richards, Lauren K.; Thomas, Jennifer J.; Agnew-Blais, Jessica C.; Thompson-Brenner, Heather; Gilman, Stephen E.; Becker, Anne E.

    2014-01-01

    Objective The increasing global health burden imposed by eating disorders warrants close examination of social exposures associated with globalization that potentially elevate risk during the critical developmental period of adolescence in low- and middle-income countries (LMICs). The study aim was to investigate the association of peer influence and perceived social norms with adolescent eating pathology in Fiji, a LMIC undergoing rapid social change. Method We measured peer influence on eating concerns (with the Inventory of Peer Influence on Eating Concerns; IPIEC), perceived peer norms associated with disordered eating and body concerns, perceived community cultural norms, and individual cultural orientations in a representative sample of school-going ethnic Fijian adolescent girls (n=523). We then developed a multivariable linear regression model to examine their relation to eating pathology (measured by the Eating Disorder Examination-Questionnaire; EDE-Q). Results We found independent and statistically significant associations between both IPIEC scores and our proxy for perceived social norms specific to disordered eating (both p <.001) and EDE-Q global scores in a fully adjusted linear regression model. Discussion Study findings support the possibility that peer influence as well as perceived social norms relevant to disordered eating may elevate risk for disordered eating in Fiji, during the critical developmental period of adolescence. Replication and extension of these research findings in other populations undergoing rapid social transition—and where globalization is also influencing local social norms—may enrich etiologic models and inform strategies to mitigate risk. PMID:25139374

  7. [Eating disorders--an increasing problem in children and adolescents?].

    PubMed

    Brunner, R; Resch, F

    2006-08-01

    Recent evidence from epidemiological studies suggests that the prevalence of eating disorders is rising in adolescents and the age of onset has fallen. An average prevalence rate for anorexia nervosa of 0.5% and for bulimia nervosa of 0.5% was found for teenaged girls. For both disorders the highest incidence was found in females aged 10-19 years. Disordered eating attitudes and behaviors are common in a substantial proportion of adolescents and are associated with an increased risk of the manifestation of a full disorder or other forms of emotional or behavior problems (depression, anxiety, substance abuse, suicidal behavior). For both disorders a complex multifactorial aetiology has been postulated, involving the interaction of genetic predisposition and certain specific environmental risk factors, particularly social factors. Next to other comorbid psychiatric conditions medical complications resulting from semistarvation and purging often require an inpatient treatment. The multimodal therapeutic approach focus on controlled weight restoration in combination of specific psychoeducational and psychotherapeutic methods involving the patients and their families. PMID:16941400

  8. Drive for muscularity and disordered eating among French adolescent boys: a sociocultural model.

    PubMed

    Rodgers, Rachel F; Ganchou, Camille; Franko, Debra L; Chabrol, Henri

    2012-06-01

    The pursuit of muscularity is an important body image concern among boys which has been described within sociocultural models of risk for eating disorders. This study explored a sociocultural model of disordered eating in which drive for thinness and pursuit of muscularity were both pathways to disordered eating among French adolescent boys. A sample of 146 adolescents completed a questionnaire assessing drive for thinness, drive for muscularity, media-ideal internalization, appearance comparison, and sociocultural pressure. The model was a good fit to the data and both drive for thinness and the pursuit of muscularity were related to disordered eating. Furthermore, internalization and appearance comparison mediated the relationships between pressure to increase muscle and both drive for muscularity and drive for thinness. Longitudinal research could help clarify the role of the pursuit of muscularity in the development of disordered eating and extreme body shape changing behaviors. PMID:22494958

  9. Eating habits, physical activity, consumption of substances and eating disorders in adolescents.

    PubMed

    Quiles-Marcos, Yolanda; Balaguer-Solá, Isabel; Pamies-Aubalat, Lidia; Quiles-Sebastián, María José; Marzo-Campos, Juan Carlos; Rodríguez-Marín, Jesús

    2011-11-01

    The aim of this study was to evaluate the differences between adolescents with a high or low risk of developing an eating disorder (ED) in different health behaviors (eating habits, physical activity and the consumption of substances) per gender. The EAT-40 and the Inventory of Behavioral Health in Scholars were applied to 2142 middle school students from Alicante (Spain), of whom 52.8% were girls and 47.2% were boys, with an average age of 13.92 years old (Sd = 1.34). Results indicated that girls with a high risk of developing an ED consumed fewer meals, ate fewer unhealthy foods, followed more diets and paid more attention to nutritional components. Furthermore, they also performed more physical activity with the objective of losing weight, and consumed more tobacco, alcohol and medicines. Boys at high risk of developing an ED followed more diets and paid more attention to nutritional components. For boys, no more differences were found. These results suggest that any program directed at the prevention of ED should not only include nutritional education, but should also seek to promote regular physical activity with objectives other than weight loss or the burning of calories. PMID:22059317

  10. Predictive Effects of Mother and Peer Influences on Increases in Adolescent Eating Disorder Risk Factors and Symptoms: A 3-Year Longitudinal Study

    PubMed Central

    Linville, Deanna; Stice, Eric; Gau, Jeff; O'Neil, Maya

    2014-01-01

    Objective To investigate the relation of maternal and peer attitudes and behaviors to changes in eating disorder risk factors and symptoms in adolescent females. Method We tested whether maternal and peer eating attitudes, behaviors, and deficits in social support at baseline predicted subsequent increases in eating disorder risk factors and symptoms among 483 late adolescent females followed over 3 years. Results Data provide partial support for hypotheses, as eating disorder risk factors and symptoms increased over time and maternal thin ideal internalization significantly predicted a future increases in adolescent bulimic symptoms. There were no significant predictors of adolescent thin ideal internalization or body dissatisfaction. Discussion Findings only partially support the hypothesis that unhealthy attitudes and behaviors of mothers increase risk for eating disorder symptoms in their late adolescent daughters. These results underscore why eating disorder prevention programs should be based on risk factor research that has used prospective and rigorous designs. PMID:21344465

  11. [Eating characteristics of Chilean indigenous and non-indigenous adolescent girls].

    PubMed

    Araneda, Jacqueline; Amigo, Hugo; Bustos, Patricia

    2010-03-01

    During childhood and adolescence, eating habits become established which are instrumental in determining eating behavior later in life. Various authors have described the acculturation of the Mapuche people toward Western culture. The objective of this study was to analyze the eating characteristics of indigenous and non-indigenous adolescent girls in the Araucania Region of Chile. A cross-sectional design was used with a probabilistic sample of 281 adolescents comprised of 139 indigenous and 142 non-indigenous girls attending 168 elementary schools. A modified food frequency questionnaire was applied, designed to obtain information about eating habits and consumption of Mapuche foods. The eating schedules are similar in both ethnic groups, with dinner being the meal that is least consumed. Total snack consumption per week has a mean of 7 with an interquartile range (IQR) of 5 to 10 without any differences between ethnic groups; of these snacks, only 2 were healthy (IQR = 1 to 3). The indigenous girls had a higher probability of consumption of native foods including mote (boiled wheat) (OR = 2.00; IC = 0.93-4.29), muday (fermented cereal alcohol) (OR = 3.45; IC = 1.90-6.27), and yuyo (field mustard) (OR = 4.40; IC = 2.06-9.39). The study's conclusion is that the the eating habits and behavior of indigenous adolescents are similar to those of non-indigenous girls, though the former still consume more indigenous foods. PMID:21090273

  12. Interpersonal influences on late adolescent girls' and boys' disordered eating.

    PubMed

    Shomaker, Lauren B; Furman, Wyndol

    2009-04-01

    Perceived socio-cultural pressure to be thin has an important impact on disordered eating during early and middle adolescence, but less is known about late adolescence. Most prospective studies included only girls, and less is known about the influence on boys. This study investigated interpersonal influences on changes in late adolescent boys' and girls' symptoms of disordered eating over one year. Participants were a community sample of late adolescents 16-19 years of age (N=199; 49.75% girls), their mothers, and friends. Structural equation modeling revealed that interpersonal pressure to be thin and criticism about appearance predicted increases in disordered eating over time. Late adolescents', mothers' and friends' reports of pressure were associated with disordered eating at Time 1 and Time 2. Further, adolescents' perceptions and friends' reports of pressure to be thin predicted changes in disordered eating over time. Findings underscore the significance of interpersonal relationships for disordered eating during late adolescence in both girls and boys. PMID:19447351

  13. Emotional Openness, problematic eating behaviours, and overweight in adolescents.

    PubMed

    Walther, Mireille; Hilbert, Anja

    2015-04-01

    Overweight, a common health condition in adolescence, has been linked with difficulties in emotional processing. This study investigates associations between emotional processing, conceptualised through the model of Emotional Openness (EO), problematic eating behaviours, including Eating in the Absence of Hunger and disinhibited eating, and overweight in adolescents. Several self-report instruments were completed by 160 youngsters (mean age: 14.36±0.61years) from the community, including 39 overweight and obese adolescents (24.5%). In girls, bootstrap analyses supported a mediating effect of restrained eating on the relation between three EO dimensions and body mass index percentile, in particular the communication of emotions, the cognitive-conceptual representation of emotions, and the perception of bodily indicator of emotions. No mediating effect was found in boys. These results have important implications for psychological weight management interventions, as they underline the relevance of work on emotional processing in order to reduce problematic eating behaviours. PMID:25682365

  14. Overvaluation of shape and weight among overweight children and adolescents with loss of control eating.

    PubMed

    Goldschmidt, Andrea; Wilfley, Denise E; Eddy, Kamryn T; Boutelle, Kerri; Zucker, Nancy; Peterson, Carol B; Celio-Doyle, Angela; Le Grange, Daniel

    2011-10-01

    Little is known about the phenomenology of pediatric loss of control (LOC) eating. Overvaluation of shape and weight, however, appears to be diagnostically meaningful among binge eating adults. We explored the significance of shape and weight overvaluation among children and adolescents with LOC eating. Participants (n = 526) included 149 overweight youth with LOC eating and 377 overweight controls (CON). Participants were categorized as those reporting at least moderate overvaluation (LOC-Mod, n = 74; CON-Mod, n = 106) or less than moderate overvaluation (LOC-Low, n = 75; CON-Low, n = 271), and compared on measures of eating-related and general psychopathology. LOC-Mod evidenced lower self-esteem than CON-Low, and greater behavioral problems than CON-Mod and CON-Low, but did not differ from LOC-Low in these domains. With the exception of LOC-Low and CON-Mod, all groups differed on global eating-disorder severity, with LOC-Mod scoring the highest. Overvaluation of shape and weight appears to be of questionable importance in defining subtypes of youth with LOC eating. However, as overvaluation and LOC eating each independently predicts eating-disorder onset, their confluence may confer even further risk for eating-disorder development. Longitudinal studies should address this possibility. Developmentally appropriate discussion about body image disturbance may be indicated in interventions targeting pediatric LOC eating and/or obesity. PMID:21835393

  15. Does adolescent media use cause obesity and eating disorders?

    PubMed

    Jordan, Amy B; Kramer-Golinkoff, Emily K; Strasburger, Victor C

    2008-12-01

    In this article we examine media use and its relationship to adolescent overweight/obesity and adolescent eating disorders. We consider the potential mechanisms through which exposure to media during adolescence (both amount of time and choice of content) might exacerbate unhealthy eating and physical activity patterns. We consider strategies that health care providers can use to identify problematic media use and suggestions they might offer to adolescents and their parents for ways to make media a more positive agent in young people's healthy development. PMID:19227385

  16. Overlap in Eating Disorders and Obesity in Adolescence.

    PubMed

    Rancourt, Diana; McCullough, Mary Beth

    2015-10-01

    While eating disorders and obesity have traditionally been conceptualized as separate conditions, recent research suggests important overlap in several areas including etiology, comorbidity, risk factors, and prevention approaches. Examining the commonality among these conditions is particularly important as adolescents who present with both eating disorder symptomology and obesity demonstrate poorer outcomes within weight control treatments and are at greater risk for future development of full threshold eating disorders and additional weight gain. The purpose of this paper is to review the research examining the overlap in prevalence rates for eating disorders and obesity in adolescents, as well as shared etiology, risk factors, and psychiatric and medical comorbidities. Current preventive and treatment approaches also will be discussed, while highlighting the need for more integrated assessment, prevention, and treatment efforts that focus on maladaptive eating and activity patterns shared by both eating disorders and obesity. PMID:26303593

  17. LIBER8 design and methods: an integrative intervention for loss of control eating among African American and White adolescent girls.

    PubMed

    Mazzeo, Suzanne E; Kelly, Nichole R; Stern, Marilyn; Palmberg, Allison A; Belgrave, Faye Z; Tanofsky-Kraff, Marian; Latzer, Yael; Bulik, Cynthia M

    2013-01-01

    Loss of control (LOC) eating affects a significant number of adolescents of all racial and ethnic backgrounds and is associated with numerous psychosocial problems, including depression, anxiety, low self-esteem, body dissatisfaction, and weight concerns. However, empirically validated, culturally sensitive treatments for adolescents with these disordered eating behaviors are not available. This pilot project involved designing a developmentally and culturally appropriate treatment for LOC eating for adolescent girls. We intend to conduct multiple focus groups with adolescent girls who engage in LOC eating, and their primary caregivers. Data from these groups will inform the subsequent creation of a manualized treatment protocol. We will then evaluate the efficacy of this intervention (LIBER8-Linking Individuals Being Emotionally Real) to reduce LOC eating. This intervention will integrate components of dialectical behavior therapy, such as mindfulness and distress tolerance skills training, and cognitive-behavioral therapy. We will also integrate text-messaging, a key adolescent communication strategy, as a means of self-monitoring. Participants meeting study criteria will be offered participation in this 12-week randomized controlled trial comparing LIBER8 to a weight management control condition (2BFit). We hypothesize that this intervention will serve to reduce LOC eating, as well as improve psychosocial functioning as evidenced by decreased depression, anxiety, eating disorder cognitions, emotional eating, impulsivity, and improved quality of life. The feasibility and acceptability of this intervention will be extensively evaluated with the explicit intent of informing a subsequent larger randomized controlled trial. PMID:23142669

  18. LIBER8 Design and Methods: An Integrative Intervention for Loss of Control Eating among African American and White Adolescent Girls

    PubMed Central

    Mazzeo, Suzanne E.; Kelly, Nichole R.; Stern, Marilyn; Palmberg, Allison A.; Belgrave, Faye Z.; Tanofsky-Kraff, Marian; Latzer, Yael; Bulik, Cynthia M.

    2013-01-01

    Loss of control (LOC) eating affects a significant number of adolescents of all racial and ethnic backgrounds and is associated with numerous psychosocial problems, including depression, anxiety, low self-esteem, body dissatisfaction, and weight concerns. However, empirically validated, culturally sensitive treatments for adolescents with these disordered eating behaviors are not available. This pilot project involved designing a developmentally and culturally appropriate treatment for LOC eating for adolescent girls. We intend to conduct multiple focus groups with adolescent girls who engage in LOC eating, and their primary caregivers. Data from these groups will inform the subsequent creation of a manualized treatment protocol. We will then evaluate the efficacy of this intervention (LIBER8—Linking Individuals Being Emotionally Real) to reduce LOC eating. This intervention will integrate components of dialectical behavior therapy, such as mindfulness and distress tolerance skills training, and cognitive-behavioral therapy. We will also integrate text-messaging, a key adolescent communication strategy, as a means of self-monitoring. Participants meeting study criteria will be offered participation in this 12-week randomized controlled trial comparing LIBER8 to a weight management control condition (2BFit). We hypothesize that this intervention will serve to reduce LOC eating, as well as improve psychosocial functioning as evidenced by decreased depression, anxiety, eating disorder cognitions, emotional eating, impulsivity, and improved quality of life. The feasibility and acceptability of this intervention will be extensively evaluated with the explicit intent of informing a subsequent larger randomized controlled trial. PMID:23142669

  19. Eating Disorders in the Adolescent Population: Future Directions.

    ERIC Educational Resources Information Center

    Pratt, Helen D.; Phillips, Elaine L.; Greydanus, Donald E.; Patel, Dilip R.

    2003-01-01

    Provides a brief overview (research design, prevalence, risk factors, assessment, treatment, outcome, and obstacles to care) of the status of knowledge of eating disorders among adolescents. Offers recommendations for future research. (EV)

  20. Eating Attitudes and Their Psychological Correlates among Turkish Adolescents

    ERIC Educational Resources Information Center

    Bas, Murat; Asci, F. Hulya; Karabudak, Efsun; Kiziltan, Gul

    2004-01-01

    This study examined the eating attitudes and psychological characteristics of Turkish late adolescents. Seven hundred eighty-three university students were administered the Eating Attitudes Test, Rosenberg Self-Esteem Scale, State-Trait Anxiety Inventory, and Social Physique Anxiety Scale. More than one in ten (9.2% of the males and 13.1% of the…

  1. Predictors of Adolescent Breakfast Consumption: Longitudinal Findings from Project EAT

    ERIC Educational Resources Information Center

    Bruening, Meg; Larson, Nicole; Story, Mary; Neumark-Sztainer, Dianne; Hannan, Peter

    2011-01-01

    Objective: To identify predictors of breakfast consumption among adolescents. Methods: Five-year longitudinal study Project EAT (Eating Among Teens). Baseline surveys were completed in Minneapolis-St. Paul schools and by mail at follow-up by youth (n = 800) transitioning from middle to high school. Linear regression models examined associations…

  2. Delay discounting, but not disinhibition or inattention, partially mediates the effects of neuroticism on disordered eating in adolescents.

    PubMed

    Thamotharan, Sneha; Hubbard, Meagan; Fields, Sherecce

    2015-08-01

    Adolescence represents an integral developmental period for the prevention and intervention of disordered eating. Individuals with high levels of neuroticism have been shown to respond with greater impulsivity and use of disordered eating as a coping mechanism. However, the exact mechanism through which neuroticism and impulsivity affect disordered eating remains unknown. To understand the effects of personality and impulsivity on disordered eating in adolescence, the present study aimed to investigate whether impulsivity mediated the relationship between neuroticism and disordered eating. Adolescents (N=40) between the ages of 13 and 19 (Mage=18.25years; S.D.=1.30) were queried on eating attitudes and personality, as well as completed behavioral tasks assessing impulsivity (delay discounting, disinhibition and inattention). Mediation analyses revealed that neuroticism was significantly associated with patterns of disordered eating, but delay discounting, and not disinhibition and inattention, appeared to mediate the relationship between neuroticism and disordered eating. These results should guide prospective research exploring the relations between neurotic and impulsive behavior, particularly delay discounting on disordered eating, which will assist in future treatment efforts targeting the development of maladaptive eating behaviors. PMID:26010818

  3. Delay discounting, but not disinhibition or inattention, partially mediates the effects of neuroticism on disordered eating in adolescents

    PubMed Central

    Thamotharan, Sneha; Hubbard, Meagan; Fields, Sherecce

    2015-01-01

    Adolescence represents an integral developmental period for the prevention and intervention of disordered eating. Individuals with high levels of neuroticism have been shown to respond with greater impulsivity and use of disordered eating as a coping mechanism. However, the exact mechanism through which neuroticism and impulsivity affect disordered eating remains unknown. To understand the effects of personality and impulsivity on disordered eating in adolescence, the present study aimed to investigate whether impulsivity mediated the relationship between neuroticism and disordered eating. Adolescents (N = 40) between the ages of 13 and 19 (Mage = 18.25 years; S.D. = 1.30) were queried on eating attitudes and personality, as well as completed behavioral tasks assessing impulsivity (delay discounting, disinhibition and inattention). Mediation analyses revealed that both neuroticism was significantly associated with patterns of disordered eating, but delay discounting, and not disinhibition and inattention, appeared to mediate the relationship between neuroticism and disordered eating. These results should guide prospective research exploring the relations between neurotic and impulsive behavior, particularly delay discounting on disordered eating, which will assist in future treatment efforts targeting the development of maladaptive eating behaviors. PMID:26010818

  4. Adolescent aesthetic athletes: a group at risk for eating pathology?

    PubMed

    Van Durme, Kim; Goossens, Lien; Braet, Caroline

    2012-04-01

    Previous research shows that leanness- and weight-dependent sports increase the risk of developing disturbed eating behaviour. This study investigated whether adolescent aesthetic athletes (n=68, M=14.6 years), particularly ballet dancers and figure skaters, exhibit more eating pathology compared to the general population. Furthermore, it was investigated whether sport-related factors have explanatory value for the dieting behaviour of aesthetic athletes. To asses eating pathology, reliable and valid self-report questionnaires were used including the Eating Disorder Inventory-II, the Children's Eating Disorder Examination-Questionnaire and the Dutch Eating Behaviour Questionnaire. Results show that female aesthetic athletes show more drive for thinness, features of bulimia, dieting behaviour and concerns about weight and shape compared to female adolescents from the general population. Concerning the explanation of dieting behaviour in aesthetic athletes, both sport-related factors (competition state anxiety) and general risk factors (eating concern) seem to be relevant. These results suggest that female aesthetic athletes show more disturbed eating behaviour and thoughts than female adolescents from the general population and therefore may have an enhanced risk of developing clinical eating disorders. PMID:22365793

  5. The Associations of Eating-related Attitudinal Balance with Psychological Well-being and Eating Behaviors.

    PubMed

    Fuglestad, Paul T; Bruening, Meg; Graham, Dan J; Eisenberg, Marla E; Neumark-Sztainer, Dianne R

    2013-01-01

    This study used balance theory to illuminate the relations of eating-related attitudinal consistency between self and friends to psychological well-being and eating behaviors. It was hypothesized that attitudinal inconsistency, relative to consistency, would predict lower well-being and poorer eating habits. A population-based sample of 2287 young adults participating in Project EAT-III (Eating Among Teens and Young Adults) completed measures of psychological well-being, eating behaviors, and eating-related attitudes from the standpoint of self and friends. Of participants who cared about healthy eating, those who perceived that their friends did not care about healthy eating had lower well-being and less-healthy eating behaviors (fewer fruits and vegetables and more sugary beverages per day) than those who perceived that their friends cared about healthy eating. Conversely, among participants who did not care about healthy eating, those who perceived that their friends cared about healthy eating had lower well-being and less-healthy eating behaviors (more snacks per day) than those who perceived that their friends did not care about healthy eating. In accord with balance theory, young adults who perceived inconsistent eating attitudes between themselves and their friends had lower psychological well-being and generally less-healthy eating behaviors than people who perceived consistent eating attitudes. PMID:24587589

  6. Parental feeding styles and adolescents' healthy eating habits. Structure and correlates of a Costa Rican questionnaire.

    PubMed

    Monge-Rojas, Rafael; Smith-Castro, Vanesa; Colon-Ramos, Uriyoán; Garita-Arce, Carlos; Sánchez-López, Marta; Chinnock, Anne

    2010-10-01

    This study designed and validated a questionnaire aimed at examining parental feeding styles to encourage healthy eating habits among Costa Rican adolescents. Adolescents (n=133; mean age 15.4 years), and their parents, participated in the study. The parents completed a parental feeding style questionnaire, and the adolescents completed 3-day food records. Confirmatory factor analyses suggest four distinct parental feeding styles, (a) verbal encouragement of healthy eating behaviors; (b) use of verbal sanctions to indirectly control the intake of healthy food; (c) direct control of access to and intake of food; and (d) use of food to regulate emotions and behavior. There were no correlations between dietary intake and the verbal encouragement of healthy eating behaviors, but there were significant negative correlations between (1) "the use of verbal sanctions to indirectly control the intake of healthy food", and the consumption of fruit and vegetable, of calcium, iron, vitamin B6 and folic acid intake, and (2) between the "direct control of access to and intake of food" and fast food consumption and total carbohydrates intake. The use of food to regulate emotions and behavior was positively correlated with high energy-dense food consumption. Stratification of the data shows significant differences by gender in the correlations between parental feeding style and dietary intake. Understanding parental feeding styles in a Latin American context is a first step in helping researchers develops culturally-appropriate parenting intervention/prevention strategies to encourage healthy eating behaviors during adolescence. PMID:20600415

  7. Eating Pathology among Adolescent Girls with Attention-Deficit/Hyperactivity Disorder

    PubMed Central

    Mikami, Amori Yee; Hinshaw, Stephen P.; Patterson, Katherine A.; Lee, Joyce Chang

    2010-01-01

    Investigated prospectively-assessed eating pathology (body image dissatisfaction and bulimia nervosa symptoms) among an ethnically and socioeconomically diverse sample of adolescent girls with ADHD-Combined Type (ADHD-C; n=93), ADHD-Inattentive Type (ADHD-I; n=47), and a comparison group (n=88). The sample, initially aged 6–12 years, participated in a 5-year longitudinal study (92% retention rate). After statistical control of relevant covariates, girls with ADHD-C at baseline showed more eating pathology at follow-up than did comparison girls; girls with ADHD-I were intermediate between these two groups. Baseline impulsivity symptoms, as opposed to hyperactivity and inattention, best predicted adolescent eating pathology. With statistical control of ADHD, baseline peer rejection and parent-child relationship problems also predicted adolescent eating pathology. The association between punitive parenting in childhood and pathological eating behaviors in adolescence was stronger for girls with ADHD than for comparison girls. Results are discussed in terms of the expansion of longitudinal research on ADHD to include female-relevant domains of impairment, such as eating pathology. PMID:18266500

  8. Disinhibited eating in obese adolescents is associated with orbitofrontal volume reductions and executive dysfunction

    PubMed Central

    Maayan, L; Hoogendoorn, C; Sweat, V; Convit, A.

    2011-01-01

    In adults, obesity has been associated with disinhibited eating, decreased cortical gray matter volume, and lower performance on cognitive assessments. Much less is known about these relationships in adolescence and there are no studies assessing behavioral, cognitive, and neurostructural measures in the same group of study participants. This study examined the relationship between obesity, executive function, disinhibition, and brain volumes in relatively healthy youth. Participants included 54 obese and 37 lean adolescents. Participants received a cognitive battery, questionnaires of eating behaviors, and magnetic resonance imaging (MRI). Neuropsychological assessments included tasks targeting frontal lobe function. Eating behaviors were determined using the Three Factor Eating Questionnaire (TFEQ), and structural MRIs were performed on a 1.5 T Siemens Avanto MRI System (Siemens, Erlangen, Germany) to determine brain gray matter volumes. Lean and obese adolescents were matched on age, years of education, gender, and socioeconomic status. Relative to lean adolescents, obese participants had significantly higher ratings of disinhibition on the TFEQ, lower performance on the cognitive tests, and lower orbitofrontal cortex volume. Disinhibition significantly correlated with Body Mass Index, Stroop Color-Word score, and orbitofrontal cortex volume. This is the first report of these associations in adolescents and point to the importance of better understanding the associations between neurostructural deficits and obesity. PMID:21350433

  9. Cognitive behavior therapy of binge eating disorder.

    PubMed

    Vaidya, Varsha

    2006-01-01

    Binge eating disorder (BED) is characterized by recurrent episodes of uncontrollable eating, even when not hungry, until uncomfortably full, occurring at least twice a week for a 6-month period. This is differentiated from bulimia nervosa (BN) by the lack of compensatory mechanisms such as purging/laxative abuse. There are significantly higher levels of psychiatric symptoms in patients with BED as compared to those without BED. Furthermore, depressive symptomatology may increase the patient's vulnerability to binge eating as well as to relapse after treatment. Grazing is defined as eating small amounts of food continuously. BED in the pre-bariatric patient can manifest as 'grazing' about 2 years post-bariatric surgery. Treatment should be directed at eating behavior, associated psychopathology, weight and psychiatric symptoms. Cognitive behavior therapy is based on changing the patient's erroneous ways of thinking about themselves, the world and how others perceive them. This includes a focus on normalizing food intake as well as challenging dysfunctional thinking, identifying feelings, and developing non-food coping skills. It increases a sense of control and therefore helps the patient adhere to behavior change strategy, as well as improving mood and reducing associated psychopathology. Interpersonal therapy is based on the relationship between negative mood low self-esteem traumatic life events, interpersonal functioning and the patient's eating behavior. The rationale being that eating represents maladaptive coping with underlying difficulties. While psychotherapy either CBT or IPT leads to decrease in disordered eating behaviors and improved psychiatric symptoms, it has little effect on weight hence; its benefit is optimal when used in conjunction with bariatric surgery. PMID:16418545

  10. Therapeutic engagement: Perspectives from adolescents with eating disorders.

    PubMed

    Zaitsoff, Shannon; Yiu, Angelina; Pullmer, Rachelle; Geller, Josie; Menna, Rosanne

    2015-12-15

    This study aimed to identify factors that adolescents with eating disorders (ED) consider important for therapeutic engagement, and to examine similarities and differences in the number of identified factors considered important for therapeutic engagement based on diagnostic status and readiness and motivation to change dietary restriction behaviors. Treatment seeking adolescent females (n=34, Mage=16.33, SD=1.34) with an ED were prompted to generate responses to 4 constructs related to therapeutic engagement: (1) Trust, (2) Agreement on therapeutic goals, (3) Confidence in Ability to Change and (4) Feelings of Inclusion in therapeutic decisions. A coding scheme for each construct was developed using a random sample of responses, and each category within a construct was rated as present or absent for each participant. Frequencies and percentages of participants who reported each category within each construct are reported. Additionally, findings indicate that the top two out of three categories reported within each construct were the same between participants with AN versus EDNOS, and between participants high and low in readiness and motivation to change dietary restriction behaviors. This study is a first step in identifying aspects of therapeutic engagement that are important to adolescents with ED, which may differ from adults. PMID:26493323

  11. The Stress Process and Eating Pathology Among Racially Diverse Adolescents Seeking Treatment for Obesity

    PubMed Central

    Gerke, Clarice K.; Stern, Marilyn; Palmberg, Allison A.; Evans, Ronald K.; Wickham, Edmond P.

    2013-01-01

    Objective This study examined the associations of weight-related teasing and daily hassles with eating pathology, as well as potential mediators of these relations, among a racially diverse sample of adolescents. Methods Participants were 92 primarily African American 11–17-year-olds seeking treatment for obesity. Data were collected at baseline. Results Both daily hassles and weight-related teasing were significantly correlated with eating pathology at r = .22 and r = .25, respectively. Feeling upset about teasing mediated the associations of daily hassles (PE = .0093, SE = .0054, 95% BCa bootstrap CI of .0001–.0217) and teasing (PE = .0476, SE = .0198, 95% BCa bootstrap CI of .0093–.0873) with eating pathology. Conclusions These results highlight the importance of psychological interventions in the treatment of weight-loss among adolescents, as stressors may impact eating behaviors. PMID:23853156

  12. Animal Models of Compulsive Eating Behavior

    PubMed Central

    Di Segni, Matteo; Patrono, Enrico; Patella, Loris; Puglisi-Allegra, Stefano; Ventura, Rossella

    2014-01-01

    Eating disorders are multifactorial conditions that can involve a combination of genetic, metabolic, environmental, and behavioral factors. Studies in humans and laboratory animals show that eating can also be regulated by factors unrelated to metabolic control. Several studies suggest a link between stress, access to highly palatable food, and eating disorders. Eating “comfort foods” in response to a negative emotional state, for example, suggests that some individuals overeat to self-medicate. Clinical data suggest that some individuals may develop addiction-like behaviors from consuming palatable foods. Based on this observation, “food addiction” has emerged as an area of intense scientific research. A growing body of evidence suggests that some aspects of food addiction, such as compulsive eating behavior, can be modeled in animals. Moreover, several areas of the brain, including various neurotransmitter systems, are involved in the reinforcement effects of both food and drugs, suggesting that natural and pharmacological stimuli activate similar neural systems. In addition, several recent studies have identified a putative connection between neural circuits activated in the seeking and intake of both palatable food and drugs. The development of well-characterized animal models will increase our understanding of the etiological factors of food addiction and will help identify the neural substrates involved in eating disorders such as compulsive overeating. Such models will facilitate the development and validation of targeted pharmacological therapies. PMID:25340369

  13. Animal models of compulsive eating behavior.

    PubMed

    Di Segni, Matteo; Patrono, Enrico; Patella, Loris; Puglisi-Allegra, Stefano; Ventura, Rossella

    2014-10-01

    Eating disorders are multifactorial conditions that can involve a combination of genetic, metabolic, environmental, and behavioral factors. Studies in humans and laboratory animals show that eating can also be regulated by factors unrelated to metabolic control. Several studies suggest a link between stress, access to highly palatable food, and eating disorders. Eating "comfort foods" in response to a negative emotional state, for example, suggests that some individuals overeat to self-medicate. Clinical data suggest that some individuals may develop addiction-like behaviors from consuming palatable foods. Based on this observation, "food addiction" has emerged as an area of intense scientific research. A growing body of evidence suggests that some aspects of food addiction, such as compulsive eating behavior, can be modeled in animals. Moreover, several areas of the brain, including various neurotransmitter systems, are involved in the reinforcement effects of both food and drugs, suggesting that natural and pharmacological stimuli activate similar neural systems. In addition, several recent studies have identified a putative connection between neural circuits activated in the seeking and intake of both palatable food and drugs. The development of well-characterized animal models will increase our understanding of the etiological factors of food addiction and will help identify the neural substrates involved in eating disorders such as compulsive overeating. Such models will facilitate the development and validation of targeted pharmacological therapies. PMID:25340369

  14. Biopsychopathologic Risk Profile of Adolescents with Eating Disorder Symptoms.

    ERIC Educational Resources Information Center

    Canals, Josepa; And Others

    1996-01-01

    Sought to determine if there is a psychological and somatic pattern for adolescents with eating symptomatology. Used psychological instruments to evaluate self-esteem, personality, school abilities, anxiety, and depression in 515 adolescents between 13 and 14 years old. Generally, low self-esteem and high anxiety were the most important predictors…

  15. A Biopsychosocial Model of Disordered Eating and the Pursuit of Muscularity in Adolescent Boys

    ERIC Educational Resources Information Center

    Ricciardelli, Lina A.; McCabe, Marita P.

    2004-01-01

    This review provides an evaluation of the correlates and/or risk factors associated with disordered eating and the pursuit of muscularity among adolescent boys. One of the main conclusions is that similar factors and processes are associated with both behavioral problems. Several factors found to be consistently associated with disordered eating…

  16. Interpersonal Influences on Late Adolescent Girls’ and Boys’ Disordered Eating

    PubMed Central

    Shomaker, Lauren B.; Furman, Wyndol

    2009-01-01

    Perceived socio-cultural pressure to be thin has an important impact on disordered eating during early and middle adolescence, but less is known about late adolescence. Most prospective studies included only girls, and less is known about the influence on boys. This study investigated interpersonal influences on changes in late adolescent boys’ and girls’ symptoms of disordered eating over one year. Participants were a community sample of late adolescents 16–19 years of age (N = 199; 49.75% girls), their mothers, and friends. Structural equation modeling revealed that interpersonal pressure to be thin and criticism about appearance predicted increases in disordered eating over time. Late adolescents’, mothers’ and friends’ reports of pressure were associated with disordered eating at Time 1 and Time 2. Further, adolescents’ perceptions and friends’ reports of pressure to be thin predicted changes in disordered eating over time. Findings underscore the significance of interpersonal relationships for disordered eating during late adolescence in both girls and boys. PMID:19447351

  17. Diabulimia: how eating disorders can affect adolescents with diabetes.

    PubMed

    Davidson, Jennifer

    2014-09-16

    Adherence to self-management and medication regimens is required to achieve optimal blood glucose control in adolescents with type 1 diabetes mellitus. Non-adherence places adolescents at serious risk of short and long-term health complications. Adherence difficulties may be exacerbated by concurrent eating disorders. Diabulimia is a term used to describe the deliberate administration of insufficient insulin to maintain glycaemic control for the purpose of causing weight loss. This article explores the concept of diabulimia and the compounding complications of an eating disorder on maintaining self-management regimens in adolescents with diabetes. PMID:25204951

  18. Family-based Treatment of Child and Adolescent Eating Disorders.

    PubMed

    Forsberg, Sarah; Lock, James

    2015-07-01

    Best-practice guidelines for the treatment of child and adolescent eating disorders recommend the inclusion of parents. Family-based treatment (FBT) posits that families are not only important in supporting their children but are critical change agents in the recovery process. As originally developed for anorexia nervosa, parents take a central role in managing and disrupting eating disorder symptoms. The most evidence-based treatment model for adolescent anorexia nervosa, FBT has also recently been found to be useful in the treatment of adolescent bulimia nervosa. This article provides a summary of the theoretic model, evidence base, and application of FBT. PMID:26092743

  19. College Women: Eating Behaviors and Help-Seeking Preferences.

    ERIC Educational Resources Information Center

    Prouty, Anne M.; Protinsky, Howard O.; Canady, Donna

    2002-01-01

    Late adolescent college women (N=578) were surveyed regarding eating disorders. Participants found to have eating disorders were younger and more likely to be white, in a sorority, and Christian. Additionally, they were most likely to say that they would prefer a close friend to support them when dealing with disordered eating, followed by their…

  20. Suicidal behavior and self-harm in girls with eating disorders

    PubMed Central

    Koutek, Jiri; Kocourkova, Jana; Dudova, Iva

    2016-01-01

    Comorbid psychopathology, including self-harm and suicidal behavior, is often found in patients with eating disorders. To better understand the reasons for high comorbid psychopathology among eating disorders, self-harm, and suicidal behavior, we examined this comorbidity in female patients hospitalized with eating disorders. In a sample of 47 girls admitted for anorexia nervosa, atypical anorexia nervosa, and bulimia nervosa, 72% had depressive symptoms, 11% had obsessive-compulsive symptoms, 9% had anxiety disorder, 23% had substance abuse, and 57% had disharmonious personality development. Suicidal behavior was present in 60% of patients and self-harm in 49%. Association was found between self-harm and suicidality. In all, 68% of girls with eating disorders had a positive score in the Children’s Depression Inventory questionnaire and 62% of them in the Child Adolescent Suicidal Potential Index questionnaire. Clinical examination of girls with eating disorders should focus on identifying the risk of suicidal behavior and self-harm. PMID:27114709

  1. Suicidal behavior and self-harm in girls with eating disorders.

    PubMed

    Koutek, Jiri; Kocourkova, Jana; Dudova, Iva

    2016-01-01

    Comorbid psychopathology, including self-harm and suicidal behavior, is often found in patients with eating disorders. To better understand the reasons for high comorbid psychopathology among eating disorders, self-harm, and suicidal behavior, we examined this comorbidity in female patients hospitalized with eating disorders. In a sample of 47 girls admitted for anorexia nervosa, atypical anorexia nervosa, and bulimia nervosa, 72% had depressive symptoms, 11% had obsessive-compulsive symptoms, 9% had anxiety disorder, 23% had substance abuse, and 57% had disharmonious personality development. Suicidal behavior was present in 60% of patients and self-harm in 49%. Association was found between self-harm and suicidality. In all, 68% of girls with eating disorders had a positive score in the Children's Depression Inventory questionnaire and 62% of them in the Child Adolescent Suicidal Potential Index questionnaire. Clinical examination of girls with eating disorders should focus on identifying the risk of suicidal behavior and self-harm. PMID:27114709

  2. Sexual Behavior of Adolescents.

    ERIC Educational Resources Information Center

    Wagner, Hilmar

    1978-01-01

    Confined to discussion of heterosexual activities, this article examines adolescent sexual behavior in terms of promiscuity; the search for a sexual behavior code; the impact of the media; and the influence of peer groups, religious identification, and the adult double standard. (JC)

  3. Prevalence and Characteristics of Binge Eating in an Adolescent Community Sample

    ERIC Educational Resources Information Center

    Goossens, Lien; Soenens, Bart; Braet, Caroline

    2009-01-01

    The objective of this article was to investigate the prevalence and psychological correlates of binge eating among adolescents. Self-report questionnaires were administered to a community sample of 708 adolescents (M[subscript age] = 14 years). Adolescents reporting loss of control over eating (17% of the sample) reported more eating pathology and…

  4. Evaluation of a planned behavior theory-based intervention programme to promote healthy eating.

    PubMed

    Tsorbatzoudis, Haralambos

    2005-10-01

    The objective of the study was to test the effectiveness of an intervention program based on the theoretical framework of the Theory of Planned Behavior, with the addition of attitude strength and role identity. The aim was to alter adolescents' healthy eating attitudes and behaviour. In the sample were 335 high school students, who were divided into intervention and control groups. The intervention lasted 12 weeks and included posters and lectures promoting healthy eating. The measures included a questionnaire assessing the hypothesis and a food frequency questionnaire which measured eating habits. Analysis showed the intervention was effective in proving attitudes toward healthy eating and attitude strength, intention, perceived behavioral control, and healthy eating behaviour, but not effective in predicting subjective norms and role identity. Results provide evidence that intervention changed attitudes toward a behavior in a school setting. PMID:16383096

  5. Disordered eating behaviors in type 1 diabetic patients

    PubMed Central

    Larrañaga, Alejandra; Docet, María F; García-Mayor, Ricardo V

    2011-01-01

    Patients with type 1 diabetes mellitus are at high risk for disordered eating behaviors (DEB). Due to the fact that type 1 diabetes mellitus is one of the most common chronic illnesses of childhood and adolescence, the coexistence of eating disorders (ED) and diabetes often affects adolescents and young adults. Since weight management during this state of development can be especially difficult for those with type 1 diabetes, some diabetics may restrict or omit insulin, a condition known as diabulimia, as a form of weight control. It has been clearly shown that ED in type 1 diabetics are associated with impaired metabolic control, more frequent episodes of ketoacidosis and an earlier than expected onset of diabetes-related microvascular complications, particularly retinopathy. The management of these conditions requires a multidisciplinary team formed by an endocrinologist/diabetologist, a nurse educator, a nutritionist, a psychologist and, frequently, a psychiatrist. The treatment of type 1 diabetes patients with DEB and ED should have the following components: diabetes treatment, nutritional management and psychological therapy. A high index of suspicion of the presence of an eating disturbance, particularly among those patients with persistent poor metabolic control, repeated episodes of ketoacidosis and/or weight and shape concerns are recommended in the initial stage of diabetes treatment, especially in young women. Given the extent of the problem and the severe medical risk associated with it, more clinical and technological research aimed to improve its treatment is critical to the future health of this at-risk population. PMID:22087355

  6. The effects of circulating testosterone and pubertal maturation on risk for disordered eating symptoms in adolescent males

    PubMed Central

    Culbert, K. M.; Burt, S. A.; Sisk, C. L.; Nigg, J. T.; Klump, K. L.

    2015-01-01

    Background Testosterone may be a biological factor that protects males against eating disorders. Elevated prenatal testosterone exposure is linked to lower levels of disordered eating symptoms, but effects emerge only after mid-puberty. Whether circulating levels of testosterone account for decreased risk for disordered eating in boys after mid-puberty is currently unknown; however, animal data support this possibility. In rodents, prenatal testosterone’s masculinizing effects on sex-differentiated behaviors emerge during puberty when circulating levels of testosterone increase and ‘activate’ the expression of masculinized phenotypes. This study investigated whether higher levels of circulating testosterone predict lower levels of disordered eating symptoms in adolescent boys, and in particular whether effects are associated with advancing pubertal maturation. Method Participants were 213 male twins from the Michigan State University Twin Registry. The Minnesota Eating Behavior Survey and Eating Disorder Examination Questionnaire assessed several disordered eating symptoms. The Pubertal Development Scale assessed pubertal status. Afternoon saliva samples were assayed for testosterone using enzyme immunoassays. Results Consistent with animal data, higher levels of circulating testosterone predicted lower levels of disordered eating symptoms in adolescent boys and effects emerged with advancing puberty. Results were not accounted for by several important covariates, including age, adiposity, or mood/anxiety symptoms. Conclusions Findings suggest that elevated circulating testosterone may be protective and underlie decreased risk for eating pathology in males during/after puberty, whereas lower levels of testosterone may increase risk and explain why some, albeit relatively few, males develop eating disorders. PMID:24406155

  7. Exploring the co-morbidity of attention-deficit/hyperactivity disorder with eating disorders and disordered eating behaviors in a nationally representative community-based sample.

