Factors associated with eating behavior in pre-adolescents

The goals of this study are the preliminary Spanish adaptation and validation of the following questionnaires: the Children's Eating Attitudes Test (ChEAT), the Lawrence Self-Esteem Questionnaire (LAWSEQ) and the Body Esteem Scale (BES). In addition, we studied bodily self-esteem in pre-adolescent children, and their possible relation to certain eating attitudes and general self-esteem. This study is cross-sectional, analytical and observational. The sample was made up of 457 participants, 55.14% boys and 44.86% girls aged between 8 and 12 (M = 10.14, SD = 1.30). A multivariate analysis of variance (Age x Sex) was carried out with the total scores of LAWSEQ, ChEAT, BES, BIA and BMI. Cronbach's alpha reliability coefficient was .76, .80, and .67 for ChEAT, BES, and LAWSEQ, respectively. The boys presented significantly higher total scores in the ChEAT than the girls. Of the sample, 10.4% (n = 45) scored over the cut-off point of the ChEAT: These subjects presented lower general and bodily self-esteem, a slimmer ideal image and a greater discrepancy between their real self and their social self.     

Dieting behavior in Norwegian adolescents

In a sample of Norwegian adolescents (n = 1117) 27, 4% of the girls and 9% of the boys reported that they were dieting. Using multiple regression analyses, we were able to predict 50% of girls dieting behavior and 24% of boys dieting behavior. Psychological concerns relating to weight and eating (WEC) as well as perceptions of feeling fatter than others were the only significant predictors of dieting in girls, whilst dieting in boys could also be predicted by their Body Mass Index. Dieting girls who scored high on the Weight and Eating Concerns Inventory were found to suffer constipation and binge eating attacks more often than other dieting girls. This was taken as an indication that these girls were at risk of developing an eating disorder.     

Effects of body fat on weight concerns, dating, and sexual activity: a longitudinal analysis of black and white adolescent girls.

Using data from a 2-year longitudinal study of 200 Black and White adolescent girls (mean age was 13.8 years at study entry), the authors investigated the implications of differences in body fat for dating and sexual activity and the implications of heterosexual activity for dieting and weight concerns. Among White girls, and Black girls with college-educated mothers, more body fat was associated with a lower probability of dating, even among nonobese girls. However, dating and sexual experience were unrelated to subsequent dieting and weight concerns. For both Blacks and Whites, body fat was the key determinant of dieting, weight dissatisfaction, and eating concerns. These findings indicate that adolescent girls' concerns about weight have a basis in real experiential differences, and efforts to promote healthy attitudes and eating habits may be more effective if the experiential implications of weight differences are taken into account.     

Adolescent girls' and boys' weight-related health behaviors and cognitions: associations with reputation- and preference-based peer status.

In this study, the authors examined associations between preference- and reputation-based peer status and weight-related behaviors and cognitions for both adolescent boys and girls. Sociometric measures of peer like-ability and peer-perceived popularity, as well as self-reported measures of body size, dieting behavior, and weight-related cognitions were collected from a sample of 441 adolescents in Grades 11 and 12. Results revealed weight-related cognitions for girls (concerning obesity) and boys (concerning musculature/fitness). Peer-perceived popularity, but not like-ability, was significantly associated with both boys' and girls' body size and dieting. Lower levels of popularity were associated with heavier body shapes for girls and with both thin and heavier body shapes for boys. Findings suggest that peer status is an important source of social reinforcement associated with weight-related behaviors and cognitions.     

Body Size Beliefs and Weight Concerns Among Mothers and Their Adolescent Children

African American and White mother/adolescent pairs were examined for familial associations in body size and weight concerns. Mothers' and adolescents' estimates of adolescents' body mass index (BMI) were significantly correlated. Compared to boys, girls had greater body dissatisfaction, higher weight concerns, and perceived higher family/friend weight concerns. By race, White adolescents had more body dissatisfaction and greater concern about weight than African American adolescents. Four items explained 70.4% of the variance in adolescents' weight concern scores: adolescents' weight management practices, mothers' reports of adolescents' saying they were too fat, adolescents' perceptions of family/friends' weight concerns, and adolescents' body dissatisfaction. Our study suggests White girls are more concerned about their weight and perceive greater weight and dieting concerns among family/friends than African American girls.     

