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Weight-Related Concerns and Behaviors Among Overweight and Nonoverweight Adolescents: Implications for Preventing Weight-Related Disorders
Abstract
OBJECTIVES: To assess weight-related concerns and behaviors in a population-based sample of adolescents and to compare these concerns and behaviors across sex and weight status. DESIGN: The study population included 4746 adolescents from St Paul or Minneapolis, Minn, public schools who completed surveys and anthropometric measurements as part of Project EAT (Eating Among Teens), a population-based study focusing on eating patterns and weight concerns among teenagers. MAIN OUTCOME MEASURES: Measured weight status, weight-related concerns (perceived weight status, weight disparity, body satisfaction, and care about controlling weight), and weight-related behaviors (general and specific weight control behaviors and binge eating). RESULTS: Weight-related concerns and behaviors were prevalent among the study population. Although adolescents were most likely to report healthy weight control behaviors (adolescent girls, 85%; and adolescent boys, 70%), also prevalent were weight control behaviors considered to be unhealthy (adolescent girls, 57%; and adolescent boys, 33%) or extreme (adolescent girls, 12%; and adolescent boys, 5%). Most overweight youth perceived themselves as overweight and reported the use of healthy weight control behaviors during the past year. However, the use of unhealthy and extreme weight control behaviors and binge eating were alarmingly high among overweight youth, particularly adolescent girls. Extreme weight control practices (taking diet pills, laxatives, or diuretics or vomiting) were reported by 18% of very overweight adolescent girls, compared with 6% of very overweight adolescent boys (body mass index, > OR = 95th percentile). CONCLUSION: Prevention interventions that address the broad spectrum of weight-related disorders, enhance skill development for behavioral change, and provide support for dealing with potentially harmful social norms are warranted in light of the high prevalence and co-occurrence of obesity and unhealthy weight-related behaviors.
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Citations
Cited by
Hampl, S. E., Hassink, S. G., Skinner, A. C., Armstrong, S. C., Barlow, S. E., Bolling, C. F., Avila Edwards, K. C., Eneli, I., Hamre, R., Joseph, M. M., et al. (2023) · Pediatrics · doi:10.1542/peds.2022-060640 · Cited by 1,389
Neumark-Sztainer, D., Wall, M., Guo, J., Story, M., Haines, J., & Eisenberg, M. (2006) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2006.01.003 · Cited by 939
Self-citationFlynn, M. A. T., McNeil, D. A., Maloff, B., Mutasingwa, D., Wu, M., Ford, C., & Tough, S. C. (2006) · Obesity Reviews · doi:10.1111/j.1467-789x.2006.00242.x · Cited by 925
Kumanyika, S. K., Obarzanek, E., Stettler, N., Bell, R., Field, A. E., Fortmann, S. P., Franklin, B. A., Gillman, M. W., Lewis, C. E., Poston, W. C., et al. (2008) · Circulation · doi:10.1161/circulationaha.108.189702 · Cited by 636
Food Preparation by Young Adults Is Associated with Better Diet Quality
Larson, N. I., Perry, C. L., Story, M., & Neumark-Sztainer, D. (2006) · Journal of the American Dietetic Association · doi:10.1016/j.jada.2006.09.008 · Cited by 584
Self-citationPaxton, S. J., Eisenberg, M. E., & Neumark-Sztainer, D. (2006) · Developmental Psychology · doi:10.1037/0012-1649.42.5.888 · Cited by 415
Self-citationAckard, D. M., Eisenberg, M. E., & Neumark-Sztainer, D. (2007) · The Journal of Pediatrics · doi:10.1016/j.jpeds.2007.04.034 · Cited by 327
Self-citationDieting and weight cycling as risk factors for cardiometabolic diseases: Who is really at risk?