    PubMed

    Bleck, Jennifer; DeBate, Rita D

    2013-08-01

    Emerging evidence signifies the co-occurrence of attention-deficit/hyperactivity disorder (ADHD) with clinical and sub-threshold disordered eating behaviors. However, many existing studies have assessed this co-occurrence among inpatient or intensive outpatient populations. The purpose of this study was to examine the co-occurrence of ADHD with clinical eating disorders and disordered eating behaviors in a nationally representative sample via a secondary data analysis of data from the National Longitudinal Study of Adolescent Health (n = 4,862; 2,243 males; 2,619 females). Results reveal that females have higher rates of co-occurrence of ADHD and diagnosed eating disorders than males (1.05% vs. 0.20%, p < .01). When controlling for age and race, ADHD predicted diagnosed eating disorders in females (incidence rate ratio (IRR): 2.06; 95% CI: 1.09-3.88; p < .05), but did not predict diagnosed eating disorders in males. With regard to disordered eating behaviors, when controlling for age, gender, and race, ADHD significantly predicted disordered eating behaviors (OR: 1.82; 95% CI: 1.21-2.74). When stratifying by type of disordered eating behavior, ADHD predicted binging and/or purging behavior (OR: 2.86; 95% CI: 1.78-4.61), but not restrictive behaviors. Implications of study findings pertain to both secondary/targeted prevention efforts in addition to tertiary prevention via patient-specific treatment plans. PMID:23910787

  8. Adolescent eating disorders: update on definitions, symptomatology, epidemiology, and comorbidity.

    PubMed

    Herpertz-Dahlmann, Beate

    2015-01-01

    The prevalence of eating disorders among adolescents continues to increase. The starvation process itself is often associated with severe alterations of central and peripheral metabolism, affecting overall health during this vulnerable period. This article aims to convey basic knowledge on these frequent and disabling disorders, and to review new developments in classification issues resulting from the transition to DSM-5. A detailed description is given of the symptomatology of each eating disorder that typically manifests during adolescence. New data on epidemiology, and expanding knowledge on associated medical and psychiatric comorbidities and their often long-lasting sequelae in later life, are provided. PMID:25455581

  9. Dieting, exercise, and intuitive eating among early adolescents.

    PubMed

    Moy, Jordan; Petrie, Trent A; Dockendorff, Sally; Greenleaf, Christy; Martin, Scott

    2013-12-01

    Dieting to lose weight, with its focus on restriction of caloric intake, may disrupt intuitive eating processes, though other forms of weight loss, such as exercising, which do not emphasize food may not. In a sample of 669 middle school boys and 708 girls, regardless of sex or exercising, dieting was related to feeling less free to eat what was wanted and to eating more to soothe emotions than to satisfy actual physical hunger. Exercising, independent of dieting, was associated with feeling less permission to eat what was wanted, but also eating to satisfy physical hunger as opposed to coping with emotional distress. Overall, girls were more aware and trusting of their bodily hunger and satiety cues than boys, but when boys were exercising, they scored similarly to girls on this dimension. These findings suggest that different weight loss approaches - dieting vs. exercising - have unique relationships to young adolescents' intuitive eating and these associations tend to be stable across sex. Longitudinal studies now are needed to examine how dieting that begins in childhood or early adolescence might have long-term effects on the progression of intuitive eating. PMID:24183151

  10. Learning to Eat: Behavioral and Psychological Aspects.

    PubMed

    Birch, Leann L

    2016-01-01

    Because infants are totally dependent upon parents (or other caregivers) for care and sustenance, parents' feeding practices are a key feature of the family environments in which infants and young children learn about food and eating. Feeding practices include not only what the child is fed, but also the how, when, why and how much of feeding. Extensive evidence indicates that parenting behavior influences a variety of child outcomes, including cognitive and socioemotional development, as well as the development of self-regulatory skills. The focus of this chapter is on what is known about how parenting, particularly feeding practices, influences the early development of several aspects of children's eating behavior, including the acquisition of food preferences, self-regulatory skills, children's reactivity to food cues, satiety responsiveness and 'picky eating'. It is argued that traditional feeding practices, which evolved to protect children from environmental threats and ensure adequate intake in the context of food scarcity, can be maladaptive in current environments. An evidence base is needed to inform public policy to reduce early obesity risk in current environments, where too much palatable food is a major threat to child health. Results of recent research provides evidence that promoting responsive feeding practices can alter the development of eating behavior, sleep patterns and early self-regulatory skills, as well as reduce early obesity risk. PMID:27088340

  11. The body perfect ideal and eating regulation goals: investigating the role of adolescents' identity styles.

    PubMed

    Verstuyf, Joke; Van Petegem, Stijn; Vansteenkiste, Maarten; Soenens, Bart; Boone, Liesbet

    2014-02-01

    Adolescents are exposed to images depicting the thin or muscular ideal almost on a daily basis. When the body perfect ideal is adopted, adolescents are at increased risk for developing unhealthy and disordered eating behaviors. The aim of the current 3-wave longitudinal study among adolescents (N = 418; 54% girls) was to investigate whether different styles of identity exploration (i.e., information-oriented, normative, and diffuse-avoidant) are associated differentially with changes in adoption of the body perfect ideal, which, in turn, would relate to changes in appearance-focused and health-focused eating regulation. Results indicated that the information-oriented style predicted decreases and the normative style predicted increases in adoption of the body perfect ideal. In turn, adoption of the body perfect ideal predicted significant increases in appearance-focused eating regulation but not in health-focused eating regulation. A diffuse-avoidant style was unrelated to changes in adoption of the body perfect, yet directly predicted decreases in health-focused eating regulation. Theoretical and clinical implications of these findings are discussed. PMID:23584860

  12. College Student Stress: A Predictor of Eating Disorder Precursor Behaviors

    ERIC Educational Resources Information Center

    Shelton, Virginia L.; Valkyrie, Karena T.

    2010-01-01

    Eating disorders are compulsive behaviors that can consume a person's life to the point of becoming life threatening. Previous research found stress associated with eating disorders. College can be a stressful time. If stress predicted precursor behaviors to eating disorders, then counselors would have a better chance to help students sooner. This…

  13. The Eating and Exercise Behavior Questionnaire: A Validity Assessment.

    ERIC Educational Resources Information Center

    Brandon, Jeffrey E.; And Others

    1988-01-01

    Three studies assessing the Eating and Exercise Behavior Questionnaire indicated that it is reliable and useful in studying the eating patterns of the obese, differences in behavioral cue responses to eating, and multiple and single session weight loss training effectiveness.The research utility of the instrument is discussed. (CB)

  14. Behavioral aspects of development of eating behavior and nutrition status.

    PubMed

    Vazir, Shahnaz

    2002-05-01

    Studies on the development of eating behavior in rural India indicated that mothers of young children made food choices that fit into their budgets, and were also influenced by new information. Their choices were still immersed in traditional beliefs, some of which had positive effects on nutrition. Specific childrearing behaviors influenced positive deviance in the growth and psychosocial development of infants and preschoolers. A life-cycle approach to the development of eating behavior that deciphers needs at each stage and linkages between stages is necessary. Cost-benefit needs to be considered when devising strategies for future intervention programs. PMID:12035868

  15. Vegetarian eating for children and adolescents.

    PubMed

    Dunham, Laurie; Kollar, Linda M

    2006-01-01

    During the past decade, vegetarianism has risen in popularity among American families. Well-planned vegetarian diets can satisfy the nutritional needs and promote normal growth of infants and children. Research has highlighted nutritional advantages to vegetarian diets and has indicated that this style of eating can lead to lifelong healthy eating habits when adopted at a young age. Several vitamins, minerals, and macronutrients may be deficient within a vegetarian diet. Careful nutrition assessment and counseling will allow nurse practitioners to play a key role in encouraging families to adopt healthy eating habits to assist in disease prevention. PMID:16399477

  16. Adolescent Eating Disorders: Who's at Risk and Why?

    ERIC Educational Resources Information Center

    Glovinsky, Diane M.

    1993-01-01

    In a culture glorifying thinness and beauty, most females (especially adolescents) carry some risk of developing eating disorders. A recent survey of 280 South Carolina middle school students disclosed significant female/male differences. About 70% of the girls felt fat; many used various weight-loss techniques, including dieting, fasting,…

  17. Factors Related to Eating Disorders in Young Adolescent Girls.

    ERIC Educational Resources Information Center

    Eisele, Jill; And Others

    1986-01-01

    Identified factors related to eating disorders in young adolescent girls. Findings revealed significant differences among the girls based on intact versus broken family; subjects' actual and preferred weight; whether the family ate meals together; average grades; age and grade in school; fathers' occupation; future career plans; place of…

  18. Factors Associated with Abnormal Eating Attitudes among Greek Adolescents

    ERIC Educational Resources Information Center

    Bilali, Aggeliki; Galanis, Petros; Velonakis, Emmanuel; Katostaras, Theofanis

    2010-01-01

    Objective: To estimate the prevalence of abnormal eating attitudes among Greek adolescents and identify possible risk factors associated with these attitudes. Design: Cross-sectional, school-based study. Setting: Six randomly selected schools in Patras, southern Greece. Participants: The study population consisted of 540 Greek students aged 13-18…

  19. Pathways of Adolescent Suicidal Behavior.

    ERIC Educational Resources Information Center

    Munzer, Jane; And Others

    Suicide attempts and suicidal ideation among adolescents have been increasing faster than those for adults. This study addresses three questions on adolescent suicidal behavior: (1) Why do some adolescents with psychiatric disorders have a history of suicidal behaviors and some do not?; (2) How do intrapsychic and interpersonal underpinnings of…

  20. Social network media exposure and adolescent eating pathology in Fiji

    PubMed Central

    Becker, Anne E.; Fay, Kristen E.; Agnew-Blais, Jessica; Khan, A. Nisha; Striegel-Moore, Ruth H.; Gilman, Stephen E.

    2011-01-01

    Background Mass media exposure has been associated with an increased risk of eating pathology. It is unknown whether indirect media exposure – such as the proliferation of media exposure in an individual’s social network – is also associated with eating disorders. Aims To test hypotheses that both individual (direct) and social network (indirect) mass media exposures were associated with eating pathology in Fiji. Method We assessed several kinds of mass media exposure, media influence, cultural orientation and eating pathology by self-report among adolescent female ethnic Fijians (n = 523). We fitted a series of multiple regression models of eating pathology, assessed by the Eating Disorder Examination Questionnaire (EDE–Q), in which mass media exposures, sociodemographic characteristics and body mass index were entered as predictors. Results Both direct and indirect mass media exposures were associated with eating pathology in unadjusted analyses, whereas in adjusted analyses only social network media exposure was associated with eating pathology. This result was similar when eating pathology was operationalised as either a continuous or a categorical dependent variable (e.g. odds ratio OR = 1.60, 95% CI 1.15–2.23 relating social network media exposure to upper-quartile EDE–Q scores). Subsequent analyses pointed to individual media influence as an important explanatory variable in this association. Conclusions Social network media exposure was associated with eating pathology in this Fijian study sample, independent of direct media exposure and other cultural exposures. Findings warrant further investigation of its health impact in other populations. PMID:21200076

  1. Disturbed eating behaviors and eating disorders in type 1 diabetes: clinical significance and treatment recommendations.

    PubMed

    Goebel-Fabbri, Ann E

    2009-04-01

    Girls and women with type 1 diabetes have increased rates of disturbed eating behaviors and clinically significant eating disorders than their nondiabetic peers. Type 1 diabetes is strongly associated with several empirically supported eating disorder risk factors (eg, higher body mass index, increased body weight and shape dissatisfaction, low self-esteem and depression, and dietary restraint). It may be that specific aspects of diabetes treatment increase the risk for developing disordered eating. Disturbed eating behaviors and clinical eating disorders predispose women with diabetes to many complex medical risks and increase risk of morbidity and mortality. For this reason, it is critical that diabetes clinicians understand more about eating disorders to improve the likelihood of early risk detection and access to appropriate treatment. This article presents a review of the current scientific literature on eating disturbances in type 1 diabetes and synthesizes the existent findings into recommendations for screening and treatment. PMID:19323958

  2. Sociocultural Influences on Weight-Related Behaviors in African American Adolescents.

    PubMed

    Tate, Nutrena H; Davis, Jean E; Yarandi, Hossein N

    2015-12-01

    The purpose of this study was to examine the sociocultural factors related to weight behaviors in African American adolescents utilizing a social ecological approach. A descriptive correlational design included a sample of 145 African American adolescents. Perceived familial socialization, ethnic identity, physical activity, and eating behavior patterns were measured. Data were analyzed using descriptive statistics, Pearson product-moment correlations, and multiple regression equations. Perceived maternal socialization was significantly related to adolescent eating behaviors and physical activity whereas perceived paternal socialization was significantly related only to their physical activity. The adolescents' ethnic identity was not significantly related to their eating behaviors or physical activity. Health care providers who work with adolescents and their families can use the initial findings from this study to encourage healthy weight-related behaviors while reducing the obesity epidemic within the African American adolescent population in a developmentally appropriate and culturally sensitive manner. PMID:24895047

  3. Comorbidity between depression and disordered eating in adolescents.

    PubMed

    Santos, Melissa; Richards, C Steven; Bleckley, M Kathryn

    2007-12-01

    Depression is one of the most common mental health disorders seen in adolescence. Low self-esteem, lack of social support and poor body image have been found to be risk factors for depression. However, these risk factors have not adequately explained why adolescent female rates of depressive episodes rise to almost twice that of males. This study had three purposes. The first is to identify the prevalence and comorbidity of depressive and disordered eating symptoms in a sample of high school students. The second is to examine predictors of depressive and disordered eating symptoms. Finally, a model predicting depressive symptoms is examined. Significant depressive and disordered eating symptomatology and a high level of comorbidity were observed in this sample. Predictors of depressive and disordered eating symptoms were similar for both genders. Finally, a model predicting depressive symptoms, via body image factors, was found to be supported in both boys and girls. The results of this study suggest that males and females are more similar than different, regarding predictors of depressive symptoms and disordered eating symptoms. PMID:17950932

  4. Inhibitory control effects in adolescent binge eating and consumption of sugar-sweetened beverages and snacks.

    PubMed

    Ames, Susan L; Kisbu-Sakarya, Yasemin; Reynolds, Kim D; Boyle, Sarah; Cappelli, Christopher; Cox, Matthew G; Dust, Mark; Grenard, Jerry L; Mackinnon, David P; Stacy, Alan W

    2014-10-01

    Inhibitory control and sensitivity to reward are relevant to the food choices individuals make frequently. An imbalance of these systems can lead to deficits in decision-making that are relevant to food ingestion. This study evaluated the relationship between dietary behaviors - binge eating and consumption of sweetened beverages and snacks - and behavioral control processes among 198 adolescents, ages 14 to 17. Neurocognitive control processes were assessed with the Iowa Gambling Task (IGT), a generic Go/No-Go task, and a food-specific Go/No-Go task. The food-specific version directly ties the task to food cues that trigger responses, addressing an integral link between cue-habit processes. Diet was assessed with self-administered food frequency and binge eating questionnaires. Latent variable models revealed marked gender differences. Inhibitory problems on the food-specific and generic Go/No-Go tasks were significantly correlated with binge eating only in females, whereas inhibitory problems measured with these tasks were the strongest correlates of sweet snack consumption in males. Higher BMI percentile and sedentary behavior also predicted binge eating in females and sweet snack consumption in males. Inhibitory problems on the generic Go/No-Go, poorer affective decision-making on the IGT, and sedentary behavior were associated with sweetened beverage consumption in males, but not females. The food-specific Go/No-Go was not predictive in models evaluating sweetened beverage consumption, providing some initial discriminant validity for the task, which consisted of sweet/fatty snacks as no-go signals and no sugar-sweetened beverage signals. This work extends research findings, revealing gender differences in inhibitory function relevant to behavioral control. Further, the findings contribute to research implicating the relevance of cues in habitual behaviors and their relationship to snack food consumption in an understudied population of diverse adolescents not

  5. Body Satisfaction, Weight Gain, and Binge Eating Among Overweight Adolescent Girls

    PubMed Central

    Sonneville, Kendrin R.; Calzo, Jerel P.; Horton, Nicholas J.; Haines, Jess; Austin, S. Bryn; Field, Alison E.

    2012-01-01

    Objective To examine if body satisfaction is associated with body mass index (BMI) change and whether it protects against the development of frequent binge eating among overweight and obese adolescent girls. Methods We used prospective data from 9 waves of an ongoing cohort study of adolescents, the Growing Up Today Study. At enrollment in 1996, participants were 9 to 14 years old. Questionnaires were mailed to participants annually until 2001, then biennially through 2007. Girls who were overweight or obese in 1996 were included in the analysis (n=1 559). Our outcomes were annual change in BMI and incident frequent binge eating, defined as binge eating at least weekly and no use of compensatory behaviors. Results At baseline, 57.2% of the overweight and obese girls were at least somewhat satisfied with their bodies. During 11 years of follow-up, 9.5% (95% confidence interval (CI) [7.8, 10.8]) of the girls started to binge eat frequently. Controlling for BMI and other confounders, overweight and obese girls who reported being at least somewhat satisfied with their bodies made smaller BMI gains (β=−0.10 kg/m2, 95% CI [−0.19, −0.02]) and had 61% lower odds of starting to binge eat frequently (odds ratio (OR)=0.39, 95% CI [0.24, 0.64]) than their less satisfied peers. Compared to girls who were the least satisfied with their bodies, girls who were the most satisfied had 85% lower odds of starting to binge eat frequently (OR=0.15, 95% CI [0.06, 0.37]). The association between body satisfaction and starting to binge eat frequently was stronger for younger adolescents than older adolescents. Conclusions While body dissatisfaction is common among overweight and obese girls, body satisfaction may protect against excessive weight gain and binge eating. Prevention of body dissatisfaction must begin early and should be considered as a component of both obesity and eating disorder prevention programs. PMID:22565419

  6. Weight stigma and eating behavior: A review of the literature.

    PubMed

    Vartanian, Lenny R; Porter, Alexis M

    2016-07-01

    Weight stigma is a pervasive social problem, and this paper reviews the evidence linking weight stigma to eating behavior. Correlational studies consistently find that experiences with weight stigma are associated with unhealthy eating behaviors and eating pathology (such as binge eating, skipping meals), although results vary somewhat depending on the sample being studied and the specific stigma/eating constructs being assessed. Experimental studies consistently find that manipulations such as priming overweight stereotypes, exposure to stigmatizing content, and social exclusion all lead to increased food intake, but whether or not those manipulations capture the impact of weight stigma experiences per se is less clear. Finally, studies of stigma experiences in daily life show that more frequent stigma experiences are associated with decreased motivation to diet and with less healthy eating behaviors. Overall, this research highlights the potential for weight stigma to negatively impact individuals' eating behavior, which in turn could have consequences for their overall health and well-being. PMID:26829371

  7. Visual attentional bias for food in adolescents with binge-eating disorder.

    PubMed

    Schmidt, Ricarda; Lüthold, Patrick; Kittel, Rebekka; Tetzlaff, Anne; Hilbert, Anja

    2016-09-01

    Evidence suggests that adults with binge-eating disorder (BED) are prone of having their attention interfered by food cues, and that food-related attentional biases are associated with calorie intake and eating disorder psychopathology. For adolescents with BED experimental evidence on attentional processing of food cues is lacking. Using eye-tracking and a visual search task, the present study examined visual orienting and disengagement processes of food in youth with BED. Eye-movement data and reaction times were recorded in 25 adolescents (12-20 years) with BED and 25 controls (CG) individually matched for sex, age, body mass index, and socio-economic status. During a free exploration paradigm, the BED group showed a greater gaze duration bias for food images than the CG. Groups did not differ in gaze direction biases. In a visual search task, the BED group showed a greater detection bias for food targets than the CG. Group differences were more pronounced for personally attractive than unattractive food images. Regarding clinical associations, only in the BED group the gaze duration bias for food was associated with increased hunger and lower body mass index, and the detection bias for food targets was associated with greater reward sensitivity. The study provided first evidence of an attentional bias to food in adolescents with BED. However, more research is needed for further specifying disengagement and orienting processes in adolescent BED, including overt and covert attention, and their prospective associations with binge-eating behaviors and associated psychopathology. PMID:27267318

  8. Associations between the serotonin-1A receptor C(-1019)G polymorphism and disordered eating symptoms in female adolescents.

    PubMed

    Lim, Se-Won; Ha, Juwon; Shin, Dong-Won; Woo, Hee-Yeon; Kim, Kye-Hyun

    2010-06-01

    The purpose of this study was to examine the relationship between the C(-1019)G polymorphism of the serotonin-1A receptor gene and eating behavior in female adolescents. A total of 204 post-menarche, adolescent women, aged 16-17 years, were recruited from two neighboring high schools in Seoul. Polymerase chain reaction (PCR) was used to isolate and examine the C(-1019)G polymorphism in the serotonin-1A receptor genes (rs6295) of all participants. The Bulimia Investigatory Test, Edinburgh (BITE) and the Eating Attitude Test-26 (EAT-26) were administered to all participants. The total score of the EAT-26 differed significantly among the three genotype groups [CC, CG, GG (F = 4.844, p = 0.009)]. Both the EAT-26 (F = 9.69, p = 0.002) and the BITE (F = 5.22, p = 0.023) scores were higher in the participants who were G allele carriers than in the non-carrier group. The dieting subscale of the EAT-26 was higher among the G allele carriers (F = 12.941, p < 0.001), and these results were maintained even after adjusting for depression and anxiety. These findings suggest that the C(-1019)G polymorphism in the 5-HT1A receptor gene is associated with disordered eating symptoms in Korean female adolescents. PMID:20454985

  9. Perceptions of weight and attitudes toward eating in early adolescent girls.

    PubMed

    Koff, E; Rierdan, J

    1991-06-01

    Sixth grade girls (n = 206) responded to questions about their weight, body image, dieting practices, and attitudes toward weight and eating. Results suggested that feeling too fat and wishing to lose weight were becoming normative for young adolescent girls in that the majority of girls wished to weigh less and said that they dieted at least occasionally. For most girls, weight concerns had emerged between the ages of 9 to 11. A sizeable proportion of girls seemed to have adopted a "dieting mentality," claiming to be avoiding fat, counting calories, thinking excessively about food, feeling guilty after eating and overeating, and exercising to lose weight. Such practices were common even among girls who did not describe themselves as overweight or who were satisfied with their appearance. The emergence of these attitudes and behaviors at increasingly younger ages is of grave concern, as several of them are risk factors for the development of serious eating disorders. PMID:1755870

  10. Adolescent girls' friendship networks, body dissatisfaction, and disordered eating: examining selection and socialization processes.

    PubMed

    Rayner, Kathryn E; Schniering, Carolyn A; Rapee, Ronald M; Taylor, Alan; Hutchinson, Delyse M

    2013-02-01

    Previous research has shown that adolescent girls tend to resemble their friends in their level of body dissatisfaction and disordered eating. However, no studies to date have attempted to disentangle the underlying peer selection and socialization processes that may explain this homophily. The current study used longitudinal stochastic actor-based modeling to simultaneously examine these two processes in a large community sample of adolescent girls (N = 1,197) from nine Australian girls' high schools. Friendship nominations and measures of body dissatisfaction, dieting and bulimic behaviors were collected across three annual waves. Results indicated that selection rather than socialization effects contributed to similarity within friendship groups when both processes were examined simultaneously. Specifically, girls tended to select friends who were similar to themselves in terms of body dissatisfaction and bulimic behaviors, but dissimilar in terms of dieting. Network and individual attribute variables also emerged as significant in explaining changes in adolescents' friendships and behaviors. As well as having important clinical implications, the findings point to the importance of controlling for friendship selection when examining the role of peers in adolescent body image and eating problems. PMID:22867115

  11. Risk factors for suicidal behavior in adolescents.

    PubMed

    Kirkcaldy, B D; Siefen, G R; Urkin, J; Merrick, J

    2006-10-01

    Adolescent suicide is today a public health problem among the leading cause of mortality among adolescents and young adults. There seems to be many reasons for this increase (which has different trends in different populations), but associations have been found with increased substance abuse, television and video violence, socio-economic status and easy access to firearms. Gender differences have also been observed with crime, suicide and substance abuse higher among males, while eating disorder, depression and suicidal behavior more prevalent among females. This paper will review prevalence and incidence of adolescent suicidal behavior, socio-demographic and psychological risk factors, associated cognitive factors and socio-economic factors. Risk factors include previous suicide attempts, a history of others in the family who have been suicidal, mental illness, alcohol and drug use, and other self-destructive behaviors as well as consideration being given to hopelessness, hostility, negative self-concept and isolation. At the individual difference level, factors such as trait depression, anger and hostility, perfectionism and social sensitivity would seem critical variables, as would age, gender and intellectual functioning. Sociological and family-related factors may also be implicated including dysfunctional family organizations, a history of physical or psychological abuse (sexual abuse) and limited extent of social support networks. A frequently reported precipitating event of suicidal behavior is family adversity including rejection, separation and interpersonal conflict. At a socio-economic level it would seem essential to provide comprehensive document about the social and economic conditions from which the adolescent comes. PMID:17008855

  12. Childhood Anxiety Trajectories and Adolescent Disordered Eating: Findings from the NICHD Study of Early Child Care and Youth Development

    PubMed Central

    Zerwas, Stephanie; Von Holle, Ann; Watson, Hunna; Gottfredson, Nisha; Bulik, Cynthia M.

    2015-01-01

    Objective The goal of the present paper was to examine whether childhood anxiety trajectories predict eating psychopathology. We predicted that girls with trajectories of increasing anxiety across childhood would have significantly greater risk of disordered eating in adolescence in comparison to girls with stable or decreasing trajectories of anxiety over childhood. Method Data were collected as part of the prospective longitudinal NICHD Study of Early Child Care and Youth Development (N=450 girls). Childhood anxiety was assessed yearly (54 months through 6th grade) via maternal report on the Child Behavior Checklist. Disordered eating behaviors were assessed at age 15 via adolescent self-report on the Eating Attitudes Test (EAT-26). We conducted latent growth mixture modeling to define girls’ childhood anxiety trajectories. Maternal sensitivity, maternal postpartum depression, maternal anxiety, and child temperament were included as predictors of trajectory membership. Results The best fitting model included three trajectories of childhood anxiety, the low-decreasing class (22.9% of girls), the high-increasing class (35.4%), and the high-decreasing class (41.6%). Mothers with more symptoms of depression and separation anxiety had girls who were significantly more likely to belong to the high-increasing anxiety trajectory. There were no significant differences in adolescent disordered eating for girls across the three childhood anxiety trajectories. Conclusions Childhood anxiety, as captured by maternal report, may not be the most robust predictor of adolescent disordered eating and may be of limited utility for prevention programs that aim to identify children in the community at greatest risk for disordered eating. PMID:24938214

  13. [Treatment of eating disorders in adolescents--the view of a child and adolescence psychiatric hospital].

    PubMed

    Pfeiffer, Ernst; Hansen, Berit; Korte, Alexander; Lehmkuhl, Ulrike

    2005-04-01

    The paper presents--in the sense of clinical guidelines--reality of clinical care in a child and adolescence university hospital specialised on eating disorders. Need of a multimodal therapeutic approach is emphasized, including normalisation of weight and eating behaviour, nursing and pedagogical measures, individual, group and family therapy, completed by body therapy, art and music therapy and in case psychopharmacotherapy. Recommendations for overcoming weak spots are made. PMID:15918540

  14. Weighing in on the issue: a longitudinal analysis of the influence of selected individual factors and the sports context on the developmental trajectories of eating pathology among adolescents.

    PubMed

    Fay, Kristen; Lerner, Richard M

    2013-01-01

    Eating disorders, and related issues (e.g., body dissatisfaction, weight control behaviors), represent pressing and prevalent health problems that affect American adolescents with alarming frequency and potentially chronic consequences. However, more longitudinal research is needed to elucidate the developmental processes that increase or maintain risk for, and that protect against, eating- and weight-related problems among adolescents. Accordingly, the current study used longitudinal data from 1,050 male and female (68.0 %) adolescents (Grades 9-11)-the majority of whom were European Americans (72.2 %)-who participated in the 4-H Study of Positive Youth Development to (a) describe trajectories of adolescents' eating pathology and body dissatisfaction, (b) identify individual and contextual correlates of these pathways, (c) examine whether trajectories of eating pathology and body dissatisfaction related to adolescents' depressive symptoms, and (d) elucidate whether sports participation moderated associations between specific trajectories of eating pathology and body dissatisfaction and adolescents' depressive symptoms. Results suggest that the diverse pathways of eating pathology and body dissatisfaction that exist across middle adolescence, in combination with adolescents' sports participation, have important implications for the positive and problematic development of our youth. In addition, the findings underscore the need to evaluate the interindividual differences that exist in regard to how sports participation may relate positively and negatively to developmental outcomes. PMID:23111843

  15. Intuitive eating scale: an examination among early adolescents.

    PubMed

    Dockendorff, Sally A; Petrie, Trent A; Greenleaf, Christy A; Martin, Scott

    2012-10-01

    The Intuitive Eating Scale (IES; Tylka, 2006) initially was developed in a sample of college women to measure adaptive forms of eating, such as eating based on physiological rather than emotional cues. This study extends the work of Tylka (2006) and reports the psychometric evaluation of the IES in a sample of 515 middle-school boys and girls. Exploratory factor analysis identified 4 factors: Unconditional Permission to Eat, Eating for Physical Rather Than Emotional Reasons, Trust in Internal Hunger/Satiety Cues, and Awareness of Internal Hunger/Satiety Cues. These factors were confirmed in a separate sample and, with 4 items from the original scale dropped, the model fit the data well. Supporting its validity, IES scores were related inversely to body mass index, body dissatisfaction, negative affect, pressure for thinness, and internalization of the thin ideal, and positively to satisfaction with life and positive affect. The underlying structure of this measure appears valid for early adolescence, though it may be best defined by fewer items and one additional factor. PMID:22946984

  16. Eating Disorders and Sexual Abuse among Adolescents.

    ERIC Educational Resources Information Center

    Hernandez, Jeanne

    This study was conducted to examine the list of identifying factors and predictors of childhood physical abuse, extrafamilial sexual abuse, and incest among male and female adolescents in the general population. In 1989, a survey was administered to 6,224 9th and 12th grade students in public schools in Minnesota. The findings revealed that more…

  17. Family Functioning and Dysfunctional Eating Among Italian Adolescents: The Moderating Role of Gender.

    PubMed

    Laghi, Fiorenzo; McPhie, Meghan L; Baumgartner, Emma; Rawana, Jennine S; Pompili, Sara; Baiocco, Roberto

    2016-02-01

    The first aim of this study was to examine the association between different dimensions of family functioning and dysfunctional eating in a sample of Italian adolescent boys and girls. The second aim was to investigate whether gender moderates the relationship between family functioning and dysfunctional eating. Seven hundred and twenty seven adolescents (500 boys and 227 girls) with ages ranging from 15 to 18 years completed a survey of self-report measures. Findings from hierarchical multiple regression analysis suggested that aspects of family functioning such as flexibility, cohesion, disengagement, enmeshment, rigidity and chaotic were related to dysfunctional eating in adolescents. Additionally the results indicated differences between boys and girls, in particular dysfunctional eating in adolescent boys seemed to be more affected by dimensions of enmeshment and disengagement than dysfunctional eating in girls. This research highlights the important role of various aspects of family functioning in relation to dysfunctional eating in adolescents. PMID:25776344

  18. Association between eating behavior scores and obesity in Chilean children

    PubMed Central

    2011-01-01

    Background Inadequate eating behavior and physical inactivity contribute to the current epidemic of childhood obesity. The aim of this study was to assess the association between eating behavior scores and childhood obesity in Chilean children. Design and methods We recruited 126 obese, 44 overweight and 124 normal-weight Chilean children (6-12 years-old; both genders) according to the International Obesity Task Force (IOTF) criteria. Eating behavior scores were calculated using the Child Eating Behavior Questionnaire (CEBQ). Factorial analysis in the culturally-adapted questionnaire for Chilean population was used to confirm the original eight-factor structure of CEBQ. The Cronbach's alpha statistic (>0.7 in most subscales) was used to assess internal consistency. Non-parametric methods were used to assess case-control associations. Results Eating behavior scores were strongly associated with childhood obesity in Chilean children. Childhood obesity was directly associated with high scores in the subscales "enjoyment of food" (P < 0.0001), "emotional overeating" (P < 0.001) and "food responsiveness" (P < 0.0001). Food-avoidant subscales "satiety responsiveness" and "slowness in eating" were inversely associated with childhood obesity (P < 0.001). There was a graded relation between the magnitude of these eating behavior scores across groups of normal-weight, overweight and obesity groups. Conclusion Our study shows a strong and graded association between specific eating behavior scores and childhood obesity in Chile. PMID:21985269

  19. Weight-related teasing and non-normative eating behaviors as predictors of weight loss maintenance. A longitudinal mediation analysis.

    PubMed

    Hübner, Claudia; Baldofski, Sabrina; Crosby, Ross D; Müller, Astrid; de Zwaan, Martina; Hilbert, Anja

    2016-07-01

    Weight loss maintenance is essential for the reduction of obesity-related health impairments. However, only a minority of individuals successfully maintain reduced weight in the long term. Research has provided initial evidence for associations between weight-related teasing (WRT) and greater non-normative eating behaviors. Further, first evidence was found for associations between non-normative eating behaviors and weight loss maintenance. Hence, the present study aimed to examine the predictive value of WRT for weight loss maintenance and the role of non-normative eating behaviors as possible mediators of this relationship. The study was part of the German Weight Control Registry that prospectively followed individuals who had intentionally lost at least 10% of their maximum weight and had maintained this reduced weight for at least one year. In N = 381 participants, retrospective WRT during childhood and adolescence, current non-normative eating behaviors (i.e., restrained, external, emotional eating), and change in body mass index (BMI, kg/m(2)) over two years were examined using self-report assessments. Structural equation modeling was used to analyze the assumed mediational relationship. As a result, a greater effect of retrospective WRT during childhood and adolescence predicted less successful adult weight loss maintenance over two years. Current emotional eating fully mediated this relationship while current restrained and external eating yielded no mediational effects. Hence, a greater effect of WRT predicted greater current emotional eating, which in turn predicted a smaller decrease or a greater increase in BMI. Our findings suggest that suffering from WRT during childhood and adolescence might lead to emotional eating which in turn impairs long-term weight loss maintenance. Thus, our results highlight the need for interventions aiming at reducing weight stigmatization and targeting emotional eating for successful long-term weight loss maintenance

  20. Weight Perception, Substance Use, and Disordered Eating Behaviors: Comparing Normal Weight and Overweight High-School Students

    ERIC Educational Resources Information Center

    Eichen, Dawn M.; Conner, Bradley T.; Daly, Brian P.; Fauber, Robert L.

    2012-01-01

    Disordered eating behaviors and substance use are two risk factors for the development of serious psychopathology and health concerns in adulthood. Despite the negative outcomes associated with these risky behaviors, few studies have examined potential associations between these risk factors as they occur during adolescence. The importance of…

  1. Development of adolescent problem behavior.

    PubMed

    Ary, D V; Duncan, T E; Biglan, A; Metzler, C W; Noell, J W; Smolkowski, K

    1999-04-01

    The developmental model of adolescent antisocial behavior advanced by Patterson and colleagues (e.g., Patterson, Reid, & Dishion, 1992) appears to generalize the development of a diverse set of problem behaviors. Structural equation modeling methods were applied to 18-month longitudinal data from 523 adolescents. The problem behavior construct included substance use, antisocial behavior, academic failure, and risky sexual behavior. Families with high levels of conflict were less likely to have high levels of parent-child involvement. Such family conditions resulted in less adequate parental monitoring of adolescent behavior, making associations with deviant peers more likely. Poor parental monitoring and associations with deviant peers were strong predictors of engagement in problem behavior. These constructs accounted for 46% of the variance in problem behavior. Although association with deviant peers was the most proximal social influence on problem behavior, parental monitoring and family factors (conflict and involvement) were key parenting practices that influenced this developmental process. PMID:10400060

  2. Behavioral and Emotional Antecedents and Consequences of Binge Eating in Bulimic and Binge Eating College Women.

    ERIC Educational Resources Information Center

    Katzman, Melanie A.; Wolchik, Sharlene A.

    Recent studies have indicated that bulimia, characterized by binge eating followed by depressed mood and purging, is increasing. To investigate the behavioral and emotional antecedents and consequences of binge eating in women, 22 female college students (14 diagnosed bulimics, 8 binge eaters) completed self-monitoring forms for four binges.…

  3. Binge eating frequency and regular eating adherence: the role of eating pattern in cognitive behavioral guided self-help.

    PubMed

    Zendegui, Elaina A; West, Julia A; Zandberg, Laurie J

    2014-04-01

    Cognitive behavioral guided self-help (CBTgsh) is an evidence-based, brief, and cost-effective treatment for eating disorders characterized by recurrent binge eating. However, more research is needed to improve patient outcomes and clarify treatment components most associated with symptom change. A main component of CBTgsh is establishing a regular pattern of eating to disrupt dietary restriction, which prior research has implicated in the maintenance of binge eating. The present study used session-by-session assessments of regular eating adherence and weekly binge totals to examine the association between binge frequency and regular eating in a sample of participants (n = 38) receiving 10 sessions of CBTgsh for recurrent binge eating. Analyses were conducted using Hierarchical Linear Modeling (HLM) to allow for data nesting, and a likelihood ratio test determined which out of three regression models best fit the data. Results demonstrated that higher regular eating adherence (3 meals and 2-3 planned snacks daily) was associated with lower weekly binge frequency in this sample, and both the magnitude and direction of the association were maintained after accounting for individual participant differences in binge and adherent day totals. Findings provide additional empirical support for the cognitive behavioral model informing CBTgsh. Possible clinical implications for treatment emphasis and sequencing in CBTgsh are discussed. PMID:24854811

  4. Emotion regulation, emotional eating and the energy-rich dietary pattern. A population-based study in Chinese adolescents.

    PubMed

    Lu, Qingyun; Tao, Fangbiao; Hou, Fangli; Zhang, Zhaocheng; Ren, Ling-ling

    2016-04-01

    Research investigating the influence of emotion regulation (ER) strategies on emotional eating and diet among Chinese adolescents is scarce. The aim of this study was to test associations between two ER strategies (suppression/cognitive reappraisal), emotional eating, and an energy-rich dietary pattern. A total of 4316 adolescents from 10 high schools were surveyed. Dietary patterns were derived using factor analysis. Bivariate correlations were analyzed to examine associations between ER strategies, emotional eating behavior and an energy-rich dietary pattern, by gender. The mediating effect of emotional eating in the relationship between ER and energy-rich food consumption by gender was estimated using structural equation modeling. A higher level of suppression, but no lack of cognitive reappraisal, was associated with emotional eating in boys and girls. A higher level of suppression and lack of cognitive reappraisal were associated with a greater intake of energy-rich foods in girls only. Emotional eating mediated the relationship between a higher level of suppression and a greater intake of energy-rich food in girls. This study revealed significant associations between two ER strategies and an energy-rich dietary pattern in girls, and provided evidence that higher levels of suppression may put girls at risk for emotional eating, potentially affecting the energy-rich dietary pattern. PMID:26792769

  5. EATING BEHAVIOR IN RESPONSE TO ACUTE STRESS.

    PubMed

    Mocanu, Veronica; Bontea, Amalia; Anton-Păduraru, Dana-teodora

    2016-01-01

    Obesity is a medical and social problem with a dramatically increasing prevalence. It is important to take action since childhood to prevent and treat obesity and metabolic syndrome. Infantile obesity affects all body systems starting in childhood and continuing to adulthood. Understanding the impact of stressors on weight status may be especially important for preventing obesity. The relationship between stress, eating behavior and obesity is not fully understood. However, there is evidence that stress causes disorders in hypothalamic-pituitary-adrenal (HPA) axis, system that regulates both stress and feeding responses. Also, the response is different depending on the type of stressors. Chronic stress, especially when people live in a palatable food environment, induces HPA stimulation, excess glucocorticoids, insulin resistance, which lead to inhibition of lipid mobilization, accumulation of triglyceride and retention of abdominal fat. PMID:27483696

  6. Prevalence of Eating Disorders Among Adolescents in the Northwest of Iran

    PubMed Central

    Rauof, Maryam; Ebrahimi, Hossein; Asghari Jafarabadi, Mohammad; Malek, Ayyoub; Babapour Kheiroddin, Jalil

    2015-01-01

    Background: Perceived sociocultural pressure to be thin has an important impact on disordered eating during early and middle adolescence, but less is known about late adolescence. Adolescents face special problems that are less common during childhood. Several studies indicate that the prevalence of eating disorders has been increased among adolescents. Objectives: The aim of the present study was to investigate the occurrence, prevalence and correlates of eating disorders (ED) among adolescents in two cities of Iran, Urmia and Tabriz. Patients and Methods: This was a cross-sectional survey in which 1990 adolescent boys and girls were selected through multistage random sampling. The study was based on self-report questionnaires including eating attitudes test (EAT-26) and DSM-IV criteria for the presence of eating disorders. To analyze the obtained data we calculated measures of central tendency and dispersion, linear and logistic regression and Fisher’s exact test. Results: According to diagnostic criteria of EAT-26, 492 students (24.2%) were at risk of ED and scored above the recommended cut-off point on EAT-26. Among 1990 students, a total of 51 cases (0.25%) of eating disorder (14 anorexia nervosa, 18 bulimia nervosa, and 19 eating disorder not otherwise specified) were diagnosed. Conclusions: The obtained prevalence of ED in our study was higher than previous studies in Iran. We found high numbers of boys with ED. Overweight adolescents were shown to be more susceptible to strict dieting than normal-weight adolescents. These results suggest that it is necessary to provide screening and treatment services for Iranian adolescents. Further research is needed to develop intervention programs to control eating disorders among Iranian adolescents. PMID:26568851

  7. Eating Attitudes in a Diverse Sample of Israeli Adolescent Females: A Comparison Study

    ERIC Educational Resources Information Center

    Latzer, Y.; Tzischinsky, O.

    2005-01-01

    Objectives: To estimate the eating attitudes in Israeli Jewish female adolescents. Methods: A representative sample of 1270 females in grades 7-12 from five different Israeli schools from five different residential areas were assessed by EAT-26. Results: Of the total sample, 19.5% were identified as having abnormal eating attitudes. In terms of…

  8. Disordered Eating and Weight Control among Adolescent Female Athletes and Performance Squad Members.

    ERIC Educational Resources Information Center

    Taub, Diane E.; Blinde, Elaine M.

