Appearance vs. health motives for exercise and for weight loss

Objective

This study had three primary aims: (1) to investigate differences between restrained and unrestrained eaters in their reasons for exercise and their motives for losing weight; (2) to investigate the association of appearance and health motives for exercise and for losing weight with body image concerns; and (3) to determine whether appearance motives for exercise and for losing weight mediate the link between internalized societal standards of attractiveness and body image concerns.

Design

Cross-sectional survey.

Method

205 women completed measures of dietary restraint, reasons for exercise, motivation for losing weight, internalization of societal standards of attractiveness, and body image concerns.

Results

Unrestrained eaters were more motivated to exercise and to lose weight for health reasons than for appearance reasons, whereas restrained eaters were equally motivated by appearance and health reasons. Appearance-based motives for exercising and for losing weight were positively associated with body image concerns, whereas health-related reasons for exercise were negatively associated with body image concerns. Furthermore, in a multiple mediation analysis, appearance motives for weight loss mediated the relation between internalization of societal standards of attractiveness and body image concerns, but appearance reasons for exercise did not.

Conclusion

These findings indicate that appearance-based motives for exercise and weight loss are associated with negative outcomes. Efforts to promote exercise and weight management should emphasize the health benefits rather than the implications for appearance.     

Inspiration or deflation? Feeling similar or dissimilar to slim and plus-size models affects self-evaluation of restrained eaters

The present studies examined the effect of perceiving images of slim and plus-size models on restrained eaters’ self-evaluation. While previous research has found that such images can lead to either inspiration or deflation, we argue that these inconsistencies can be explained by differences in perceived similarity with the presented model. The results of two studies (ns = 52 and 99) confirmed this and revealed that restrained eaters with high (low) perceived similarity to the model showed more positive (negative) self-evaluations when they viewed a slim model, compared to a plus-size model. In addition, Study 2 showed that inducing in participants a similarities mindset led to more positive self-evaluations after viewing a slim compared to a plus-size model, but only among restrained eaters with a relatively high BMI. These results are discussed in the context of research on social comparison processes and with regard to interventions for protection against the possible detrimental effects of media images.     

Eating regulation and bulimic symptoms: the differential correlates of health-focused and appearance-focused eating regulation

Based on Self-Determination Theory, this study aimed to gain further insight in the pathway from eating regulation to bulimic symptoms by (a) examining diet-specific need frustration as an intervening mechanism, (b) investigating the associations between different types of goals underlying eating regulation and diet-specific need frustration and bulimic symptoms, and (c) considering body dissatisfaction as an antecedent of eating regulation and eating regulation goals. In a sample of 244 female adolescents, SEM analyses showed that (a) the association between eating regulation and bulimic symptoms can be accounted for by need frustration, (b) appearance-focused and health-focused eating regulation are associated differentially with need frustration and bulimic symptoms, and (c) body dissatisfaction is related positively to eating regulation and appearance-focused eating regulation. These findings suggest that the goals underlying one's eating regulation and the concept of need frustration help to understand when and why eating regulation is associated with bulimic symptoms.     

The effect on a child of a mother who though physically present was emotionally unavailable

In this paper I put forward a hypothesis on a particular psycho-sexual determinant of anorexia nervosa in adolescent girls. I begin with an overview of existing literature which examines anorexia from psychiatric, demographic, medical, historical and psychoanalytic viewpoints. Drawing on the theories of Freud, Klein, Winnicott and Bion, and building on previous thinking, I posit a specific disturbance in the psychic development of the adolescent girl. I suggest that this amounts to her rebellion against the psychic onset of her future maternal capacities for reverie and containment. I link this disturbance to a pathological mother-daughter relationship and illustrate my hypothesis with a clinical account of intensive, long-term work with an adolescent girl. The high motivation and vivid dream material of this patient make for a particularly rewarding study.     

Relations Among Milk and Non-Milk Beverage Consumption, Calcium, and Relative Weight in High-Weight Status Children

Relations among weight, calcium, and milk have received considerable attention, but inconsistencies remain regarding strength and direction of associations. Calcium, milk, other beverages, and weight status associations were examined among children >75th BMI percentile from three studies. Results indicated negative relations between z-BMI and non-whole milk and calcium in one sample, with lower z-BMI and percent body fat among older children drinking any non-whole milk. In one older child sample, z-BMI and percent body fat were higher for whole milk consumers. The only significant relation observed for other beverages was the negative association between juice and percent body fat in younger children. Milk, calcium, and child weight status associations are inconsistent, and appear dependent on milk type and child age.     