Montani, J. ‐., Schutz, Y., & Dulloo, A. G. (2015) · Obesity Reviews · doi:10.1111/obr.12251 · Cited by 257
Disordered eating attitudes and behaviors in overweight youth
Goldschmidt, A. B., Aspen, V. P., Sinton, M. M., Tanofsky‐Kraff, M., & Wilfley, D. E. (2008) · Obesity · doi:10.1038/oby.2007.48 · Cited by 257
Invited commentary: Why body image is important to adolescent development
Markey, C. N. (2010) · Journal of Youth and Adolescence · doi:10.1007/s10964-010-9510-0 · Cited by 246
Muscle-enhancing behaviors among adolescent girls and boys
Eisenberg, M. E., Wall, M., & Neumark-Sztainer, D. (2012) · Pediatrics · doi:10.1542/peds.2012-0095 · Cited by 197
Self-citationColton, P. A., Olmsted, M. P., Daneman, D., Farquhar, J. C., Wong, H., Muskat, S., & Rodin, G. M. (2015) · Diabetes Care · doi:10.2337/dc14-2646 · Cited by 165
Personal, Behavioral, and Environmental Risk and Protective Factors for Adolescent Overweight
Haines, J., Neumark‐Sztainer, D., Wall, M., & Story, M. (2007) · Obesity · doi:10.1038/oby.2007.327 · Cited by 156
Self-citationDevelopment and aetiology of body dissatisfaction in adolescent boys and girls
Dion, J., Blackburn, M.-E., Auclair, J., Laberge, L., Veillette, S., Gaudreault, M., Vachon, P., Perron, M., & Touchette, É. (2015) · International Journal of Adolescence and Youth · doi:10.1080/02673843.2014.985320 · Cited by 141
“As found in other studies (Eaton et al., 2008; Neumark-Sztainer et al., 2002, 2011), moderate weight control behaviours (e.g. reducing sugar and fat intake) were more common than extreme ones (e.g. skipping meals, using laxatives, purging).”
BackgroundResultHeinicke, B. E., Paxton, S. J., McLean, S. A., & Wertheim, E. H. (2007) · Journal of Abnormal Child Psychology · doi:10.1007/s10802-006-9097-9 · Cited by 125
Ranzenhofer, L. M., Engel, S. G., Crosby, R. D., Anderson, M., Vannucci, A., Cohen, L. A., Cassidy, O., & Tanofsky‐Kraff, M. (2014) · International Journal of Eating Disorders · doi:10.1002/eat.22333 · Cited by 107
The clinical significance of loss of control over eating in overweight adolescents
Goldschmidt, A. B., Jones, M., Manwaring, J. L., Luce, K. H., Osborne, M. I., Cunning, D., Taylor, K. L., Doyle, A. C., Wilfley, D. E., & Taylor, C. B. (2008) · International Journal of Eating Disorders · doi:10.1002/eat.20481 · Cited by 93
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Yoon, C., Mason, S. M., Hooper, L., Eisenberg, M. E., & Neumark-Sztainer, D. (2020) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2019.08.012 · Cited by 70
Self-citationUnhealthy weight control behaviors among adolescents
Vander Wal, J. S. (2012) · Journal of Health Psychology · doi:10.1177/1359105311409787 · Cited by 65
Disordered Eating in Women: Implications for the Obesity Pandemic
Urquhart, C. S., & Mihalynuk, T. V. (2011) · Canadian Journal of Dietetic Practice and Research · doi:10.3148/72.1.2011.50 · Cited by 49
Ranzenhofer, L. M., Engel, S. G., Crosby, R. D., Haigney, M., Anderson, M., McCaffery, J. M., & Tanofsky‐Kraff, M. (2016) · International Journal of Eating Disorders · doi:10.1002/eat.22464 · Cited by 42
Leme, A. C. B., Baranowski, T., Thompson, D., Nicklas, T., & Philippi, S. T. (2018) · Preventive Medicine Reports · doi:10.1016/j.pmedr.2018.04.013 · Cited by 29
Metadata
- Authors
- Neumark-Sztainer, D., Story, M., Hannan, P. J., Perry, C. L., & Irving, L. M.
- Venue
- Archives of Pediatrics & Adolescent Medicine
- Publisher
- American Medical Association (AMA)
- Published
- 2002-02-01
- Volume
- 156
- Issue
- 2
- Pages
- 171
- ISSN
- 1072-4710 (ISSN-L)
- OpenAlex
- W2072668406
- Cited by
- 605
- References
- 0
- FWCI
- 16.22
- Type
- journal article
- Language
- en
- Open access
- closed
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