    1994-01-01

    Adolescents and individuals participating in activities that emphasize body shape and control have been identified as risk groups for eating disorders. A study sought to determine whether certain groups of adolescent females are more vulnerable to disordered eating patterns or usage of pathogenic weight control techniques. Involvement in organized…

  9. Eating Disorders among a Community-Based Sample of Chilean Female Adolescents

    ERIC Educational Resources Information Center

    Granillo, M. Teresa; Grogan-Kaylor, Andrew; Delva, Jorge; Castillo, Marcela

    2011-01-01

    The purpose of this study was to explore the prevalence and correlates of eating disorders among a community-based sample of female Chilean adolescents. Data were collected through structured interviews with 420 female adolescents residing in Santiago, Chile. Approximately 4% of the sample reported ever being diagnosed with an eating disorder.…

  10. A Prospective Study of Risk Factors for the Development of Depression and Disordered Eating in Adolescents

    ERIC Educational Resources Information Center

    Ferreiro, Fatima; Seoane, Gloria; Senra, Carmen

    2011-01-01

    There is evidence that females display higher levels of depressive symptoms and disordered eating than males from adolescence onward. This study examined whether different risk factors and their interaction with sex (moderator effect) prospectively predicted depressive symptoms and disordered eating in adolescents. A total of 415 female…

  11. Adolescent Behavior Change: A Review.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Educational Programs and Studies Information Service.

    This focus paper contains reprints of 11 articles intended to provide an overview of the key issues in the area of adolescent behavior change as it relates to Acquired Immune Deficiency Syndrome (AIDS) and Human Immunodeficiency Virus (HIV) education. Included are: (1) "Preventing HIV Infection and AIDS in Children and Adolescents" (J.…

  12. All in the Family: Correlations between Parents’ and Adolescent Siblings’ Weight and Weight-related Behaviors

    PubMed Central

    Berge, Jerica M.; Meyer, Craig; MacLehose, Richard F.; Crichlow, Renee; Neumark-Sztainer, Dianne

    2015-01-01

    Objective To examine whether and how parents’ and adolescent siblings’ weight and weight-related behaviors are correlated. Results will inform which family members may be important to include in adolescent obesity prevention interventions. Design and Methods Data from two linked population-based studies, EAT 2010 and F-EAT, were used for cross-sectional analyses. Parents (n=58; 91% females; mean age=41.7 years) and adolescent siblings (sibling #1 n=58, 50% girls, mean age=14.3 years; sibling #2 n=58, 64% Girls, mean age=14.8) were socioeconomically and racially/ethnically diverse. Results Some weight-related behaviors between adolescent siblings were significantly positively correlated (i.e., fast food consumption, breakfast frequency, sedentary patterns, p<0.05). There were no significant correlations between parent weight and weight-related behaviors and adolescent siblings’ same behaviors. Some of the significant correlations found between adolescent siblings’ weight-related behaviors were statistically different from correlations between parents’ and adolescent siblings’ weight-related behaviors. Conclusions Although not consistently, adolescent siblings’ weight-related behaviors were significantly correlated as compared to parents’ and adolescent siblings’ weight-related behaviors. It may be important to consider including siblings in adolescent obesity prevention interventions or in recommendations healthcare providers give to adolescents regarding their weight and weight-related behaviors. PMID:25820257

  13. To eat or not to eat; is that really the question? An evaluation of problematic eating behaviors and mental health among bariatric surgery candidates.

    PubMed

    Miller-Matero, Lisa Renee; Armstrong, Rachel; McCulloch, Katherine; Hyde-Nolan, Maren; Eshelman, Anne; Genaw, Jeffrey

    2014-01-01

    Problematic eating behaviors, such as emotional eating, and food addiction, may affect weight; however, little is known about these eating behaviors, especially among those seeking bariatric surgery. Therefore, the purpose of this study was to estimate the prevalence of problematic eating behaviors and to investigate their relationship with other eating behaviors, body mass index (BMI), and psychiatric symptoms. There were 142 patients who completed a required psychiatric evaluation prior to bariatric surgery. Of these, 16.9 % met criteria for a food addiction and 25.4-40.7 % endorsed emotional eating, depending on type of emotional eating. The number of food addiction symptoms endorsed was related to emotional eating. Both food addiction and emotional eating were related to anxiety and depressive symptoms. However, surprisingly, BMI was not related to a food addiction diagnosis, emotional eating scores, or psychiatric symptoms. Results from this study suggest that problematic eating behaviors are occurring among bariatric surgery candidates. Furthermore, this study may help to address the conflicting research regarding the effects of psychiatric symptoms on weight-loss outcomes. Perhaps it is the problematic eating behaviors (e.g., food addiction and emotional eating) that are associated with psychiatric symptoms that could be influencing outcomes. Future research should evaluate treatments for problematic eating behaviors and whether treatments improve weight-loss success. PMID:24878835

  14. Appetite sensations, appetite signaling proteins, and glucose in obese adolescents with subclinical binge eating disorder.

    PubMed

    Adamo, Kristi B; Wilson, Shanna L; Ferraro, Zachary M; Hadjiyannakis, Stasia; Doucet, Eric; Goldfield, Gary S

    2014-01-01

    Objective. This study aimed to investigate potential differences in appetite sensations, ghrelin, peptide YY, and glucose and their relationship with energy and macronutrient intake in obese adolescents with subclinical binge eating disorder. Methods. Fifteen obese adolescents (six and nine individuals with and without subclinical binge eating disorder, resp.) qualified for this study. Visual analog scales and Three-Factor Eating Questionnaires were used to assess eating behaviours. Circulating ghrelin, peptide YY, and glucose were measured after fasting and at multiple time points postprandially following a standardized breakfast meal. Energy and macronutrient intake were measured with an ad libitum lunch buffet. Results. Emotional eating scores were significantly higher in obese adolescents with subclinical binge eating disorder. Hunger levels rose and satiety levels fell significantly over the course of the monitoring period but there was no difference between the two groups. Obese adolescents with subclinical binge eating disorder did not have significantly different levels of appetite signaling proteins or glucose. Obese adolescents with subclinical binge eating disorder had a nonsignificantly higher energy and macronutrient intake. Conclusions. A significant difference between the two groups in terms of their emotional eating scores highlights the important role that psychological factors play in relation to eating behaviours. PMID:25006530

  15. The effects of peer influence on disordered eating behavior.

    PubMed

    Meyer, Tiffany A; Gast, Julie

    2008-02-01

    Peer influence has been found to be correlated with a host of harmful health behaviors. However, little research has been conducted investigating the relationship between peer influence and disordered eating. The present study surveyed 6th-, 7th-, and 8th-grade girls and boys using the Eating Disorder Inventory (EDI) and Inventory of Peer Influence (I-PIEC). This study found a significant positive correlation between peer influence and disordered eating. Multiple regression analyses revealed that peer influence was equally present in both males and females. There were no significant differences between males and females and EDI or I-PIEC scores. The likeability construct of peer influence was the most significant predictor of disordered eating in this study. School nurses are in a unique position to educate both male and female students about the dangers of disordered eating behaviors as well as identify students who may be at risk for these behaviors. PMID:18220454

  16. Relationships between body satisfaction and psychological functioning and weight-related cognitions and behaviors in overweight adolescents

    PubMed Central

    Cromley, Taya R.; Knatz, Stephanie; Rockwell, Roxanne; Neumark-Sztainer, Dianne; Story, Mary; Boutelle, Kerri

    2013-01-01

    Purpose To examine how differences in body satisfaction may influence weight control behaviors, eating, weight and shape concerns, and psychological well-being among overweight adolescents. Methods A sample of 103 overweight adolescents completed a survey assessing body satisfaction, weight control behaviors, eating-related thoughts and behaviors, importance placed on thinness, self-esteem, anger, and symptoms of depression and anxiety between 2004-2006. Logistic regression analyses compared overweight adolescents with high and low body satisfaction. Results Higher body satisfaction was associated with a lower likelihood of engaging in unhealthy weight control behaviors, less frequent fears of losing control over eating, and less importance placed on thinness. Overweight adolescents with higher body satisfaction reported higher levels of self-esteem and were less likely to endorse symptoms of depression, anxiety, and anger than overweight adolescents with lower body satisfaction. Conclusions Adolescents with higher body satisfaction may be protected against the negative behavioral and psychological factors associated with overweight. PMID:22626496

  17. CONCEPTUAL FRAMEWORK FOR CATEGORIZING YOUNG CHILDREN'S EATING BEHAVIORS

    EPA Science Inventory

    Recent studies of total dietary ingestion of common indoor contaminants have demonstrated that young children's behaviors while eating can lead to a significant source of food contamination. The difference between children eating their food items with or without their hands wh...

  18. Patterns of Compensatory Behaviors and Disordered Eating in College Students

    ERIC Educational Resources Information Center

    Schaumberg, Katherine; Anderson, Lisa M.; Reilly, Erin; Anderson, Drew A.

    2014-01-01

    Objective: The current study investigated rates of endorsement of eating-related compensatory behaviors within a college sample. Participants: This sample included male and female students (N = 1,158). Methods: Participants completed the Eating Disorder Examination Questionnaire (EDE-Q). The study defined 3 groups of students: those who did not…

  19. The Effects of Peer Influence on Disordered Eating Behavior

    ERIC Educational Resources Information Center

    Meyer, Tiffany A.; Gast, Julie

    2008-01-01

    Peer influence has been found to be correlated with a host of harmful health behaviors. However, little research has been conducted investigating the relationship between peer influence and disordered eating. The present study surveyed 6th-, 7th-, and 8th-grade girls and boys using the Eating Disorder Inventory (EDI) and Inventory of Peer…

  20. Personal Identities and Disordered Eating Behaviors in Mexican American Women

    PubMed Central

    Stein, Karen Farchaus; Corte, Colleen; Ronis, David L.

    2011-01-01

    Eating disorder behaviors are prevalent in Latina populations. This study tested Schwartz’s (2006) theoretical view that a broad array of personal identities serves as an internal resource during acculturation and prevents internalization of dysfunctional weight related beliefs. Sixty-six Mexican American women completed measures of personal identities, fat self-definition, eating disorder symptoms and acculturation. Results show that few positive and many negative personal identities predict higher eating disorder scores and effects are mediated through the fat self-definition. Characteristics of personal identities may influence internalization of cultural values related to weight. Interventions focused on overall identity may prevent eating disorders in Latinas. PMID:20434070

  1. Personal identities and disordered eating behaviors in Mexican American women.

    PubMed

    Stein, Karen Farchaus; Corte, Colleen; Ronis, David L

    2010-08-01

    Eating disorder behaviors are prevalent in Latina populations. This study tested Schwartz's (2006) theoretical view that a broad array of personal identities serves as an internal resource during acculturation and prevents internalization of dysfunctional weight related beliefs. Sixty-six Mexican American women completed measures of personal identities, fat self-definition, eating disorder symptoms and acculturation. Results show that few positive and many negative personal identities predict higher eating disorder scores and effects are mediated through the fat self-definition. Characteristics of personal identities may influence internalization of cultural values related to weight. Interventions focused on overall identity may prevent eating disorders in Latinas. PMID:20434070

  2. The theory of planned behavior and healthy eating.

    PubMed

    Conner, Mark; Norman, Paul; Bell, Russell

    2002-03-01

    Application of the theory of planned behavior (TPB) to healthy eating in 144 health promotion clinic attendees is reported. Respondents completed self-report TPB measures after the clinic (Time 1) and 6 months later (Time 2) with a measure of perceived past behavior. Intention stability was assessed on Time 1-2 differences. Six years later (Time 3), respondents completed measures of healthy eating intentions and behavior. Intentions were predicted by attitudes, perceived behavioral control, and perceived past behavior (cross-sectionally). Healthy eating behavior (Time 3) was predicted from intentions (Time 2). As intention stability increased, intentions and perceived past behavior became stronger and weaker predictors of behavior, respectively. Implications for understanding health cognitions in long-term performance of health behavior are discussed. PMID:11950110

  3. Happiness and health behaviors in South Korean adolescents: a cross-sectional study

    PubMed Central

    2016-01-01

    OBJECTIVES: We examined the associations between happiness and a wide range of health behaviors in South Korean adolescents. METHODS: Study data were derived from the ninth Korea Youth Risk Behavior Web-based Survey administered from June to July 2013. In addition to happiness levels, the questionnaire included items on sociodemographics and health-related lifestyle factors (smoking, drinking, eating breakfast, fruit and vegetable consumption, physical activity, sedentary behavior, and hours of sleep). RESULTS: The multivariate analysis revealed that higher levels of happiness were associated with not smoking or drinking, eating breakfast, eating fruits daily, vegetable consumption, participating in at least 60 minutes of physical activity a day, avoiding sedentary behavior, and hours of sleep. Additionally, sex differences were found in relationships between happiness and eating fruit daily, participation in physical activity, and sedentary behavior. CONCLUSIONS: These results encourage public health professionals to consider the psychological aspects of adolescent life in working to improve their health behaviors and outcomes. PMID:27283139

  4. Healthy Behavior Trajectories between Adolescence and Young Adulthood.

    PubMed

    Frech, Adrianne

    2012-06-01

    Healthy behaviors including adequate exercise and sleep, eating breakfast, maintaining a healthy weight, and not smoking or binge drinking inhibit chronic disease. However, little is known about how these behaviors change across life course stages, or the social factors that shape healthy behaviors over time. I use multilevel growth models and waves I-III of the National Longitudinal Study of Adolescent Health (N=10,775) to evaluate relationships between adolescents' psychosocial resources, social support, and family of origin characteristics during adolescence and healthy behavior trajectories through young adulthood (ages 13-24). I find that healthy behaviors decline dramatically during the transition to young adulthood. Social support resources, such as school connectedness and support from parents, as well as living with non-smoking parents, are associated with higher levels of healthy behaviors across adolescence and adulthood. Social support from friends is associated with lower engagement in these behaviors, as is living in a single parent family or with a smoking parent during adolescence. Findings indicate that psychosocial, social support, and family of origin resources during adolescence exert a persistent, though generally not cumulative, influence on healthy behavior trajectories through young adulthood. PMID:22745923

  5. Body image, risk factors for eating disorders and sociocultural influences in Spanish adolescents.

    PubMed

    Toro, J; Gila, A; Castro, J; Pombo, C; Guete, O

    2005-06-01

    The aim was to study differences between male and female adolescents as regards body dissatisfaction, some risk factors for eating disorders, and exposure to social influences that create ideal body figures among these populations. A questionnaire comprising 40 items was administered to 240 male adolescents at 12 public and private schools in Barcelona. Twenty-nine of the questions were the same as those in another study administered to a sample of 675 female adolescents attending similar schools in the same geographical area. The other 11 questions were specifically for males. The differences between boys and girls were highly significant on almost all the items. Girls' scores were significantly higher (p = 0.000) in the following areas: dieting and exercising in order to be thin; feelings of anxiety on seeing or showing the body in public; tendency to focus on the bodies of others and on the amount of food they eat; the belief that thin people are more popular. In addition, the girls were significantly more vulnerable to potentially dangerous social influences. For the most part, males sought a heavier, more muscular body. Though a minority of males also feared being overweight, one out of four ate more than normal to gain weight and two out of three exercised to develop their muscles. The same proportion reported envying the build of certain actors. In adolescence, the ideal body figures of the sexes vary widely. This divergence reflects a greater risk of eating disorders in girls, who are also far more exposed to social situations that cause body dissatisfaction and shape risk attitudes and behaviors. PMID:16114222

  6. Associations between sociocultural pressures to be thin, body distress, and eating disorder symptomatology among Chilean adolescent girls.

    PubMed

    Caqueo-Urízar, Alejandra; Ferrer-García, Marta; Toro, José; Gutiérrez-Maldonado, José; Peñaloza, Claudia; Cuadros-Sosa, Yasna; Gálvez-Madrid, Ma José

    2011-01-01

    This study explored the relationships between perceived sociocultural pressure to fulfill the thin beauty ideal, body distress, and the presence of eating disorder symptoms. Participants were 437 Chilean adolescent girls from Arica, northern Chile, aged 13-18. Results showed significant associations between perceived pressure from social agents to be thin and the presence of disrupted eating attitudes and behavior. The perceived influence of advertising, verbal messages and social situations related to eating and dieting emerged as the strongest predictors of eating disorders symptoms. Influence of advertising was also the strongest predictor of body image distress. Age differences emerged in perceived sociocultural pressure to be thin, with older participants reporting higher sociocultural pressure to fulfill the slender beauty ideal. This paper provides information about body distress and associated disturbances, a phenomenon which has seldom been studied in non-Western countries, but which has important health implications. PMID:21147054

  7. Utilizing non-traditional research designs to explore culture-specific risk factors for eating disorders in African American adolescents

    PubMed Central

    Cassidy, Omni; Sbrocco, Tracy; Tanofsky-Kraff, Marian

    2014-01-01

    Over the past three decades, there has been an increase in the number of empirical investigations of the phenomenology of eating disorders among African American adolescents. Despite efforts to understand racial/ethnic differences, relatively few eating disorder models address the important sociocultural factors that exert powerful influences on beliefs and behaviors related to weight status and eating patterns in this population. Nevertheless, researchers must be culturally competent in order to develop appropriate models. Therefore, we propose an approach to developing researcher cultural competence by addressing potential barriers that may hinder efforts to explore relevant, culturally appropriate factors that contribute to eating disturbance in African American girls. In this regard, we highlight the importance of integrative collaboration that can assist in identification and exploration of potential risk factors that may lead to model generation. We believe such information will lead to the development of culturally appropriate assessments, models, and, ultimately, interventions. PMID:25667818

  8. Eating-Disordered Behavior of Girls.

    ERIC Educational Resources Information Center

    Winkler, Martha C. Rhyne; Vacc, Nicholas A.

    1989-01-01

    Examined variables associated with eating-disordered adults to determine whether they correlate with scores on Adapted Eating Attitudes Test (AEAT). Results from fourth, sixth, and eighth grade girls (N=144) revealed no significant difference in AEAT scores across grades. Only two of seven independent variables, Test of Cognitive Skills scores and…

  9. Media images, body dissatisfaction, and disordered eating in adolescent women.

    PubMed

    Andrist, Linda C

    2003-01-01

    This article examines the literature related to the media, body image, and diet/weight issues in children and young women. The media holds an awesome power to influence young women, bombarding them with images of abnormally thin models who seem to represent the ideal. When the majority of adolescents inevitably fail to achieve the extremely thin image they crave, body dissatisfaction results, and disordered eating can begin. Emerging research in the pediatric and adolescent literature demonstrates that children as young as 5 are already anxious about their bodies, and want to be thinner. This obsessive interest in body weight is only fueled by a dramatic increase in the number of Internet Web sites devoted to disordered eating. Unfortunately many of the Web sites are "pro-ana" (pro anorexia) and "pro-mia" (pro bulimia); these Web sites encourage young people at risk to begin starving themselves, or to begin binge-purging. As nurses know, each of these scenarios can lead to serious illness, and sometimes to death. PMID:12629318

  10. Eating disorders in adolescence: attachment issues from a developmental perspective

    PubMed Central

    Gander, Manuela; Sevecke, Kathrin; Buchheim, Anna

    2015-01-01

    In the present article we review findings from an emerging body of research on attachment issues in adolescents with eating disorders from a developmental perspective. Articles for inclusion in this review were identified from PsychINFO (1966–2013), Sciencedirect (1970–2013), Psychindex (1980–2013), and Pubmed (1980–2013). First, we will outline the crucial developmental changes in the attachment system and discuss how they might be related to the early onset of the disease. Then we will report on the major results from attachment studies using self-report and narrative instruments in that age group. Studies with a developmental approach on attachment will be analyzed in more detail. The high incidence of the unresolved attachment pattern in eating disorder samples is striking, especially for patients with anorexia nervosa. Interestingly, this predominance of the unresolved category was also found in their mothers. To date, these transgenerational aspects are still poorly understood and therefore represent an exciting research frontier. Future studies that include larger adolescent samples and provide a more detailed description including symptom severity and comorbidity would contribute to a better understanding of this complex and painful condition. PMID:26321974

  11. The Development of Eating Behavior - Biology and Context

    PubMed Central

    Gahagan, Sheila

    2012-01-01

    Eating is necessary for survival, gives great pleasure and can be perturbed leading to undernutrition, overnutrition and eating disorders. The development of feeding in humans relies on complex interplay between homeostatic mechanisms; neural reward systems; and child motor, sensory and socio-emotional capability. Furthermore, parenting, social influences and the food environment influence the development of eating behavior. The rapid expansion of new knowledge in this field, from basic science to clinical and community-based research, is expected to lead to urgently needed research in support of effective, evidence-based prevention and treatment strategies for undernutrition, overnutrition and eating disorders in early childhood. Using a biopsychosocial approach, this review covers current knowledge of the development of eating behavior from the brain to the individual child, taking into account important contextual influences. PMID:22472944

  12. The relationship between disordered eating and sexuality amongst adolescents and young adults.

    PubMed

    Shearer, Annie; Russon, Jody; Herres, Joanna; Atte, Tita; Kodish, Tamar; Diamond, Guy

    2015-12-01

    Research shows that gay and bisexual males are at increased risk for disordered eating symptoms (DES); however, studies examining DES amongst lesbians and bisexual women have produced mixed findings. Furthermore, few studies have included questioning or "unsure" individuals. This study examined DES symptoms in adolescents and young adults across self-reported sexual attraction and behavior. Participants were recruited from ten primary care sites in Pennsylvania and administered the Behavioral Health Screen (BHS) - a web-based screening tool that assesses psychiatric symptoms and risk behaviors - during a routine visit. As expected, males who were attracted to other males exhibited significantly higher disordered eating scores than those only attracted to members of the opposite sex. Males who engaged in sexual activities with other males also exhibited significantly higher scores than those who only engaged in sexual activities with females. Amongst females, there were no significant differences in DES scores between females who were only attracted to females and those only attracted to males. Those who reported being attracted to both sexes, however, had significantly higher scores, on average, than those only attracted to one sex. More surprisingly, females who were unsure of who they were attracted to reported the highest DES scores of all. These findings are contrary to previous assumptions that same-sex attraction plays a protective role against eating pathology in females. Females who are unsure or attracted to both sexes may actually be at increased risk for developing DES. PMID:26332989

  13. Predictors of eating attitudes and behaviors among gay Hispanic men.

    PubMed

    De Santis, Joseph P; Layerla, Dennys Martin; Barroso, Susana; Gattamorta, Karina A; Sanchez, Michael; Prado, Guillermo J

    2012-04-01

    Gay men are a vulnerable population at risk for a number of health disparities, but little is known about eating disorders among gay Hispanic men. The purpose of this study was to examine the relationship of eating attitudes and behaviors with alcohol abuse, body image, depression, self-esteem, and sexual behaviors to determine predictors of eating attitudes and behaviors in a community sample of gay Hispanic men. Significant numbers of the participants were at risk for eating disorders (13%), alcohol abuse (18%), body image disturbance (29%), depression (25%), low self-esteem (12%), and high-risk sexual behaviors (34%). Alcohol abuse, body image, depression, self-esteem, and sexual behaviors were significant predictors of eating attitudes and behaviors and accounted for 38% of the variance in eating attitudes and behaviors. Nurses providing care to this population of gay men must be aware of this cluster of related mental health conditions that are experienced by these men. Addressing and treating these health conditions as a group of related mental health conditions are necessary. More research is needed to further explore this cluster of health issues among gay Hispanic men. PMID:22449559

  14. Family meals. Associations with weight and eating behaviors among mothers and fathers.

    PubMed

    Berge, Jerica M; MacLehose, Richard F; Loth, Katie A; Eisenberg, Marla E; Fulkerson, Jayne A; Neumark-Sztainer, Dianne

    2012-06-01

    Few studies have looked at the relationship between family meals and adult weight and health behaviors. The current study investigates the association between frequency of family meals and mothers' and fathers' body mass index (BMI), dietary intake, dieting behaviors and binge eating. Data from Project F-EAT (Families and Eating and Activity in Teens) were used for the current analysis. Socio-economically and racially/ethnically diverse mothers and fathers (n=3488) of adolescents participating in a multi-level population-based study (EAT 2010) completed surveys mailed to their homes. Predicted means or probabilities were calculated for each outcome variable at each level of family meal frequency. Interactions between race/ethnicity and marital status with family meals were evaluated in all models. Overall, results indicated that having more frequent family meals was associated with increased consumption of fruits and vegetables for mothers and fathers, after adjusting for age, educational attainment, marital status and race/ethnicity. Other findings including less fast food intake for fathers and fewer dieting and binge eating behaviors for mothers were significantly associated with family meal frequency, but not consistently across all family meal categories or with BMI. Interactions by race/ethnicity and marital status were non-significant, indicating that family meals may be important for more healthful dietary intake across race and marital status. Future research should confirm findings in longitudinal analyses to identify temporality and strength of associations. PMID:22425759

  15. Family Meals: Associations with Weight and Eating Behaviors Among Mothers and Fathers

    PubMed Central

    Berge, Jerica M.; MacLehose, Richard F.; Loth, Katie A.; Eisenberg, Marla E.; Fulkerson, Jayne A.; Neumark-Sztainer, Dianne

    2012-01-01

    Few studies have looked at the relationship between family meals and adult weight and health behaviors. The current study investigates the association between frequency of family meals and mothers’ and fathers’ body mass index (BMI), dietary intake, dieting behaviors and binge eating. Data from Project F-EAT (Families and Eating and Activity in Teens) were used for the current analysis. Socio-economically and racially/ethnically diverse mothers and fathers (n = 3,488) of adolescents participating in a multi-level population-based study (EAT 2010) completed surveys mailed to their homes. Predicted means or probabilities were calculated for each outcome variable at each level of family meal frequency. Interactions between race/ethnicity and marital status with family meals were evaluated in all models. Overall, results indicated that having more frequent family meals was associated with increased consumption of fruits and vegetables for mothers and fathers, after adjusting for age, educational attainment, marital status and race/ethnicity. Other findings including less fast food intake for fathers and fewer dieting and binge eating behaviors for mothers were significantly associated with family meal frequency, but not consistently across all family meal categories or with BMI. Interactions by race/ethnicity and marital status were non-significant, indicating that family meals may be important for more healthful dietary intake across race and marital status. Future research should confirm findings in longitudinal analyses to identify temporality and strength of associations. PMID:22425759

  16. Eating behavior and stress: a pathway to obesity

    PubMed Central

    Sominsky, Luba; Spencer, Sarah J.

    2014-01-01

    Stress causes or contributes to a huge variety of diseases and disorders. Recent evidence suggests obesity and other eating-related disorders may be among these. Immediately after a stressful event is experienced, there is a corticotropin-releasing-hormone (CRH)-mediated suppression of food intake. This diverts the body’s resources away from the less pressing need to find and consume food, prioritizing fight, flight, or withdrawal behaviors so the stressful event can be dealt with. In the hours following this, however, there is a glucocorticoid-mediated stimulation of hunger and eating behavior. In the case of an acute stress that requires a physical response, such as a predator-prey interaction, this hypothalamic-pituitary-adrenal (HPA) axis modulation of food intake allows the stressful event to be dealt with and the energy used to be replaced afterward. In the case of ongoing psychological stress, however, chronically elevated glucocorticoids can lead to chronically stimulated eating behavior and excessive weight gain. In particular, stress can enhance the propensity to eat high calorie “palatable” food via its interaction with central reward pathways. Activation of this circuitry can also interact with the HPA axis to suppress its further activation, meaning not only can stress encourage eating behavior, but eating can suppress the HPA axis and the feeling of stress. In this review we will explore the theme of eating behavior and stress and how these can modulate one another. We will address the interactions between the HPA axis and eating, introducing a potential integrative role for the orexigenic hormone, ghrelin. We will also examine early life and epigenetic modulation of the HPA axis and how this can influence eating behavior. Finally, we will investigate the clinical implications of changes to HPA axis function and how this may be contributing to obesity in our society. PMID:24860541

  17. [Orthorexia nervosa. A new eating behavior disorder?].

    PubMed

    Catalina Zamora, M L; Bote Bonaechea, B; García Sánchez, F; Ríos Rial, B

    2005-01-01

    New eating behavior disorders such as bigorexia (muscle dysmorphia) and orthorexia are appearing in developed countries. These disorders have not been officially recognized so that they are not classified as independent entities. The term orthorexia comes from the Greek word orthos (straight, proper) and orexia (appetite). It is characterized by the pathological obsession for biologically pure food, which leads to important dietary restrictions. Orthorexic patients exclude foods from their diets that they consider to be impure because they have herbicides, pesticides or artificial substances and they worry in excess about the techniques and materials used in the food elaboration. This obsession leads to loss of social relationships and affective dissatisfactions which, in turn, favors obsessive concern about food. In orthorexia, that patient initially wants to improve his/her health, treat a disease or lose weight. Finally, the diet becomes the most important part of their lives. We present a clinical case that responds to the characteristics of orthorexia. The differential diagnosis with chronic delusional disorder, anorexia nervosa and obsessive-compulsive disorder is carried out. PMID:15704033

  18. Reduction of overweight and eating disorder symptoms via the Internet in adolescents: A randomized controlled trial

    PubMed Central

    Doyle, Angela Celio; Goldschmidt, Andrea; Huang, Christina; Winzelberg, Andrew J.; Taylor, C. Barr; Wilfley, Denise E.

    2008-01-01

    Purpose Overweight in adolescence is a significant problem which is associated with body dissatisfaction and eating disorder (ED) behaviors. Cost-effective methods for early intervention of obesity and prevention of ED are important due to the refractory nature of both. This multisite RCT evaluated an Internet-delivered program targeting weight loss and ED attitudes/behaviors in adolescents. Methods Eighty overweight 12-17-year olds completed Student Bodies 2 (SB2), a 16-week cognitive-behavioral program, or usual care (UC). Results BMI z-scores were reduced in the SB2 group compared to the UC group from baseline (BL) to post-intervention (p=.027; ηp2=.08). The SB2 group maintained this reduction in BMI-z at 4-month follow-up, but significant differences were not observed due to improvement in the UC group. The SB2 group evidenced greater increases in dietary restraint at post (p=.016) and less improvement on shape concerns at follow-up (p=.044), however, these differences were not clinically significant. No other statistically significant differences were noted between groups on ED attitudes/behaviors. SB2 participants reported using healthy eating- and physical activity-related skills more frequently than UC participants at post (p=.001) and follow-up (p=.012). Conclusions Findings suggest that an Internet-delivered intervention yielded a modest reduction in weight status that continued four months following treatment and that ED attitudes/behaviors were not significantly improved. Group differences on weight loss were not sustained at 4-month follow-up due to parallel improvements in the groups. Future studies are needed to improve program adherence and to further explore the efficacy of Internet-delivery of weight control programs for adolescents. PMID:18639791

  19. Eating disorder behavior and early maladaptive schemas in subgroups of eating disorders.

    PubMed

    Unoka, Zsolt; Tölgyes, Tamás; Czobor, Pál; Simon, Lajos

    2010-06-01

    To examine relationship between Eating Disorder Behaviors (EDB) and Early Maladaptive Schemas (EMS) across eating disorder (ED) subgroups. EMS and ED behaviors were measured by Young Schema Questionnaire and Eating Behavior Severity Scale, respectively, among patients diagnosed with Restrictive or Binge/purging Anorexia, or bulimia nervosa. Canonical component analysis showed significant association between ED behaviors and EMSs. Canonical factor-pairs (EDB and EMS) revealed specific associations between certain patterns of EDBs, including binge-purging and physical exercise, and certain patterns of maladaptive cognitive schema, including Emotional deprivation, Abandonment, Enmeshments, Subjugation, and Emotional inhibition. ED subgroups significantly differred between the EMS and EDB canonical factors, respectively. Our findings indicate that EMS and EDB are associated, and that the factors that potentially mediate the association differ significantly among ED subgroups. These results are consistent with the notion that EMSs play a specific role in the development and maintenance of ED behaviors. PMID:20531121

  20. Olfaction in eating disorders and abnormal eating behavior: a systematic review

    PubMed Central

    Islam, Mohammed A.; Fagundo, Ana B.; Arcelus, Jon; Agüera, Zaida; Jiménez-Murcia, Susana; Fernández-Real, José M.; Tinahones, Francisco J.; de la Torre, Rafael; Botella, Cristina; Frühbeck, Gema; Casanueva, Felipe F.; Menchón, José M.; Fernandez-Aranda, Fernando

    2015-01-01

    The study provides a systematic review that explores the current literature on olfactory capacity in abnormal eating behavior. The objective is to present a basis for discussion on whether research in olfaction in eating disorders may offer additional insight with regard to the complex etiopathology of eating disorders (ED) and abnormal eating behaviors. Electronic databases (Medline, PsycINFO, PubMed, Science Direct, and Web of Science) were searched using the components in relation to olfaction and combining them with the components related to abnormal eating behavior. Out of 1352 articles, titles were first excluded by title (n = 64) and then by abstract and fulltext resulting in a final selection of 14 articles (820 patients and 385 control participants) for this review. The highest number of existing literature on olfaction in ED were carried out with AN patients (78.6%) followed by BN patients (35.7%) and obese individuals (14.3%). Most studies were only conducted on females. The general findings support that olfaction is altered in AN and in obesity and indicates toward there being little to no difference in olfactory capacity between BN patients and the general population. Due to the limited number of studies and heterogeneity this review stresses on the importance of more research on olfaction and abnormal eating behavior. PMID:26483708

  1. The Relation between Eating- and Weight-Related Disturbances and Depression in Adolescence: A Review

    ERIC Educational Resources Information Center

    Rawana, Jennine S.; Morgan, Ashley S.; Nguyen, Hien; Craig, Stephanie G.

    2010-01-01

    Depression often emerges during adolescence and persists into adulthood. Thus, it is critical to study risk factors that contribute to the development of depression in adolescence. One set of risk factors that has been recently studied in adolescent depression research is eating- and weight-related disturbances (EWRDs). EWRDs encompass negative…

  2. The prevalence of eating behaviors among Canadian youth using cross-sectional school-based surveys

    PubMed Central

    2014-01-01

    Background Obesity is a growing public health concern in Canada. Excess weight is particularly a concern among youth given that obesity in youth predicts obesity in adulthood. Eating behaviors, both inside and outside the home have been associated with increased risk of obesity; however, there is little data among Canadian youth to monitor trends. Methods The School Health Action, Planning and Evaluation Surveys (SHAPES) were administered in schools. Our study examined 20, 923 students (grades 5-12) from four regions in Canada. The regions were Hamilton and Thunder Bay (both in Ontario), the Province of Prince Edward Island, and the Province of Quebec. Results Consuming breakfast daily was reported by 70% of grade 5-8 students, and 51% of grade 9-12’s. Among students in grade 9-12, 52% reported eating with family members daily, compared with 68% in grade 5-8. Just over half of students in grade 5-8, and 70% in grade 9-12 reported eating at a fast-food place once a week or more. Among grade 5-8 students 68% reported eating in front of the television at least once per week, compared to 76% in grade 9-12. Obese students were more likely to watch TV while eating, and less likely to eat with a family member and eat breakfast. Conclusions The findings suggest that only a modest proportion of youth report dietary patterns that have previously been associated with healthy eating and reduced risk of obesity. Later adolescence may be a critical time for intervention in health-related behaviors. PMID:24708863

  3. Practice parameter for the assessment and treatment of children and adolescents with eating disorders.

    PubMed

    Lock, James; La Via, Maria C

    2015-05-01

    This Practice Parameter reviews evidence-based practices for the evaluation and treatment of eating disorders in children and adolescents. Where empirical support is limited, clinical consensus opinion is used to supplement systematic data review. The Parameter focuses on the phenomenology of eating disorders, comorbidity of eating disorders with other psychiatric and medical disorders, and treatment in children and adolescents. Because the database related to eating disorders in younger patients is limited, relevant literature drawn from adult studies is included in the discussion. PMID:25901778

  4. Adolescents engaging in unhealthy weight control behaviors: are they at risk for other health-compromising behaviors?

    PubMed Central

    Neumark-Sztainer, D; Story, M; Dixon, L B; Murray, D M

    1998-01-01

    OBJECTIVES: This study sought to determine whether adolescents engaging in weight control behaviors are at increased risk for tobacco, alcohol, and marijuana use; suicide ideation and attempts; and unprotected sexual activity. METHODS: Data were collected on a nationally representative sample of 16,296 adolescents taking part in the 1993 Youth Risk Behavior Survey. RESULTS: Adolescents using extreme weight control behaviors were at increased risk for health-compromising behaviors, while associations with other weight control behaviors were weak and inconsistent. CONCLUSIONS: The findings have relevance to clinical work with youth, provide a better understanding of disordered eating, and open up a number of opportunities for future research. PMID:9618628

  5. Influence of Peers and Friends on Children’s and Adolescents’ Eating and Activity Behaviors

    PubMed Central

    Salvy, Sarah-Jeanne; de la Haye, Kayla; Bowker, Julie C.; Hermans, Roel C.J.

    2012-01-01

    Obesity during childhood and adolescence is a growing problem in the United States, Canada, and around the world that leads to significant physical, psychological, and social consequences. Peer experiences have been theoretically and empirically related to the “Big Two” contributors to the obesity epidemic, unhealthy eating and physical inactivity [1]. In this article, we synthesize the empirical literature on the influence of peers and friends on youth’s eating and physical activity. Limitations and issues in the theoretical and empirical literatures are also discussed, along with future research directions. In conclusion, we argue that the involvement of children’s and adolescents’ peer networks in prevention and intervention efforts may be critical for promoting and maintaining positive behavioral health trajectories. However, further theoretical and empirical work is needed to better understand the specific mechanisms underlying the effects of peers on youth’s eating and physical activity. PMID:22480733

  6. Risk Factors for Eating Disorders among Male Adolescent Athletes

    PubMed Central

    PUSTIVŠEK, Suzana; HADŽIĆ, Vedran; DERVIŠEVIĆ, Edvin

    2015-01-01

    Objective Eating disorders (ED) are an important and increasing problem in adolescents. The objective of this study was to examine the risk factors and the prevalence of risk for ED among male adolescent elite athletes and nonathletic controls. Differences between male athletes competing in aerobic, anaerobic and aerobic-anaerobic sports were examined as well. Methods This was a cross-sectional epidemiological study. A cross-sectional questionnaire survey and anthropometric measurements were conducted on 351 adolescents (athletes n = 228; controls n = 123). All participants were aged 15–17 at the time of measuring. Risk for ED was determined using a SCOFF questionnaire. Results The overall prevalence of the risk for ED in male adolescents was 24.8%, with no significant differences among athletes and controls or different subgroups of athletes (p>0.05), although the highest prevalence (37.2%) was registered in aerobic subgroup of athletes. Higher number of attempts to lose weight was associated with increased risk of ED in each group (athletes and controls). Other predictors referred to lack of breakfast and body composition in aerobic subgroup of athletes and number of meals and training frequency in anaerobic subgroup. The most common reasons for dieting were improvement of sport results (19.6–44.2%) and better self-esteem (41.5%) in athletes and controls respectively. Conclusions Participation in the competitive sport itself is not associated with the increased risk for ED. It seems that risk factors for ED for adolescent athletes competing in aerobic and anaerobic sports represent a subject that deserves consideration and further investigation in the future.

  7. Suicidal Behavior among Early Adolescents.

    ERIC Educational Resources Information Center

    Gover, F. Jill

    There is a great deal of concern about teenage suicide. This study obtained a prevalence rate of suicidal behaviors among non-psychiatric early adolescents (ages 11-16) and investigated personal and family variables that may characterize the young teenagers who report varying degrees of suicidal behavior. A self-report questionnaire was…

  8. Discrepancies between implicit and explicit motivation and unhealthy eating behavior.

    PubMed

    Job, Veronika; Oertig, Daniela; Brandstätter, Veronika; Allemand, Mathias

    2010-08-01

    Many people change their eating behavior as a consequence of stress. One source of stress is intrapersonal psychological conflict as caused by discrepancies between implicit and explicit motives. In the present research, we examined whether eating behavior is related to this form of stress. Study 1 (N=53), a quasi-experimental study in the lab, showed that the interaction between the implicit achievement motive disposition and explicit commitment toward an achievement task significantly predicts the number of snacks consumed in a consecutive taste test. In cross-sectional Study 2 (N=100), with a sample of middle-aged women, overall motive discrepancy was significantly related to diverse indices of unsettled eating. Regression analyses revealed interaction effects specifically for power and achievement motivation and not for affiliation. Emotional distress further partially mediated the relationship between the overall motive discrepancy and eating behavior. PMID:20545817

  9. Puberty, sexual development and eating disorders in adolescent outpatients.

    PubMed

    Ruuska, Jaana; Kaltiala-Heino, Riittakerttu; Koivisto, Anna-Maija; Rantanen, Päivi

    2003-10-01

    This study examined puberty and psychosexual state in a clinical sample of adolescents attending for assessment because of eating disorders (ED). A total of 57 adolescents (girls) aged 14-21 years (mean age 16.9 years) having either anorexia nervosa (AN) or bulimia nervosa (BN) were studied by semi-structured interviews and structured self-report questionnaires considering the timing of menarche, dating and attitudes to sexuality. The age at menarche did not differ statistically significantly between AN and BN. It was significantly lower in the BN group than in the normal population, but no statistically significant difference was found between the AN group and normal population. The general attitudes to sexuality were more negative in the AN group than in the BN group. In the AN group, there were also fewer dating experiences and interest in dating than in the BN group. After controlling for the effect of age, age at menarche and duration of ED, negative attitudes to sexuality and no dating experiences were still best predicted by AN. The results suggest different ways of coping with the developmental challenges in sexuality in AN and BN during adolescence. PMID:14667108

  10. Food-related parenting practices and child and adolescent weight and weight-related behaviors

    PubMed Central

    Loth, K; Fulkerson, JA; Neumark-Sztainer, D

    2015-01-01

    Summary The prevalence of overweight and obesity in children has reached a concerning plateau in the past three decades, with overweight or obesity impacting approximately one-third of youth. Unhealthy weight-related behaviors, including dieting, unhealthy weight control practices and binge eating, are also a great public health concern for young people given both their high prevalence and harmful consequences. Food-related parenting practices, including food restriction and pressure-to-eat, have been associated with higher weight status, as well as the use of unhealthy weight-related behaviors, in children and adolescents. Physicians and other health care providers who work with families should discourage parents from using food restriction and pressure-to-eat parenting practices with their child or adolescent. Alternatively, parents should be empowered to promote healthy eating by focusing on making nutritious food items readily available within their home and modeling healthy food choices for their child or adolescent. PMID:26413263

  11. [Avoidance coping style and the risk of developing an eating disorder in adolescents].