Body image and eating attitudes among adolescent Chinese girls in Hong Kong

The study investigated the relation between body image and eating attitudes among adolescent girls in Hong Kong. A sample of 358 senior secondary school girls completed the measures assessing body-part satisfaction and behaviors associated with eating. Analysis indicated that even though only 4.8% of the girls were overweight, 85.16% desired to weigh less. These Chinese teenage girls were concerned about their weight, and the desire for slimness was widespread. Correlations indicated that higher Body Mass Index was associated with lower satisfaction with weight. Lower scores on weight satisfaction were associated with higher scores on attitudes of dieting and food preoccupation.     

Male and female body image and dieting in the context of intimate relationships.

The influence of family and peers on dieting and body image is well known, but, despite the centrality of romantic partnerships in the lives of adults, little research has investigated dieting and body image in the context of intimate relationships. This study investigated unhealthy dieting (e.g., skipping meals, vomiting), healthy dieting (e.g., reducing calories, reducing or eliminating snacks), and body satisfaction in intimate relationships in 57 predominantly unmarried couples, who were recruited in a college setting. The within-participant findings replicated prior research showing that women with higher self-esteem and lower depressive symptoms were more satisfied with their own bodies and dieted less. Controlling for body mass index and the relevant self-perceptions of each partner, the across-partner associations showed that men who had more depressive symptoms and were less satisfied with their relationships had female partners who dieted more and were less satisfied with their bodies. In contrast, men dieted more when their female partners had higher self-esteem and fewer depressive symptoms. These results suggest that psychological processes in intimate relationships are linked with dieting and body satisfaction but that these links are different for men and for women.     

Peer influences on body dissatisfaction and dieting awareness in young girls

Aim. This study aimed to explore the role of peer influences in the development of body dissatisfaction and dieting awareness in young girls. Method. A sample of 81 girls (aged 5–8 years) were recruited from the first 3 years of formal schooling. Girls were individually interviewed. Body dissatisfaction was assessed by means of figure rating preferences, and dieting awareness by responses to a brief scenario. A number of sources of peer influence were also assessed. Results. Year 2 girls were found to display significantly greater body dissatisfaction than younger girls. All girls, irrespective of age, preferred a similar thin ideal figure. Year level constituted the only significant predictor of dieting awareness, with older girls demonstrating a greater understanding of dieting than younger girls. Importantly, girls' perception of their peers' body dissatisfaction emerged as the strongest predictor of their own level of body dissatisfaction. Conclusions. Body dissatisfaction in girls first emerges during the junior primary school years, between ages 5 and 7 years, and appears to be a function of shared peer norms for thinness.     

Gender differences in eating behavior and body weight regulation

Gender differences in food intake and selection first appear in adolescence. Men consume more calories than women, and the sexes have different eating styles, which indicate that women have been socialized to eat in a more feminine manner. Women experience more food-related conflict than men do, in that they like fattening foods but perceive that they should not eat them. Pressures to be thin are present in early adolescence, as noted by dieting behavior starting in very young girls. Women experience more dissatisfaction with their body weight and shape than men do. Sociocultural and psychological factors may be important in the etiology of eating disorders, which are much more prevalent in females than in males. Thus, further studies of gender differences in eating behavior will be important for understanding the etiology of eating and body-weight disorders and for designing gender-appropriate treatments.     

Prospective predictors of body dissatisfaction in adolescent girls and boys: a five-year longitudinal study

This study investigated prospective risk factors for increases in body dissatisfaction in adolescent girls and boys in the Eating Among Teens Project. At the time of first assessment (Time 1), participants were a cohort of early adolescent girls (N=440) and boys (N=366) and a cohort of middle adolescent girls (N=946) and boys (N=764). Participants were followed up 5 years later (Time 2). Potential prospective risk factors examined included body mass index, socioeconomic status, ethnicity, parent dieting environment, peer environment, and psychological factors. Predictors of Time 2 body dissatisfaction were Time 1 body dissatisfaction, body mass index, socioeconomic status, being African American, friend dieting and teasing, self-esteem, and depression. However, the profile of predictors differed across the samples.     

