Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: how do dieters fare 5 years later?
Abstract
Objective To determine if adolescents who report dieting and different weight-control behaviors are at increased or decreased risk for gains in body mass index, overweight status, binge eating, extreme weight-control behaviors, and eating disorders 5 years later.Design Population-based 5-year longitudinal study.Participants Adolescents (N=2,516) from diverse ethnic and socioeconomic backgrounds who completed Project EAT (Eating Among Teens) surveys in 1999 (Time 1) and 2004 (Time 2).Main outcome measures Weight status, binge eating, extreme weight control, and self-reported eating disorder.Statistical analysis Multiple linear and logistic regressions.Results Adolescents using unhealthful weight-control behaviors at Time 1 increased their body mass index by about 1 unit more than adolescents not using any weight-control behaviors and were at approximately three times greater risk for being overweight at Time 2 (odds ratio [OR]=2.7 for girls; OR=3.2 for boys). Adolescents using unhealthful weight-control behaviors were also at increased risk for binge eating with loss of control (OR=6.4 for girls; OR=5.9 for boys) and for extreme weight-control behaviors such as self-induced vomiting and use of diet pills, laxatives, and diuretics (OR=2.5 for girls; OR=4.8 for boys) 5 years later, compared with adolescents not using any weight-control behaviors.Conclusions Dieting and unhealthful weight-control behaviors predict outcomes related to obesity and eating disorders 5 years later. A shift away from dieting and drastic weight-control measures toward the long-term implementation of healthful eating and physical activity behaviors is needed to prevent obesity and eating disorders in adolescents.
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Females with high versus low scores on dietary restraint scales are at greater risk for future onset of binge eating, bulimic symptoms, and bulimia nervosa.
“Consistent with dietary restraint theory, females with high versus low scores on dietary restraint scales are at greater risk for future onset of binge eating, bulimic symptoms, and bulimia nervosa”
From Caloric deprivation increases responsivity of attention and reward brain regions to intake, anticipated intake, and images of palatable foods (2013) · cites this paper as Neumark-Sztainer et al., 2006
Maladaptive eating behaviors in adolescents were associated with depressive symptoms and low self-esteem before the pandemic.
“Maladaptive eating behaviors in adolescents were associated with depressive symptoms and low self-esteem, before the pandemic (Stice and Whitenton, 2002; Neumark-Sztainer et al., 2006).”
From Eating Disorders Spectrum During the COVID Pandemic: A Systematic Review (2021) · cites this paper as Neumark-Sztainer et al., 2006
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- Authors
- Neumark-Sztainer, D., Wall, M., Guo, J., Story, M., Haines, J., & Eisenberg, M.
- Affiliations
- University of Minnesota, Duluth (US)
- Venue
- Journal of the American Dietetic Association
- Publisher
- Elsevier BV
- Published
- 2006-04
- Volume
- 106
- Issue
- 4
- Pages
- 559-568
- ISSN
- 0002-8223 (ISSN-L)
- OpenAlex
- W2006944272
- Cited by
- 939
- References
- 59
- Citations by year
- 2026: 21 · 2025: 26 · 2024: 34 · 2023: 43 · 2022: 39 · 2021: 51 · 2020: 91 · 2019: 54 · 2018: 49 · 2017: 52 · 2016: 57 · 2015: 72 · 2014: 56 · 2013: 57 · 2012: 49
- FWCI
- 40.91
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Dietetic Association (publishedVersion)
- PubMed (publishedVersion)
- Funders
- U.S. Public Health Service (R40-MC-00319)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
- Keywords
- disordered eating, eating disorders, binge eating, obesity, overweight, body mass index, self-induced vomiting, Project EAT, adolescent weight status
- MeSH terms
- Adolescent, Adolescent Behavior, Feeding and Eating Disorders, Body Weight, Diet, Reducing, Female, Follow-Up Studies, Humans, Longitudinal Studies, Male, Obesity, Risk Factors, Body Mass Index, Prevalence, Confidence Intervals, Linear Models, Logistic Models, Odds Ratio, Adolescent Nutritional Physiological Phenomena
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