    PubMed

    Pamies Aubalat, Lidia; Quiles Marcos, Yolanda

    2012-05-01

    The first aim of this study was to analyse the relationship between coping styles and strategies in Spanish adolescents of both genders, with high and low eating disorder risk. Secondly, this study aims to examine the relation of coping styles and coping strategies with eating disorder risk. The sample comprised 2142 adolescents (1.130 girls and 1.012 boys), mean age 13,96 years (SD= 1.34). They completed the Adolescent Coping Scale (ACS) and the Eating Attitude Test (EAT-40). The results showed high use of intropunitive avoidance coping in both female and male adolescents with high EAT-40 scores. The regression analysis indicated that, in both girls and boys, the intropunitive avoidance and the tension reduction coping strategy explained a high percentage of variance of eating disorder risk. The results of this study have implications for the prevention of these behaviours in adolescents, because people with a high risk of developing an eating disorder present a maladaptive coping style before the onset of the eating disorder. PMID:22420350

  12. Development and Predictive Effects of Eating Disorder Risk Factors during Adolescence: Implications for Prevention Efforts

    PubMed Central

    Rohde, Paul; Stice, Eric; Marti, C. Nathan

    2014-01-01

    Objective Although several prospective studies have identified factors that increase risk for eating disorders, little is known about when these risk factors emerge and escalate, or when they begin to predict future eating disorder onset. The objective of this report was to address these key research gaps. Method Data were examined from a prospective study of 496 community female adolescents (M = 13.5, SD = 0.7 at baseline) who completed eight annual assessments of potential risk factors and eating disorders from preadolescence to young adulthood. Results Three variables exhibited positive linear increases: Perceived pressure to be thin, thin-ideal internalization and body dissatisfaction; three were best characterized as quadratic effects: dieting (essentially little change); negative affectivity (overall decrease), and BMI (overall increase). Elevated body dissatisfaction at ages 13, 14, 15, and 16 predicted DSM-5 eating disorders onset in the 4 year period after each assessment, but the predictive effects of other risk factors were largely confined to age 14; BMI did not predict eating disorders at any age. Discussion The results imply that these risk factors are present by early adolescence, though eating disorders tend to emerge in late adolescence and early adulthood. These findings emphasize the need for efficacious eating disorder prevention programs for early adolescent girls, perhaps targeting 14 year olds, when risk factors appear to be most predictive. In early adolescence, it might be fruitful to target girls with body dissatisfaction, as this was the most consistent predictor of early eating disorder onset in this study. PMID:24599841

  13. Mindfulness Moderates the Relationship Between Disordered Eating Cognitions and Disordered Eating Behaviors in a Non-Clinical College Sample

    PubMed Central

    Masuda, Akihiko; Price, Matthew; Latzman, Robert D.

    2012-01-01

    Psychological flexibility and mindfulness are two related, but distinct, regulation processes that have been shown to be at the core of psychological wellbeing. The current study investigated whether these two processes independently moderated the association between disordered eating cognitions and psychological distress as well as the relation between disordered eating cognitions and disordered eating behaviors. Non-clinical, ethnically diverse college undergraduates completed a web-based survey. Of 278 participants (nfemale=208; nmale=70) aged 18–24 years old, disordered eating cognitions, mindfulness, and psychological flexibility were related to psychological distress after controlling for gender, ethnicity, and body mass index. Disordered eating cognitions and mindfulness accounted for unique variance in disordered eating behaviors. Finally, mindfulness was found to moderate the association between disordered eating cognitions and disordered eating behaviors. PMID:22888181

  14. Low socioeconomic status predicts abnormal eating attitudes in Latin American female adolescents.

    PubMed

    Power, Yuri; Power, Lorena; Canadas, Maria Beatriz

    2008-01-01

    The objective of this study was to study the proportion of Ecuadorian students fulfilling criteria on the Eating Attitudes Test (EAT) in relation to socioeconomic status. Seven hundred and twenty three female adolescent participants recruited from Quito, Ecuador were administered a brief questionnaire consisting of the EAT-40 as well as lifestyle questions. Mean EAT-40 score was 17.12, with 14% fulfilling criteria. Lower socioeconomic status and watching more television predicted higher scores; however BMI, age, and positive smoking status failed to correlate. The presently unvalidated Spanish version of the EAT-26 highly correlated with the validated EAT-40 (R=0.94). A higher than expected proportion of Ecuadorians are at risk for eating disorders, especially among lower socioeconomic groups. The EAT-26 should be considered for validation as a primary screening tool in Latin America. PMID:18307113

  15. Parental bonding and eating disorder symptoms in adolescents: the meditating role of core beliefs.

    PubMed

    Turner, Hannah M; Rose, Kathryn S; Cooper, Myra J

    2005-02-01

    This study aimed to investigate the mediating role of early maladaptive schemas in the relationship between parental bonding and eating disorder symptoms in a group of female adolescents. Three hundred and sixty-seven female adolescents completed the Parental Bonding instrument [PBI; Brit. J. Med. Psychol. 52 (1979) 1-10], the Young Schema Questionnaire short version [YSQ; Young, J. E. (1998). The Young Schema Questionnaire: Short form. Available at ], and the Eating Attitudes Test [EAT; Psychol. Med. 9 (1979) 273-279]. Two underlying schemas, defectiveness/shame and dependence/incompetence, were perfect mediators in the relationship between parental bonding and eating disorder symptoms. Schemas relating to both shame and dependency may be important in determining the effect that parental bonding has on eating disorder symptoms in a sample of female adolescent schoolgirls. PMID:15598597

  16. [Physical activity, eating behavior, and pathology].

    PubMed

    Jáuregui Lobera, Ignacio; Estébanez Humanes, Sonia; Santiago Fernández, María José

    2008-09-01

    Intense physical activity has been reported in patients with eating disorders, and hyperactivity can be found in more than 80% in severe stages. The beginning of food restriction occurs at earlier ages if there is an intense physical activity; body dissatisfaction is more intense among patients who practice exercise; and the presence of intense activity in anorexia nervosa usually precedes to the restrictive diet. The aim of this study was to evaluate the presence of exercise at the beginning of the eating disorder, and to analyze possible differences in the kind of exercise, according to age, sex and diagnostic subgroups. In order to evaluate the exercise 745 patients were assessed by the Eating Disorders Examination (EDE). The presence of physical activity (driving to caloric consumption, weight loss or modification of body shape), kind of activity, and its intensity were considered. Only the presence of moderate or high intensity clearly related with the mentioned objectives was considered. 407 patients (54.63%) engaged in exercise: 68.96% with anorexia, 68.96% with bulimia, and 34.73% with other non-specified eating disorders. There were not significant differences between men and women. Hyperactivity was the most frequent (47.42%), followed by gym activity (25.79%). Taking into account the different clinic subgroups, we could observe significant differences. To assess eating disorders, a correct evaluation of the physical activity should be necessary in order to include this aspect in treatment programs. PMID:19137991

  17. Nutritional aspects of night eating and its association with weight status among Korean adolescents

    PubMed Central

    Hernandez, Emely; Kim, Meeyoung; Kim, Won Gyoung

    2016-01-01

    BACKGROUND/OBJECTIVES A growing body of research has indicated that night eating could be associated with poor diet quality and negative health outcomes. This study examined the nutritional aspects of night eating, its related factors, and the association between night eating and body weight among Korean adolescents. SUBJECTS/METHODS This study analysed the data from a one day 24-hour dietary recall as well as a demographic survey of 1,738 Korean adolescents aged 12 to 18-years-old obtained from the 2010-2012 Korea National Health and Nutrition Examination Survey. 'Night eating' was defined as consuming 25% or more of one's daily energy intake between 21:00 and 06:00. Subjects complying with the preceding condition were classified as 'night eaters', whereas the rest were considered 'non-night eaters'. Logistic regression analysis examined factors related to night eating. Multiple linear regression analyses were used to examine the relationship between night eating and BMI z-scores, whereas multinomial logistic regression analysis was used to examine the relationship between night eating and weight status. RESULTS About 21% of Korean adolescents appeared to be night eaters. Night eaters showed increased breakfast skipping (P = 0.001), higher energy intake from snacks (P < 0.001), greater proportion of energy intake from fat (P = 0.029), and lower Dietary Diversity Scores (P = 0.008) than non-night eaters. Male adolescents presented 1.9 times higher odds of being night eaters than females. Adolescents whose both parents were night eaters were 4.4 times as likely to be night eaters as those whose neither parents were. Female adolescents showed a significant relationship between night eating and BMI z-scores (β = 0.28, P = 0.004). However, night eating did not increase odds of being overweight or obese in adolescents. CONCLUSIONS Night eating in Korean adolescents was related to undesirable dietary behaviours and low diet quality in general as well as higher BMI z

  18. The impact of discontinuing methylphenidate on weight and eating behavior.

    PubMed

    Benard, Victoire; Cottencin, Olivier; Guardia, Dewi; Vaiva, Guillaume; Rolland, Benjamin

    2015-04-01

    Chronic administration of the amphetamine-derivative methylphenidate (MPH) may induce appetite reduction and weight loss. By contrast, the effects that stopping chronic MPH may exert on eating behavior and body weight are poorly known. We report the case of a male patient with childhood attention deficit/hyperactivity disorder (ADHD), who discontinued MPH treatment at the age of 11 years and was lost to follow-up until the age of 16. The patient's body mass index increased by five points within 1 year of MPH cessation while the symptoms of ADHD were re-emerging. The patient secondarily developed DSM-5 criteria for eating disorders. Discontinuing chronic MPH can significantly affect weight and eating behavior. Such risks should warrant further studies, as they could be particularly increased in patients with ADHD, who share common vulnerability factors with both obesity and eating disorders. PMID:24849706

  19. Vegetarian Students in Their First Year of College: Are They at Risk for Restrictive or Disordered Eating Behaviors?

    ERIC Educational Resources Information Center

    Trautmann, Julianne; Rau, Stephanie I.; Wilson, Mardell A.; Walters, Connor

    2008-01-01

    This study compared restrictive and disordered eating behaviors in vegetarian versus non-vegetarian first-year college students. The Dutch Eating Behavior Questionnaire (DEBQ) and the abbreviated Eating Attitudes Test (EAT-26) were used to assess eating behaviors (n=330). The mean restrictive DEBQ and the EAT-26 scores of vegetarians were…

  20. Behavioral and Neurodevelopmental Precursors to Binge-Type Eating Disorders: Support for the Role of Negative Valence Systems

    PubMed Central

    Vannucci, Anna; Nelson, Eric E.; Bongiorno, Diana M.; Pine, Daniel S.; Yanovski, Jack A.; Tanofsky-Kraff, Marian

    2015-01-01

    Background Pediatric loss-of-control eating is a robust behavioral precursor to binge-type eating disorders. Elucidating precursors to loss-of-control eating and binge-type eating disorders may refine developmental risk models of eating disorders and inform interventions. Method We review evidence within constructs of the Negative Valence Systems (NVS)-domain, as specified by the Research Domain Criteria framework. Based on published studies, we propose an integrated NVS model of binge-type eating disorder risk. Results Data implicate altered corticolimbic functioning, neuroendocrine dysregulation, and self-reported negative affect as possible risk-factors. However, neuroimaging and physiological data in children and adolescents are sparse, and most prospective studies are limited to self-report measures. Conclusions We discuss a broad NVS framework for conceptualizing early risk for binge-type eating disorders. Future neural and behavioral research on the developmental trajectory of loss-of-control and binge-type eating disorders is required. PMID:26040923

  1. A regulatory focus perspective on eating behavior: how prevention and promotion focus relates to emotional, external, and restrained eating

    PubMed Central

    Pfattheicher, Stefan; Sassenrath, Claudia

    2014-01-01

    By applying regulatory focus theory (RFT) to the context of eating behavior, the present research examines the relations between individual differences in the two motivational orientations as conceptualized in RFT, that is, prevention-focused and promotion-focused self-regulation and emotional, external, and restrained eating. Building on a representative study conducted in the Netherlands (N = 4,230), it is documented that individual differences in prevention focus are positively related to emotional eating whereas negligible associations are found in regards to external and restrained eating. Individual differences in promotion focus are positively related to external eating whereas negligible associations are found in regards to emotional and restrained eating. In relating RFT to different eating styles we were able to document significant relations of basic self-regulatory orientations with regard to essential daily behavior associated with health and well-being. The implications for changing eating styles are discussed. PMID:25477840

  2. Predicting Changes in Eating Disorder Symptoms among Adolescents in China: An 18-Month Prospective Study

    ERIC Educational Resources Information Center

    Jackson, Todd; Chen, Hong

    2008-01-01

    This 18-month prospective study investigated factors that contributed to changes in eating disorder symptoms among adolescents living in the People's Republic of China. Five hundred forty-one Chinese middle school and high school students (182 boys, 359 girls) completed measures of eating disorder symptoms; body dissatisfaction; appearance ideal…

  3. The Relationship of Gender and Family Environment to Eating Disorder Risk in Adolescents.

    ERIC Educational Resources Information Center

    Felker, Kenneth R.; Stivers, Cathie

    1994-01-01

    Surveys measured components of family environment and adolescents' risk of developing anorexia nervosa or bulimia. Females displayed a greater risk than males for developing eating disorders. Lower cohesion, expressiveness, independence, and organization in the family implied a higher eating disorder risk, as did greater conflict and control. (RJM)

  4. Factors Influencing Adolescent Eating Behaviour: Application and Validation of a Diagnostic Instrument

    ERIC Educational Resources Information Center

    Benarroch, Alicia; Perez, Silvia; Perales, Javier

    2011-01-01

    Introduction: Variables that predict the eating behaviour of teenagers are a high-priority objective of nutritional educational programmes. This research work is designed to verify whether the "Food Consumption, Intentions and Preferences Assessment Test" (FCIPAT) is useful when investigating the factors influencing adolescent eating behaviour…

  5. Fostering a Healthy Body Image: Prevention and Intervention with Adolescent Eating Disorders

    ERIC Educational Resources Information Center

    Giles, Michelle; Hass, Michael

    2008-01-01

    Eating disorders are among the most frequently seen chronic illnesses found in adolescent females. In this paper, we discuss school-based prevention and intervention efforts that seek to reduce the impact of this serious illness. School counselors play a key role in the prevention of eating disorders and can provide support even when not directly…

  6. Patterns of Aberrant Eating among Pre-Adolescent Children in Foster Care

    ERIC Educational Resources Information Center

    Tarren-Sweeney, Michael

    2006-01-01

    The paper reports epidemiological and phenomenological investigations of aberrant eating among 347 pre-adolescent children in court-ordered foster and kinship care, in New South Wales, Australia. A quarter of children displayed clinically significant aberrant eating problems, with no evidence of gender or age effects. Two distinct patterns were…

  7. Longitudinal Predictors of Restrictive Eating and Bulimic Tendencies in Three Different Age Groups of Adolescent Girls.

    ERIC Educational Resources Information Center

    Wertheim, Eleanor H.; Koerner, Jody; Paxton, Susan J.

    2001-01-01

    Examined longitudinal predictors of future eating problems in 435 female adolescents in grades 7, 8, and 10 who were tested at 2 time points 8 months apart. Restrictive eating and bulimic tendencies were found to be relatively stable over time, especially at older grade levels. A predictive role was found for body dissatisfaction, depression, and…

  8. Feeding and Eating Disorders: Ingestive Problems of Infancy, Childhood, and Adolescence.

    ERIC Educational Resources Information Center

    Kerwin, MaryLouise E.; Berkowitz, Robert I.

    1996-01-01

    The fourth edition of the "Diagnostic Statistical Manual of Mental Disorders" (DSM) recognizes that feeding problems of infants and children are not typically the same as eating problems of adolescents, thus the addition of a broad diagnostic category, "Feeding and Eating Disorders of Infancy or Early Childhood." Subtypes are proposed for anorexia…

  9. Food ideology and eating behavior: contributions from Malay studies.

    PubMed

    Laderman, C

    1984-01-01

    A study of food ideology and eating behavior in a Malay village demonstrates that the relationship between belief and action is complex and not always predictable. Over-reliance upon stated beliefs, and generalizations derived from particular ecological settings, have influenced investigators into making universal and logical statements about Malay eating behavior and its health consequences--a logic which, however, does not always jibe with reality. Food ideology, like any other portion of a belief system, is subject to innovation, interpretation and rationalization, and contains within it 'rules to break rules' which assure the continued integrity of the symbolic system by patterning what might otherwise be seen as rifts in its fabric. An understanding of eating behavior must be based both on a knowledge of the subsidiary, as well as primary, clauses of food ideology, and on direct observation of the behaviors elicited by these beliefs and modified by the setting, the situation and the individual. PMID:6484640

  10. Transdiagnostic cognitive behaviour therapy for adolescents with an eating disorder who are not underweight

    PubMed Central

    Dalle Grave, Riccardo; Calugi, Simona; Sartirana, Massimiliano; Fairburn, Christopher G.

    2015-01-01

    Little is known about the treatment of adolescents with an eating disorder who are not underweight. Enhanced cognitive behaviour therapy (CBT-E) is a potential option as it is a treatment for adult patients with eating disorders of this type and it has been shown to be effective with adolescent patients who are underweight. The aim of the present cohort study was to evaluate the effects of CBT-E on non-underweight adolescents with an eating disorder. Sixty-eight adolescent patients with an eating disorder and a body mass index (BMI) centile corresponding to an adult BMI ≥18.5 were recruited from consecutive referrals to a community-based eating disorder clinic. Each was offered 20 sessions of CBT-E over 20 weeks. Three-quarters completed the full 20 sessions. There was a marked treatment response with two-thirds (67.6%, intent-to-treat) having minimal residual eating disorder psychopathology by the end of treatment. CBT-E therefore appears to be a promising treatment for those adolescents with an eating disorder who are not underweight. PMID:26275760

  11. Transdiagnostic cognitive behaviour therapy for adolescents with an eating disorder who are not underweight.

    PubMed

    Dalle Grave, Riccardo; Calugi, Simona; Sartirana, Massimiliano; Fairburn, Christopher G

    2015-10-01

    Little is known about the treatment of adolescents with an eating disorder who are not underweight. Enhanced cognitive behaviour therapy (CBT-E) is a potential option as it is a treatment for adult patients with eating disorders of this type and it has been shown to be effective with adolescent patients who are underweight. The aim of the present cohort study was to evaluate the effects of CBT-E on non-underweight adolescents with an eating disorder. Sixty-eight adolescent patients with an eating disorder and a body mass index (BMI) centile corresponding to an adult BMI ≥ 18.5 were recruited from consecutive referrals to a community-based eating disorder clinic. Each was offered 20 sessions of CBT-E over 20 weeks. Three-quarters completed the full 20 sessions. There was a marked treatment response with two-thirds (67.6%, intent-to-treat) having minimal residual eating disorder psychopathology by the end of treatment. CBT-E therefore appears to be a promising treatment for those adolescents with an eating disorder who are not underweight. PMID:26275760

  12. Distinctions Between Two Expectancies in the Prediction of Maladaptive Eating Behavior

    PubMed Central

    Combs, Jessica L.; Smith, Gregory T.; Simmons, Jean R.

    2010-01-01

    In this longitudinal study, the authors provide support for the validity of the claim that differences in the nature of the reinforcement that adolescent girls expect from eating contribute to the development of different forms of maladaptive eating. The learned expectancy that eating is pleasurable and rewarding predicted higher levels of social/celebratory overeating across the first year of middle school but did not predict higher levels of clinical binge eating. In contrast, the expectancy that eating helps one manage negative affect predicted higher levels of binge eating but not of social/celebratory overeating across the same time period (n = 394). The results also supported a reciprocal model in which binge eating predicted higher levels of the expectancy that eating will manage negative affect but not that eating is pleasurable and rewarding; conversely, social/celebratory overeating predicted higher levels of the expectancy that eating is pleasurable and rewarding but not that eating will manage negative affect. PMID:21127719

  13. School-Based Eating Disorder Prevention Programs for Pre-Adolescents and Adolescents: A Review of Recent Literature.

    ERIC Educational Resources Information Center

    Weinstein, Erica S.

    This paper presents a review of 25 sources on school-based eating disorder prevention programs for pre-adolescents and adolescents. The sources used to collect the information include Search ERIC database, PsycINFO, InterScience, and Expanded Academic. A review of the literature concluded that the most effective method of implementing a…

  14. Modifying the Eating Behavior of Young Children.

    ERIC Educational Resources Information Center

    Perry, Cheryl L.; And Others

    1985-01-01

    A nutrition education curriculum, which emphasized the importance of a low-salt, low-fat, and increased complex carbohydrate diet for cardiovascular health, was pilot tested on third and fourth graders. At posttest, participating students reported significant, positive eating pattern changes while students in the control group did not. (Author/MT)

  15. The Eating Disorders Examination in Adolescent Males with Anorexia Nervosa: How Does It Compare to Adolescent Females?

    PubMed Central

    Darcy, Alison M.; Doyle, Angela Celio; Lock, James; Peebles, Rebecka; Doyle, Peter; Le Grange, Daniel

    2010-01-01

    Objective The study aimed to explore the Eating Disorder Examination (EDE) for adolescent males with eating disorders (EDs) compared with adolescent females with EDs. Method Data were collected from 48 males and matched on percent median body weight (MBW) and age to 48 females at two sites. Results Adolescent males with anorexia nervosa-type presentation scored significantly lower than matched females on Shape Concern, Weight Concern, and Global score. They also scored lower on a number of individual items. Discussion The EDE has clinical utility with adolescent males with anorexic-type presentation although males’ scoring ranges are consistently lower than those from adolescent females with similar clinical presentations. Males scored significantly lower on a number of items representing core symptoms such as desire to lose weight. More research is needed to gain a better understanding of the experience of adolescent males with EDs, particularly in relation to the nature of shape concern. PMID:22170022

  16. Measuring eating disorder attitudes and behaviors: a reliability generalization study

    PubMed Central

    2014-01-01

    Background Although score reliability is a sample-dependent characteristic, researchers often only report reliability estimates from previous studies as justification for employing particular questionnaires in their research. The present study followed reliability generalization procedures to determine the mean score reliability of the Eating Disorder Inventory and its most commonly employed subscales (Drive for Thinness, Bulimia, and Body Dissatisfaction) and the Eating Attitudes Test as a way to better identify those characteristics that might impact score reliability. Methods Published studies that used these measures were coded based on their reporting of reliability information and additional study characteristics that might influence score reliability. Results Score reliability estimates were included in 26.15% of studies using the EDI and 36.28% of studies using the EAT. Mean Cronbach’s alphas for the EDI (total score = .91; subscales = .75 to .89), EAT-40 (total score = .81) and EAT-26 (total score = .86; subscales = .56 to .80) suggested variability in estimated internal consistency. Whereas some EDI subscales exhibited higher score reliability in clinical eating disorder samples than in nonclinical samples, other subscales did not exhibit these differences. Score reliability information for the EAT was primarily reported for nonclinical samples, making it difficult to characterize the effect of type of sample on these measures. However, there was a tendency for mean score reliability to be higher in the adult (vs. adolescent) samples and in female (vs. male) samples. Conclusions Overall, this study highlights the importance of assessing and reporting internal consistency during every test administration because reliability is affected by characteristics of the participants being examined. PMID:24764530

  17. How does thinking in Black and White terms relate to eating behavior and weight regain?

    PubMed

    Palascha, Aikaterini; van Kleef, Ellen; van Trijp, Hans C M

    2015-05-01

    This study explores the role of dichotomous thinking on eating behavior and its association with restraint eating and weight regain in a wide range of people. In a web-based survey with 241 adults, dichotomous thinking and behavioral outcomes related to eating (restraint eating, weight regain, body mass index, dieting) were assessed. Results showed that eating-specific dichotomous thinking (dichotomous beliefs about food and eating) mediates the association between restraint eating and weight regain. We conclude that holding dichotomous beliefs about food and eating may be linked to a rigid dietary restraint, which in turn impedes people's ability to maintain a healthy weight. PMID:25903250

  18. Functional brain networks associated with eating behaviors in obesity.

    PubMed

    Park, Bo-Yong; Seo, Jongbum; Park, Hyunjin

    2016-01-01

    Obesity causes critical health problems including diabetes and hypertension that affect billions of people worldwide. Obesity and eating behaviors are believed to be closely linked but their relationship through brain networks has not been fully explored. We identified functional brain networks associated with obesity and examined how the networks were related to eating behaviors. Resting state functional magnetic resonance imaging (MRI) scans were obtained for 82 participants. Data were from an equal number of people of healthy weight (HW) and non-healthy weight (non-HW). Connectivity matrices were computed with spatial maps derived using a group independent component analysis approach. Brain networks and associated connectivity parameters with significant group-wise differences were identified and correlated with scores on a three-factor eating questionnaire (TFEQ) describing restraint, disinhibition, and hunger eating behaviors. Frontoparietal and cerebellum networks showed group-wise differences between HW and non-HW groups. Frontoparietal network showed a high correlation with TFEQ disinhibition scores. Both frontoparietal and cerebellum networks showed a high correlation with body mass index (BMI) scores. Brain networks with significant group-wise differences between HW and non-HW groups were identified. Parts of the identified networks showed a high correlation with eating behavior scores. PMID:27030024

  19. Functional brain networks associated with eating behaviors in obesity

    PubMed Central

    Park, Bo-yong; Seo, Jongbum; Park, Hyunjin

    2016-01-01

    Obesity causes critical health problems including diabetes and hypertension that affect billions of people worldwide. Obesity and eating behaviors are believed to be closely linked but their relationship through brain networks has not been fully explored. We identified functional brain networks associated with obesity and examined how the networks were related to eating behaviors. Resting state functional magnetic resonance imaging (MRI) scans were obtained for 82 participants. Data were from an equal number of people of healthy weight (HW) and non-healthy weight (non-HW). Connectivity matrices were computed with spatial maps derived using a group independent component analysis approach. Brain networks and associated connectivity parameters with significant group-wise differences were identified and correlated with scores on a three-factor eating questionnaire (TFEQ) describing restraint, disinhibition, and hunger eating behaviors. Frontoparietal and cerebellum networks showed group-wise differences between HW and non-HW groups. Frontoparietal network showed a high correlation with TFEQ disinhibition scores. Both frontoparietal and cerebellum networks showed a high correlation with body mass index (BMI) scores. Brain networks with significant group-wise differences between HW and non-HW groups were identified. Parts of the identified networks showed a high correlation with eating behavior scores. PMID:27030024

  20. Eating Attitudes Test and Eating Disorders Inventory: Norms for Adolescent Girls and Boys.

    ERIC Educational Resources Information Center

    Rosen, James C.; And Others

    1988-01-01

    Collected normative data on 1,373 high school boys and girls in grades 9 through 12, on the Eating Attitudes Test (EAT) and the Eating Disorders Inventory (EDI), used to measure symptoms of eating disorders. Obtained significant sex, but not age, differences, and some racial and socioeconomic differences among the girls. (Author/KS)

  1. Dieting Behavior and Alcohol Use Behaviors among National Eating Disorders Screening Program Participants

    ERIC Educational Resources Information Center

    Heidelberg, Natalie F.; Correia, Christopher J.

    2009-01-01

    Objective: Research has shown that college students have elevated rates of alcohol use and problematic eating behaviors. The current study focused on the relationships between dieting behaviors and alcohol use among a sample of undergraduates attending National Eating Disorder Screening Program. Method: All participants (n=70, 100% female, average…

  2. Weight Concerns, Problem Eating Behaviors, and Problem Drinking Behaviors in Female Collegiate Athletes.

    ERIC Educational Resources Information Center

    Gutgesell, Margaret E.; Moreau, Kerrie L.; Thompson, Dixie L.

    2003-01-01

    Compared eating behaviors and alcohol drinking habits between female varsity college athletes and female controls (non-athletes). Data from a student survey indicated that self-reported problem drinking and eating behaviors existed in both groups at similar rates. There did not appear to be a significant relationship between self-reported alcohol…

  3. Integrating Eating Disorder and Obesity Prevention Programs for Adolescents

    ERIC Educational Resources Information Center

    Shaw, Heather; Ng, Janet; Stice, Eric

    2007-01-01

    Increasingly, researchers in the areas of eating disorders and obesity prevention are recognizing the benefits of collaborative efforts aimed at curbing the spectrum of eating-related disturbances. Research suggests that eating disorders and overweight tend to co-occur, and that individuals cross over from one eating-related disturbance to…

  4. Self-recognition of eating-disordered behavior in college women: further evidence of poor eating disorders "mental health literacy"?

    PubMed

    Gratwick-Sarll, Kassandra; Mond, Jonathan; Hay, Phillipa

    2013-01-01

    Self-recognition of eating-disordered behavior was examined among female college students (n = 94) with a high level of bulimic-type eating disorder symptoms. A vignette was presented describing a fictional young woman with bulimia nervosa. Participants were asked whether they might currently have a problem such as the one described, while also completing self-report measures of eating disorder symptoms, general psychological distress, and functional impairment. Less than half (47.9%) of participants believed that they currently had a problem with their eating. In both bivariate and multivariable analysis, the variables most strongly associated with self-recognition were overall levels of eating disorder psychopathology, prior treatment for an eating problem, and the use of self-induced vomiting as a means of controlling weight or shape. No other eating disorder behaviors were independently associated with self-recognition. The findings support the hypothesis that young women with eating disorder symptoms may be unlikely, or at least less likely, to recognize a problem with their eating behavior when that behavior does not entail self-induced vomiting. Health promotion and early intervention programs for eating disorders may need to address the perception that, among young women of normal or above-average body weight, only problems with eating that involve self-induced vomiting are pathological. PMID:23767672

  5. A reason to stay healthy: The role of meaning in life in relation to physical activity and healthy eating among adolescents.

    PubMed

    Brassai, László; Piko, Bettina F; Steger, Michael F

    2015-05-01

    The present longitudinal study investigated the incremental contribution of meaning in life to sustaining health-promoting behaviors, after controlling for well-being and health values among East-European adolescents (N = 456). Time 1 responses on presence of meaning, search for meaning, well-being, and health values were used to predict levels of healthy eating and physical activity 13 months later. All independent variables significantly predicted engagement in healthy eating and physical activity. Presence of meaning and search for meaning were the most robust predictors, and the interaction of them predicted additional variance in healthy eating among boys and physical activity among girls. PMID:25903235

  6. Female Collegiate Athletes: Prevalence of Eating Disorders and Disordered Eating Behaviors

    ERIC Educational Resources Information Center

    Greenleaf, Christy; Petrie, Trent A.; Carter, Jennifer; Reel, Justine J.

    2009-01-01

    Objective: The authors assessed the prevalence of pathogenic eating and weight-control behaviors among female college athletes, using a psychometrically valid measure. Participants: Participants were 204 college athletes (M age = 20.16 years, SD = 1.31 years) from 17 sports at 3 universities. On average, they participated in their sport for 10.88…

  7. Associations between hurtful weight-related comments by family and significant other and the development of disordered eating behaviors in young adults

    PubMed Central

    Eisenberg, Marla E.; Berge, Jerica M.; Fulkerson, Jayne A.; Neumark-Sztainer, Dianne

    2012-01-01

    Background Research has found that weight-teasing is associated with disordered eating in adolescents. This study expands on the existing research by examining associations between hurtful weight comments by family and a significant other and disordered eating in young adults. Methods Data come from 1,902 young adults (mean age 25) who completed surveys in 1998, 2003 and 2009. Correlations were examined between receiving hurtful comments from family and significant others, and four disordered eating behaviors in young adulthood, adjusting for prior disordered eating and prior teasing. Results Disordered eating behaviors were common in young adulthood, and were associated with hearing hurtful weight-related comments from family members and a significant other, for both females and males. Conclusion Disordered eating prevention activities, which include messages about the potential harm associated with hurtful weight-related comments, should be expanded to address young adults, and programs may want to target relationship partners. PMID:21898148

  8. A Longitudinal Study of Pubertal Timing and Extreme Body Change Behaviors among Adolescent Boys and Girls

    ERIC Educational Resources Information Center

    McCabe, Marita P.; Ricciardelli, Lina A.

    2004-01-01

    Recent studies have examined the prevalence of disordered eating and other health risk behaviors among adolescent boys and girls. However, these studies generally have not examined predictors of these behaviors, and have not embedded the investigations within a theoretical framework. This study employed a longitudinal design to evaluate the…

  9. [Cognitive behavior therapy in eating disorders].

    PubMed

    Tölgyes, Tamás; Unoka, Zsolt

    2009-01-01

    Author's aim is to give a comprehensive review of the behavioural and cognitive-behavioural psychotherapeutic development in the treatment of anorexia nervosa and bulimia nervosa, on the base of the literature as well as on own clinical experiences. Behavioural therapies, currently applied as part of integrative therapies mainly, will be shown, and theoretical background and techniques of classical cognitive behavioural therapy of anorexia and bulimia nervosa will be shortly summarized. Theory and therapeutic techniques of the schema-focused cognitive behavioural therapy, applied in the treatment of eating disorders more frequently in the last few years, will be made acquainted in details. Indications and contraindications of classic cognitive behavioural therapy and schema-focused cognitive behavioural therapy in eating disorders will be discussed. Stress will be laid on the fact, that schema-focused cognitive behaviour therapy is to be chosen mostly in the cases where comorbid dissociation, personality disorder, very low self-esteem or traumatic history diminishes the applicability of traditional cognitive behavioural therapy. Authors emphasize the importance of further controlled efficacy studies in the field of schema-focused cognitive behavioural therapy, to define the indication fields regarding different subgroups of eating disorders. PMID:20450144

  10. [Cognitive behavior therapy in eating disorders.

    PubMed

    Tölgyes, Tamás; Unoka, Zsolt

    2009-01-01

    Author's aim is to give a comprehensive review of the behavioural and cognitive-behavioural psychotherapeutic development in the treatment of anorexia nervosa and bulimia nervosa, on the base of the literature as well as on own clinical experiences. Behavioural therapies, currently applied as part of integrative therapies mainly, will be shown, and theoretical background and techniques of classical cognitive behavioural therapy of anorexia and bulimia nervosa will be shortly summarized. Theory and therapeutic techniques of the schema-focused cognitive behavioural therapy, applied in the treatment of eating disorders more frequently in the last few years, will be made acquainted in details. Indications and contraindications of classic cognitive behavioural therapy and schema-focused cognitive behavioural therapy in eating disorders will be discussed. Stress will be laid on the fact, that schema-focused cognitive behaviour therapy is to be chosen mostly in the cases where comorbid dissociation, personality disorder, very low self-esteem or traumatic history diminishes the applicability of traditional cognitive behavioural therapy. Authors emphasize the importance of further controlled efficacy studies in the field of schema-focused cognitive behavioural therapy, to define the indication fields regarding different subgroups of eating disorders. PMID:20057003

  11. Hitting Closer to Home: A Multiple Family Prevention Group for Adolescent Disordered Eating

    ERIC Educational Resources Information Center

    Clemency, Colleen E.; Rayle, Andrea Dixon

    2006-01-01

    This article presents an innovative multiple family psychoeducational group for the prevention of disordered eating among adolescent females. An overview of the concerns facing adolescents today is presented, including sociocultural norms, body dissatisfaction associated with pubertal changes, teasing regarding weight and shape, and family…

  12. Dieting, Dietary Restraint, and Binge Eating Disorder among Overweight Adolescents in Turkey

    ERIC Educational Resources Information Center

    Bas, Murat; Bozan, Nuray; Cigerim, Nevin

    2008-01-01

    The purpose of this study was to determine the relationship among dieting, dietary restraint, disinhibition, hunger, and binge eating among overweight adolescent girls. Participants were 743 overweight adolescent girls between 16 and 19 years of age. The mean BMI was 24.9 [+ or -] 0.8 kg/[m[superscript 2] in the low-restraint group and 25.1 [+ or…

  13. Weighing in on the Issue: A Longitudinal Analysis of the Influence of Selected Individual Factors and the Sports Context on the Developmental Trajectories of Eating Pathology among Adolescents

    ERIC Educational Resources Information Center

    Fay, Kristen; Lerner, Richard M.

    2013-01-01

    Eating disorders, and related issues (e.g., body dissatisfaction, weight control behaviors), represent pressing and prevalent health problems that affect American adolescents with alarming frequency and potentially chronic consequences. However, more longitudinal research is needed to elucidate the developmental processes that increase or maintain…

  14. Transient Eating Problems in an Adolescent without Body Image Disturbances: A Diagnostic Quandary.

    PubMed

    Sarkar, Siddharth; Padhy, Susanta Kumar; Rao, Pradyumna; Gupta, Sunil

    2013-10-01

    Eating problems are commonly encountered in childhood and adolescents, and may be manifestation of a variety of psychiatric disorders when medical causes are excluded. We present the case of a young lady presenting with problems of eating which presented with difficulties of ascribing a diagnostic label for eating problems. The patient, a 12-year-old girl with history suggestive of mild mental retardation and juvenile myoclonic epilepsy presented with selective eating of foodstuffs which improved spontaneously in 2 months. The different diagnostic possibilities entertained for the case are discussed. PMID:24379508

  15. Depressed Affect and Dietary Restraint in Adolescent Boys’ and Girls’ Eating in the Absence of Hunger

    PubMed Central

    Kelly, Nichole R.; Shomaker, Lauren B.; Pickworth, Courtney K.; Grygorenko, Mariya V.; Radin, Rachel M.; Vannucci, Anna; Shank, Lisa M.; Brady, Sheila M.; Courville, Amber B.; Tanofsky-Kraff, Marian; Yanovski, Jack A.

    2015-01-01

    Data suggest that depressed affect and dietary restraint are related to disinhibited eating patterns in children and adults. Yet, experimental research has not determined to what extent depressed affect acutely affects eating in the absence of physiological hunger (EAH) in adolescents. In the current between-subjects experimental study, we measured EAH in 182 adolescent (13-17y) girls (65%) and boys as ad libitum palatable snack food intake after youth ate to satiety from a buffet meal. Just prior to EAH, participants were randomly assigned to view either a sad or neutral film clip. Dietary restraint was measured with the Eating Disorder Examination. Adolescents who viewed the sad film clip reported small but significant increases in state depressed affect relative to adolescents who viewed the neutral film clip (p < .001). Yet, there was no main effect of film condition on EAH (p = .26). Instead, dietary restraint predicted greater EAH among girls, but not boys (p < .001). These findings provide evidence that adolescent girls’ propensity to report restrained eating is associated with their greater disinhibited eating in the laboratory. Additional experimental research, perhaps utilizing a more potent laboratory stressor and manipulating both affective state and dietary restraint, is required to elucidate how state affect may interact with dietary restraint to influence EAH during adolescence. PMID:25936291

  16. Depressed affect and dietary restraint in adolescent boys' and girls' eating in the absence of hunger.

    PubMed

    Kelly, Nichole R; Shomaker, Lauren B; Pickworth, Courtney K; Grygorenko, Mariya V; Radin, Rachel M; Vannucci, Anna; Shank, Lisa M; Brady, Sheila M; Courville, Amber B; Tanofsky-Kraff, Marian; Yanovski, Jack A

    2015-08-01

    Data suggest that depressed affect and dietary restraint are related to disinhibited eating patterns in children and adults. Yet, experimental research has not determined to what extent depressed affect acutely affects eating in the absence of physiological hunger (EAH) in adolescents. In the current between-subjects experimental study, we measured EAH in 182 adolescent (13-17 y) girls (65%) and boys as ad libitum palatable snack food intake after youth ate to satiety from a buffet meal. Just prior to EAH, participants were randomly assigned to view either a sad or neutral film clip. Dietary restraint was measured with the Eating Disorder Examination. Adolescents who viewed the sad film clip reported small but significant increases in state depressed affect relative to adolescents who viewed the neutral film clip (p < .001). Yet, there was no main effect of film condition on EAH (p = .26). Instead, dietary restraint predicted greater EAH among girls, but not boys (p < .001). These findings provide evidence that adolescent girls' propensity to report restrained eating is associated with their greater disinhibited eating in the laboratory. Additional experimental research, perhaps utilizing a more potent laboratory stressor and manipulating both affective state and dietary restraint, is required to elucidate how state affect may interact with dietary restraint to influence EAH during adolescence. PMID:25936291

  17. A description of disordered eating behaviors in Latino males

    PubMed Central

    Reyes-Rodríguez, Mae Lynn; Sala, Margarita; Von Holle, Ann; Unikel, Claudia; Bulik, Cynthia M.; Cámara-Fuentes, Luis; Suárez-Torres, Alba

    2011-01-01

    Objective To explore disordered eating and eating disorders (ED) in Latino males. Participants 722 male college students from a larger prevalence study conducted in the University of Puerto Rico (UPR) system. Method Participants were selected from a list of sections of required courses for first-year students on each campus. Self report instruments were used to explore ED symptoms (EAT-26 & BULIT-26) and depression (BDI). Results Overall, 2.26% scored above the cut-off point on the BULIT-R and 5.08% score above the cut-off point on the EAT-26. Of the males, 4.43% reported sufficient frequency and severity to approximate DSM-IV criteria for BN. Depression symptomatology was found in those who scored above the cut-off point on both instruments of ED. Conclusion College health practitioners should be aware of disordered eating in Latino males and include them in efforts to detect disordered eating behaviors in college students. PMID:21308586

  18. Risk Behavior and Personal Resiliency in Adolescents

    ERIC Educational Resources Information Center

    Prince-Embury, Sandra

    2015-01-01

    This study explores the relationship between self-reported risk behaviors and personal resiliency in adolescents; specifically whether youth with higher personal resiliency report less frequent risk behaviors than those with lower personal resiliency. Self-reported risk behavior is surveyed by the "Adolescent Risk Behavior Inventory"…

  19. Predicting the Problem Behavior in Adolescents

    ERIC Educational Resources Information Center

    Karaman, Neslihan G.

    2013-01-01

    Problem statement: Problem behavior theory describes both protective factors and risk factors to explain adolescent problem behaviors, such as delinquency, alcohol use, and reckless driving. The theory holds that problem behaviors involving risky behavior are used by adolescents as a means to gain peer acceptance and respect. Problem behaviors…

  20. Eating behavior and nutrition knowledge among musical theatre students.

    PubMed

    Vitzthum, Karin; Endres, Eva; Koch, Franziska; Groneberg, David A; Quarcoo, David; Wanke, Eileen; Mache, Stefanie

    2013-03-01

    Eating is a central part in human (social) life. Athletic performance and physical attractiveness are linked to appropriate nutritional behavior, especially for performing artists. Eating behavior and nutrition knowledge have not been examined in musical theatre students so far, which this study aims to analyze. We administered a cross-sectional questionnaire study to 37 musical theatre students. Results for the Eating Disorder Examination-Questionnaire (EDE-Q) showed non-pathological values for 92% of all participants, but 81% of participants answered correctly on only 30-59% of questions on the General Nutrition Knowledge Questionnaire (GNKQ). Our study results reveal the need for specific nutritional knowledge transfer programs for this target group. PMID:23462900

  1. Eating disorders in males.

    PubMed

    Robb, Adelaide S; Dadson, Michele J

    2002-04-01

    Eating disorders are one of the rare psychiatric disorders with a large preponderance of female patients. The other articles in this issue review eating disorders in children and adolescents and focus primarily on female patients. This article reviews the eating disorders that occur in male children and teenagers, including anorexia nervosa, bulimia nervosa, binge eating disorder, a subtype of body dysmorphic disorder named muscle dysmorphobia, and obesity. This article reviews subgroups of boys who are at higher risk for developing eating disorders. The article commences with the difference in male perceptions of body image and dieting behaviors. PMID:12109328

  2. Eating disorder examination questionnaire: Norms and clinical reference data from adolescent boys and girls in Sweden.