Latent structure of dieting among female high-school students in Japan

The purpose of the present study was (1) to clarify whether individuals could be classified in terms of dieting using latent class analyses; and (2) to review the resulting classes were related to body dissatisfaction, body mass index, depressive mood, and binge eating. The present sample comprises 441 Japanese high-school girls. The optimal solution consisted of three latent classes: (1) unhealthy dieter (27%); (2) healthy dieter (39%); and (3) nondieter (34%). Inclusion in the unhealthy dieter class was predicted by body dissatisfaction and the girls in this class showed a high frequency of binge eating, while that in the other classes was not associated with any variable. This study identifies three classes with regard to dieting among female high-school students in Japan.     

Dieting behaviors, body shape perceptions, and body satisfaction: cross-cultural differences in Argentinean and Swedish 13-year-olds

This exploratory study represents a cross-cultural effort to examine differences in dieting practices and weight loss attempts, perceived body shape, and body satisfaction between young Argentinean and Swedish adolescents. The study group consisted of 358 Argentinean (193 girls, 165 boys) and 874 Swedish (474 girls, 400 boys) 13-year-olds. A main finding was that Argentinean and Swedish adolescents did not differ on body satisfaction, although girls in both countries displayed greater body dissatisfaction than did boys. Dieting and weight loss attempts were more prevalent among the Argentinean adolescents, especially among girls, and did not appear to depend on overweight or perception of body shape. The samples also differed in their perceptions of body shape and the effect those perceptions had on their body satisfaction, with Swedish adolescents suffering more from negative body shape perceptions.     

Examination of a model of multiple sociocultural influences on adolescent girls' body dissatisfaction and dietary restraint

This study examined the perceived role of three types of sociocultural agents (peers, parents, and media) in influencing body dissatisfaction and dietary restraint in adolescent girls. Participants were 577 grade 10 girls from six schools who completed questionnaires in class and had height and weight measured. Two path analyses resulted in a similar pattern. While current body size strongly predicted ideal body size and body dissatisfaction, perceived influence of multiple sociocultural agents regarding thinness also had a direct relationship with body ideal and dissatisfaction. Dietary restraint was predicted directly from body dissatisfaction and sociocultural influences. Peers, parents, and media varied in their perceived influence. The findings support the idea that those girls who show the most body dissatisfaction and dietary restraint live in a subculture supporting a thin ideal and encouraging dieting.     

Using stop signals to inhibit chronic dieters' responses toward palatable foods

Palatable foods in the environment can unintentionally trigger reactions to obtain them, which may interfere with dieting attempts. We tested a strategy to facilitate dieting behavior that makes use of behavioral stop signals that should instantly inhibit chronic dieters’ responses toward palatable foods. Participants performed a go/no-go task in which go cues and no-go cues (i.e., the behavioral stop signals) were presented with pictures of palatable foods and control objects. In Study 1, we tested the immediate behavioral effect of presenting stop signals near palatable foods in a reaction time paradigm. In Study 2 we assessed consumption of palatable food that had either consistently been associated with no-go cues, or not. Results show that no-go cues instantly inhibited responses toward palatable foods especially among chronic dieters. Moreover, across a one day period chronic dieters consumed less of a food that had consistently been associated with no-go cues. Stop signals thus appear a promising tool for chronic dieters to control behavior to palatable foods, and we discuss the merits and potential applications of this tool for facilitating dieting behavior.     

Associations Between Multiple Types of Stress and Disordered Eating Among Girls and Boys in Middle School

Stress is common during adolescence, yet no known studies have linked particular types of stress (performance, relationship, education, financial, and family) with disordered eating among adolescents in middle school. The present study investigated sex differences in types of stress and how multiple types of stress were associated with girls’ and boys’ body dissatisfaction, dieting behaviors, and bulimic symptoms. We found that girls reported higher levels of stress than boys and that different associations between stress and disordered eating existed for girls and boys. We also examined a path model for both sexes such that stress first led to body dissatisfaction, which then led to dieting and finally bulimic symptoms. Our model was supported for girls with performance, relationship, and family stress driving the process. For boys, all five types of stress were associated with body dissatisfaction, which was linked with dieting; however, the relation between dieting and bulimic symptoms was not significant. Future research and therapy should focus on the unique experiences of each sex in order to gain a better understanding of the processes involved in coping with stress and promoting healthy development.     