Clarifying the role of impulsivity in dietary restraint: A structural equation modeling approach

This study was designed to clarify the relationship between the four dimensions of impulsivity in Whiteside and Lynam’s (2001) model and the two aspects of dietary restraint (Concern for Dieting and Weight Fluctuation) in a non-clinical sample. Data were collected from a volunteer community sample (N = 216) of women who responded to two self-report instruments related to impulsivity (UPPS Impulsive Behavior Scale, Whiteside & Lynam, 2001) and dietary restraint (Restraint Scale, Polivy, Herman, & Warsh, 1978). A structural equation model was tested. The model provided a good fit to the data (χ²/df = 1.64, p < .0001, RMSEA = 0.054, 90% CI = 0.050–0.058, p-value for test of close fit (RMSEA > 0.05) = .035) and revealed that Concern for Dieting was positively related to Urgency (standardized β = 0.25, p < .01). Weight Fluctuation was related to lack of Perseverance (standardized β = 0.25, p < .01) and tended to relate to Sensation Seeking (standardized β = 0.17, p = .056). Urgency and lack of Perseverance were found to play a significant role in predicting Concern for Dieting and Weight Fluctuation.     

Subtyping children and adolescents with loss of control eating by negative affect and dietary restraint

OBJECTIVE: Research suggests that subtyping adults with binge eating disorders by dietary restraint and negative affect predicts comorbid psychopathology, binge eating severity, and treatment outcome. Little research has explored the validity and clinical utility of subtyping youth along these dimensions. METHOD: Children (aged 8-18 years) reporting loss of control eating (n=159) were characterized based upon measures of dietary restraint and negative affect using cluster analysis, and then compared regarding disordered eating attitudes and behaviors, and parent-reported behavior problems. RESULTS: Robust subtypes characterized by dietary restraint (n=114; 71.7%) and dietary restraint/high negative affect (n=45; 28.3%) emerged. Compared to the former group, the dietary restraint/high negative affect subtype evidenced increased shape and weight concerns, more frequent binge eating episodes, and higher rates of parent-reported problems (all ps<0.05). CONCLUSION: Similar to findings from the adult literature, the presence of negative affect may mark a more severe variant of loss of control eating in youth. Future research should explore the impact of dietary restraint/negative affect subtypes on psychiatric functioning, body weight, and treatment outcome.     

Racial/ethnic differences in Body Mass Index: the roles of beliefs about thinness and dietary restriction

The greater BMI of African American relative to Caucasian women is implicated in racial/ethnic disparities in health outcomes. The principal aim of the current study was to evaluate a theoretical account of racial/ethnic differences in BMI. Thin-ideal internalization, the perceived romantic appeal of thinness, dietary restriction, weight, and height were assessed via self-report measures on a sample of female undergraduates of African American (n = 140) and Caucasian (n = 676) race/ethnicity. Using structural equation modeling, support was obtained for the primary hypothesis that racial/ethnic differences in BMI are explained by Caucasian women's greater thin-ideal internalization and perceived romantic appeal of thinness, thereby resulting in greater levels of dietary restriction. Current findings illustrate the potential for racial/ethnic differences in sociocultural standards of appearance to influence racial/ethnic disparities in physical health, of which BMI is a marker, via effects on weight control behavior.     

Parents’ experiences of family food routines in adolescent elite-level swimming

ObjectiveParents have an important role in their child’s food routines and eating behaviour and face additional demands when that child is an athlete. Yet little is known about how parents manage providing food for their athletic child, in addition to the wider family, within the context of elite-level youth sport.MethodsSemi-structured interviews were conducted with sixteen parents (mothers = 11; fathers = 5) of elite level adolescent swimmers (i.e., competing at UK national level or above; child mean age = 15.4 years) to explore their experiences of family food routines and eating behaviour. Reflexive Thematic Analysis was used to analyse the data.ResultsParents outlined the importance of ‘optimal’ fuelling for their athletic child. Parents had an active role in their child’s eating behaviour and shaping their food choices but expressed uncertainty regarding the volume of food their child should consume and concerns regarding their child’s future relationship with food. Meticulous organisational and logistical strategies were employed to meet the extensive food requirements of their adolescent elite swimmer in the face of intensive training schedules. Such schedules also impacted food routines for the wider family (i.e., fewer family mealtimes), and on the quality of parents’ own diets.ConclusionThe findings highlight that clearer guidance is needed for parents of elite adolescent swimmers in relation to quantities of food intake and how to support a positive future relationship with food (specifically during any periods of transition in their training or out of the sport). The findings also identify a novel organisational stressor for parents in elite youth sport, in managing and prioritising their own diet. Further research is needed to explore the extent to which parental diet may be impacted by supporting an adolescent athlete.