    PubMed

    Mantilla, Emma Forsén; Birgegård, Andreas

    2016-05-30

    The study investigated norms and clinical reference values for the 14-day time frame version of the Eating Disorders Examination Questionnaire (EDE-Q) specifically developed to suit adolescent populations. The EDE-Q is a self-report instrument measuring problematic eating behaviors and attitudes. A general population sample (N=487, 239 girls and 248 boys) and a clinical sample (N=1051, 989 girls and 62 boys) aged 12-14 years were analyzed. Descriptive statistics for EDE-Q subscales and Global scale, as well as key behaviors, are presented, along with sex differences and diagnostic differences (clinical sample). General population sample sex differences were consistent and medium to large, with some evidence of floor effects for boys. In the clinical sample there was a main effect of gender, with girls scoring higher overall. The covariate age accounted for more variance in EDE-Q subscale scores than did diagnostic group. Results are discussed in terms of the appropriateness of the EDE-Q for boys, and possible denial of illness among patients. PMID:27137979

  3. Body attitudes and eating behaviors of female clothing sales personnel.

    PubMed

    Waddell-Kral, L; Thomas, C D

    1990-10-01

    Recent research suggests that social standards for ideal female beauty are related to negative body-image and dieting among young women. We hypothesized that women who work in settings that emphasize physical appearance (women's fashion clothing sales) would have more disturbed body attitudes and eating behaviors than college women. Sales personnel (n = 21) and students (n = 25) answered questions about their occupational status, weight, and demographic characteristics, and completed the Body-esteem Scale and the Eating Disorder Inventory. Weight and scores on the two scales were similar in both groups except that sales personnel reported more dissatisfaction with their body parts on the Body dissatisfaction scale of the Eating Disorder Inventory. Among sales personnel, those who perceived their appearance to be of greater importance in their work also reported more concern about dieting and weight, as reflected on the Drive for thinness subscale of the Eating Disorder Inventory. Results are discussed with regard to situational influences on women's body attitudes and their implications for eating behaviors. PMID:2263693

  4. Eating Behaviors of Older African Americans: An Application of the Theory of Planned Behavior

    PubMed Central

    O’Neal, Catherine Walker

    2014-01-01

    Purpose: The study applies the theory of planned behavior to explain the fruit and vegetable eating behaviors, a broad construct consisting of preparing, self-monitoring, and consuming fruits and vegetables, of older African Americans. Design and Methods: Structural equation modeling was used to examine the applicability of the theory of planned behavior with data from 211 older African American women and men (73% women, 26% men; median age range of 57–63 years) participating in a larger intervention study. Results: Attitudes about eating fruit and vegetables, subjective social norms, and perceived behavioral control were related to older African Americans’ intentions to consume fruits and vegetables. Social norms and behavioral intentions were associated with fruit and vegetable eating behaviors. Perceived control did not moderate the influence of behavioral intentions on actual behavior. Implications: Results indicated that the theory of planned behavior can be used to explain variation in older African Americans’ eating behavior. This study also emphasizes the value of considering broader behavioral domains when employing the theory of planned behavior rather than focusing on specific behaviors. Furthermore, social service programs aimed at reducing the incidence of diseases commonly associated with poor eating behaviors among older African Americans must consider promoting not only fruit and vegetable consumption but also related behaviors including preparing and self-monitoring by eliminating structural, cognitive, and normative constraints. PMID:23241919

  5. Role of genetic variants in ADIPOQ in human eating behavior.

    PubMed

    Rohde, Kerstin; Keller, Maria; Horstmann, Annette; Liu, Xuanshi; Eichelmann, Fabian; Stumvoll, Michael; Villringer, Arno; Kovacs, Peter; Tönjes, Anke; Böttcher, Yvonne

    2015-01-01

    The beneficial effects of adiponectin and its negative correlation with BMI are well described. Adiponectin serum levels are altered in eating disorders such as anorexia nervosa, bulimia nervosa or binge eating. Here, we tested the hypothesis that (1) adiponectin serum levels correlate with human eating behavior factors and (2) that genetic variants of the ADIPOQ locus influence both serum levels and eating behavior. We analyzed 11 SNPs within ADIPOQ and in the 5' UTR and measured serum adiponectin levels in 1,036 individuals from the German Sorbs population. The German version of the three-factor eating questionnaire (FEV) was completed by 548 Sorbs. For replication purposes, we included an independent replication cohort from Germany (N = 350). In the Sorbs, we observed positive correlations of restraint with adiponectin serum levels (P = 0.001; r = 0.148) which, however, did not withstand adjustment for covariates (P = 0.083; r = 0.077). In addition, four SNPs were nominally associated with serum adiponectin levels (all P < 0.05). Of these, two variants (rs3774261; rs1501229, all P < 0.05) were also related to disinhibition. Furthermore, three variants were exclusively associated with hunger (rs2036373, P = 0.049) and disinhibition (rs822396; rs864265, all P < 0.05). However, none of these associations withstood Bonferroni corrections for multiple testing (all P > 9.3 × 10(-4)). In our replication cohort, we observed similar effect directions at rs1501229 for disinhibition and hunger. A meta-analysis resulted in nominal statistical significance P = 0.036 (Z score 2.086) and P = 0.017 (Z score 2.366), respectively. Given the observed relationship of the SNPs with adiponectin levels and eating behavior, our data support a potential role of adiponectin in human eating behavior. Whether the relationship with eating behavior is mediated by the effects of circulating adiponectin warrants further investigations. PMID:25542302

  6. FAMILY ENVIRONMENTAL INFLUENCES ON CHILDREN’S EATING BEHAVIOR

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Parents can influence children’s dietary behaviors within the home family environment. This presentation will review current research identifying family environmental influences on eating, and how these influences can be used in targeted interventions. For example, the foods available in both home a...

  7. Eating Attitudes and Behaviors among Female College Students

    ERIC Educational Resources Information Center

    Veazey Morris, Katherine D.; Parra, Gilbert R.; Stender, Sarah R. S.

    2011-01-01

    The authors assessed the influences of several risk factors--self-esteem, history of unwanted sexual contact (USC), depression, and sorority membership--on eating-related and weight-related attitudes and behaviors. Findings provide support for the roles of self-esteem, depression, and USC on restricting attitudes. According to the authors' model,…

  8. Energy Drinks, Weight Loss, and Disordered Eating Behaviors

    ERIC Educational Resources Information Center

    Jeffers, Amy J.; Vatalaro Hill, Katherine E.; Benotsch, Eric G.

    2014-01-01

    Objective: The present study examined energy drink consumption and relations with weight loss attempts and behaviors, body image, and eating disorders. Participants/Methods: This is a secondary analysis using data from 856 undergraduate students who completed the American College Health Association-National College Health Assessment II…

  9. Walking and Eating Behavior of Toddlers at 12 Months Old

    ERIC Educational Resources Information Center

    Koda, Naoko; Akimoto, Yuko; Hirose, Toshiya; Hinobayashi, Toshihiko; Minami, Tetsuhiro

    2004-01-01

    Locomotive and eating behavior of 52 toddlers was observed at 12 months old in a nursery school and investigated in relation to the acquisition of independent walking. The toddlers who acquired walking ate more by themselves using the hands than the toddlers who did not start walking. This suggested that acquisition of walking was associated with…

  10. A Naturalistic Investigation of Eating Behavior in Bulimia Nervosa.

    ERIC Educational Resources Information Center

    Davis, Ron; And Others

    1988-01-01

    Investigated parameters of eating behavior in subjects with bulimia nervosa (BN). BN and female comparison (FC) subjects monitored hourly over several days their food intake, mood, hunger, social circumstances, and experiences of unpleasant events. BN subjects reported more positive moods prior to consuming a meal, and more negative moods prior to…

  11. Psychodynamics of eating disorder behavior in sexual abuse survivors.

    PubMed

    Ross, Colin A

    2009-01-01

    The author reviews the psychodynamics of eating disorder behaviors in women with childhood sexual abuse histories, with a focus on anorexia, bingeing, purging, and overeating. The various defenses and behaviors interact with each other through numerous different feedback loops. The same behavior can have multiple defensive functions and the same defensive function can be served by different behaviors. None of the behaviors is specific to childhood sexual abuse, but the abuse history modifies the content, heightens the intensity of the feelings being defended against, and should be taken into account in the therapy. Several examples of therapeutic strategies are also provided. PMID:19845087

  12. Behavioral and Physiological Factors Associated With Selective Eating in Children With Autism Spectrum Disorder

    PubMed Central

    Case-Smith, Jane; Nahikian-Nelms, Marcia; Ratliff-Schaub, Karen; Spees, Colleen; Darragh, Amy R.

    2015-01-01

    Selective eating is common in children with autism spectrum disorder (ASD), but it is not yet well understood. The objectives of this study were to examine a new definition of selective eating, compare behavioral measures between children with ASD and selective eating and those without selective eating, and determine relationships among behavioral measures and measures of selective eating. Participants were assigned to groups on the basis of number of foods eaten compared with a population-based sample. Results of one-way multivariate analysis of variance indicated no overall effect of group for challenging behaviors, sensory reactivity, or repetitive behaviors. Between-participant tests indicated that scores for compulsive behaviors were significantly lower (p = .036) for the selective eating group. Correlations were moderately strong among variables relating to food intake and behavioral variables, but were not significant between selective eating and behavioral variables. Further research is needed to validate the definition of selective eating and to identify targets for intervention. PMID:26565096

  13. Behavioral and Physiological Factors Associated With Selective Eating in Children With Autism Spectrum Disorder.

    PubMed

    Tanner, Kelly; Case-Smith, Jane; Nahikian-Nelms, Marcia; Ratliff-Schaub, Karen; Spees, Colleen; Darragh, Amy R

    2015-01-01

    Selective eating is common in children with autism spectrum disorder (ASD), but it is not yet well understood. The objectives of this study were to examine a new definition of selective eating, compare behavioral measures between children with ASD and selective eating and those without selective eating, and determine relationships among behavioral measures and measures of selective eating. Participants were assigned to groups on the basis of number of foods eaten compared with a population-based sample. Results of one-way multivariate analysis of variance indicated no overall effect of group for challenging behaviors, sensory reactivity, or repetitive behaviors. Between-participant tests indicated that scores for compulsive behaviors were significantly lower (p = .036) for the selective eating group. Correlations were moderately strong among variables relating to food intake and behavioral variables, but were not significant between selective eating and behavioral variables. Further research is needed to validate the definition of selective eating and to identify targets for intervention. PMID:26565096

  14. Effect of glycemic load on eating behavior self-efficacy during weight loss

    Technology Transfer Automated Retrieval System (TEKTRAN)

    High eating behavior self-efficacy may contribute to successful weight loss. Diet interventions that maximize eating behavior self-efficacy may therefore improve weight loss outcomes. However, data on the effect of diet composition on eating behavior self-efficacy are sparse. To determine the eff...

  15. Promoting Adolescents' Prosocial Behavior

    ERIC Educational Resources Information Center

    Kidron, Yael; Fleischman, Steve

    2006-01-01

    Saying a kind word to a classmate, acknowledging other students' feelings, sharing books and advice, defending a victim of bullying--these are just a few of the prosocial behaviors that can enhance students' social and academic lives at school. Because children do not develop social values in a vacuum, educators, policymakers, and researchers are…

  16. Eating Disorders in the Adolescent Population: An Overview.

    ERIC Educational Resources Information Center

    Reijonen, Jori H.; Pratt, Helen D.; Patel, Dilip R.; Greydanus, Donald E.

    2003-01-01

    Selectively reviews the literature on the diagnostic criteria for eating disorders (anorexia nervosa, bulimia nervosa, and binge-eating disorder) as described in "Diagnostic and Statistical Manual of Mental Disorders" (4th ed.) and "International Classification of Diseases" (10th ed.). Discusses the prevalence and course of eating disorders,…

  17. Intuitive Eating Scale: An Examination among Early Adolescents

    ERIC Educational Resources Information Center

    Dockendorff, Sally A.; Petrie, Trent A.; Greenleaf, Christy A.; Martin, Scott

    2012-01-01

    The Intuitive Eating Scale (IES; Tylka, 2006) initially was developed in a sample of college women to measure adaptive forms of eating, such as eating based on physiological rather than emotional cues. This study extends the work of Tylka (2006) and reports the psychometric evaluation of the IES in a sample of 515 middle-school boys and girls.…

  18. Evidence for a self-esteem approach in the prevention of body image and eating problems among children and adolescents.

    PubMed

    O'Dea, Jennifer A

    2004-01-01

    Early suggestions from the 1980s for a self-esteem approach in the prevention of eating problems have been adopted by researchers, and the results of several interventions show support for the efficacy, safety, and suitability of a predominantly self-esteem and self-acceptance approach. Several recent studies utilizing strong self-esteem components as part of their controlled prevention interventions have produced improvements in body dissatisfaction, dietary restraint, internalization of the thin ideal, and attitudes associated with the eating disorders. This article discusses self-esteem as one of the important risk and protective factors in the development of body image concerns and eating disorders and describes the subsequent use of a self-esteem approach for prevention of eating disorders. Interventions containing strong self-esteem components from around the world are discussed in relation to their impact on the body image and eating behaviors of adolescents. Applications of the self-esteem approach for the prevention of child obesity also are discussed. PMID:16864320

  19. Association of distorted eating behaviors with cardiometabolic risk indices in preadolescents. The Healthy Growth Study.

    PubMed

    Moschonis, George; Georgiou, Alexandra; Sarapi, Katerina; Manios, Yannis

    2015-08-01

    The association between distorted eating behavior (DEB) with cardiometabolic risk (CMR) in children has been poorly investigated. The aim of the study was to examine the association between DEB with certain CMR indices in 9- to 13-year-old children in Greece. A cross-sectional epidemiological study was conducted among 1803 schoolchildren from 77 primary schools in 4 counties of Greece with full data on DEBQ and ChEAT questionnaires and CMR indices. Children underwent anthropometric measurements and Tanner stage, serum lipid, glucose, insulin and HOMA-IR levels assessments. Univariate and multivariate linear regression analyses were performed to test for the association between components of DEBQ and ChEAT with CMR indices. Several significant associations between components of DEBQ and ChEAT with CMR indices were observed when tested at univariate regression models in both boys and girls. However, after adjusting for several possible confounders, including Tanner stage, all significant associations were lost in girls while only a few remained in boys. Thus, DEB might have an unfavorable effect also in certain CMR indices, besides nourishment status. This is more pronounced in preadolescent boys for whom hormonal changes due to the transition to adolescence have not yet been established compared to girls. Still further research is needed to shed more light on these associations. PMID:25819605

  20. Eating habits and eating behaviors by family dinner frequency in the lower-grade elementary school students

    PubMed Central

    Lee, Seo Yeon; Ha, Seong Ah; Seo, Jung Sook; Sohn, Cheong Min; Park, Hae Ryun

    2014-01-01

    BACKGROUND/OBJECTIVES Recently, there has been an increased interest in the importance of family meals on children's health and nutrition. This study aims to examine if the eating habits and eating behaviors of children are different according to the frequency of family dinners. SUBJECTS/METHODS The subjects were third-grade students from 70 elementary schools in 17 cities nationwide. A two-stage stratified cluster sampling was employed. The survey questionnaire was composed of items that examined the general characteristics, family meals, eating habits, eating behaviors, and environmental influence on children's eating. The subjects responded to a self-reported questionnaire. Excluding the incomplete responses, the data (n = 3,435) were analyzed using χ2-test or t-test. RESULTS The group that had more frequent family dinners (≥ 5 days/week, 63.4%), compared to those that had less (≤ 4 days/week, 36.6%), showed better eating habits, such as eating meals regularly, performing desirable behaviors during meals, having breakfast frequently, having breakfast with family members (P < 0.001), and not eating only what he or she likes (P < 0.05). Those who had more frequent family dinners also consumed healthy foods with more frequency, including protein foods, dairy products, grains, vegetables, seaweeds (P < 0.001), and fruits (P < 0.01). However, unhealthy eating behaviors (e.g., eating fatty foods, salty foods, sweets, etc.) were not significantly different by the frequency of family dinners. CONCLUSIONS Having dinner frequently with family members was associated with more desirable eating habits and with healthy eating behaviors in young children. Thus nutrition education might be planned to promote family dinners, by emphasizing the benefits of having family meals on children's health and nutrition and making more opportunities for family meals. PMID:25489408

  1. Impulsivity-based thrifty eating phenotype and the protective role of n-3 PUFAs intake in adolescents.

    PubMed

    Reis, R S; Dalle Molle, R; Machado, T D; Mucellini, A B; Rodrigues, D M; Bortoluzzi, A; Bigonha, S M; Toazza, R; Salum, G A; Minuzzi, L; Buchweitz, A; Franco, A R; Pelúzio, M C G; Manfro, G G; Silveira, P P

    2016-01-01

    The goal of the present study was to investigate whether intrauterine growth restriction (IUGR) affects brain responses to palatable foods and whether docosahexaenoic acid (DHA, an omega-3 fatty acid that is a primary structural component of the human brain) serum levels moderate the association between IUGR and brain and behavioral responses to palatable foods. Brain responses to palatable foods were investigated using a functional magnetic resonance imaging task in which participants were shown palatable foods, neutral foods and non-food items. Serum DHA was quantified in blood samples, and birth weight ratio (BWR) was used as a proxy for IUGR. The Dutch Eating Behavior Questionnaire (DEBQ) was used to evaluate eating behaviors. In the contrast palatable food > neutral items, we found an activation in the right superior frontal gyrus with BWR as the most important predictor; the lower the BWR (indicative of IUGR), the greater the activation of this region involved in impulse control/decision making facing the viewing of palatable food pictures versus neutral items. At the behavioral level, a general linear model predicting external eating using the DEBQ showed a significant interaction between DHA and IUGR status; in IUGR individuals, the higher the serum DHA, the lower is external eating. In conclusion, we suggest that IUGR moderates brain responses when facing stimuli related to palatable foods, activating an area related to impulse control. Moreover, higher intake of n-3 PUFAs can protect IUGR individuals from developing inappropriate eating behaviors, the putative mechanism of protection would involve decreasing intake in response to external food cues in adolescents/young adults. PMID:26978737

  2. Impulsivity-based thrifty eating phenotype and the protective role of n-3 PUFAs intake in adolescents

    PubMed Central

    Reis, R S; Dalle Molle, R; Machado, T D; Mucellini, A B; Rodrigues, D M; Bortoluzzi, A; Bigonha, S M; Toazza, R; Salum, G A; Minuzzi, L; Buchweitz, A; Franco, A R; Pelúzio, M C G; Manfro, G G; Silveira, P P

    2016-01-01

    The goal of the present study was to investigate whether intrauterine growth restriction (IUGR) affects brain responses to palatable foods and whether docosahexaenoic acid (DHA, an omega-3 fatty acid that is a primary structural component of the human brain) serum levels moderate the association between IUGR and brain and behavioral responses to palatable foods. Brain responses to palatable foods were investigated using a functional magnetic resonance imaging task in which participants were shown palatable foods, neutral foods and non-food items. Serum DHA was quantified in blood samples, and birth weight ratio (BWR) was used as a proxy for IUGR. The Dutch Eating Behavior Questionnaire (DEBQ) was used to evaluate eating behaviors. In the contrast palatable food > neutral items, we found an activation in the right superior frontal gyrus with BWR as the most important predictor; the lower the BWR (indicative of IUGR), the greater the activation of this region involved in impulse control/decision making facing the viewing of palatable food pictures versus neutral items. At the behavioral level, a general linear model predicting external eating using the DEBQ showed a significant interaction between DHA and IUGR status; in IUGR individuals, the higher the serum DHA, the lower is external eating. In conclusion, we suggest that IUGR moderates brain responses when facing stimuli related to palatable foods, activating an area related to impulse control. Moreover, higher intake of n-3 PUFAs can protect IUGR individuals from developing inappropriate eating behaviors, the putative mechanism of protection would involve decreasing intake in response to external food cues in adolescents/young adults. PMID:26978737

  3. Illness Behavior and Social Competence in Adolescents.

    ERIC Educational Resources Information Center

    Walker, Lynn S.; Van Slyke, Deborah A.

    This study examined the relationship of illness behavior to perceived competence and gender in adolescents. It was hypothesized that, like adults, adolescents with lower levels of perceived social competence would report more illness behavior. A significant gender difference was expected such that girls would report more illness behavior than…

  4. Adolescent Idiopathic Scoliosis and Eating Disorders: Is There a Relation? Results of a Cross-Sectional Study

    ERIC Educational Resources Information Center

    Zaina, Fabio; Donzelli, Sabrina; Lusini, Monia; Vismara, Luca; Capodaglio, Paolo; Neri, Laura; Negrini, Stefano

    2013-01-01

    A recent study suggests a correlation between idiopathic scoliosis in adolescence and eating disorders. However, this does not correspond with our clinical experience in the same population. The aim of this study was to verify the correlation between scoliosis and eating disorders in adolescence. A cross-sectional study was designed including 187…

  5. The Role of Body Image and Disordered Eating as Risk Factors for Depression and Suicidal Ideation in Adolescents

    ERIC Educational Resources Information Center

    Brausch, Amy M.; Gutierrez, Peter M.

    2009-01-01

    There is much empirical literature on factors for adolescent suicide risk, but body image and disordered eating are rarely included in these models. In the current study, disordered eating and body image were examined as risk factors for suicide ideation since these factors are prevalent in adolescence, particularly for females. It was…

  6. Longitudinal Effects of Adolescent Girls' Pubertal Development, Perceptions of Pubertal Timing, and Parental Relations on Eating Problems.

    ERIC Educational Resources Information Center

    Swarr, Amy E.; Richards, Maryse H.

    1996-01-01

    Examined both concurrently and longitudinally the influence of pubertal development, perceptions of pubertal timing, and experience with parents on the development of eating problems in normal adolescent girls. Found that adolescent girls' positive relationships with both parents were related to healthier eating. Results suggest that the…

  7. Orexin-A controls sympathetic activity and eating behavior

    PubMed Central

    Messina, Giovanni; Dalia, Carmine; Tafuri, Domenico; Monda, Vincenzo; Palmieri, Filomena; Dato, Amelia; Russo, Angelo; De Blasio, Saverio; Messina, Antonietta; De Luca, Vincenzo; Chieffi, Sergio; Monda, Marcellino

    2014-01-01

    It is extremely important for the health to understand the regulatory mechanisms of energy expenditure. These regulatory mechanisms play a central role in the pathogenesis of body weight alteration. The hypothalamus integrates nutritional information derived from all peripheral organs. This region of the brain controls hormonal secretions and neural pathways of the brainstem. Orexin-A is a hypothalamic neuropeptide involved in the regulation of feeding behavior, sleep-wakefulness rhythm, and neuroendocrine homeostasis. This neuropeptide is involved in the control of the sympathetic activation, blood pressure, metabolic status, and blood glucose level. This minireview focuses on relationship between the sympathetic nervous system and orexin-A in the control of eating behavior and energy expenditure. The “thermoregulatory hypothesis” of food intake is analyzed, underlining the role played by orexin-A in the control of food intake related to body temperature. Furthermore, the paradoxical eating behavior induced orexin-A is illustrated in this minireview. PMID:25250003

  8. Yoga, bioenergetics and eating behaviors: A conceptual review

    PubMed Central

    Ramos-Jiménez, Arnulfo; Wall-Medrano, Abraham; Corona-Hernández, Rocío I; Hernández-Torres, Rosa P

    2015-01-01

    Yoga is an ancient oriental discipline that emerged from mystical and philosophical concepts. Today it is practiced in the west, partly due to the promotion of its benefits to improve the lifestyle and overall health. As compared to non-Hatha Yoga (HY) practitioners, healthier and better-eating patterns have been observed in those who practice it. Agreement with the brought benefits, HY can be used as a therapeutic method to correct abnormal eating behaviors (AEB), obesity, and some metabolic diseases. However, the energy expenditure during traditional protocols of HY is not high; hence, it is not very effective for reducing or maintaining body weight or to improve cardiovascular conditioning. Even so, several observational studies suggest significant changes in eating behaviors, like a reduction in dietary fat intake and increments in that of fresh vegetables, whole grains and soy-based products, which in turn may reduce the risk for cardiovascular diseases. Given the inconsistency of the results derived from cross-sectional studies, more case–control studies are needed to demonstrate the efficacy of HY as an alternative method in the clinical treatment of disordered eating and metabolic diseases. PMID:26170586

  9. Yoga, bioenergetics and eating behaviors: A conceptual review.

    PubMed

    Ramos-Jiménez, Arnulfo; Wall-Medrano, Abraham; Corona-Hernández, Rocío I; Hernández-Torres, Rosa P

    2015-01-01

    Yoga is an ancient oriental discipline that emerged from mystical and philosophical concepts. Today it is practiced in the west, partly due to the promotion of its benefits to improve the lifestyle and overall health. As compared to non-Hatha Yoga (HY) practitioners, healthier and better-eating patterns have been observed in those who practice it. Agreement with the brought benefits, HY can be used as a therapeutic method to correct abnormal eating behaviors (AEB), obesity, and some metabolic diseases. However, the energy expenditure during traditional protocols of HY is not high; hence, it is not very effective for reducing or maintaining body weight or to improve cardiovascular conditioning. Even so, several observational studies suggest significant changes in eating behaviors, like a reduction in dietary fat intake and increments in that of fresh vegetables, whole grains and soy-based products, which in turn may reduce the risk for cardiovascular diseases. Given the inconsistency of the results derived from cross-sectional studies, more case-control studies are needed to demonstrate the efficacy of HY as an alternative method in the clinical treatment of disordered eating and metabolic diseases. PMID:26170586

  10. The effects of a multiple family therapy on adolescents with eating disorders: an outcome study.

    PubMed

    Gelin, Zoé; Fuso, Silvana; Hendrick, Stephan; Cook-Darzens, Solange; Simon, Yves

    2015-03-01

    Multiple Family Therapy (MFT) has gained increasing popularity in the treatment of eating disorders and many programs have been developed over the past decade. Still, there is little evidence in the literature on the effectiveness on MFT for treating eating disorders. The present study examines the effects of a particular model of Multiple Family Therapy on eating disorder symptoms, quality of life, and percentage of Expected Body Weight (%EBW) in adolescents with eating disorders (ED). Eighty-two adolescents with ED, aged between 11 and 19 years, were assessed before and after treatment using the Eating Disorders Inventory 2 (EDI-2), the Outcome Questionnaire 45 (OQ-45) and %EBW. Results showed a significant increase in %EBW between the beginning and end of treatment, with a large effect size. 52.4% of patients achieved an EBW above 85%. Symptoms relative to all EDI dimensions (except for bulimia) significantly decreased during treatment. The three dimensions related to quality of life assessment also improved over the course of MFT. At the end of treatment, 70.7% of patients had a total OQ-45 score below clinical significance. This study suggests that Multiple Family Therapy may benefit adolescents with eating disorders, with improvement on several outcome measures (%EBW, ED symptoms, and quality of life). However, the lack of a comparison group entails caution when drawing conclusions. PMID:25243337

  11. BMI as a moderator of perceived stress and emotional eating in adolescents.

    PubMed

    Nguyen-Rodriguez, Selena T; Chou, Chih-Ping; Unger, Jennifer B; Spruijt-Metz, Donna

    2008-04-01

    Emotional eating has often been linked to overweight and/or obesity. Multiple group SEM analyses were conducted using cross-sectional data from 517 minority students in Los Angeles County. Results showed no differences in emotional eating between normal weight and overweight students. Perceived stress was indeed a significant correlate of emotional eating, independent of BMI status, as indicated by the lack of a modifying effect of BMI status. Findings highlight the fact that emotional eating is not an issue only for overweight and obese persons. This study shows that some children in this population at increased risk for obesity and related chronic disease have already incorporated emotional eating as a learned response to stress by the time that they enter adolescence. PMID:18329603

  12. Cultural issues in eating pathology and body image among children and adolescents.

    PubMed

    George, Jessica B Edwards; Franko, Debra L

    2010-04-01

    Eating pathology and body image issues are now recognized as affecting all racial and ethnic groups. This article reviews eating pathology and body image concerns in four diverse groups in the U.S. (African Americans, Latino/as, Asians, and Native Americans). The major conclusion based on this review is that eating disturbances and body dissatisfaction occur to some degree in children and adolescents from all four major ethnic groups in the U.S; however, there is substantial variability across studies. Future directions include the need for studies of prevalence, prevention and treatment research, and investigations of neurobiological and genetic variables. PMID:19703916

  13. An Exploratory Study of Recreational Drug Use and Nutrition-Related Behaviors and Attitudes among Adolescents.

    ERIC Educational Resources Information Center

    Benedict, Jamie; Evans, William; Calder, Judy Conger

    1999-01-01

    Examines drug use and eating behaviors of northern Nevadan adolescents (N=401). Results indicate that high-risk users less frequently ate lunch, meals at home, or with their family and ate more often at convenience stores, fast food restaurants, or with their friends. Gender differences are examined. Implications for prevention programming and…

  14. Early childhood precursors for eating problems in adolescence: a 15-year longitudinal community study

    PubMed Central

    2013-01-01

    Background This longitudinal community study investigated the role of individual risk factors in early childhood (before age five) for the development of eating problems in adolescence. Nine hundred twenty-one mothers completed the first questionnaire when their child was 1.5 years old, and again when their child was 2.5 (n = 784) and 4.5 (n = 737) years old. Three hundred seventy-three of these children completed the Eating Attitudes Test (EAT) when they were 16 years old. Results Mother-rated early childhood sleep problems (assessed before the age of five) predicted self-rated eating problems in adolescents, with gender, birth weight, and a number of early childhood internal and environmental factors controlled. Unexpectedly, early childhood eating problems were not associated with later eating problems. Conclusions The possible role of sleep in the development of eating problems needs further investigation. In particular, mediating mechanisms should be studied more closely. PMID:24999414

  15. Relation Between Obligatory Exercise and Eating Disorders.

    ERIC Educational Resources Information Center

    Brehm, Bonnie J.; Steffen, John J.

    1998-01-01

    Examined the prevalence of eating-disordered cognitions and behaviors among adolescent obligatory exercisers (those for whom exercise is the central focus of their lives). Surveys of 250 male and female adolescents indicated that obligatory exercisers had more eating-disordered attitudes and traits than did nonobligatory exercisers, sharing…

  16. Cognitive behavior therapy for eating disorders: progress and problems.

    PubMed

    Wilson, G T

    1999-07-01

    Beginning with the application of operant conditioning principles as part of inpatient treatment, cognitive behavior therapy (CBT) for anorexia nervosa (AN) has been insufficiently studied. Its efficacy remains in question. By contrast, manual-based CBT is the first-line treatment of choice for bulimia nervosa (BN) although its effects are limited. More effective methods are needed for non-responders to current therapy. Despite its well-established efficacy, CBT for BN is relatively rarely used in the US. Research on dissemination is a priority. Modified CBT and behavioral weight control programs seem comparably effective in reducing binge eating in Binge Eating Disorder (BED). Long-term maintenance of weight loss in these obese patients, however, remains a challenge. Self-help and other brief, cost-effective methods work for subsets of both BN and BED patients, demonstrating that treatment be administered within a stepped-care framework. PMID:10402697

  17. THE DIFFERENTIAL EFFECTS OF AUTHORITATIVE AND AUTHORITARIAN FEEDING STYLES ON EATING BEHAVIORS

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Caregiver feeding styles (CFS) represent approaches to maintaining or modifying children's eating behaviors. Authoritarian feeding involves attempts to control children's eating with little regard for their choices and preferences. In contrast, authoritative feeding involves a balance whereby parent...

  18. Washington State Survey of Adolescent Health Behaviors.

    ERIC Educational Resources Information Center

    Washington State Dept. of Social and Health Services, Olympia.

    The 1992 Washington State Survey of Adolescent Health Behaviors (WSSAHB) was created to collect information regarding a variety of adolescent health behaviors among students in the state of Washington. It expands on two previous administrations of a student tobacco, alcohol, and other drug survey and includes questions about medical care, safety,…

  19. Dietary Intake and Eating-Related Cognitions Related to Sleep Among Adolescents Who Are Overweight or Obese.

    PubMed

    Ievers-Landis, Carolyn E; Kneifel, April; Giesel, Jennifer; Rahman, Farah; Narasimhan, Sumana; Uli, Naveen; O'Riordan, Maryann

    2016-07-01

    OBJECTIVE : To examine associations of sleep duration and regularity with dietary intake and eating-related cognitions among adolescents who are overweight/obese.  METHODS : Participants were 315 adolescents being evaluated through Healthy Kids, Healthy Weight. Outcomes were reported sleep duration and regularity (bedtime shift, wake-time shift, sleep duration shift). Major predictors were dietary intake (e.g., consumption of calories and sugar-sweetened beverages) and eating-related cognitions (food preoccupation, eating self-efficacy).  RESULTS : Findings were that staying up (i.e., bedtime shift) and sleeping in later (i.e., wake-time shift) on weekends compared with weekdays significantly relates to drinking more sugar-sweetened beverages, the latter for males. Sleeping in on weekends was related to greater food preoccupation.  CONCLUSIONS : Sleep regularity was the most important variable in its relationships with dietary intake. Evaluating sleep patterns and improving them with behavioral interventions should be considered as an additional weight loss strategy to promote dietary adherence. PMID:26994854

  20. Adolescent Females and Body Image: Eating Disorders and Educational Implications.

    ERIC Educational Resources Information Center

    Leroux, Janice A.; Cuffaro, Maria Assunta

    2001-01-01

    This article provides an overview of the internal and external predisposing factors that signal potential eating disorders in females. It outlines the psychology of high ability females, which places them at greater risk for the development of an eating disorder and provides recommendations for identification and intervention. (Contains…

  1. Neuroimaging and neuromodulation approaches to study eating behavior and prevent and treat eating disorders and obesity.

    PubMed

    Val-Laillet, D; Aarts, E; Weber, B; Ferrari, M; Quaresima, V; Stoeckel, L E; Alonso-Alonso, M; Audette, M; Malbert, C H; Stice, E

    2015-01-01

    Functional, molecular and genetic neuroimaging has highlighted the existence of brain anomalies and neural vulnerability factors related to obesity and eating disorders such as binge eating or anorexia nervosa. In particular, decreased basal metabolism in the prefrontal cortex and striatum as well as dopaminergic alterations have been described in obese subjects, in parallel with increased activation of reward brain areas in response to palatable food cues. Elevated reward region responsivity may trigger food craving and predict future weight gain. This opens the way to prevention studies using functional and molecular neuroimaging to perform early diagnostics and to phenotype subjects at risk by exploring different neurobehavioral dimensions of the food choices and motivation processes. In the first part of this review, advantages and limitations of neuroimaging techniques, such as functional magnetic resonance imaging (fMRI), positron emission tomography (PET), single photon emission computed tomography (SPECT), pharmacogenetic fMRI and functional near-infrared spectroscopy (fNIRS) will be discussed in the context of recent work dealing with eating behavior, with a particular focus on obesity. In the second part of the review, non-invasive strategies to modulate food-related brain processes and functions will be presented. At the leading edge of non-invasive brain-based technologies is real-time fMRI (rtfMRI) neurofeedback, which is a powerful tool to better understand the complexity of human brain-behavior relationships. rtfMRI, alone or when combined with other techniques and tools such as EEG and cognitive therapy, could be used to alter neural plasticity and learned behavior to optimize and/or restore healthy cognition and eating behavior. Other promising non-invasive neuromodulation approaches being explored are repetitive transcranial magnetic stimulation (rTMS) and transcranial direct-current stimulation (tDCS). Converging evidence points at the value of

  2. Neuroimaging and neuromodulation approaches to study eating behavior and prevent and treat eating disorders and obesity

    PubMed Central

    Val-Laillet, D.; Aarts, E.; Weber, B.; Ferrari, M.; Quaresima, V.; Stoeckel, L.E.; Alonso-Alonso, M.; Audette, M.; Malbert, C.H.; Stice, E.

    2015-01-01

    Functional, molecular and genetic neuroimaging has highlighted the existence of brain anomalies and neural vulnerability factors related to obesity and eating disorders such as binge eating or anorexia nervosa. In particular, decreased basal metabolism in the prefrontal cortex and striatum as well as dopaminergic alterations have been described in obese subjects, in parallel with increased activation of reward brain areas in response to palatable food cues. Elevated reward region responsivity may trigger food craving and predict future weight gain. This opens the way to prevention studies using functional and molecular neuroimaging to perform early diagnostics and to phenotype subjects at risk by exploring different neurobehavioral dimensions of the food choices and motivation processes. In the first part of this review, advantages and limitations of neuroimaging techniques, such as functional magnetic resonance imaging (fMRI), positron emission tomography (PET), single photon emission computed tomography (SPECT), pharmacogenetic fMRI and functional near-infrared spectroscopy (fNIRS) will be discussed in the context of recent work dealing with eating behavior, with a particular focus on obesity. In the second part of the review, non-invasive strategies to modulate food-related brain processes and functions will be presented. At the leading edge of non-invasive brain-based technologies is real-time fMRI (rtfMRI) neurofeedback, which is a powerful tool to better understand the complexity of human brain–behavior relationships. rtfMRI, alone or when combined with other techniques and tools such as EEG and cognitive therapy, could be used to alter neural plasticity and learned behavior to optimize and/or restore healthy cognition and eating behavior. Other promising non-invasive neuromodulation approaches being explored are repetitive transcranial magnetic stimulation (rTMS) and transcranial direct-current stimulation (tDCS). Converging evidence points at the value of

  3. Melanocortin-4 receptor gene variants are not associated with binge-eating behavior in nonobese patients with eating disorders.

    PubMed

    Gamero-Villarroel, Carmen; Rodriguez-Lopez, Raquel; Jimenez, Mercedes; Carrillo, Juan A; Garcia-Herraiz, Angustias; Albuquerque, David; Flores, Isalud; Gervasini, Guillermo

    2015-02-01

    We aimed to determine whether variability in the melanocortin-4 receptor (MC4R) gene, predisposing to hyperphagia and obesity, may also be present in nonobese patients with binge-eating behavior or be related to anthropometric or psychopathological parameters in these patients. The coding region of the MC4R gene was sequenced in nonobese patients with binge-eating behavior diagnosed with bulimia nervosa or binge-eating disorder (n=77); individuals with severe early-onset obesity (n=170); and lean women with anorexia nervosa (n=20). A psychometric evaluation (Eating Disorders Inventory-2 and Symptom Checklist 90 Revised inventories) was carried out for all the patients with eating disorders. In the obesity group, 10 different variants were identified, whereas in the binge-eating patients, only two individuals with bulimia nervosa were found to carry the I251L polymorphism, which did not correlate with weight, BMI, or psychopathological features. We found no evidence that mutations in the MC4R gene are associated with binge-eating behavior in nonobese eating disorder patients. PMID:25419636

  4. Obsessive compulsive symptoms at initial presentation of adolescent eating disorders.

    PubMed

    Cassidy, E; Allsopp, M; Williams, T

    1999-09-01

    An association between obsessive compulsive disorder and eating disorders has often been reported in the literature. It has been suggested that the association may be accounted for by depression, starvation or family factors but the literature remains inconclusive. In this study self-report scales were used to measure eating attitudes, obsessional symptoms, depressive symptoms and family functioning in an eating disordered group, a psychiatric control group and in the parents of both groups. The eating disordered group scored significantly higher than controls on the Maudsley Obsessive Compulsive Inventory and the Leyton Obsessional Inventory but not on the Childhood Depression Inventory. The differences were not correlated with Quetelet's Body Mass Index. Both groups of parents scored within the normal range for all scales. The high obsessional scores in the anorexic group seem to be due to high scoring on items relating to perfectionism. The role of perfectionism as a risk factor for the development of eating disorders and OCD is discussed. PMID:10550701

  5. Features of Parent-Adolescent Relationships and Adolescents' Problem Behavior.

    ERIC Educational Resources Information Center

    Repinski, Daniel J.; Zook, Joan M.

