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Age and Body Satisfaction Predict Diet Adherence in Adolescents with Inflammatory Bowel Disease
Authors:Christina H Vlahou  Lindsey L Cohen  Amanda M Woods  Jeffrey D Lewis  Benjamin D Gold
Institution:(1) Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta, GA, USA;(2) Department of Psychology, Georgia State University, Atlanta, GA, USA;(3) Children’s Center for Digestive Health Care, LLC., Atlanta, GA, USA;(4) Division of Gastroenterology, Emory Children’s Center, Emory University School of Medicine, Atlanta, GA, USA
Abstract:The aim of the current study was to determine whether age and body satisfaction predict dietary adherence in adolescents with Inflammatory Bowel Disease (IBD), and whether older females are less adherent than younger males and females. Forty-four participants aged 10–21 with IBD were recruited. Participants provided informed consent and demographics. Body satisfaction was measured by a questionnaire and a task in which participants selected their current and ideal body image out of silhouettes depicting bodies ranging from underweight to obese. Adherence was measured by marking a 100 mm visual analog scale, the 1-week completion of a dietary log, and a questionnaire evaluating coping strategies used for overcoming obstacles to dietary adherence. Age was related to dietary adherence, with younger children being more likely to adhere. Participants more satisfied with their body reported better dietary adherence. Findings remained consistent across multiple measures of body satisfaction and adherence. Healthcare providers and parents should be informed of these findings in order to improve adherence.
Keywords:Inflammatory bowel disease  Body satisfaction  Diet adherence  Pediatric psychology
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