Associations between Race and Eating Disorder Symptom Trajectories in Black and White Girls

Epidemiological research suggests racial differences in the presentation of eating disorder symptoms. However, no studies have examined associations between race and eating disorder symptom trajectories across youth and adolescence, which is necessary to inform culturally sensitive prevention programs. The purpose of the current study was to examine the trajectories of eating disorder symptoms from childhood to young adulthood and to examine whether race was associated with trajectory group membership. Data were drawn from 2,305 Black and White girls who participated in a community-based longitudinal cohort study (Pittsburgh Girls Study) examining the development of psychopathology. The child and adult versions of the Eating Attitudes Test assessed self-reported eating disorder symptoms at six time points between ages 9 and 21 years. Growth mixture modeling was used to examine developmental trajectories of dieting, bulimia/food preoccupation, and total eating disorder symptom scores. Given potential confounds with race and disordered eating, financial strain (i.e., receiving public assistance) and weight were included as covariates. Four to six distinct developmental patterns were found across eating disorder symptoms, including none, increasing, decreasing, or increasing-decreasing trajectories. Black girls had a greater likelihood of being in the decreasing trajectories for dieting, bulimia/food preoccupation, and total eating disorder symptom scores. White girls were more likely to follow increasing trajectories of dieting and total eating disorder symptom scores compared to Black girls. These results highlight the importance of examining the influence of racial background on eating disorder symptoms and the potential need for differences in the timing and focus of prevention interventions in these groups.     

Eating behaviour, body image, and self-esteem of adolescent girls in Malaysia

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.     

The role of peer influence on girls’ body dissatisfaction and dieting

IntroductionPeer influence is considered a global construct, although the effects of its various dimensions on body dissatisfaction and dieting via internalisation of the thin ideal and social comparison have yet to be analysed.ObjectiveThe aim of this study was to analyse how the different dimensions of peer influence (i.e., perception of teasing, appearance conversation with friends and peer attributions about the importance of appearance with regard to popularity) affect body dissatisfaction and dieting.MethodA total of 298 Italian adolescent girls and young women completed a questionnaire assessing different dimensions of peer influence, internalisation of the thin ideal, social comparison, body dissatisfaction and dieting.ResultsThe results indicated that peer attributions and appearance conversations with friends affect body dissatisfaction and dieting through internalisation and social comparison. Teasing had a direct effect on girls’ dissatisfaction levels.ConclusionsThe current findings have important preventive and treatment implications. Preventive interventions should not target sociocultural influences as a whole, rather they should analyse the specific dimensions of peer influence, with consideration for the degree to which girls internalise sociocultural messages and engage in social comparison.     

Weight attitudes in 3- to 5-year-old children: Age differences and cross-sectional predictors

We examined weight attitudes in 118 3- to 5-year-old girls and boys. Children completed an interview in which they were asked to select a figure to represent a child with positive or negative characteristics from an array of figures varying from very thin to large, and also a figure representing their own perceived size. Mothers’ body dissatisfaction, internalization of the thin ideal and dieting were assessed. Children chose larger figures to represent negative compared to positive characteristics. The figure size selected for negative characteristics was significantly greater in 5- than 3-year-olds but there was no age variation in figure size selected for positive characteristics. Children's own perceived body size positively predicted the figure size selected for positive characteristics. Maternal body image attitudes predicted figure size selection for both positive and negative characteristics. Findings suggest children's social environments are important in the development of negative and positive weight attitudes.     

Gastric pathology and aphagia following lateral hypothalamic lesions in rats: effects of preoperative weight reduction.

The body weights of male albino rats were reduced gradually to 80% of normal body weight by resricting food intake (dieting), and then the rats were given lateral hypothalamic (LH) lesions. Compared with rats of normal body weight sustaining similar brain lesions, the dieted group displayed a shorter period of postoperative aphagia and less gastric pathology. In a second experiment, a group of rats was reduced to 80% of normal body weight by withholding all food (fasting) and then given LH lesions. Compared with dieted rats sustaining similar brain damage, the fasted group displayed a longer period of post operative aphagia and greater gastric pathology. Since the duration of aphagia could be shortened or lengthened by simple manipulations of preoperative body weight, the adequacy of sensorimotor or motivational hypotheses to account for aphagia is questioned. The results are more consistent with the suggestion that gastric abnormalities produced by LH lesions inhibit eating.