    Seven features of adolescents' relationships with mothers and with fathers (time together per day, number of activities, degree of influence, subjective closeness, and frequency of experiencing positive, hostile, and sad emotions in the relationship) were used to predict adolescents' problem behavior and chemical use. Using a sample of 64 seventh-…

  6. Eating disorders.

    PubMed

    Kontić, Olga; Vasiljević, Nadja; Trisović, Marija; Jorga, Jagoda; Lakić, Aneta; Gasić, Miroslava Jasović

    2012-01-01

    Eating disorders are considered chronic diseases of civilization. The most studied and well known are anorexia and bulimia nervosa. Anorexia is considered one of the most common psychiatric problems of girls in puberty and adolescence. Due to high mortality and morbidity as well as the increasing expansion of these diseases, it is clear why the amount of research on these diseases is growing worldwide. Eating disorders lead to numerous medical complications, mostly due to late diagnosis. The main characteristic of these diseases is changed behavior in the nutrition, either as an intentional restriction of food, i.e. extreme dieting, or overeating, i.e. binge eating. Extreme dieting, skipping meals, self-induced vomiting, excessive exercise, and misuse of laxatives and diuretics for the purpose of maintaining or reducing body weight are characteristic forms of compensatory behavior of patients with eating disorder. The most appropriate course of treatment is determined by evaluating the patient's health condition, associated with behavior and eating habits, the experience of one's own body, character traits of personality, and consequently the development and functioning of the individual. The final treatment plan is individual. Eating disorders are a growing medical problem even in this part of the world. Prevention should be planned in cooperation with different sectors so as to stop the epidemic of these diseases. PMID:23289290

  7. Emotional eating in adolescents: a gene (SLC6A4/5-HTT) - depressive feelings interaction analysis.

    PubMed

    van Strien, Tatjana; van der Zwaluw, Carmen S; Engels, Rutger C M E

    2010-11-01

    Eating in response to distress--i.e. emotional eating--is highly prevalent in (female) adults with binge eating, but has only a very low prevalence in young children. The present study addresses the emergence of emotional eating in adolescence in relation to depressive feelings. Because a reduction of food intake is considered the biologically natural response to distress, we tested whether the a-typical stress-response of emotional eating develops in interaction with genetic vulnerability. We hypothesized that the short allele of the 5-HTTLPR polymorphism in the serotonin transporter gene, which is associated with lower serotonin activity, would moderate the relation between depressive feelings and the increase in emotional eating, particularly in females. A sample of Dutch families with two adolescents was included in a longitudinal study with a four-year follow-up. A moderator effect of 5-HTTLPR genotype on the relation between depressive feelings and the increase in emotional eating was found in both sexes in the youngest siblings (n = 286). In the older siblings (n = 298), this specific moderator effect was only found in the girls. Younger adolescents and older adolescent girls showed a higher increase in emotional eating if they carried the 5-HTTLPR short allele. This is the first study that found support for a gene × depressive feelings interaction on emergence of emotional eating in (female) adolescents. PMID:20416884

  8. Providers' response to child eating behaviors: A direct observation study.

    PubMed

    Tovar, Alison; Vaughn, Amber E; Fallon, Megan; Hennessy, Erin; Burney, Regan; Østbye, Truls; Ward, Dianne S

    2016-10-01

    Child care providers play an important role in feeding young children, yet little is known about children's influence on providers' feeding practices. This qualitative study examines provider and child (18 months -4 years) feeding interactions. Trained data collectors observed 200 eating occasions in 48 family child care homes and recorded providers' responses to children's meal and snack time behaviors. Child behaviors initiating provider feeding practices were identified and practices were coded according to higher order constructs identified in a recent feeding practices content map. Analysis examined the most common feeding practices providers used to respond to each child behavior. Providers were predominately female (100%), African-American (75%), and obese (77%) and a third of children were overweight/obese (33%). Commonly observed child behaviors were: verbal and non-verbal refusals, verbal and non-verbal acceptance, being "all done", attempts for praise/attention, and asking for seconds. Children's acceptance of food elicited more autonomy supportive practices vs. coercive controlling. Requests for seconds was the most common behavior, resulting in coercive controlling practices (e.g., insisting child eat certain food or clean plate). Future interventions should train providers on responding to children's behaviors and helping children become more aware of internal satiety and hunger cues. PMID:27328098

  9. Parenting Style as a Predictor of Adolescent Weight and Weight-Related Behaviors

    PubMed Central

    Berge, Jerica M.; Wall, Melanie; Loth, Katie; Neumark-Sztainer, Dianne

    2009-01-01

    Purpose: Current research indicates that specific parenting styles are associated with adolescent overweight, dietary intake and physical activity, but the majority of research has been cross-sectional making it difficult to determine the temporal order of these associations. The current study adds to the previous research by examining 5-year longitudinal associations between parenting style and adolescent weight and weight-related behaviors. Methods: Data from Project EAT, a population-based study with adolescents from diverse ethic and socioeconomic backgrounds were used. Adolescents (N = 2516) from 31 Minnesota schools completed in-class assessments in 1999 (Time 1) and mailed surveys in 2004 (Time 2). Multiple linear regression models were used to predict mean levels of adolescent outcomes at Time 2 from parenting style at Time 1. Results: Time 1 maternal authoritative parenting style predicted lower BMI in adolescent sons and daughters at Time 2. Time 1 paternal permissive parenting style predicted more fruits and vegetables intake in daughters at Time 2. Significant associations were not found between parenting style and adolescent physical activity. Conclusions: Findings suggest that authoritative parenting style may play a protective role related to adolescent overweight and that the dimension of warmth/caring in the parent/adolescent relationship may be important in relation to female adolescent healthy dietary intake. Further exploration of opposite sex parent/adolescent dyad patterns related to parenting style and adolescent weight and weight-related behaviors is warranted. PMID:20307821

  10. Prospective association between overvaluation of weight and binge eating among overweight adolescent girls

    PubMed Central

    Sonneville, Kendrin R; Grilo, Carlos M; Richmond, Tracy K; Thurston, Idia B; Jernigan, Maryam; Gianini, Loren; Field, Alison E

    2014-01-01

    Purpose We investigated whether overvaluation of weight, defined as having a high degree of concern with weight such that it unduly influences self-evaluation, was prospectively associated with binge eating onset among overweight adolescent girls and whether overvaluation of weight signaled greater impairment among those with weekly binge eating. Methods We used generalized estimating equations to assess the prospective association between weight overvaluation at time 1 and the onset of weekly binge eating at time 2 among 767 overweight adolescent girls (ages 12–18) participating in the Growing Up Today Study. In a cross-sectional analysis of overweight girls with weekly binge eating at time 2, we examined whether overvaluation of weight was associated with greater impairment assessed by examining their rates of more severe depressive symptoms and low subjective social status. Results At time 1, 24.5% of overweight/obese girls overvalued weight. Overweight girls who overvalued weight were more likely to have started binge eating weekly two years later (OR=2.9, 95% CI=1.2–7.3). Among overweight girls who reported weekly binge eating at time 2, those who overvalued weight were at greater risk of having more severe depressive symptoms (OR=10.4, 95% CI=1.3–85.6). Also among girls with weekly binge eating at time 2, we saw a significant association between continuous measures of overvaluation and subjective social status (β=0.71, 95% CI= 0.08–1.34), but not in analyses using binary measures. Conclusions We found that overvaluation was associated with the development of weekly binge eating in overweight girls and with greater impairment among those with weekly binge eating. PMID:25438968

  11. Possible genetic link between eating disorders and seasonal changes in mood and behavior.

    PubMed

    Sher, L

    2001-11-01

    Studies suggest that there is a seasonal pattern of mood fluctuations and eating behavior in patients with eating disorders. Multiple lines of evidence suggest that serotonergic pathways are involved in the mechanisms of eating disorders and seasonal changes in mood and behavior. Researchers have investigated whether variants of genes related to serotonergic transmission are associated with seasonal affective disorder (SAD) and eating disorders. There is evidence that the -1438G/A promoter polymorphism of the 5-HT2A gene plays a role in the development of SAD and eating disorders. Variation of the tryptophan hydroxylase gene may play a part in eating behavior and weight regulation in females with SAD. The author suggests that there may be a genetic link between SAD and eating disorders. It is possible that there are specific inherited personality types with a predisposition to both eating disorders and SAD. PMID:11735319

  12. Patterns of disordered eating behavior in women by sexual orientation: a review of the literature.

    PubMed

    Bankoff, Sarah M; Pantalone, David W

    2014-01-01

    Most disordered eating research has focused on White, heterosexual women. More empirical work is needed to better understand disordered eating among women of diverse backgrounds. Given evidence of disparities between heterosexual and sexual minority (i.e., non-heterosexual) women in other health behaviors (e.g., tobacco use) and outcomes (e.g., cardiovascular disease), it appears important to study disordered eating behaviors among sexual minority women. In this article, we review the extant literature on disordered eating behaviors in women across sexual orientations, with a focus on research examining potential mechanisms of disparities in disordered eating, including awareness and internalization of sociocultural norms. PMID:24617312

  13. Psychiatric Disorders Associated with the Onset and Persistence of Bulimia Nervosa and Binge Eating Disorder during Adolescence.

    ERIC Educational Resources Information Center

    Zaider, Talia I.; Johnson, Jeffrey G.; Cockell, Sarah J.

    2002-01-01

    Conducted a prospective longitudinal study to investigate whether anxiety, depressive, personality, or substance abuse disorders increase risk for onset of bulimia nervosa (BN) or binge eating disorder (BED) during adolescence. Findings for 201 adolescents suggest that adolescents with chronic depressive symptoms may be at elevated risk for the…

  14. Adolescents' Response to Parental Efforts to Influence Eating Habits: When Parental Warmth Matters

    ERIC Educational Resources Information Center

    Lessard, Jared; Greenberger, Ellen; Chen, Chuansheng

    2010-01-01

    Previous findings have shown both beneficial and adverse effects of parents' attempts to influence adolescents' eating habits. The current study examined the differential effect of parents' persuasion (e.g., encouragement, giving information) and pressure tactics (e.g., guilt induction, ridicule) and the moderating influence of parental warmth on…

  15. Relation of Early Menarche to Depression, Eating Disorders, Substance Abuse, and Comorbid Psychopathology among Adolescent Girls.

    ERIC Educational Resources Information Center

    Stice, Eric; Presnell, Katherine; Bearman, Sarah Kate

    2001-01-01

    Used interview data from a community study to test whether early menarche partially accounts for increased depression, eating pathology, substance abuse, and comorbid psychopathology among adolescent girls. Found that menarche prior to 11.6 years related to elevated depression and substance abuse. Findings support assertion that early menarche is…

  16. The Body Electric: Thin-Ideal Media and Eating Disorders in Adolescents.

    ERIC Educational Resources Information Center

    Harrison, Kristen

    2000-01-01

    Finds that exposure to fat-character television, thin-ideal magazines, and sports magazines predicted eating-disorder symptomatology for adolescent females, especially older ones; exposure to fat-character television also predicted body dissatisfaction for younger males; and that relationships remain significant when selective exposure based on…

  17. Depression as a Moderator of Sociocultural Influences on Eating Disorder Symptoms in Adolescent Females and Males

    ERIC Educational Resources Information Center

    Rodgers, Rachel F.; Paxton, Susan J.; Chabrol, Henri

    2010-01-01

    This study aimed to explore the role of depression as a moderator of sociocultural influences on eating disorder symptoms. A sample of 509 adolescents (56% female) completed self-report questionnaires assessing depression, body dissatisfaction, drive for thinness, bulimic symptoms and sociocultural influences on appearance from family, peers and…

  18. Interactive Effects of Menarcheal Status and Dating on Dieting and Disordered Eating among Adolescent Girls.

    ERIC Educational Resources Information Center

    Cauffman, Elizabeth; Steinberg, Laurence

    1996-01-01

    Examined effects of three different aspects of heterosocial activity--mixed-sex activities, dating, and physical involvement with boys--on the diet patterns of adolescent girls. Found interaction between dating and menarcheal status in the prediction of dieting and disordered eating, with dating more strongly linked to dieting and disordered…

  19. The Contribution of Emotion Regulation to Body Dissatisfaction and Disordered Eating in Early Adolescent Girls

    ERIC Educational Resources Information Center

    Sim, Leslie; Zeman, Janice

    2006-01-01

    To understand whether difficulties in emotional functioning distinguish between body dissatisfaction and disordered eating, a set of emotion regulation (i.e., negative emotion, emotional awareness, coping), demographic (i.e., age), and physical (i.e., BMI (Body Mass Index)) factors were assessed in 234 early adolescent girls, grades six to eight.…

  20. Positive Adult Support and Depression Symptoms in Adolescent Females: The Partially Mediating Role of Eating Disturbances

    ERIC Educational Resources Information Center

    Linville, Deanna; O'Neil, Maya; Huebner, Angela

    2011-01-01

    This study examined linkages between depression symptoms (DEP) and positive adult support (PAS) in female adolescents and the partially mediating influence of eating disturbances (ED). Structural equation modeling was used to establish measurement models for each of the latent constructs, determine the relationships among the latent constructs,…

  1. Management of Child and Adolescent Eating Disorders: The Current Evidence Base and Future Directions

    ERIC Educational Resources Information Center

    Gowers, Simon; Bryant-Waugh, Rachel

    2004-01-01

    Although eating disorders in children and adolescents remain a serious cause of morbidity and mortality, the evidence base for effective interventions is surprisingly weak. The adult literature is growing steadily, but this is mainly with regard to psychological therapies for bulimia nervosa and to some extent in the field of pharmacotherapy. This…

  2. Insecure Attachment and Eating Pathology in Early Adolescence: Role of Emotion Regulation

    ERIC Educational Resources Information Center

    van Durme, Kim; Braet, Caroline; Goossens, Lien

    2015-01-01

    The present study investigated whether associations exist between attachment dimensions toward mother and different forms of eating pathology (EP) in a group of early adolescent boys and girls, and whether these associations were mediated by maladaptive emotion regulation (ER) strategies. Developmentally appropriate self-report questionnaires were…

  3. The Body Logic Program for Adolescents: A Treatment Manual for the Prevention of Eating Disorders

    ERIC Educational Resources Information Center

    Varnado-Sullivan, Paula J.; Zucker, Nancy

    2004-01-01

    The Body Logic Program for Adolescents was developed as a two-stage intervention to prevent the development of eating disorder symptoms. Preliminary results indicate that this program shows promise as an effective prevention effort. The current article provides a detailed description of the protocol for implementing Body Logic Part I, a…

  4. Body Image Dissatisfaction and Eating Disturbances among Children and Adolescents: Prevalence, Risk Factors, and Prevention Strategies

    ERIC Educational Resources Information Center

    Skemp-Arlt, Karen M.

    2006-01-01

    Body image dissatisfaction and eating disturbances are prevalent among youths and are beginning at an increasingly younger age. The glorification of the ideal, thin body type surrounds youths, in direct contrast to the increasing rates of overweight and obesity among the same population. The messages that children and adolescents are receiving are…

  5. Impact of eating frequency by adolescents on food intake and meeting MyPyramid recommendations

    Technology Transfer Automated Retrieval System (TEKTRAN)

    The purpose of this study was to determine the effect of adolescents’ eating frequency on their intake of food groups and likelihood of meeting recommendations outlined in USDA’s MyPyramid food guidance system. Adolescents 12-19 years old (n=4,357) who completed one 24-hour dietary recall in What W...

  6. Personality Subtypes in Adolescents with Eating Disorders: Validation of a Classification Approach

    ERIC Educational Resources Information Center

    Thompson-Brenner, Heather; Eddy, Kamryn T.; Satir, Dana A.; Boisseau, Christina L.; Westen, Drew

    2008-01-01

    Background: Research has identified three personality subtypes in adults with eating disorders (EDs): a high-functioning, an undercontrolled, and an overcontrolled group. The current study investigated whether similar personality prototypes exist in adolescents with EDs, and whether these personality prototypes show relationships to external…

  7. Acculturation, Body Image, Self-Esteem, and Eating-Disorder Symptomatology in Adolescent Mexican American Women.

    ERIC Educational Resources Information Center

    Joiner, Greg W.; Kashubeck, Susan

    1996-01-01

    Investigated the relationship among acculturation, body image, self-esteem, and eating disorder symptomatology in 120 Mexican-American adolescent women. Findings indicate that acculturation levels were not related to anorexic or bulimic symptomatology, self-esteem, body dissatisfaction or thinness of ideal and attractive figures. Also, lower…

  8. Weight discrimination and unhealthy eating-related behaviors.

    PubMed

    Sutin, Angelina; Robinson, Eric; Daly, Michael; Terracciano, Antonio

    2016-07-01

    Individuals with obesity often experience unfair treatment because of their body weight. Such experiences are associated with binge eating, but less is known about its association with other eating-related behaviors and whether these relations are specific to discrimination based on weight or extend to other attributions for discrimination. The present research uses a large national sample (N = 5129) to examine whether weight discrimination is associated with diet and meal rhythmicity, in addition to overeating, and whether these associations generalize to nine other attributions for discrimination. We found that in addition to overeating, weight discrimination was associated with more frequent consumption of convenience foods and less regular meal timing. These associations were generally similar across sex, age, and race. Discrimination based on ancestry, gender, age, religion, and physical disability were also associated with overeating, which suggests that overeating may be a general coping response to discrimination. Unfair treatment because of body weight is associated with unhealthy eating-related behaviors, which may be one pathway through which weight discrimination increases risk for weight gain and obesity. PMID:26877216

  9. Predicting changes in eating disorder symptoms among adolescents in China: an 18-month prospective study.

    PubMed

    Jackson, Todd; Chen, Hong

    2008-10-01

    This 18-month prospective study investigated factors that contributed to changes in eating disorder symptoms among adolescents living in the People's Republic of China. Five hundred forty-one Chinese middle school and high school students (182 boys, 359 girls) completed measures of eating disorder symptoms; body dissatisfaction; appearance ideal endorsements; negative affect; and appearance-based social pressure, teasing, and comparison. For girls, baseline levels of negative affect, preference for a thin appearance ideal, and fatness concern made unique contributions to reported eating disturbances at the 18-month follow-up. For boys, baseline body mass index and fatness concerns were the only significant univariate predictors of changes in eating pathology. PMID:18991136

  10. Prevalence and sport-related predictors of disturbed eating attitudes and behaviors: Moderating effects of sex and age.

    PubMed

    Lanfranchi, M-C; Maïano, C; Morin, A J S; Therme, P

    2014-08-01

    Very few studies examined the prevalence and sport-related predictors of disturbed eating attitudes and behaviors (DEABs) among adolescents involved in sport practice, and their results are mixed and inconclusive. These inconsistencies are most likely due to their methodological heterogeneity and to the fact that none of these studies took into consideration the potentially relevant characteristics of the sport practice context. This study attempts to answer this limitation among French adolescents not involved or involved in various sports contexts defined based on their organization, leanness-centration, and competitive level. Participants were 335 adolescents involved in sport practice, and 435 adolescents not involved in any form of regular sport practice. The DEABs were measured using the Eating Attitudes Test-26. Global results do not showed any significant association between the status of the participants and DEAB. However, these results drastically changed when we considered the potential moderating role of sex and age on these relations. Indeed, sports involvement in general, and involvement in leanness and competitive sports were found to exert sex- and age-differentiated effects on the risks of presenting clinically significant levels of DEAB. This study suggests the importance of monitoring, preventive, and early intervention mechanisms within the context of practice, particularly for adolescent girls. PMID:23336350

  11. Food-Related Beliefs, Eating Behavior, and Classroom Food Practices of Middle School Teachers.

    ERIC Educational Resources Information Center

    Kubik, Martha Y.; Lytle, Leslie A.; Hannan, Peter J.; Story, Mary; Perry, Cheryl L.

    2002-01-01

    Surveyed middle school teachers regarding their classroom food and eating behaviors. Using food (particularly candy) as student incentives was common. Most foods used did not support development of healthy eating habits. Many teachers did not role model healthy eating at school. Prevalent use of vending machines was reported. Correlates of…

  12. [Behavioral indicators of loss of control over eating: bite size and bite velocity].

    PubMed

    Hilbert, Anja; Czaja, Julia

    2011-01-01

    Loss of control (LOC) over eating is a common and psychopathologically relevant experience in childhood. The current study aimed at evaluating bite size and bite velocity as behavioral indicators of LOC eating in an experimental test meal study with a variation of mood. Children with or without LOC eating (N=120, 8-13 years) consumed a parent-child test meal and a child-only meal consisting of snack food, following induction of negative mood. Bite size and bite velocity were determined through behavioral observation, food intake was measured, and sense of LOC and mood were rated. Children with LOC eating did not show greater bite size and bite velocity than children without LOC eating. Bite size of children with LOC eating was increased in negative mood and decreased in neutral mood. Greater bite size and bite velocity predicted greater food intake at test meal and snack eating and greater LOC over eating at snack eating, however, without an intervening influence of negative mood. Bite size was significantly associated with greater body weight of child and parent. Bite size and bite velocity were not significantly associated with eating disorder psychopathology and varying levels of LOC symptoms. The evidence as to whether bite size and bite velocity are suited as behavioral indicators of LOC eating is not clear-cut. Further research on behavioral indicators of childhood LOC eating is warranted. PMID:21614840

  13. Self-Silencing, Emotional Awareness, and Eating Behaviors in College Women

    ERIC Educational Resources Information Center

    Shouse, Sarah H.; Nilsson, Johanna

    2011-01-01

    Self-silencing (or the suppression of expressing one's thoughts, feelings, and needs) can have a negative impact on the mental health of women, from depression to disordered eating behaviors. The authors examined the relationship between self-silencing and disordered eating as well as intuitive eating. The authors also explored whether emotional…

  14. Eating disorders in children and adolescents: state of the art review.

    PubMed

    Campbell, Kenisha; Peebles, Rebecka

    2014-09-01

    Despite their high prevalence, associated morbidity and mortality, and available treatment options, eating disorders (EDs) continue to be underdiagnosed by pediatric professionals. Many adolescents go untreated, do not recover, or reach only partial recovery. Higher rates of EDs are seen now in younger children, boys, and minority groups; EDs are increasingly recognized in patients with previous histories of obesity. Medical complications are common in both full and subthreshold EDs and affect every organ system. No single cause of EDs has emerged, although neurobiological and genetic predispositions are emerging as important. Recent treatment paradigms acknowledge that they are not caused by families or chosen by patients. EDs present differently in pediatric populations, and providers should have a high index of suspicion using new Diagnostic and Statistical Manual, 5th edition diagnostic criteria because early intervention can affect prognosis. Outpatient family-based treatment focused on weight restoration, reducing blame, and empowering caregivers has emerged as particularly effective; cognitive behavioral therapy, individual therapy, and higher levels of care may also be appropriate. Pharmacotherapy is useful in specific contexts. Full weight restoration is critical, often involves high-calorie diets, and must allow for continued growth and development; weight maintenance is typically inappropriate in pediatric populations. Physical, nutritional, behavioral, and psychological health are all metrics of a full recovery, and pediatric EDs have a good prognosis with appropriate care. ED prevention efforts should work toward aligning with families and understanding the impact of antiobesity efforts. Primary care providers can be key players in treatment success. PMID:25157017

  15. Eating Behaviour among Multi-Ethnic Adolescents in a Middle-Income Country as Measured by the Self-Reported Children’s Eating Behaviour Questionnaire

    PubMed Central

    Loh, Debbie Ann; Moy, Foong Ming; Zaharan, Nur Lisa; Mohamed, Zahurin

    2013-01-01

    Background Escalating weight gain among the Malaysian paediatric population necessitates identifying modifiable behaviours in the obesity pathway. Objectives This study describes the adaptation and validation of the Children’s Eating Behaviour Questionnaire (CEBQ) as a self-report for adolescents, investigates gender and ethnic differences in eating behaviour and examines associations between eating behaviour and body mass index (BMI) z-scores among multi-ethnic Malaysian adolescents. Methodology This two-phase study involved validation of the Malay self-reported CEBQ in Phase 1 (n = 362). Principal Axis Factoring with Promax rotation, confirmatory factor analysis and reliability tests were performed. In Phase 2, adolescents completed the questionnaire (n = 646). Weight and height were measured. Gender and ethnic differences in eating behaviour were investigated. Associations between eating behaviour and BMI z-scores were examined with complex samples general linear model (GLM) analyses, adjusted for gender, ethnicity and maternal educational level. Results Exploratory factor analysis revealed a 35-item, 9-factor structure with ‘food fussiness’ scale split into two. In confirmatory factor analysis, a 30-item, 8-factor structure yielded an improved model fit. Reliability estimates of the eight factors were acceptable. Eating behaviours did not differ between genders. Malay adolescents reported higher Food Responsiveness, Enjoyment of Food, Emotional Overeating, Slowness in Eating, Emotional Undereating and Food Fussiness 1 scores (p<0.05) compared to Chinese and Indians. A significant negative association was observed between BMI z-scores and Food Fussiness 1 (‘dislike towards food’) when adjusted for confounders. Conclusion Although CEBQ is a valuable psychometric instrument, adjustments were required due to age and cultural differences in our sample. With the self-report, our findings present that gender, ethnic and weight status influenced eating

  16. Eating behaviour, body image, and self-esteem of adolescent girls in Malaysia.

    PubMed

    Soo, Kah Leng; Shariff, Zalilah Mohd; Taib, Mohd Nasir Mohd; Samah, Bahaman Abu

    2008-06-01

    This cross-sectional study was undertaken with 489 secondary school girls, ages 15-17 years, to examine disordered eating behaviours of adolescent girls in Malaysia and to estimate associations with body weight, body-size discrepancy, and self-esteem. Dietary restraint, binge eating, body image, and self-esteem were assessed using the Restrained Eating scale of the Dutch Eating Behaviour Questionnaire, the Binge Scale Questionnaire, the Contour Drawing Rating Scale, and the Rosenberg Self-Esteem Scale, respectively. Pearson correlations estimated associations between variables. There were 3.1% underweight, 9.8% at risk of being overweight, and 8.6% overweight girls. A total of 87.3% were dissatisfied with their own body size. Dietary restraint and binge eating were reported by 36.0% and 35.4%, respectively. Body Mass Index (r = .34, p < .01) and body-size dissatisfaction (r = .24, p < .01) were significantly associated with dietary restraint and binge eating, but self-esteem (r = -.20, p < .001) was significantly associated only with binge eating. PMID:18712205

  17. Longitudinal Associations between Externalizing Behavior and Dysfunctional Eating Attitudes and Behaviors: A Community-Based Study

    ERIC Educational Resources Information Center

    Marmorstein, Naomi R.; von Ranson, Kristin M.; Iacono, William G.; Succop, Paul A.

    2007-01-01

    This study investigated longitudinal associations between externalizing behavior and dysfunctional eating attitudes and behaviors. Participants were girls drawn from the community-based Minnesota Twin Family Study and assessed at ages 11, 14, and 17. Cross-sectional correlations indicated that the strength of the associations between externalizing…

  18. Gender differences in nutritional behavior and weight status during early and late adolescence.

    PubMed

    Askovic, Branka; Kirchengast, Sylvia

    2012-07-01

    The current study aimed to determine gender differences in nutritional habits, eating behaviour, weight status, body image and weight control practices during early and late adolescence. 677 Viennese pupils (253 boys and 424 girls) between the ages 10 and 18 years (x = 14.1 yrs; +/- 2.2) were enrolled in the study. Weight status was determined by means of body mass index percentiles. To assess eating behavior, food preferences, body image and weight control practices, a 48 item questionnaire was developed. Significant gender differences in weight status were observable during late adolescence only. Girls are significantly less satisfied with their body weight. Furthermore, girls practice dieting and weight control to avoid any weight gain more frequently than boys. Gender differences in eating behavior intensified from early to late adolescence. From early to late adolescence, meal size decreased among girls, while it remains stabile or increased among boys. Boys eat generally more than girls. Furthermore, boys preferred meat and fast food while girls consumed fruits, vegetables and healthy food significantly more frequently. These gender differences are explained by gender specific energetic demands and culture typical beauty ideals. PMID:22928352

  19. [Adolescents engaging in sexually offending behavior].

    PubMed

    Kaltiala-Heino, Riittakerttu; Työläjärvi, Marja; Eronen, Markku

    2015-01-01

    Sexually offending behavior by adolescents may be directed towards children, age-mates and adults. Neurocognitive and psychiatric disorders and the associated inability to age-related interpersonal relationships and inability to control the sexual desires activated during adolescence may lead a young person to seek inappropriate sexual satisfaction from children. Sometimes the offenses are part of antisocial development. Interventions should be focused on the distorted cognitions and attitudes maintaining the injurious sexual behavior, and on the risk of criminal behavior in general. Pharmacological therapy, mainly with SSRI drugs, has also been tested in adolescents. PMID:26233982

  20. Eating Disorder Psychopathology as a Marker of Psychosocial Distress and Suicide Risk in Female and Male Adolescent Psychiatric Inpatients

    PubMed Central

    Zaitsoff, Shannon L.; Grilo, Carlos M.

    2009-01-01

    Objective To examine psychosocial correlates of specific aspects of eating disorder (ED) psychopathology (i.e., dietary restriction, body dissatisfaction, binge eating, and self-induced vomiting) in psychiatrically-hospitalized adolescent girls and boys. Method Four hundred and ninety-two psychiatric inpatients (286 girls and 206 boys), aged 12 to 19 years, completed self-report measures of psychosocial and behavioral functioning including measures of suicide risk and ED psychopathology. Associations between ED psychopathology and psychosocial functioning were examined separately by sex and after controlling for depressive/negative affect using Beck Depression Inventory scores. Results Among boys and girls, after controlling for depressive/negative affect, ED psychopathology was significantly associated with anxiety, low self-esteem, and current distress regarding childhood abuse. Among girls, after controlling for depressive/negative affect, ED psychopathology was significantly related to hopelessness and suicidality. Among boys, after controlling for depressive/negative affect, ED psychopathology was positively related to self-reported history of sexual abuse and various externalizing problems (drug abuse, violence, and impulsivity). Conclusion In psychiatrically hospitalized adolescents, ED psychopathology may be an important marker of broad psychosocial distress and behavioral problems among girls and boys although the nature of the specific associations differs by sex. PMID:20152294

  1. Muscle-enhancing Behaviors Among Adolescent Girls and Boys

    PubMed Central

    Wall, Melanie; Neumark-Sztainer, Dianne

    2012-01-01

    OBJECTIVE: Media images of men and women have become increasingly muscular, and muscle-enhancing techniques are available to youth. Identifying populations at risk for unhealthy muscle-enhancingbehaviors is of considerable public health importance. The current study uses a large and diverse population-based sample of adolescents to examine the prevalence of muscle-enhancing behaviors and differences across demographic characteristics, weight status, and sports team involvement. METHODS: Survey data from 2793 diverse adolescents (mean age = 14.4) were collected at 20 urban middle and high schools. Use of 5 muscle-enhancing behaviors was assessed (changing eating, exercising, protein powders, steroids and other muscle-enhancing substances), and a summary score reflecting use of 3 or more behaviors was created. Logistic regression was used to test for differences in each behavior across age group, race/ethnicity, socioeconomic status, BMI category, and sports team participation. RESULTS: Muscle-enhancing behaviors were common in this sample for both boys and girls. For example, 34.7% used protein powders or shakes and 5.9% reported steroid use. Most behaviors were significantly more common among boys. In models mutually adjusted for all covariates, grade level, Asian race, BMI category, and sports team participation were significantly associated with the use of muscle-enhancing behaviors. For example, overweight (odds ratio = 1.45) and obese (odds ratio = 1.90) girls had significantly greater odds of using protein powders or shakes than girls of average BMI. CONCLUSIONS: The use of muscle-enhancing behaviors is substantially higher than has been previously reported and is cause for concern. Pediatricians and other health care providers should ask their adolescent patients about muscle-enhancing behaviors. PMID:23166333

  2. Personality profiles in young adults with disordered eating behavior.

    PubMed

    Raynal, Patrick; Melioli, Tiffany; Chabrol, Henri

    2016-08-01

    Personality traits are closely related to eating disorders (ED) and might be involved in their development and maintenance. Nevertheless little is known regarding the association between personality traits and disordered eating in subclinical populations. College students answered questionnaires assessing disordered eating behaviors (DEB) and the following personality disorder (PD) traits: schizotypal, autistic, obsessional, borderline and cyclothymic. Participants with DEB (n=101, 87% women) displayed significantly higher scores for several variables including schizotypy, cyclothymic, borderline and obsessional traits compared to other participants (n=378). Cluster analysis in the DEB subsample led to the identification of three groups: 1) a cluster with a high level of traits (HT); 2) a cluster scoring high on schizotypal, borderline and cyclothymic traits (SBC); 3) a cluster with a low level of traits (LT). Symptoms of depression, suicidal ideations, trait anger and obsessive-compulsive symptoms were higher in the HT and the SBC clusters compared to the LT cluster. Given that two thirds of participants suffering from DEB appeared to display a morbid personality profile, it appears of prime importance to take into account PD traits of individuals with DEB. PMID:27289047

  3. Frequent dieting among adolescents: psychosocial and health behavior correlates.

    PubMed Central

    French, S A; Story, M; Downes, B; Resnick, M D; Blum, R W

    1995-01-01

    OBJECTIVES. The present study examined correlates of frequent dieting in 33,393 adolescents. It was hypothesized that frequent dieting would be correlated with negative psychosocial and health behavior outcomes. METHODS. A comprehensive, school-based health behavior survey was administered in 1987 to public school students in grades 7 through 12 in Minnesota. Students self-reported dieting behavior; substance use; suicidal, sexual, and delinquent behavior; family and peer concerns; sick days; and abuse history. Differences on psychosocial and health behavior risk factors by dieting frequency and by purging status were assessed with multivariate logistic regression, with body mass index and demographic variables controlled. RESULTS. Dieting frequency was associated with history of binge eating (females: odds ratio [OR] = 1.46, males: OR = 1.53); poor body image (females: OR = 0.56, males: OR = 0.63); lower connectedness to others (females: OR = 0.79); greater alcohol use (females: OR = 1.17); and greater tobacco use (females: OR = 1.08). Purging status was independently associated with negative risk factors in both males and females. CONCLUSIONS. These findings suggest that frequent dieting efforts in adolescents should not be viewed in isolation, but rather in the broader context of health and risk-taking behaviors. PMID:7733431

  4. Mass Media Influence on Adolescent Consumer Behavior.

    ERIC Educational Resources Information Center

    Moore, Roy L.; And Others

    Questionnaires completed by 607 middle school and high school students provided data about the learning of selected advertising-related cognitions among adolescents and on the short-term effect of these cognitions and other communication variables on adolescent consumption behavior. Among the findings were the following: susceptibility to…

  5. Adolescent Work Experiences and Family Formation Behavior

    ERIC Educational Resources Information Center

    Staff, Jeremy; VanEseltine, Matthew; Woolnough, April; Silver, Eric; Burrington, Lori

    2012-01-01

    A long-standing critique of adolescent employment is that it engenders a precocious maturity of more adult-like roles and behaviors, including school disengagement, substance use, sexual activity, inadequate sleep and exercise, and work-related stress. Though negative effects of high-intensity work on adolescent adjustment have been found, little…

  6. Female Adolescents of Alcohol Misusers: Sexual Behaviors.

    ERIC Educational Resources Information Center

    Chandy, Joseph M.; And Others

    1994-01-01

    Impact of parent alcohol misuse on the sexual behavior of female adolescents was studied with 1,134 teenagers of alcohol-misusing parents. Index adolescents were more likely to report sexual intercourse and greater frequency of intercourse. Gender of the drinking parent was related to a number of factors related to sexuality. (SLD)

  7. Violent Behaviors among African-American Adolescents.

    ERIC Educational Resources Information Center

    Garrett, Darhyl

    1995-01-01

    Explores the development of behaviors by using Erik Erikson's psychosocial developmental theory, with emphasis on adolescents. Examines factors, such as identity versus identity diffusion, that may be contributing to increasing acts of violence by African American adolescents. Other factors are examined that may contribute to increased violence.…

  8. Delinquent Behavior of Dutch Rural Adolescents

    ERIC Educational Resources Information Center

    Weenink, Don

    2011-01-01

    This article compares Dutch rural and non-rural adolescents' delinquent behavior and examines two social correlates of rural delinquency: communal social control and traditional rural culture. The analyses are based on cross-sectional data, containing 3,797 participants aged 13-18 (48.7% females). The analyses show that rural adolescents are only…

  9. Association of Eating Behavior With Nutritional Status and Body Composition in Primary School-Aged Children.

    PubMed

    Tay, Chee Wee; Chin, Yit Siew; Lee, Shoo Thien; Khouw, Ilse; Poh, Bee Koon

    2016-07-01

    Problematic eating behaviors during childhood may lead to positive energy balance and obesity. Therefore, this study aims to investigate the association of eating behaviors with nutritional status and body composition in Malaysian children aged 7 to 12 years. A total of 1782 primary schoolchildren were randomly recruited from 6 regions in Malaysia. The multidimensional Children's Eating Behaviour Questionnaire (CEBQ) was reported by parents to determine the 8 different dimensions of eating styles among children. Body mass index (BMI), BMI-for-age Z-score, waist circumference, and body fat percentage were assessed. Linear regression analyses revealed that both food responsiveness and desire to drink subscales were positively associated with a child's body adiposity, whereas satiety responsiveness, slowness in eating, and emotional undereating subscales were negatively associated with adiposity (all P < .05). A multidimensional eating style approach based on the CEBQ is needed to promote healthy eating behaviors in order to prevent excessive weight gain and obesity problems among Malaysian children. PMID:27252248

  10. Stress, shift duty, and eating behavior among nurses in Central Saudi Arabia

    PubMed Central

    Almajwal, Ali M.

    2016-01-01

    Objectives: To investigate the association between stress, shift work, and eating behavior among non-Saudi female nurses working in Central Saudi Arabia. Methods: A sample of 395 non-Saudi female nurses from 2 major hospitals in Riyadh, Kingdom of Saudi Arabia participated in this cross-sectional study. The nurses completed a questionnaire from November 2013 to January 2014 that included items relating to stress and eating behavior using the Dutch Eating Behavior Questionnaire (DEBQ). The questionnaire also contained items pertaining to socio-demographic data, body mass index, shift work, and hours worked per week. Results: For all eating styles, stress, and shift duty influenced the amount of food nurses consumed, but was more significant under a restrained eating style. Under this eating style, a significantly higher percentage of nurses reported eating more fast food, snacks, and binging, while fruits and vegetables were the least likely to be eaten under stress. High stressed nurses were more likely to present with abnormal restrained eating (odds ratio [OR]=1.52, p=0.004), emotional (OR=1.24; p=0.001), and external (OR=1.21; p=0.001) DEBQ scores. Working nighttime shift duty was positively associated with restrained eating (OR=1.53; p=0.029) and emotional eating (OR=1.24; p=0.001), but negatively associated with external eating (OR=0.45; p=0.001). Conclusion: Our findings suggest that stress and shift duty were associated with eating habits. PMID:26837403

  11. Being bullied and feeling ashamed: Implications for eating psychopathology and depression in adolescent girls.

    PubMed

    Duarte, Cristiana; Pinto-Gouveia, José; Rodrigues, Tânia

    2015-10-01

    The current study examined the associations between peer victimization, body image shame, self-criticism, self-reassurance, depressive symptoms and eating psychopathology in 609 female adolescents. Correlational analyses showed that being the victim of bullying was positively associated with body image shame, self-criticism, with low self-reassurance, depressive symptoms and eating psychopathology. A path analysis indicated that victimization experiences were associated with increased depressive symptoms partially through increased levels of body image shame, and a severe form of self-criticism - hated self. Body image shame and hated-self self-criticism fully mediated the association between victimization experiences eating psychopathology. The tested model accounted for a total of 51% of depressive symptoms variance and for 52% of eating psychopathology variance. These findings may have important intervention and prevention implications, by suggesting that bullying experiences fuel body image shame and consequent self-directed hostility and anger, which, in turn, predict increased depressive symptomatology and eating psychopathology in female adolescents. PMID:26318063

  12. Psychotropic drug prescribing in an Australian specialist child and adolescent eating disorder service: a retrospective study

    PubMed Central

    2013-01-01

    Background To describe the rates, indications, and adverse effects of psychotropic drug prescription in a specialist tertiary hospital child and adolescent eating disorder service. Methods Retrospective case note study of all active eating disorder patients (N = 115) over the period of treatment from referral to time of study (M = 2 years), covering patient demographics, clinical characteristics, drug prescriptions, indications, and adverse effects. Results Psychotropic drugs were prescribed in 45% of cases, most commonly antidepressants (41%), followed by anxiolytics (29%) and antipsychotics (22%), with 8% initiated before referral to the specialist eating disorder program. Common indications were depressed mood, agitation, anxiety, and insomnia. Patient clinical severity and complexity was associated with prescribing. Adverse effects, mostly minor, were recorded in 23% of antidepressant prescriptions, 39% of antipsychotic prescriptions, and 13% of anxiolytic prescriptions. Second generation antipsychotic prescription was associated with subsequent new onset binge eating, in this preliminary observational study. Self-harm by overdose of psychotropics occurred in 11% of patients prescribed medication. Conclusions Psychotropic medications were frequently prescribed to adolescent eating disorder patients to treat distressing symptoms. Prospective randomised controlled trials to clarify efficacy and safety are needed. Given the difficulties of conducting clinical trials in this population, services are encouraged to monitor and audit medication safety and efficacy in everyday practice, and to report their findings. PMID:24999406

  13. Personality Features and Expressed Concerns of Adolescents with Eating Disorders.

    ERIC Educational Resources Information Center

    Pryor, Tamara; Wiederman, Michael W.

    1998-01-01

    Investigates differences between adolescent females diagnosed with either anorexia nervosa (n=26) or bulimia nervosa (n=30) using the Millon Adolescent Personality Inventory. About half of the participants displayed an inhibited personality style. Anorexics scored higher on the Respectful personality scale. Expressed concerns over self-concept,…

  14. Are adolescents' perceptions of dietary practices associated with their dietary behaviors?

    PubMed

    Velazquez, Cayley E; Pasch, Keryn E; Ranjit, Nalini; Mirchandani, Gita; Hoelscher, Deanna M

    2011-11-01

    Despite interventions designed to change behavior, many adolescents continue to consume unhealthy foods. Dietary patterns are important for disease prevention, making it necessary to understand the reasons for these poor choices. This cross-sectional study explored the relationship between perception of dietary practices and dietary behaviors among adolescents. Participants (n=15,283; mean age=15 years; 50.7% female) completed the 2004-2005 Texas School Physical Activity and Nutrition survey. Perception of dietary practices included fat content of foods usually eaten and healthiness of usual eating habits. Dietary behavior was measured by self-report of foods eaten the day before survey administration. Composite scores of unhealthy and healthy eating were created. Regression analyses examined whether perception of dietary practices was consistent with actual dietary behavior, controlling for sex, grade, and race/ethnicity, and accounting for the complex sampling design. Higher perceived fat content was associated with increased consumption of unhealthy foods, while higher perceived healthiness of eating was associated with increased consumption of healthy foods. For perceived fat content, the difference in the Healthy Eating Index between extreme categories was 26% (P<0.001), while the difference in the Unhealthy Eating Index between extreme categories was 81% (P<0.001). For perceived healthiness, the difference in the Healthy Eating Index between extreme categories was 23% (P<0.001), while the difference for the Unhealthy Eating Index was 44% (P<0.001). Self-perceptions of dietary practices were significantly associated with dietary behaviors, indicating awareness about the relative nutrient content of foods consumed. Interventions that move beyond dietary knowledge and create changes in the social and physical environment are needed. PMID:22027057

  15. Family leadership styles and adolescent dietary and physical activity behaviors: a cross-sectional study

    PubMed Central

    2012-01-01

    Background Transformational leadership is conceptualized as a set of behaviors designed to inspire, energize and motivate others to achieve higher levels of functioning, and is associated with salient health-related outcomes in organizational settings. Given (a) the similarities that exist between leadership within organizational settings and parenting within families, and (b) the importance of the family environment in the promotion of adolescent health-enhancing behaviors, the purpose of this exploratory study was to examine the cross-sectional relationships between parents’ transformational leadership behaviors and adolescent dietary and physical activity behaviors. Methods 857 adolescents (aged 13–15, mean age = 14.70 yrs) completed measures of transformational parenting behaviors, healthful dietary intake and leisure-time physical activity. Regression analyses were conducted to examine relationships between family transformational leadership and adolescent health outcomes. A further ‘extreme group analysis’ was conducted by clustering families based on quartile splits. A MANCOVA (controlling for child gender) was conducted to examine differences between families displaying (a) HIGH levels of transformational parenting (consistent HIGH TP), (b) LOW levels of transformational parenting (consistent LOW TP), and (c) inconsistent levels of transformational parenting (inconsistent HIGH-LOW TP). Results Results revealed that adolescents’ perceptions of family transformational parenting were associated with both healthy dietary intake and physical activity. Adolescents who perceived their families to display the highest levels of transformational parenting (HIGH TP group) displayed greater healthy eating and physical activity behaviors than adolescents who perceived their families to display the lowest levels of transformational parenting behaviors (LOW TP group). Adolescents who perceived their families to display inconsistent levels of transformational

  16. Adolescent Drug Use and Other Behaviors.

    ERIC Educational Resources Information Center

    Hundleby, John D.; And Others

    1982-01-01

    Two-hundred-thirty-one adolescents completed questionnaires concerning their use of drugs (alcohol, tobacco, pain-killers, and marijuana). Factor analysis of endorsements of a broad range of behavior, followed by regression analysis, indicated that sexual behavior, general delinquency, school achievement, and social behavior were all related to…

  17. The Specificity of Psychological Factors Associated with Binge Eating in Adolescent Boys and Girls.

    PubMed

    Sehm, Marie; Warschburger, Petra

    2015-11-01

    Low self-esteem, lack of interoceptive awareness, perfectionism, body dissatisfaction, dietary restraint, weight teasing, and internalization of the societal body ideal are known to be associated with binge eating (BE) in adolescents. The purpose of the present cross-sectional study was to investigate whether these attributes are BE-specific and whether different patterns exist for boys and girls. We assessed BE, internalizing symptoms and psychological factors in 1039 adolescents from a community sample by self-report. Using multinomial logistic regression and controlling for measured height and weight, we compared adolescents with BE with individuals from a healthy control group and adolescents reporting internalizing symptoms. Individuals from the BE-group reported a greater lack of interoceptive awareness and higher body dissatisfaction than individuals from the healthy control group. Additionally, we found a significant interaction between gender and body dissatisfaction. Internalization of the societal body ideal was related to BE when compared to internalizing symptoms. Results suggest, that the lack of interoceptive awareness and body dissatisfaction display substantial associations with BE, and that the latter effect is especially strong in boys. The internalization of societal standards of beauty emerged as a BE-specific factor and this finding emphasizes the role of the societal body ideal in the nature of eating pathology in boys and in girls. Increasing body satisfaction and the acceptance of realistic body ideals might be effective strategies in preventing eating pathology. PMID:25936287

  18. Adolescents with Type 1 Diabetes – The Impact of Gender, Age, and Health-Related Functioning on Eating Disorder Psychopathology

    PubMed Central

    Wisting, Line; Bang, Lasse; Skrivarhaug, Torild; Dahl-Jørgensen, Knut; Rø, Øyvind

    2015-01-01

    Objective To investigate correlates of eating disorder psychopathology in adolescent males and females with type 1 diabetes. Method A total of 105 adolescents with type 1 diabetes (42% males), aged 12–20 years, were recruited from the Norwegian Childhood Diabetes Registry in this population-based study. All participants were interviewed with the Child Eating Disorder Examination. Additionally, the Brief Illness Perception Questionnaire, the Adolescent Coping Orientation for Problem Experiences and the Beliefs about Medicines Questionnaire were administered to assess health-related functioning. Clinical data were obtained from the Norwegian Childhood Diabetes Registry. Results Significant gender differences were demonstrated in the pattern of correlates of eating disorder pathology. Among females, eating disorder psychopathology was significantly associated with body mass index adjusted for age and gender, age, insulin restriction, coping, illness perceptions, and perceptions of insulin concern. In a regression model, age, illness perceptions, and insulin restriction remained significantly associated with eating disorder psychopathology, explaining 48% of the variance. None of the variables were associated with eating disorder psychopathology among males. Discussion Greater clinical awareness of illness perceptions, attitudes toward insulin, and insulin restriction may potentially decrease the risk of developing eating disorders among female adolescents with type 1 diabetes, and the subsequent increased morbidity and mortality associated with comorbid type 1 diabetes and eating disorders. PMID:26529593

  19. The Moderating Role of Father's Care on the Onset of Binge Eating Symptoms among Female Late Adolescents with Insecure Attachment

    ERIC Educational Resources Information Center

    Pace, Ugo; Cacioppo, Marco; Schimmenti, Adriano

    2012-01-01

    The present study examined the association between quality of attachment, perception of the father's bond, and binge eating symptoms in a sample of female late adolescents. In total, 233 female students aged between 18 and 20 years completed measures on binge eating, quality of attachment and parent-child relationship. Data showed that respondents…

  20. Characteristics and Dietary Patterns of Adolescents Who Value Eating Locally Grown, Organic, Nongenetically Engineered, and Nonprocessed Food

    ERIC Educational Resources Information Center

    Robinson-O'Brien, Ramona; Larson, Nicole; Neumark-Sztainer, Dianne; Stat, Peter Hannan M.; Story, Mary

    2009-01-01

    Objective: To examine characteristics of adolescents who value eating locally grown, organic, nongenetically engineered, and/or nonprocessed food and whether they are more likely than their peers to meet Healthy People 2010 dietary objectives. Design: Cross-sectional analysis using data from a population-based study in Minnesota (Project EAT:…

  1. Recognizing and Preventing Adolescent Eating Disorders and Muscularity Problems

    ERIC Educational Resources Information Center

    Smolak, Linda; Levine, Michael P.

    2007-01-01

    It is important for adults who work with youth to know how to address the issues of eating disorders and steroid use. This article provides signs and symptoms for both, and then gives practical suggestions for talking with youth about a potential problem. It ends with prevention strategies for adults who work with youth. (Contains 3 tables.)

  2. Assessing Readiness for Change in Adolescents with Eating Disorders

    ERIC Educational Resources Information Center

    Geller, Josie; Brown, Krista E.; Zaitsoff, Shannon L.; Menna, Rosanne; Bates, Mollie E.; Dunn, Erin C.

    2008-01-01

    The Readiness and Motivation Interview (RMI) is a semistructured interview measure of readiness and motivation to change that can be used for all eating disorder diagnoses. The RMI has demonstrated excellent psychometric properties and has both clinical and predictive utility in adult samples. This study examined the psychometric properties of the…

  3. Peer Sexual Harassment and Disordered Eating in Early Adolescence

    ERIC Educational Resources Information Center

    Petersen, Jennifer L.; Hyde, Janet S.

    2013-01-01

    Peer sexual harassment is a pervasive problem in schools and is associated with a variety of negative mental health outcomes. Objectification theory suggests that sexual attention in the form of peer harassment directs unwanted attention to the victim's body and may lead to a desire to alter the body via disordered eating. In the current study, we…

  4. Contextual Influences on Eating Behaviors: Heuristic Processing and Dietary Choices

    PubMed Central

    Cohen, Deborah A.; Babey, Susan H.

    2013-01-01

    This paper reviews some of the evidence that dietary behaviors are, in large part, the consequence of automatic responses to contextual food cues, many of which lead to increased caloric consumption and poor dietary choices. We describe studies that illustrate how these automatic mechanisms underlie eating behaviors, as well as evidence that individuals are subject to inherent cognitive limitations, and mostly lack the capacity to consistently recognize, ignore or resist contextual cues that encourage eating. Restaurants and grocery stores are the primary settings from which people obtain food. These settings are often designed to maximize sales of food by strategically placing and promoting items to encourage impulse purchases. Although a great deal of marketing research is proprietary, this paper describes some of the published studies that indicate that changes in superficial characteristics of food products, including packaging and portion sizes, design, salience, health claims, and labeling strongly influence food choices and consumption in ways for which people generally lack insight. We discuss whether contextual influences might be considered environmental risk factors from which individuals may need the kinds of protections that fall under the mission of public health. PMID:22551473

  5. Biological, psychological, and sociocultural correlates of body change strategies and eating problems in adolescent boys and girls.

    PubMed

    Muris, Peter; Meesters, Cor; van de Blom, Willemien; Mayer, Birgit

    2005-01-01

    The present study examines correlates of body change strategies and eating problems in youths. A large sample of adolescents aged 12 to 16 years (N = 307) was asked to complete a set of questionnaires, which measured biological (age, pubertal status, and body mass index [BMI]), psychological (self-esteem, body dissatisfaction, body importance, and body comparison), and sociocultural variables (influence of media, parents, and peers), as well as body change strategies and disturbed eating attitudes and behaviors. Results showed that boys generally try to become more muscular, whereas girls attempt to lose weight. Further, correlational and regression analyses demonstrated that biological, psychological, and sociocultural influences made unique and significant contributions to various body image and body change/eating problems variables. Finally, hierarchical regression analyses yielded theoretically meaningful models for the main body change strategies in boys and girls. In these models, BMI, self-esteem, and sociocultural influences turned out to be significant predictor variables, while body-image-related factors, and in particular body comparison (i.e., the tendency to compare one's body with that of others), partially or fully mediated the influence of some predictor variables. PMID:15567107

  6. Dieting, dietary restraint, and binge eating disorder among overweight adolescents in Turkey.

    PubMed

    Bas, Murat; Bozan, Nuray; Cigerim, Nevin

    2008-01-01

    The purpose of this study was to determine the relationship among dieting, dietary restraint, disinhibition, hunger, and binge eating among overweight adolescent girls. Participants were 743 overweight adolescent girls between 16 and 19 years of age. The mean BMI was 24.9 +/- 0.8 kg/m2 in the low-restraint group and 25.1 +/- 0.8 kg/m2 in the high-restraint group (p < 0.05).Twenty percent of participants in the low-restraint group and 72% of those in the high-restraint group followed weight management practices for losing weight. The mean total TFEQ score was 21.5 +/- 7.8 for chronic dieters and 25.5 +/- 8.7 for non-chronic dieters. Chronic dieter participants had significantly lower scores than non-chronic dieters (p < 0.05). Findings indicate that overweight adolescents (dieting 5-10 times or more than 10 times in the past year) reported higher disinhibition and hunger scores than others (no dieting in the past year). Also, adolescents with BED reported significantly higher scores of disinhibition and hunger than did adolescents with non-BED. Conversely, overweight adolescents with BED showed significantly higher cognitive restraint scores than did adolescents with non-BED. In sum, high scores on restraint, hunger, and disinhibition of overweight adolescent girls as measured by the TFEQ, are associated with low self-esteem, high social physique anxiety, and high trait anxiety. PMID:19086675

  7. Qualitative study exploring healthy eating practices and physical activity among adolescent girls in rural South Africa

    PubMed Central

    2014-01-01

    Background Dietary behaviours and physical activity are modifiable risk factors to address increasing levels of obesity among children and adolescents, and consequently to reduce later cardiovascular and metabolic disease. This paper explores perceptions, attitudes, barriers, and facilitators related to healthy eating and physical activity among adolescent girls in rural South Africa. Methods A qualitative study was conducted in the rural Agincourt subdistrict, covered by a health and sociodemographic surveillance system, in Mpumalanga province, South Africa. Semistructured “duo-interviews” were carried out with 11 pairs of adolescent female friends aged 16 to 19 years. Thematic content analysis was used. Results The majority of participants considered locally grown and traditional foods, especially fruits and vegetables, to be healthy. Their consumption was limited by availability, and these foods were often sourced from family or neighbourhood gardens. Female caregivers and school meal programmes facilitated healthy eating practices. Most participants believed in the importance of breakfast, even though for the majority, limited food within the household was a barrier to eating breakfast before going to school. The majority cited limited accessibility as a major barrier to healthy eating, and noted the increasing intake of “convenient and less healthy foods”. Girls were aware of the benefits of physical activity and engaged in various physical activities within the home, community, and schools, including household chores, walking long distances to school, traditional dancing, and extramural activities such as netball and soccer. Conclusions The findings show widespread knowledge about healthy eating and the benefits of consuming locally grown and traditional food items in a population that is undergoing nutrition transition. Limited access and food availability are strong barriers to healthy eating practices. School meal programmes are an important

  8. Behavioral Genetic Analyses of Prosocial Behavior in Adolescents

    ERIC Educational Resources Information Center

    Gregory, Alice M.; Light-Hausermann, Jade H.; Rijsdijk, Fruhling; Eley, Thalia C.

    2009-01-01

    Prosocial behavior is an important aspect of normal social and psychological development. Adult and child twin studies typically estimate the heritability of prosocial behavior to be between 30 and 50%, although relatively little is known about genetic and environmental influences upon prosocial behavior in adolescence. We therefore examined…

  9. Purging using the Heimlich maneuver among children and adolescents with eating disorders.

    PubMed

    Boachie, Ahmed; Kusi Appiah, Edigna; Jubin, Michelle; Jasper, Karin

    2015-09-01

    This case report describes five independent cases of children and adolescents assessed for eating disorders who disclosed using the Heimlich maneuver as a purging technique. The maneuver is meant to be used only in life or death situations, likely once or less in any person's lifetime. A child or adolescent with an eating disorder may be using it to self-induce vomiting on a daily basis, increasing the risk of complications, including potential damage to major organs of the body. Asking patients who purge to elaborate on the methods with which they purge can provide clinicians with fuller information, improving their ability to select appropriate medical tests and interventions. Thorough investigations of physical complaints during the patient assessment may be warranted, including examining patients for possible rib fractures, hemorrhages, perforations of the hollow viscous, and other forms of blunt abdominal traumas. PMID:25846517

  10. Eating attitudes and food intakes of elite adolescent female figure skaters: a cross sectional study

    PubMed Central

    2012-01-01

    Background Elite adolescent female figure skaters compete in an aesthetic-based sport that values thin builds and lithe figures. To conform to the sport’s physical requirements, skaters may alter their eating patterns in unhealthful directions. This study assesses the eating attitudes and dietary intakes of elite adolescent female figure skaters to assess the potential nutritional risks among them. Methods Thirty-six elite competitive adolescent female figure skaters (mean age 16 ± 2.5 SD years) completed self-administered three-day records of dietary intake and simultaneous physical activity records during training season. Two months later, they attended a national training camp during which they completed the Eating Attitudes Test (EAT-40), provided fasting blood samples, and had heights and weights measured. Results Participants’ mean body mass index (BMI) was 19.8 ± 2.1 SD. Their BMIs were within the normal range, and the majority (70%) did not report a history of recent weight loss. The mean EAT-40 score was normal (19.5 ± 13.5 SD) and below the cut-off score of 30 that indicates clinically significant eating pathology. However, one-quarter of the skaters had EAT-40 scores above 30. The skaters reported a mean energy intake of 1491 ± 471 SD kcal/day (31 ± 10 SD kcal/kg), with 61.6% of calories from carbohydrate, 14.6% from protein, and 23.7% from fat. Their reported dietary intakes were high in carbohydrates but low in total energy, fat, and bone-building nutrients. Conclusions Although these highly active young women compete in a sport that prizes leanness, they had appropriate weights. The athletes reported dietary intakes that were far below estimated energy needs and were at moderate risk of disordered eating. Anticipatory guidance is warranted to improve their dietary intakes, particularly of bone-building nutrients. PMID:23237333

  11. Two Cases of Eating Disorders in Adolescents with Dental Braces Fitted Prior to the Onset of Anorexia Nervosa

    PubMed Central

    Lee, Ju-Yeon; Kim, Sung-Wan; Shin, Il-Seon; Yoon, Jin-Sang

    2015-01-01

    Orthodontic treatment typically occurs during early childhood and adolescence but the wearing of dental braces is often associated with sudden changes in eating patterns that prolong treatment into the teenage years. Despite these changes, psychological assessments related to eating disorders during the course of orthodontic treatment are often ignored. Based on the findings of the present case report, it is suggested that adolescent patients who wear braces and exhibit severe weight loss should be carefully monitored for psychiatric problems, including eating disorders. PMID:26207138

  12. Two Cases of Eating Disorders in Adolescents with Dental Braces Fitted Prior to the Onset of Anorexia Nervosa.

    PubMed

    Lee, Ju-Yeon; Kim, Sung-Wan; Kim, Jae-Min; Shin, Il-Seon; Yoon, Jin-Sang

    2015-07-01

    Orthodontic treatment typically occurs during early childhood and adolescence but the wearing of dental braces is often associated with sudden changes in eating patterns that prolong treatment into the teenage years. Despite these changes, psychological assessments related to eating disorders during the course of orthodontic treatment are often ignored. Based on the findings of the present case report, it is suggested that adolescent patients who wear braces and exhibit severe weight loss should be carefully monitored for psychiatric problems, including eating disorders. PMID:26207138

  13. The Impact of Teachers and Families on Young Children's Eating Behaviors

    ERIC Educational Resources Information Center

    Eliassen, Erin K.

    2011-01-01

    Young children depend on their families and teachers to support their well-being and promote positive development, including eating behaviors. Children's food preferences and willingness to try new foods are influenced by the people around them. The eating behaviors children practice early in life affect their health and nutrition--significant…

  14. Aspects of eating behaviors disinhibition and restraint are related to weight gain and BMI in women

    Technology Transfer Automated Retrieval System (TEKTRAN)

    Objective: The causes of adult weight gain leading to obesity are uncertain. We examined the association of adult weight gain and obesity with subscales of eating behavior characteristics in older women. Research Methods and Procedures: Current height and weight, eating behavior subscales (Disinh...

  15. Reported Childhood Sexual Abuse and Eating-Disordered Cognitions and Behaviors

    ERIC Educational Resources Information Center

    van Gerko, K.; Hughes, M.L.; Hamill, M.; Waller, G.

    2005-01-01

    Objective:: This study assessed links between reported childhood sexual abuse and a range of eating behaviors and attitudes, among a large sample of eating-disordered women. It tested the hypothesis that there will be links to bulimic behaviors and body dissatisfaction, rather than restriction. Method:: The sample consisted of 299 women, meeting…

  16. Description of an Intensive Dialectical Behavior Therapy Program for Multidiagnostic Clients with Eating Disorders

    ERIC Educational Resources Information Center

    Federici, Anita; Wisniewski, Lucene; Ben-Porath, Denise

    2012-01-01

    The authors describe an intensive outpatient dialectical behavior therapy (DBT) program for multidiagnostic clients with eating disorders who had not responded adequately to standard, empirically supported treatments for eating disorders. The program integrates DBT with empirically supported cognitive behavior therapy approaches that are well…

  17. Survey on Dysfunctional Eating Behavior in Adult Persons with Intellectual Disability Living in the Community

    ERIC Educational Resources Information Center

    Hove, Oddbjorn

    2007-01-01

    Prevalence of dysfunctional eating behavior was investigated in 311 adult persons with mental retardation living in the West Coast of Norway. Reports from a questionnaire filled out by health workers were used as observational data. The main finding was that 64.3% of the clients showed indices of dysfunctional eating behavior. The five most…

  18. Body weight status, eating behavior, sensitivity to reward/punishment, and gender: relationships and interdependencies

    PubMed Central

    Dietrich, Anja; Federbusch, Martin; Grellmann, Claudia; Villringer, Arno; Horstmann, Annette

    2014-01-01

    Behavioral and personality characteristics are factors that may jointly regulate body weight. This study explored the relationship between body mass index (BMI) and self-reported behavioral and personality measures. These measures included eating behavior (based on the Three-Factor Eating Questionnaire; Stunkard and Messick, 1985), sensitivity to reward and punishment (based on the Behavioral Inhibition System/Behavioral Activation System (BIS/BAS) scales) (Carver and White, 1994) and self-reported impulsivity (based on the Barratt Impulsiveness Scale-11; Patton et al., 1995). We found an inverted U-shaped relationship between restrained eating and BMI. This relationship was moderated by the level of disinhibited eating. Independent of eating behavior, BIS and BAS responsiveness were associated with BMI in a gender-specific manner with negative relationships for men and positive relationships for women. Together, eating behavior and BIS/BAS responsiveness accounted for a substantial proportion of BMI variance (men: ∼25%, women: ∼32%). A direct relationship between self-reported impulsivity and BMI was not observed. In summary, our results demonstrate a system of linear and non-linear relationships between the investigated factors and BMI. Moreover, body weight status was not only associated with eating behavior (cognitive restraint and disinhibition), but also with personality factors not inherently related to an eating context (BIS/BAS). Importantly, these relationships differ between men and women. PMID:25368586

  19. Body Image Satisfaction, Eating Attitudes and Perceptions of Female Body Silhouettes in Rural South African Adolescents.

    PubMed

    Pedro, Titilola M; Micklesfield, Lisa K; Kahn, Kathleen; Tollman, Stephen M; Pettifor, John M; Norris, Shane A

    2016-01-01

    This study aims to examine the associations between BMI, disordered eating attitude, body dissatisfaction in female adolescents, and descriptive attributes assigned to silhouettes of varying sizes in male and female adolescents, aged 11 to 15, in rural South Africa. Height and weight were measured to determine BMI. Age and sex-specific cut-offs for underweight and overweight/obesity were determined using the International Obesity Task Force cut-offs. Body image satisfaction using Feel-Ideal Discrepancy (FID) scores, Eating Attitudes Test-26 (EAT-26), and perceptual female silhouettes were collected through self-administered questionnaires in 385 adolescents from the Agincourt Health and Socio-Demographic Surveillance System (HSDSS). Participants self-reported their Tanner pubertal stage and were classified as early pubertal (< = Tanner stage 2), and mid to post pubertal (Tanner stage > 2). Mid to post pubertal boys and girls were significantly heavier, taller, and had higher BMI values than their early pubertal counterparts (all p<0.001). The prevalence of overweight and obesity was higher in the girls than the boys in both pubertal stages. The majority (83.5%) of the girls demonstrated body dissatisfaction (a desire to be thinner or fatter). The girls who wanted to be fatter had a significantly higher BMI than the girls who wanted to be thinner (p<0.001). There were no differences in EAT-26 scores between pubertal groups, within the same sex, and between boys and girls within the two pubertal groups. The majority of the boys and the girls in both pubertal groups perceived the underweight silhouettes to be "unhappy" and "weak" and the majority of girls in both pubertal groups perceived the normal silhouettes to be the "best". These findings suggest a need for policy intervention that will address a healthy body size among South African adolescents. PMID:27171420

  20. Body Image Satisfaction, Eating Attitudes and Perceptions of Female Body Silhouettes in Rural South African Adolescents

    PubMed Central

    Micklesfield, Lisa K.; Kahn, Kathleen; Tollman, Stephen M.; Pettifor, John M.; Norris, Shane A.

    2016-01-01

    This study aims to examine the associations between BMI, disordered eating attitude, body dissatisfaction in female adolescents, and descriptive attributes assigned to silhouettes of varying sizes in male and female adolescents, aged 11 to 15, in rural South Africa. Height and weight were measured to determine BMI. Age and sex-specific cut-offs for underweight and overweight/obesity were determined using the International Obesity Task Force cut-offs. Body image satisfaction using Feel-Ideal Discrepancy (FID) scores, Eating Attitudes Test-26 (EAT-26), and perceptual female silhouettes were collected through self-administered questionnaires in 385 adolescents from the Agincourt Health and Socio-Demographic Surveillance System (HSDSS). Participants self-reported their Tanner pubertal stage and were classified as early pubertal (< = Tanner stage 2), and mid to post pubertal (Tanner stage > 2). Mid to post pubertal boys and girls were significantly heavier, taller, and had higher BMI values than their early pubertal counterparts (all p<0.001). The prevalence of overweight and obesity was higher in the girls than the boys in both pubertal stages. The majority (83.5%) of the girls demonstrated body dissatisfaction (a desire to be thinner or fatter). The girls who wanted to be fatter had a significantly higher BMI than the girls who wanted to be thinner (p<0.001). There were no differences in EAT-26 scores between pubertal groups, within the same sex, and between boys and girls within the two pubertal groups. The majority of the boys and the girls in both pubertal groups perceived the underweight silhouettes to be “unhappy” and “weak” and the majority of girls in both pubertal groups perceived the normal silhouettes to be the “best”. These findings suggest a need for policy intervention that will address a healthy body size among South African adolescents. PMID:27171420

  1. Disordered Eating, Compulsive Exercise, and Sport Participation in a UK Adolescent Sample.

    PubMed

    Goodwin, Huw; Haycraft, Emma; Meyer, Caroline

    2016-07-01

    The sport literature has produced equivocal results as to whether sport participation is a protective or risk factor for disordered eating. One mechanism by which it could be a risk factor is the increased drive or compulsion to exercise. This study compared the levels of disordered eating and compulsive exercise between adolescent sport and non-sport participants. A sample of 417 male and female adolescents, aged 14-16 years old, was recruited from UK secondary schools. Participants completed questionnaire packs that included: the Eating Disorder Inventory; a measure of exercise behaviour; and the Compulsive Exercise Test (CET). Non-sport participants reported significantly greater body dissatisfaction than sport participants, and this was true for boys and girls. Significant group differences were also reported for many of the CET scales, with sport participants generally reporting greater levels of compulsive exercise than non-sport participants. Implications of these results are discussed. Copyright © 2016 John Wiley & Sons, Ltd and Eating Disorders Association. PMID:26892196

  2. How perfectionism and ineffectiveness influence growth of eating disorder risk in young adolescent girls.

    PubMed

    Wade, Tracey D; Wilksch, Simon M; Paxton, Susan J; Byrne, Susan M; Austin, S Bryn

    2015-03-01

    While perfectionism is widely considered to influence risk for eating disorders, results of longitudinal studies are mixed. The goal of the current study was to investigate a more complex model of how baseline perfectionism (both high personal standards and self-critical evaluative concerns) might influence change in risk status for eating disorders in young adolescent girls, through its influence on ineffectiveness. The study was conducted with 926 girls (mean age of 13 years), and involved three waves of data (baseline, 6- and 12-month follow-up). Latent growth curve modelling, incorporating the average rate at which risk changed over time, the intercept (initial status) of ineffectiveness, and baseline perfectionism, was used to explore longitudinal mediation. Personal standards was not supported as contributing to risk but results indicated that the higher mean scores on ineffectiveness over the three waves mediated the relationship between higher baseline self-critical evaluative concerns and both measures of eating disorder risk. The relationship between concern over mistakes and change in risk was small and negative. These results suggest the usefulness of interventions related to self-criticism and ineffectiveness for decreasing risk for developing an eating disorder in young adolescent girls. PMID:25698165

  3. Eating Disorders and Disordered Eating in Type 1 Diabetes: Prevalence, Screening, and Treatment Options

    PubMed Central

    Hanlan, Margo E.; Griffith, Julie; Patel, Niral

    2013-01-01

    This review is focused on the prevalence of eating disorders and disordered eating behaviors in individuals with type 1 diabetes. Recent research indicates higher prevalence rates of eating disorders among people with type 1 diabetes, as compared to their peers without diabetes. Eating disorders and disordered eating behaviors – especially insulin omission – are associated with poorer glycemic control and serious risk for increased morbidity and mortality. Screening should begin in pre-adolescence and continue through early adulthood, as many disordered eating behaviors begin during the transition to adolescence and may persist for years. Available screening tools and treatment options are reviewed. Given the complexity of diabetes management in combination with eating disorder treatment, it is imperative to screen early and often, in order to identify those most vulnerable and begin appropriate treatment in a timely manner. PMID:24022608

  4. Social support influences on eating awareness in children and adolescents: the mediating effect of self-regulatory strategies.

    PubMed

    Gaspar de Matos, Margarida; Palmeira, Antonio L; Gaspar, Tania; De Wit, John B F; Luszczynska, Aleksandra

    2016-01-01

    The impact of the social environment on healthy eating awareness results from complex interactions among physical, economic, cultural, interpersonal and individual characteristics. This study investigated the impact of social support and social influence on healthy eating awareness, controlling for socio-economic status, gender and age. Additionally, the mediating effect of self-regulation strategies was examined. A total of 2764 children and adolescents aged 10-17 from four European countries completed self-report measures on healthy eating awareness, social influence and the use of self-regulation strategies. Healthy eating awareness and the use of self-regulation strategies were more likely to occur among younger participants. An interaction between gender and age was related to the use of some self-regulation strategies; compared to girls, boys decreased the use of self-regulation strategies more from pre-adolescence to adolescence. Peer social influence was associated with more unhealthy eating in older participants. Results suggest a need to promote self-regulatory competences among young people in order to assist them with regulating their eating behaviours, especially in the presence of peers. Both school-based interventions and family-based interventions, focusing on self-regulation cognitions and social (peer) influence, could help children and adolescents to use self-regulatory strategies which are essential to eat healthier. PMID:26564992

  5. Adolescent eating disorder behaviours and cognitions: gender-specific effects of child, maternal and family risk factors

    PubMed Central

    Micali, N.; De Stavola, B.; Ploubidis, G.; Simonoff, E.; Treasure, J.; Field, A. E.

    2015-01-01

    Background Eating disorder behaviours begin in adolescence. Few longitudinal studies have investigated childhood risk and protective factors. Aims To investigate the prevalence of eating disorder behaviours and cognitions and associated childhood psychological, physical and parental risk factors among a cohort of 14-year-old children. Method Data were collected from 6140 boys and girls aged 14 years. Gender-stratified models were used to estimate prospective associations between childhood body dissatisfaction, body mass index (BMI), self-esteem, maternal eating disorder and family economic disadvantage on adolescent eating disorder behaviours and cognitions. Results Childhood body dissatisfaction strongly predicted eating disorder cognitions in girls, but only in interaction with BMI in boys. Higher self-esteem had a protective effect, particularly in boys. Maternal eating disorder predicted body dissatisfaction and weight/shape concern in adolescent girls and dieting in boys. Conclusions Risk factors for eating disorder behaviours and cognitions vary according to gender. Prevention strategies should be gender-specific and target modifiable predictors in childhood and early adolescence. PMID:26206865

  6. Cognitive behavior therapy for night eating syndrome: a pilot study.

    PubMed

    Allison, Kelly C; Lundgren, Jennifer D; Moore, Reneé H; O'Reardon, John P; Stunkard, Albert J

    2010-01-01

    Because no studies of psychotherapy treatments for night eating syndrome (NES) have been published, we conducted a pilot study of a 10-session cognitive behavior therapy (CBT) for NES. Twenty-five patients (19 female, 6 male) were screened and comprehensively assessed before being enrolled. At each visit, patients completed the Night Eating Symptom Scale (NESS), were weighed, and number of awakenings and the number of nocturnal ingestions and daily caloric intake were calculated from weekly food and sleep records. Mixed model regression analyses [of the data] showed significant decreases in caloric intake after dinner (35.0% to 24.9%); number of nocturnal ingestions (8.7 to 2.6 per week); weight (82.5 to 79.4 kg); and NESS score (28.7 to 16.3; all p values <0.0001). Number of awakenings per week, depressed mood, and quality of life also improved significantly (p values <.02). This first clinical trial of CBT for NES shows significant improvements in the core aspects of NES and weight reduction, suggesting the need for a controlled treatment trial. PMID:20405767

  7. Binge eating symptoms, diet composition and metabolic characteristics of obese children and adolescents.

    PubMed

    Lourenço, Barbara H; Arthur, Thais; Rodrigues, Mariana D B; Guazzelli, Isabel; Frazzatto, Eliana; Deram, Sophie; Nicolau, Christiane Y; Halpern, Alfredo; Villares, Sandra M F

    2008-01-01

    This study aimed to determine the occurrence of symptoms of binge eating (BE) among children and adolescents seeking treatment for their obesity, as well as to evaluate their diet composition and metabolic characteristics. The Binge Eating Scale (BES) was answered by 128 children and adolescents (10.77+/-2.04 years, BMI 29.15+/-4.98 kg/m2, BMI Z score 2.28+/-0.46, 53.91% pubescent), who were classified into two subgroups--binge eaters (score greater than or equal to 18 points) and non-binge eaters (score lower than 18 points). Anthropometric data, body composition and Tanner stages were collected and dietary evaluation conducted. Blood pressure was determined, and glucose, lipid profile and insulin assays were performed. Insulin resistance was determined using HOMA-IR. BE symptoms were present in 39.06% of patients. Carbohydrate intake in diet composition was significantly higher among binge eaters. Children with BE did not demonstrate significant dissimilar metabolic characteristics when compared to their counterparts without BE. Therefore, BE seems to be a prevalent problem among children and adolescents seeking help for their obesity. When associated with obesity, this eating behaviour can influence macronutrient consumption through increased carbohydrate intake. Further research would be valuable to verify the reproducibility of these findings. PMID:17804118

  8. Effects of eating space and availability of water in feeders on productivity and eating behavior of grower/finisher pigs.

    PubMed

    Gonyou, H W; Lou, Z

    2000-04-01

    Three experiments were conducted to determine the effects of eating space and availability of water within feeders on the productivity and behavior of growing/finishing pigs. In Exp. 1, 12 commercial feeders were classified as being either single-space (SS) or multiple-space (MS), and either as dry (D) or wet/dry (WD), resulting in two SS-D, four MS-D, three SS-WD and three MS-WD models. Each model was evaluated using four pens of 12 pigs, which were fed a mash diet throughout the growing/finishing period (25 to 106 kg). Pigs were videotaped when they were approximately 40 and 80 kg in weight to determine eating behavior. The number of feeding spaces did not affect the productivity of the pigs, but the presence of water within the feeder resulted in increases in ADFI (P < .05) and ADG (P < .05) and a reduction in carcass lean (P < .05). Pigs eating from SS feeders spent 15% less time eating than those fed from two-space feeders (P < .05), and occupancy rate for feeding spaces was increased by 75% (P < .05). The WD feeders also resulted in a reduction (17%) in eatingtime compared to D models (P < .01), and occupancy rate for WD feeders was similarly reduced (P < .05). Pigs spent 16% less time eating when they weighed approximately 80 kg than when they weighed 40 kg (P < .01). In Exp. 2, rate of eating was determined during a short test on the same 12 feeder models for both small (48 kg) and large (90 kg) pigs. Large pigs ate faster than small pigs, but eating rate was not affected by feeding space or presence of water in the feeder. In Exp. 3, eating rate was determined for small amounts of dry or wet feed. Premixing water with the feed (1:1 ratio by weight) increased eating speed (P < .01). We concluded that 12 pigs can be fed from a single-space feeder without affecting productivity. The inclusion of water within a feeder decreases time spent eating, but it increases ADFI and ADG. When pigs are small, they spend more time eating, and feeder occupancy rates are

  9. Can Social Cognitive Theory Constructs Explain Socio-Economic Variations in Adolescent Eating Behaviours? A Mediation Analysis

    ERIC Educational Resources Information Center

    Ball, K.; MacFarlane, A.; Crawford, D.; Savige, G.; Andrianopoulos, N.; Worsley, A.

    2009-01-01

    Adolescents of low socio-economic position (SEP) are less likely than those of higher SEP to consume diets in line with current dietary recommendations. The reasons for these SEP variations remain poorly understood. We investigated the mechanisms underlying socio-economic variations in adolescents' eating behaviours using a theoretically derived…

  10. Perceived Parenting Style and the Eating Practices of College Freshmen

    ERIC Educational Resources Information Center

    Barnes, Seraphine Pitt; Brown, Kelli McCormack; McDermott, Robert J.; Bryant, Carol A.; Kromrey, Jeffrey

    2012-01-01

    Background: Unhealthy eating contributes to morbidity in adolescents and college students and is an antecedent of premature mortality in adulthood. It has been suggested that the increase in independence (i.e., living away from parents) of adolescents contributes to their poor eating behaviors. Some literature reports that specific parenting…

  11. Fasting during Ramadan: a religious factor as a possible trigger or exacerbator for eating disorders in adolescents.

    PubMed

    Akgül, Sinem; Derman, Orhan; Kanbur, Nuray Ö

    2014-12-01

    Culture-based contributors play a role in eating disorders (EDs). Here, we present one such factor that may play a role in triggering ED's in adolescents: Fasting during the holy period of Ramadan. Ramadan is the Islamic month of fasting, in which participating Muslims refrain from eating, drinking, and smoking, which starts from dawn lasting until sunset. For the past 2 years, we have noticed an increase in patients with disordered eating patterns that have applied to Hacettepe University, Division of Adolescent Medicine during or shortly after Ramadan. We document six of these patients, three of which were diagnosed with an ED and three that did not meet full criteria. We argue that the possible effects of a drastic change in ones diet such as that which occurs during Ramadan, play an important role in triggering ED's in adolescents with a predisposition or may exacerbate an eating pathology. PMID:24474707

  12. Demographics, Affect, and Adolescents' Health Behaviors.

    ERIC Educational Resources Information Center

    Terre, Lisa; And Others

    1992-01-01

    Examined relationship between affect, demographics, and health-related lifestyle among 139 public high school students. Data analyses revealed distinctive demographic and affective correlates of different health behaviors. No one variable uniformly predicted adolescents' health behaviors. Demographics and affect showed differential relationships…

  13. Programming for Adolescents with Behavioral Disorders.

    ERIC Educational Resources Information Center

    Braaten, Sheldon, Ed.; And Others

    This book presents 17 papers from a 1982 national multidisciplinary conference on services for behaviorally disordered adolescents. The following papers are included: "Programming for Youth in Secondary Schools and the Community," (W. Van Til); "Who's Crazy? II" (C. Michael Nelson); "Correlates of Successful Adaptive Behavior: Comparative Studies…

  14. Dialectical Behavior Therapy with Suicidal Adolescents

    ERIC Educational Resources Information Center

    Miller, Alec L.; Rathus, Jill H.; Linehan, Marsha M.

    2006-01-01

    Filling a tremendous need, this highly practical book adapts the proven techniques of dialectical behavior therapy (DBT) to treatment of multiproblem adolescents at highest risk for suicidal behavior and self-injury. The authors are master clinicians who take the reader step by step through understanding and assessing severe emotional…

  15. Predicting Adolescent Deviant Behaviors through Data Mining Techniques

    ERIC Educational Resources Information Center

    Liu, Yu-Chin; Hsu, Yung-Chieh

    2013-01-01

    Adolescence is the time during which people develop and form their crucial values, personality traits, and beliefs. Hence, as deviant behaviors occur during adolescence, it is important to guide adolescents away from such behaviors and back to normal behaviors. Moreover, although there are various kinds of deviant behavior, most of them would…

  16. Group behavioral activation for patients with severe obesity and binge eating disorder: a randomized controlled trial.

    PubMed

    Alfonsson, Sven; Parling, Thomas; Ghaderi, Ata

    2015-03-01

    The aim of the present study was to assess whether behavioral activation (BA) is an efficacious treatment for decreasing eating disorder symptoms in patients with obesity and binge eating disorder (BED). Ninety-six patients with severe obesity and BED were randomized to either 10 sessions of group BA or wait-list control. The study was conducted at an obesity clinic in a regular hospital setting. The treatment improved some aspects of disordered eating and had a positive effect on depressive symptoms but there was no significant difference between the groups regarding binge eating and most other symptoms. Improved mood but lack of effect on binge eating suggests that dysfunctional eating (including BED) is maintained by other mechanisms than low activation and negative mood. However, future studies need to investigate whether effects of BA on binge eating might emerge later than at post-assessment, as in interpersonal psychotherapy for bulimia nervosa. PMID:25268019

  17. Eating attitudes and behaviors of anorexia nervosa patients and their sisters.

    PubMed

    Maloney, M J; Shepard-Spiro, P

    1983-12-01

    Although the sisters of anorexia nervosa patients may have an increased risk for this disorder, there are no controlled studies of the eating patterns and attitudes of the normal sisters of anorexic patients. Twenty-one sister pairs (anorexics and their normal sisters) were interviewed and given the Eating Attitude Test (EAT) to compare their eating attitudes and behaviors. The mean scores on the EAT and its three subscales (measuring "Dieting," "Bulimia and Food Preoccupation," and "Oral Control") were significantly correlated with criterion group membership (p less than 0.0001). The normal sisters as a group did not demonstrate anorexic eating attitudes. However, two normal sisters did score in the anorexic range and are being followed prospectively. The EAT questionnaire could be used to screen vulnerable siblings of patients with anorexia nervosa for early signs of this disorder. PMID:6662359

  18. Motivation for eating behaviour in adolescent girls: the body beautiful.

    PubMed

    Hill, Andrew J

    2006-11-01

    Body dissatisfaction is commonplace for teenage girls and is associated with dieting and unhealthy weight-control behaviours. The idealisation and pursuit of thinness are seen as the main drivers of body dissatisfaction, with the media prominent in setting thin body ideals. Television and consumer magazine production in the UK are extensive, annually releasing 1x10(6) h programming and >3000 magazine titles. Their engagement by adolescent girls is high, and in surveys girls identify thin and revealing body images as influential to the appeal of thinness and their pursuit of dieting. Experimental studies show a short-term impact of these images on body dissatisfaction, especially in teenagers who are already concerned about body image. Magazine images appear more influential than television viewing. For many adolescents selecting thin-image media is purposive, permitting comparison of themselves with the models or celebrities featured. Indeed, the impact of the media needs to be understood within a social context, as engagement is often a highly-social process. Media influence is uneven because of differences in its content and manner of communication, and individual differences in vulnerability to its content. Greater social responsibility on the part of the media and better media literacy by children would be beneficial. For those working in adolescent nutrition it is a reminder that adolescent food choice and intake are subject to many competing, contradictory and non-health-related determinants. PMID:17181904

  19. Eating green. Consumers' willingness to adopt ecological food consumption behaviors.

    PubMed

    Tobler, Christina; Visschers, Vivianne H M; Siegrist, Michael

    2011-12-01

    Food consumption is associated with various environmental impacts, and consumers' food choices therefore represent important environmental decisions. In a large-scale survey, we examined consumers' beliefs about ecological food consumption and their willingness to adopt such behaviors. Additionally, we investigated in more detail how different motives and food-related attitudes influenced consumers' willingness to reduce meat consumption and to buy seasonal fruits and vegetables. We found consumers believed avoiding excessive packaging had the strongest impact on the environment, whereas they rated purchasing organic food and reducing meat consumption as least environmentally beneficial. Similarly, respondents appeared to be most unwilling to reduce meat consumption and purchase organic food. Taste and environmental motives influenced consumers' willingness to eat seasonal fruits and vegetables, whereas preparedness to reduce meat consumption was influenced by health and ethical motives. Women and respondents who preferred natural foods were more willing to adopt ecological food consumption patterns. PMID:21896294

  20. Changes in Eating Attitudes, Body Esteem and Weight Control Behaviours during Adolescence in a South African Cohort

    PubMed Central

    Gitau, Tabither M.; Micklesfield, Lisa K.; Pettifor, John M.; Norris, Shane A.

    2014-01-01

    Failure to consume an adequate diet or over consumption during adolescence can disrupt normal growth and development, resulting in undesirable weight change. This leads to an increase in unhealthy weight control practices related to eating and exercise among both adolescent girls and boys to meet the societal ‘ideal’ body shape. This study therefore aims to examine the longitudinal changes in eating attitudes, body-esteem and weight control behaviours among adolescents between 13 and 17 years; and, to describe perceptions around body shape at age 17 years. A total of 1435 urban South African black and mixed ancestry boys and girls, who had data at both age 13 and 17 years from the Birth to Twenty cohort were included. Data were collected through self-administered questionnaires on eating attitudes (EAT-26), body esteem and weight control behaviours for either weight loss or muscle gain attempts. Height and weight were measured at both time points and BMI was calculated. Black females had a higher BMI (p<0.001) and an increased risk of developing eating disorders as well as significant increase in the prevalence of weight loss practices between the ages 13 and 17 years. At age 17 years both Mixed ancestry adolescents had lower body-esteem compared to black adolescents. The prevalence of possible eating disorders was 11% and 13.1% in early and late adolescents respectively. Males and females shared similar opinions on normal silhouettes being the ‘best’, ‘getting respect’ and being the ‘happiest’, while the obese silhouette was associated with the ‘worst’ and the ‘unhappiest’, and the underweight silhouette with the “weakest”. Black females had a higher BMI and an increased risk of developing eating disorders. Adolescent females engaged more in weight loss practices whereas, males in muscle gain practices indicating that Western norms of thinness as the ideal are becoming more common in South Africa. PMID:25310343

  1. Changes in eating attitudes, body esteem and weight control behaviours during adolescence in a South African cohort.

    PubMed

    Gitau, Tabither M; Micklesfield, Lisa K; Pettifor, John M; Norris, Shane A

    2014-01-01

    Failure to consume an adequate diet or over consumption during adolescence can disrupt normal growth and development, resulting in undesirable weight change. This leads to an increase in unhealthy weight control practices related to eating and exercise among both adolescent girls and boys to meet the societal 'ideal' body shape. This study therefore aims to examine the longitudinal changes in eating attitudes, body-esteem and weight control behaviours among adolescents between 13 and 17 years; and, to describe perceptions around body shape at age 17 years. A total of 1435 urban South African black and mixed ancestry boys and girls, who had data at both age 13 and 17 years from the Birth to Twenty cohort were included. Data were collected through self-administered questionnaires on eating attitudes (EAT-26), body esteem and weight control behaviours for either weight loss or muscle gain attempts. Height and weight were measured at both time points and BMI was calculated. Black females had a higher BMI (p<0.001) and an increased risk of developing eating disorders as well as significant increase in the prevalence of weight loss practices between the ages 13 and 17 years. At age 17 years both Mixed ancestry adolescents had lower body-esteem compared to black adolescents. The prevalence of possible eating disorders was 11% and 13.1% in early and late adolescents respectively. Males and females shared similar opinions on normal silhouettes being the 'best', 'getting respect' and being the 'happiest', while the obese silhouette was associated with the 'worst' and the 'unhappiest', and the underweight silhouette with the "weakest". Black females had a higher BMI and an increased risk of developing eating disorders. Adolescent females engaged more in weight loss practices whereas, males in muscle gain practices indicating that Western norms of thinness as the ideal are becoming more common in South Africa. PMID:25310343

  2. Environmental influences on small eating behavior change to promote weight loss among Black and Hispanic populations.

    PubMed

    Eldridge, Johanna D; Devine, Carol M; Wethington, Elaine; Aceves, Luz; Phillips-Caesar, Erica; Wansink, Brian; Charlson, Mary E

    2016-01-01

    Small eating behavior changes are proposed as more feasible to achieve and maintain than larger changes used in traditional behavioral weight loss studies. However, it is unclear whether overweight Black and Hispanic adults in a low-income urban setting experience small changes as feasible and what might influence feasibility. Participants' experiences in a 12-week pilot weight loss intervention were explored qualitatively to determine the feasibility of making small eating behavior changes in this population. After the intervention (69% retention), semi-structured interviews with 46 men and women (mean age 51, 50% Non-Hispanic Black, 43% Hispanic) revealed that making small eating changes was a process shaped by participants' intrapersonal and interpersonal eating environments. Participants responded to intrapersonal and interpersonal eating environmental challenges by adapting small change strategies, navigating eating environments, and negotiating household eating practices. Findings highlight how even small eating behavior changes called for adaptation, navigation, and negotiation of complex eating environments in daily life. These findings were used to improve the trial that followed and underline the importance of feasibility studies to inform community trials. Findings also add to understanding of contextual challenges and the skills needed to implement small changes in a low income, ethnic minority population. PMID:26368577

  3. Environmental influences on small eating behavior change to promote weight loss among Black and Hispanic populations

    PubMed Central

    Eldridge, Johanna D.; Devine, Carol M.; Wethington, Elaine; Aceves, Luz; Phillips-Caesar, Erica; Wansink, Brian; Charlson, Mary E.

    2015-01-01

    Small eating behavior changes are proposed as more feasible to achieve and maintain than larger changes used in traditional behavioral weight loss studies. However, it is unclear whether overweight Black and Hispanic adults in a low-income urban setting experience small changes as feasible and what might influence feasibility. Participants' experiences in a 12-week pilot weight loss intervention were explored qualitatively to determine the feasibility of making small eating behavior changes in this population. After the intervention (69% retention), semi-structured interviews with 46 men and women (mean age 51, 50% Non-Hispanic Black, 43% Hispanic) revealed that making small eating changes was a process shaped by participants' intrapersonal and interpersonal eating environments. Participants responded to intrapersonal and interpersonal eating environmental challenges by adapting small change strategies, navigating eating environments, and negotiating household eating practices. Findings highlight how even small eating behavior changes called for adaptation, navigation, and negotiation of complex eating environments in daily life. These findings were used to improve the trial that followed and underline the importance of feasibility studies to inform community trials. Findings also add to understanding of contextual challenges and the skills needed to implement small changes in a low income, ethnic minority population. PMID:26368577

  4. Behavioral predictors of attrition in adolescents participating in a multidisciplinary obesity treatment program: EVASYON study.

    PubMed

    De Miguel-Etayo, P; Muro, C; Santabárbara, J; López-Antón, R; Morandé, G; Martín-Matillas, M; Azcona-San Julián, M C; Martí, A; Campoy, C; Marcos, A; Moreno, L A; Garagorri, J M

    2016-01-01

    The aims of this study were to identify the cognitive and behavioral predictors of dropping out and to estimate the attrition rate during different phases of an intervention program to treat overweight and obesity in adolescents. Overweight/obese adolescents (n=156, aged: 13-16 years; 71 male and 85 female subjects) were included in a multicomponent (diet, physical activity and psychological support) family-based group treatment program. At baseline and after 2 months (intensive phase) and 13 months (extensive phase) of follow-up, we measured adolescents' cognitive and behavioral dimensions, together with the parents' perception of their child's behavior. Of the 156 adolescents selected, 112 completed the full program (drop-out rate of 28.2%). The risk of dropping out during the extensive phase increased by 20% for each unit increase in the adolescent's social insecurity score (odds ratio=1.20, 95% confidence interval=1.07-1.34, P=0.002). The adolescents who had a high interoceptive awareness showed a significant decrease of 13.0% in the probability of dropping out (odds ratio=0.87, 95% confidence interval=0.77-0.99, P=0.040). Adolescents' social insecurity was the main predictor of drop-out in a multicomponent family-group-based obesity treatment program. To reduce attrition rates in these programs, the individual's social insecurity level needs to be reduced, whereas the family's awareness of eating-related behavior needs adjustment. PMID:26381348

  5. The endocannabinoid system: directing eating behavior and macronutrient metabolism

    PubMed Central

    Watkins, Bruce A.; Kim, Jeffrey

    2015-01-01

    For many years, the brain has been the primary focus for research on eating behavior. More recently, the discovery of the endocannabinoids (EC) and the endocannabinoid system (ECS), as well as the characterization of its actions on appetite and metabolism, has provided greater insight on the brain and food intake. The purpose of this review is to explain the actions of EC in the brain and other organs as well as their precursor polyunsaturated fatty acids (PUFA) that are converted to these endogenous ligands. The binding of the EC to the cannabinoid receptors in the brain stimulates food intake, and the ECS participates in systemic macronutrient metabolism where the gastrointestinal system, liver, muscle, and adipose are involved. The EC are biosynthesized from two distinct families of dietary PUFA, namely the n-6 and n-3. Based on their biochemistry, these PUFA are well known to exert considerable physiological and health-promoting actions. However, little is known about how these different families of PUFA compete as precursor ligands of cannabinoid receptors to stimulate appetite or perhaps down-regulate the ECS to amend food intake and prevent or control obesity. The goal of this review is to assess the current available research on ECS and food intake, suggest research that may improve the complications associated with obesity and diabetes by dietary PUFA intervention, and further reveal mechanisms to elucidate the relationships between substrate for EC synthesis, ligand actions on receptors, and the physiological consequences of the ECS. Dietary PUFA are lifestyle factors that could potentially curb eating behavior, which may translate to changes in macronutrient metabolism, systemically and in muscle, benefiting health overall. PMID:25610411

  6. Disordered Eating in a Digital Age: Eating Behaviors, Health, and Quality of Life in Users of Websites With Pro-Eating Disorder Content

    PubMed Central

    Wilson, Jenny L; Litt, Iris F; Hardy, Kristina K; Lock, James D; Mann, Julia R; Borzekowski, Dina LG

    2012-01-01

    Background Much concern has been raised over pro-eating disorder (pro-ED) website communities, but little quantitative research has been conducted on these websites and their users. Objective To examine associations between levels of pro-ED website usage, disordered eating behaviors, and quality of life. Methods We conducted a cross-sectional, Internet-based survey of adult pro-ED website users. Main outcomes were Eating Disorder Examination Questionnaire (EDE-Q) and Eating Disorder Quality of Life (EDQOL) scores. Results We included responses from 1291 participants; 1254 (97.13%) participants were female. Participants had an average age of 22.0 years and a mean body mass index of 22.1 kg/m2; 24.83% (296/1192) were underweight; 20.89% (249/1192) were overweight or obese. Over 70% of participants had purged, binged, or used laxatives to control their weight; only 12.91% (163/1263) were in treatment. Mean EDE-Q scores were above the 90th percentile and mean EDQOL scores were in the severely impaired range. When compared with moderate and light usage, heavy pro-ED website usage was associated with higher EDE-Q global (4.89 vs 4.56 for medium and 4.0 for light usage, P < .001) and EDQOL total scores (1.64 vs 1.45 for medium and 1.25 for light usage, P < .001), and more extreme weight loss behaviors and harmful post-website usage activities. In a multivariate model, the level of pro-ED website usage remained a significant predictor of EDE-Q scores. Conclusions Pro-ED website visitors reported many disordered eating behaviors, although few had been treated. Heavy users reported poorer quality of life and more disordered eating behaviors. PMID:23099628

  7. Cognitive-behavioral therapy and nutritional counseling in the treatment of bulimia nervosa and binge eating.

    PubMed

    Latner, J D; Wilson, G T

    2000-09-01

    The goals of manual-based cognitive-behavioral therapy (CBT) and nutritional counseling for eating disorders are similar, namely, eliminating dysfunctional patterns of eating. Modifying these behaviors requires specific therapeutic expertise in the principles and procedures of behavior change that is not typically part of the training of nutritionists and dieticians or mental health professionals without specific expertise. We discuss ways in which principles of behavior change can be applied to eating disorders by non-CBT experts. Specific nutritional rehabilitation programs have the potential to augment CBT in addressing the array of appetitive abnormalities present in eating disorder patients. The dysfunctional appetitive, hedonic, and metabolic characteristics of patients with bulimia nervosa (BN) and binge eating disorder are reviewed. These abnormalities constitute potential target areas that might be more fully addressed by nutritional interventions designed to restore normal appetitive function. PMID:15001063

  8. The Relationship between Sexual Abuse and a Bulimic Behavior: Findings from Community-Wide Surveys of Female Adolescents.

    ERIC Educational Resources Information Center

    Perkins, Daniel F.; Luster, Tom

    Reviews of the pertinent literature reveal a lack of consensus as to whether there is an association between sexual abuse history and eating disorders. Therefore, an examination of the relationship between sexual abuse and a bulimic behavior (purging) in a large sample of female adolescents was undertaken. Answers taken from a sample of 8,680…

  9. Which dieters are at risk for the onset of binge-eating? A prospective study of adolescents and young adults

    PubMed Central

    Goldschmidt, Andrea B.; Wall, Melanie; Loth, Katie A.; Le Grange, Daniel; Neumark-Sztainer, Dianne

    2011-01-01

    Purpose Dieting is a well-established risk factor for binge-eating, yet the majority of dieters do not develop binge-eating problems. The purpose of the current study was to examine psychosocial factors involved in the relation between dieting and binge-eating over a 10-year follow-up period. Methods A population-based sample (n=1,827) completed surveys assessing eating habits, psychological functioning, and weight status at 5-year intervals spanning early/middle adolescence (Time 1), late adolescence/early young adulthood (Time 2) and early/middle young adulthood (Time 3). Dieting, along with depression symptoms, self-esteem, and teasing experiences at Time 1 and Time 2 were used to predict new onset binge-eating at Time 2 and Time 3, respectively. Interactions between dieting status and varying degrees of these psychosocial factors in relation to binge-eating onset were also tested. Results Dieters were 2–3 times more likely than non-dieters to develop binge-eating problems over 5-year follow-ups. At most time-points, depression symptoms and self-esteem predicted binge-eating onset beyond the effects of dieting alone. Detrimental levels of these factors among dieters (relative to non-dieters) increased the likelihood of binge-eating onset only during the latter follow-up period. Conclusions Depression and self-esteem appear to be particularly salient factors involved in the relation between dieting and binge-eating onset among adolescents and young adults. Early identification of these factors should be a priority in order to prevent the development of binge-eating problems among already at-risk individuals. PMID:22727082

  10. Maternal and Adolescent Temperament as Predictors of Maternal Affective Behavior during Mother-Adolescent Interactions

    ERIC Educational Resources Information Center

    Davenport, Emily; Yap, Marie B. H.; Simmons, Julian G.; Sheeber, Lisa B.; Allen, Nicholas B.

    2011-01-01

    This study examined maternal and early adolescent temperament dimensions as predictors of maternal emotional behavior during mother-adolescent interactions. The sample comprised 151 early adolescents (aged 11-13) and their mothers (aged 29-57). Adolescent- and mother-reports of adolescent temperament and self-reports of maternal temperament were…

  11. Interoceptive sensitivity, body weight and eating behavior in children: a prospective study

    PubMed Central

    Koch, Anne; Pollatos, Olga

    2014-01-01

    Previous research indicates that interindividual differences in the ability to perceive one's own bodily signals (interoceptive sensitivity, IS) are associated with disordered eating behavior and weight problems. But representative and prospective data in children are lacking and therefore, the exact nature of these observed associations remains unclear. Data on IS measured by heartbeat perception ability in 1657 children between 6 and 11 years of age were collected on the basis of two measurement points with a year distance in time. Stability of the construct and its prospective association with different food approach behaviors [assessed via parent questionnaires (Children's Eating Behavior Questionnaire and Dutch Eating Behavior Questionnaire)] as well as with weight status were analyzed via structural equation modeling. Main results were that only in overweight children external and emotional eating behavior were predictive for later IS, whereas no such relation was found in normal weight children. There was no direct relation between IS and body mass index. For the first time, we could show that eating behavior and IS in middle childhood are prospectively related to each other. But surprisingly, our data indicate that altered interoceptive processes rather follow than precede non-adaptive eating behavior patterns in overweight children. This suggests a possible crucial role of faulty learning mechanisms in eating behavior early in life, undermining the later confidence in one's body. PMID:25250006

  12. Validity of the Greek Eating Disorder Examination Questionnaire 6.0 (EDE-Q-6.0) among Greek adolescents.

    PubMed

    Pliatskidou, S; Samakouri, M; Kalamara, E; Papageorgiou, E; Koutrouvi, K; Goulemtzakis, C; Nikolaou, E; Livaditis, M

    2015-01-01

    The aim of this study is to examine the validity of the Greek version of the Eating Disorder Examination Questionnaire 6.0 (EDE-Q-6.0) in a sample of adolescent pupils. EDE-Q is a self- report instrument that assesses attitudes and behaviors related to Eating Disorders (EDs). A two-stage identification protocol has been applied to the 16 schools that agreed to participate in the present study. Initially, 2058 adolescents, in class under the supervision of one research assistant and one teacher, completed a Questionnaire on socio-demographic data, the Greek EDE-Q-6.0 and the Greek Eating Attitudes Test (EAT-26) while their weight and height were measured. Six-hundred and twenty six participants, who had scores on EAT-26≥20 and/or were underweight or overweight, were considered as "possible-cases" while the remaining 1432 pupils of the sample were thought as "non-possible cases". At the second stage, parents of 66 of the participants identified as possible-cases as well as parents of 72 participants from 358 controls randomly selected from the sample of "non-possible cases" agreed that their children would be examined by means of Best Estimate Diagnostic Procedure. Participants meeting DSM-IV-TR Eating Disorders criteria were identified. Receiver Operating Characteristics (ROC) analysis was applied to reveal EDE-Q's criterion validity. The kappa statistic test was used as measure of agreement between categorical variables at EDE-Q and at interview (the presence of objective binge eating episode, of self-induced vomiting, the use of laxatives and of excessive exercise). The Discriminant and Convergent validity were assessed using the non-parametric Mann-Whitney U test and by means of the Spearman's correlation coefficient, respectively. Nineteen cases of EDs were identified [one case of Anorexia Nervosa (AN), 13 cases of Eating Disorder Not Otherwise Specified (EDNOS), 5 cases of Binge Eating Disorder (BED)]. At the cut off point of 2.6125 on the EDE-Q's global

  13. Subjective and objective binge eating in relation to eating disorder symptomatology, depressive symptoms, and self-esteem among treatment-seeking adolescents with bulimia nervosa.

    PubMed

    Fitzsimmons-Craft, Ellen E; Ciao, Anna C; Accurso, Erin C; Pisetsky, Emily M; Peterson, Carol B; Byrne, Catherine E; Le Grange, Daniel

    2014-07-01

    This study investigated the importance of the distinction between objective (OBE) and subjective binge eating (SBE) among 80 treatment-seeking adolescents with bulimia nervosa. We explored relationships among OBEs, SBEs, eating disorder (ED) symptomatology, depression, and self-esteem using two approaches. Group comparisons showed that OBE and SBE groups did not differ on ED symptoms or self-esteem; however, the SBE group had significantly greater depression. Examining continuous variables, OBEs (not SBEs) accounted for significant unique variance in global ED pathology, vomiting, and self-esteem. SBEs (not OBEs) accounted for significant unique variance in restraint and depression. Both OBEs and SBEs accounted for significant unique variance in eating concern; neither accounted for unique variance in weight/shape concern, laxative use, diuretic use, or driven exercise. Loss of control, rather than amount of food, may be most important in defining binge eating. Additionally, OBEs may indicate broader ED pathology, while SBEs may indicate restrictive/depressive symptomatology. PMID:24852114

  14. Reciprocal prospective associations between disordered eating and other psychological problems in a community sample of Swedish adolescent girls.

    PubMed

    Viborg, Njördur; Wångby-Lundh, Margit; Lundh, Lars-Gunnar

    2014-01-01

    Disordered eating and its associations with psychological difficulties and body satisfaction were prospectively studied in a community sample of 13-15 year old adolescent girls (N=428). General psychological difficulties (including hyperactivity-inattention) and lower levels of body satisfaction at T1 were found to predict disordered eating at follow-up one year later (T2). Furthermore, reciprocal associations were found between disordered eating and psychological difficulties (but not body dissatisfaction) so that disordered eating at T1 predicted general psychological difficulties (including hyperactivity-inattention) at T2. The results support the notion of a vicious interplay between disordered eating and other subclinical psychological problems, which may represent a potential mechanism for the development of clinically significant eating disorders. It is suggested that it could be important to identify these kinds of bidirectional processes at an early stage, in order to prevent further developments of clinical forms of psychopathology. PMID:24411769

  15. Negative affect as a mediator of the relationship between weight-based teasing and binge eating in adolescent girls.

    PubMed

    Suisman, Jessica L; Slane, Jennifer D; Burt, S Alexandra; Klump, Kelly L

    2008-12-01

    Previous research has established a link between weight-based teasing and binge eating, though the precise mechanisms that drive this relationship remain unknown. This study examined negative affect as a mediator of the relationship between weight-based teasing and binge eating. Participants included 265 adolescent female twins (aged 10-15 years). Self-report measures assessed binge eating, weight-based teasing, and negative affect. Mediation was tested within hierarchical linear models to control for the non-independence of the twin data. Significant positive associations were observed between binge eating, teasing, and negative affect. In the regression analyses, negative affect partially mediated associations between weight-based teasing and binge eating. Results suggest that increases in negative affect are one way in which weight-based teasing leads to binge eating in girls. Future studies should examine additional mediators and assess possible clinical applications of these findings. PMID:18928913

  16. The Impact of a Behavioral Weight Management Program on Disordered Eating Attitudes and Behaviors in Overweight Children

    PubMed Central

    Janicke, David M.; Sallinen, Bethany J.

    2010-01-01

    Background Behavioral interventions targeting overweight children have been successful in facilitating weight loss; however, there is concern that these programs produce disordered eating attitudes among youth. Objective The purpose was to (1) to determine if overweight youth receiving one of two behavioral interventions were more likely to report an increase in disordered eating attitudes over time compared to a waitlist control; and (2) to determine psychosocial predictors of eating disordered attitudes at six-month follow-up. Design Participants were randomized to one of two behavioral lifestyle interventions or a waitlist control. Data was collected at baseline, post-treatment, and six-month follow-up. Participants/Setting Participants were 68 overweight youths, ages 8–13, and their parent(s) who lived in rural north central Florida. The project ran from January 2006 to January 2008. Intervention Each treatment condition consisted of 12 group sessions over 16 weeks. Main outcome measures Parents completed a demographic form and the Child Feeding Questionnaire. Children completed the Children's Eating Attitudes Test, Schwartz Peer Victimization Scale, and Children's Body Image Scale. Statistical Analyses Performed Mixed 2×2 ANOVAs were used to examine the effect of treatment on eating attitudes. Hierarchical linear regression was used to assess whether baseline levels of psychosocial variables predicted disordered eating attitudes at follow-up, controlling for baseline eating attitudes and treatment condition. Results Youth who participated in the behavioral interventions did not report significant increases in disordered eating attitudes over time compared to the waitlist control. Across all conditions, higher levels of body dissatisfaction, peer victimization, parent restrictive feeding practices and concern for child weight at baseline predicted higher levels of disordered eating attitudes at follow-up. Conclusion These findings do not provide evidence

  17. Links of Adolescent- and Parent-Reported Eating in the Absence of Hunger with Observed Eating in the Absence of Hunger

    PubMed Central

    Shomaker, Lauren B.; Tanofsky-Kraff, Marian; Mooreville, Mira; Reina, Samantha A.; Courville, Amber B.; Field, Sara E.; Matheson, Brittany E.; Brady, Sheila M.; Yanovski, Susan Z.; Yanovski, Jack A.

    2012-01-01

    Objective Eating in the absence of hunger (EAH) typically is assessed by measuring snack intake after consumption of a meal. There are no validated self-report measures of EAH. We sought to examine the relationship of adolescent self-report and parent-reported EAH to adolescents’ measured intake in the absence of hunger. Design and Methods Ninety adolescents completed the Eating in the Absence of Hunger Questionnaire for Children and Adolescents (EAH-C) to describe eating when not hungry. Parents described children’s EAH on a parallel version designed for parents (EAH-P). In a randomized crossover study, adolescent EAH in response to external cues was measured as snack intake after a lunch meal standardized to provide 50% of daily energy requirements and after a large array (>10,000 kcal). Results Parents’ reports of children’s EAH in response to external cues were associated with greater EAH after both meals, adjusting for body composition, sex, age, race, puberty, and meal intake. Adolescent-reported EAH was unrelated or showed an inverse association with observed EAH. Conclusions Parent-reported EAH showed a positive association with adolescents’ observed EAH and may be a useful research and clinical tool for assessing EAH in response to external cues in conditions when laboratory assessments are not feasible. PMID:23913735

  18. Knowledge, Attitude, and Behaviors Related to Eating Out among University Students in China

    PubMed Central

    Hu, Ping; Huang, Wenjie; Bai, Ruixue; Zhang, Fan; Sharma, Manoj; Shi, Zumin; Xiao, Xiaoqiu; Abdullah, Abu S.; Zhao, Yong

    2016-01-01

    In many countries the frequency of eating out has steadily increased over the last few decades, and this behavioris often associated with unhealthy dietary patterns. This study aimed to describe the levels of knowledge, attitude, and behaviors (KAB) related to eating out among university students. A cross-sectional study was conducted in the college town in Chongqing, China with a total of 1634 participants. The mean eating out related KAB scores were: knowledge 11.5 ± 2.9, attitude 17.0 ± 2.8, and behaviors 24.2 ± 4.8 (possible total scores: 20, 24, 40 respectively). As the level of knowledge increased, the percentage of highly satisfactory attitude and behaviors increased. Only 10% of the participants did not eat out for lunch and dinner during weekends in the last month. Gender, ethnicity, mother’s education, monthly boarding expenses, living place during the study, and the frequency of eating out for breakfast were statistically associated with the scores of KAB. In conclusion, Chinese junior students had poor knowledge of and behaviors towards eating out and ate out frequently. Educational interventionsto improve knowledge related eating out are needed in order to promote healthy eating out behaviors among Chinese university students. PMID:27420075

  19. Eating behaviors of children in the context of their family environment

    PubMed Central

    Kral, Tanja V.E.; Rauh, Erin M.

    2010-01-01

    Both a family history of obesity and early childhood obesity have been identified as strong predictors of adult obesity risk. The finding that parental obesity, maternal obesity in particular, increases a child’s risk for developing obesity suggests that either shared genes, or environment, or likely a combination of both may promote overeating and excessive weight gain in children. Parents not only create food environments for children’s early experiences with food and eating, but they also influence their children’s eating by modeling their own eating behaviors, taste preferences, and food choices. Thus, it is important to identify intermediary behavioral eating traits which promote overeating and obesity in children and to determine the extent to which associations between eating traits and excessive weight gain in children may be influenced by genetic factors, environmental factors, or both. Behavioral genetic methods can be used to help partition genetic and environmental sources of variability in behavioral traits. The focus of this paper is to review and discuss findings from both short-term experimental and prospective cohort studies on eating behaviors of children at various stages in their lives. Select child eating traits and parent-child resemblances in eating will be further examined in the context of children’s home environment and their familial predisposition to obesity. PMID:20457172

  20. Eating Behavior Dimensions: Associations With Energy Intake And Body Weight: A Review

    PubMed Central

    French, Simone A.; Epstein, Leonard H; Jeffery, Robert W.; Blundell, John E.; Wardle, Jane

    2012-01-01

    The purpose of this review is to spark integrative thinking in the area of eating behaviors by critically examining research on exemplary constructs in this area. The eating behaviors food responsiveness, enjoyment of eating, satiety responsiveness, eating in the absence of hunger, reinforcing value of food, eating disinhibition and impulsivity/self-control are reviewed in relation to energy intake, body mass index and weight gain over time. Each of these constructs has been developed independently, and little research has explored the extent to which they overlap or whether they differentially predict food choices, energy intake and weight gain in the naturalistic environment. Most available data show positive cross-sectional associations with body mass index, but fewer studies report associations with energy intake or food choices. Little prospective data are available to link measures of eating behaviors with weight gain. Disinhibition has the largest and most consistent body of empirical data that link it prospectively with weight gain. An overarching conceptual model to integrate the conceptual and empirical research base for the role of eating behavior dimensions in the field of obesity research would highlight potential patterns of interaction between individual differences in eating behaviors, specific aspects of the individual’s food environment and individual variation in state levels of hunger and satiety. PMID:22796186

  1. Knowledge, Attitude, and Behaviors Related to Eating Out among University Students in China.

    PubMed

    Hu, Ping; Huang, Wenjie; Bai, Ruixue; Zhang, Fan; Sharma, Manoj; Shi, Zumin; Xiao, Xiaoqiu; Abdullah, Abu S; Zhao, Yong

    2016-01-01

    In many countries the frequency of eating out has steadily increased over the last few decades, and this behavioris often associated with unhealthy dietary patterns. This study aimed to describe the levels of knowledge, attitude, and behaviors (KAB) related to eating out among university students. A cross-sectional study was conducted in the college town in Chongqing, China with a total of 1634 participants. The mean eating out related KAB scores were: knowledge 11.5 ± 2.9, attitude 17.0 ± 2.8, and behaviors 24.2 ± 4.8 (possible total scores: 20, 24, 40 respectively). As the level of knowledge increased, the percentage of highly satisfactory attitude and behaviors increased. Only 10% of the participants did not eat out for lunch and dinner during weekends in the last month. Gender, ethnicity, mother's education, monthly boarding expenses, living place during the study, and the frequency of eating out for breakfast were statistically associated with the scores of KAB. In conclusion, Chinese junior students had poor knowledge of and behaviors towards eating out and ate out frequently. Educational interventionsto improve knowledge related eating out are needed in order to promote healthy eating out behaviors among Chinese university students. PMID:27420075

  2. Adolescence: booze, brains, and behavior.

    PubMed

    Monti, Peter M; Miranda, Robert; Nixon, Kimberly; Sher, Kenneth J; Swartzwelder, H Scott; Tapert, Susan F; White, Aaron; Crews, Fulton T

    2005-02-01

    This article represents the proceedings of a symposium at the 2004 Research Society on Alcoholism meeting in Vancouver, British Columbia, Canada, organized and chaired by Peter M. Monti and Fulton T. Crews. The presentations and presenters were (1) Introduction, by Peter M. Monti; (2) Adolescent Binge Drinking Causes Life-Long Changes in Brain, by Fulton T. Crews and Kim Nixon; (3) Functional Neuroimaging Studies in Human Adolescent Drinkers, by Susan F. Tapert; (4) Abnormal Emotional Reactivity as a Risk Factor for Alcoholism, by Robert Miranda, Jr.; (5) Alcohol-Induced Memory Impairments, Including Blackouts, and the Changing Adolescent Brain, by Aaron M. White and H. Scott Swartzwelder; and (6) Discussion, by Kenneth Sher. PMID:15714044

  3. Is eating behavior manipulated by the gastrointestinal microbiota? Evolutionary pressures and potential mechanisms

    PubMed Central

    Alcock, Joe; Maley, Carlo C; Aktipis, C Athena

    2014-01-01

    Microbes in the gastrointestinal tract are under selective pressure to manipulate host eating behavior to increase their fitness, sometimes at the expense of host fitness. Microbes may do this through two potential strategies: (i) generating cravings for foods that they specialize on or foods that suppress their competitors, or (ii) inducing dysphoria until we eat foods that enhance their fitness. We review several potential mechanisms for microbial control over eating behavior including microbial influence on reward and satiety pathways, production of toxins that alter mood, changes to receptors including taste receptors, and hijacking of the vagus nerve, the neural axis between the gut and the brain. We also review the evidence for alternative explanations for cravings and unhealthy eating behavior. Because microbiota are easily manipulatable by prebiotics, probiotics, antibiotics, fecal transplants, and dietary changes, altering our microbiota offers a tractable approach to otherwise intractable problems of obesity and unhealthy eating. PMID:25103109

  4. Adolescents Engaging in Risky Sexual Behavior: Sexual Activity and Associated Behavioral Risk Factors in Bolivian Adolescents

    ERIC Educational Resources Information Center

    Novilla, M. Lelinneth B.; Dearden, Kirk A.; Crookston, Benjamin T.; De La Cruz, Natalie; Hill, Susan; Torres, Scott B.

    2006-01-01

    This study describes the prevalence of risky sexual activities among Bolivian adolescents within the context of other behavioral factors that contribute to compromised health outcomes, unintended pregnancies, and sexually transmitted infections including HIV/AIDS. Data was collected from 576 adolescents, 13-18 years of age, from six schools in La…

  5. Adolescent Temperament: Childhood Problem Precursors and Problem Behavior Correlates.

    ERIC Educational Resources Information Center

    Windle, Michael

    Interrelations between childhood behavior problems and adolescent temperament, and between adolescent temperament and problem behaviors, were studied. A sample of 311 adolescents with an average age of 15.7 years completed self-report measures regarding behavior problems before age 13, temperament, alcohol consumption, alcohol-related problems,…

  6. Short-term intensive family therapy for adolescent eating disorders: 30-month outcome.

    PubMed

    Marzola, Enrica; Knatz, Stephanie; Murray, Stuart B; Rockwell, Roxanne; Boutelle, Kerri; Eisler, Ivan; Kaye, Walter H

    2015-05-01

    Family therapy approaches have generated impressive empirical evidence in the treatment of adolescent eating disorders (EDs). However, the paucity of specialist treatment providers limits treatment uptake; therefore, our group developed the intensive family therapy (IFT)-a 5-day treatment based on the principles of family-based therapy for EDs. We retrospectively examined the long-term efficacy of IFT in both single-family (S-IFT) and multi-family (M-IFT) settings evaluating 74 eating disordered adolescents who underwent IFT at the University of California, San Diego, between 2006 and 2013. Full remission was defined as normal weight (≥ 95% of expected for sex, age, and height), Eating Disorder Examination Questionnaire (EDE-Q) global score within 1 SD of norms, and absence of binge-purging behaviours. Partial remission was defined as weight ≥ 85% of expected or ≥ 95% but with elevated EDE-Q global score and presence of binge-purging symptoms (<1/week). Over a mean follow-up period of 30 months, 87.8% of participants achieved either full (60.8%) or partial remission (27%), while 12.2% reported a poor outcome, with both S-IFT and M-IFT showing comparable outcomes. Short-term, intensive treatments may be cost-effective and clinically useful where access to regular specialist treatment is limited. PMID:25783849

  7. Body-related sport and exercise motives and disturbed eating attitudes and behaviours in adolescents.

    PubMed

    Maïano, Christophe; Morin, Alexandre J S; Lanfranchi, Marie-Christine; Therme, Pierre

    2015-07-01

    Motives underlying sport and exercise involvement have recently been hypothesized as potential factors influencing the positive association between sports/exercises involvement and disturbed eating attitudes and behaviours (DEAB) among adolescents. Nevertheless, very few studies have examined this hypothesis or the moderating role of gender, context of practice, performance levels and sport type on these relationships. In this study, these questions were addressed among 168 male and 167 female French adolescents involved in various types, contexts and performance levels of sport and exercise. Participants were asked to indicate their main motives for involvement in sport practice and to self-report DEAB (generic DEAB, vomiting-purging behaviours, and eating-related control) on a French adaptation of the Eating Attitudes Test-26. The results shared positive associations between body-related sport and exercise motives and most of the DEAB subscales. Furthermore, they show that the relationship between body-related sport and exercise motives and Vomiting-Purging Behaviours differs according to involvement in individual and competitive sports and exercises. PMID:25974271

  8. Relationship between needs driving eating occasions and eating behavior in midlife women

    PubMed Central

    Sudo, Noriko; Degeneffe, Dennis; Vue, Houa; Ghosh, Koel; Reicks, Marla

    2009-01-01

    The purpose of this cross-sectional study was to determine the relationship between type of eating occasion based on need state segments experienced by 200 midlife women (46 ± 6 years) and food group, nutrient, and energy intake. Women completed an Eating Occasion Questionnaire for 3 eating occasions over a 3-day period for which they maintained diet records. Cluster analysis segmented 559 eating occasions into six need states. Energy, total fat, and cholesterol consumption per occasion were highest in “routine family meal” occasions of which more than 60% were dinner and eaten at home with their children. The percentage of eating occasions in which fruits/vegetables were eaten was also highest in “routine family meal,” followed by “healthy regimen.” More than half of “indulgent escape” eating occasions occurred away from home and about one-third were experienced as a snack. Saturated fat and sweets intakes were the highest in the “indulgent escapes” occasions. Eating occasions experienced by women according to needs surrounding the occasion should be considered when developing tailored interventions to improve intake. PMID:18835412

  9. Sexual Behavior Disorders in Adolescents.

    ERIC Educational Resources Information Center

    Erickson, William D.

    The paper reviews the literature on sexual delinquency in male and female adolescents and considers guidelines for effective intervention in nonspecialized treatment programs. A section on sexual delinquency in females touches on prostitution and incest, while a section on males notes the changing composition of the sexually delinquent population.…

  10. Comprehensive examination of the trans-diagnostic cognitive behavioral model of eating disorders in males.

    PubMed

    Dakanalis, Antonios; Timko, C Alix; Clerici, Massimo; Zanetti, M Assunta; Riva, Giuseppe

    2014-01-01

    The Trans-diagnostic Model (TM) of eating pathology describes how one or more of four hypothesized mechanisms (i.e., mood intolerance, core low self-esteem, clinical perfectionism and interpersonal difficulties) may interrelate with each other and with the core psychopathology of eating disorders (i.e., over-evaluation of weight and shape) to maintain the disordered behaviors. Although a cognitive behavioral treatment based on the TM has shown to be effective in treating eating disorders, the model itself has undergone only limited testing. This is the first study to both elaborate and test the validity of the TM in a large sample (N=605) of undergraduate men. Body mass index was controlled within structural equation modeling analyses. Although not all expected associations for the maintenance variables were significant, overall the validity of the model was supported. Concern about shape and weight directly led to exercise behaviors. There was a direct path from binge eating to exercise and other forms of compensatory behaviors (i.e., purging); but no significant path from restriction to binge eating. Of the maintaining factors, mood intolerance was the only maintaining variable directly linked to men's eating disorder symptoms. The other three maintaining factors of the TM indirectly impacted restriction through concerns about shape and weight, whereas only interpersonal difficulties predicted low self-esteem and binge eating. Potential implications for understanding and targeting eating disturbances in men are discussed. PMID:24411752

  11. Counseling College Women Experiencing Eating Disorder Not Otherwise Specified: A Cognitive Behavior Therapy Model

    ERIC Educational Resources Information Center

    Choate, Laura H.

    2010-01-01

    Eating disorder not otherwise specified (EDNOS; American Psychiatric Association, 2000) is, by far, the most common eating disorder that college counseling professionals encounter among their female clients. Empirical evidence and best practice guidelines support use of cognitive behavior therapy (CBT) with women experiencing EDNOS. This article…

  12. Eating Behavior of Overweight and Nonoverweight Persons in the Natural Environment

    ERIC Educational Resources Information Center

    LeBow, Michael D.; And Others

    1977-01-01

    Eating behaviors of 34 overweight and 37 nonoverweight male and female customers of a quick-service diner were observed for differences in speed of eating as a function of weight, sex, and type of meal selected. Overweight take fewer bites and chews. (Author)

  13. Alcohol Use, Eating Patterns, and Weight Behaviors in a University Population

    ERIC Educational Resources Information Center

    Nelson, Melissa C.; Lust, Katherine; Story, Mary; Ehlinger, Ed

    2009-01-01

    Objective: To explore associations between alcohol, alcohol-related eating, and weight-related health indicators. Methods: Cross-sectional, multivariate regression of weight behaviors, binge drinking, and alcohol-related eating, using self-reported student survey data (n = 3206 undergraduates/graduates). Results: Binge drinking was associated with…

  14. Cognitive Behavioral Guided Self-Help for the Treatment of Recurrent Binge Eating

    ERIC Educational Resources Information Center

    Striegel-Moore, Ruth H.; Wilson, G. Terence; DeBar, Lynn; Perrin, Nancy; Lynch, Frances; Rosselli, Francine; Kraemer, Helena C.

    2010-01-01

    Objective: Despite proven efficacy of cognitive behavioral therapy (CBT) for treating eating disorders with binge eating as the core symptom, few patients receive CBT in clinical practice. Our blended efficacy-effectiveness study sought to evaluate whether a manual-based guided self-help form of CBT (CBT-GSH), delivered in 8 sessions in a health…

  15. Prevalence of distorted body image in young Koreans and its association with age, sex, body weight status, and disordered eating behaviors

    PubMed Central

    Hong, Seong-Chul; Jung, Young-Eun; Kim, Moon-Doo; Lee, Chang-In; Hyun, Mi-Yeul; Bahk, Won-Myong; Yoon, Bo-Hyun; Lee, Kwang Heun

    2015-01-01

    Purpose To define the prevalence of distorted body image in 10–24-year-old Koreans and determine its relationship with sex, age, body weight status, and disordered eating behaviors. Methods A total of 3,227 young Koreans were recruited from elementary, middle, and high schools, as well as from universities. The participants completed a self-reported questionnaire on body image, eating behaviors (Eating Attitude Test-26), and body weight status. Results The prevalence of a distorted body image in males was 49.7% and that in females was 51.2%. Distorted body image was more frequent in adolescents (age, 10–17 years) than in young adults (age, 18–24 years). The highest prevalence (55.3%) was reported in female elementary school students (age, 10–12 years). Distorted body image was associated with disordered eating behaviors and abnormal body weight status. Conclusion These results suggest that distorted body image is a public health problem, given its high frequency in young Koreans, and that it is associated with abnormal body weight status and disordered eating behaviors. PMID:25914537

  16. [FEATURES OF EATING BEHAVIOR IN PERSONS WITH NORMAL AND INCREASED BODY WEIGHT].

    PubMed

    Shevchenko, Yu; Vesnina, L; Kaydashev, I

    2015-01-01

    Using the Dutch Eating Behavior Questionnaire (DEBQ) and Three-factor Eating Questionnaire-R18 (TFEQ-RI8), we defined the peculiarities of eating behavior and their impact on quality of life in young people aged 18-25 years. All participants were divided into two groups according to body mass index (BMI). The control group included 41 persons with normal body weight (BMI 18.5-24.9 kg/m2). The group of young adults with increased body weight (BMI over 25 kg/M2) consisted of 27 persons. We found eating behavior disorders in 85,19 % of overweight people and in 41,46 % of persons with normal weight. The restrictive eating behaviors as well as a significant percentage of violations by external type had predominated in overweight individuals by the structure of disorders. The external and restrictive types of eating behavior disorders were predominated in persons with normal weight. Investigation of quality of life using the SF-36 questionnaire showed a significantly decline in the physical role functioning and pain. Index of general physical health component, being not high enough in both groups, was significantly lower in overweight people with 52.70 points against 56.11. We concluded that the eating behavior disorders in persons with normal weight and in overweight people required an individual approach to forming healthy lifestyle and fixing broken food stereotype. It will counteract the further increase of body weight and contribute to improving the quality of life. PMID:26495736

  17. Effect of gender and school level on disordered eating behaviours and attitudes in Mexican adolescents.

    PubMed

    Mancilla-Díaz, J M; López-Aguilar, X; Franco-Paredes, K; Alvarez-Rayón, G; Vázquez-Arévalo, R; Trinidad Ocampo Téllez-Girón, M

    2009-12-01

    The aim of this study was to assess eating behaviours and attitudes in a community sample of 615 adolescent Mexican students recruited at a middle school (192 boys and 226 girls; mean age +/- standard deviation 13.56+/-0.09) and high school (90 boys and 107 girls; mean age 16.04+/-0.12 years), who completed the Eating Attitudes Test (EAT), the Bulimia Test (BULIT) and the Body Shape Questionnaire (BSQ). Multiple analysis of variance revealed the significant effect of gender on the negative feelings, body dissatisfaction, drive of thinness and perceived social pressure subscales, and school level on the body dissatisfaction and food preoccupation subscales. Among the high school girls, the gender x school level interaction had a significant effect on negative feelings, body dissatisfaction, drive of thinness, food preoccupation and perceived social pressure subscales. These data support previous findings concerning gender, and also suggest that perceived social pressure in the case of girls and food preoccupation in the case of boys could be important factors in the natural development of eating disorders. PMID:20179402

  18. Diagnostic Classification of Eating Disorders in Children and Adolescents: How Does DSM-IV-TR Compare to Empirically-Derived Categories?

    ERIC Educational Resources Information Center

    Eddy, Kamryn T.; Le Grange, Daniel; Crosby, Ross D.; Hoste, Renee Rienecke; Doyle, Angela Celio; Smyth, Angela; Herzog, David B.

    2010-01-01

    Objective: The purpose of this study was to empirically derive eating disorder phenotypes in a clinical sample of children and adolescents using latent profile analysis (LPA), and to compare these latent profile (LP) groups to the DSM-IV-TR eating disorder categories. Method: Eating disorder symptom data collected from 401 youth (aged 7 through 19…

  19. Parents' Perceived Barriers to Healthful Eating and Physical Activity for Low-Income Adolescents Who Are at Risk for Type 2 Diabetes

    ERIC Educational Resources Information Center

    Peterson, Sharon L.; Bell, Toya Wilson; Hasin, Afroza

    2009-01-01

    Healthful eating and regular physical activity are vitally important for low-income adolescents who are at risk for developing type 2 diabetes (T2DM). To design a relevant, community-based intervention for these at risk adolescents, parent perceptions of barriers to healthful eating and physical activity should be assessed. Such barriers have been…

  20. Consumer behaviors towards ready-to-eat foods based on food-related lifestyles in Korea.

    PubMed

    Bae, Hyun-Joo; Chae, Mi-Jin; Ryu, Kisang

    2010-08-01

    The purpose of this study was to examine consumers' behaviors toward ready-to-eat foods and to develop ready-to-eat food market segmentation in Korea. The food-related lifestyle and purchase behaviors of ready-to-eat foods were evaluated using 410 ready-to-eat food consumers in the Republic of Korea. Four factors were extracted by exploratory factor analysis (health-orientation, taste-orientation, convenience-orientation, and tradition-orientation) to explain the ready-to eat food consumers' food-related lifestyles. The results of cluster analysis indicated that "tradition seekers" and "convenience seekers" should be regarded as the target segments. Chi-square tests and t-tests of the subdivided groups showed there were significant differences across marital status, education level, family type, eating-out expenditure, place of purchase, and reason for purchase. In conclusion, the tradition seekers consumed more ready-to-eat foods from discount marts or specialty stores and ate them between meals more often than the convenience seekers. In contrast, the convenience seekers purchased more ready-to-eat foods at convenience stores and ate them as meals more often than the tradition seekers. These findings suggest that ready-to-eat food market segmentation based on food-related lifestyles can be applied to develop proper marketing strategies. PMID:20827350