Eating, Activity, and Weight-related Problems From Adolescence to Adulthood

Neumark‐Sztainer, Dianne; Wall, Melanie M.; Chen, Chen; Larson, Nicole; Christoph, Mary J.; Sherwood, Nancy E.

doi:10.1016/j.amepre.2018.04.032

Cited by 98 publications

(90 citation statements)

References 62 publications

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“…Body image concerns and disordered eating are major health problems that persist from a young age into adulthood [1]. Research suggests that sociocultural pressures lead to the internalization of the thin and/or muscular/athletic body ideal and social comparisons [2,3].…”

Section: Introductionmentioning

confidence: 99%

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The Role of Body Image, Disordered Eating and Lifestyle on the Quality of Life in Lithuanian University Students

Bacevičienė

Jankauskienė

Balčiūnienė

2020

IJERPH

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Purpose. The present study aimed to explore the associations between body image concerns (BI), disordered eating (DE), health-related lifestyle, and the different domains of the quality of life (QoL) in a Lithuanian sample of student-aged men and women. Methods. A mixed-gender sample of students (N = 1850, 58.8% were women, average age 21.6 ± 5.0 years) completed a series of questionnaires, including health-related lifestyles, BI, DE, and QoL. A series of simultaneous multiple linear regression analyses were conducted. Mediation analyses were performed to estimate the size of the total, direct, and indirect effects of variables in the models. Results. The analysis of the linear regressions demonstrated that the positive trait of body areas satisfaction was associated with the significantly enhanced QoL in all domains in both genders (for men β = 0.29–0.34; for women β = 0.26–0.33; p < 0.001). DE was associated with a poorer psychological QoL domain in women only (β = −0.07; p = 0.047). The drive for muscularity was associated with a lower QoL in men (β = −0.06–(−0.141); p < 0.05). Body areas satisfaction mediated the associations between body mass index and psychological and physical QoL in both genders (TLI (Tucker Lewis Index) = 0.975; CFI (comparative fit index) = 0.997; RMSEA (Root of the Mean Square Error) = 0.053). Conclusions. Positive traits of BI play essential roles in the QoL of student-aged women and men. The present study adds empirical evidence emphasizing the importance of integrating education about positive body image while implementing healthy lifestyle and QoL promotion programs in student-aged men and women.

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Section: Introductionmentioning

confidence: 99%

“…Failing to adjust to a socially stereotyped body image leads to body dissatisfaction in men and women [2]. In turn, body dissatisfaction is associated with disordered eating [1]. Body image concerns and eating pathology are associated with lower psychosocial functioning and an unhealthy lifestyle in young adults [1,4].…”

Section: Introductionmentioning

confidence: 99%

The Role of Body Image, Disordered Eating and Lifestyle on the Quality of Life in Lithuanian University Students

Bacevičienė

Jankauskienė

Balčiūnienė

2020

IJERPH

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“…Body image concerns and disordered eating are major health problems in youth (Neumark‐Sztainer et al, ). The most reliable method for diagnosing and assessing eating disorders (EDs) is a structured or semistructured clinical interview administered by trained clinicians (Fairburn & Beglin, ).…”

Section: Introductionmentioning

confidence: 99%

Validation of the Lithuanian version of the Eating Disorder Examination Questionnaire 6.0 in a student sample

2020

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Background and Objectives The Eating Disorder Examination Questionnaire 6.0 (EDE‐Q 6.0) is one of the most broadly used self‐report tools that assesses attitudes and behaviors associated with eating disorders (EDs). The aim of the present study was to examine the reliability, validity, and factor structure of the Lithuanian version of the EDE‐Q 6.0 (LT‐EDE‐Q 6.0) in a nonclinical student sample. Materials and Methods A sample of 382 students (mean age 24.0 ± 6.4) participated in the study. The students completed a self‐report questionnaire measuring the risk of EDs (LT‐EDE‐Q 6.0), body image (LT‐MBSRQ‐AS), quality of life (LT‐WHOQOL‐BREF), and self‐esteem (RSES). Cronbach's alpha assessed the internal consistency of the EDE‐Q 6.0. Pearson's correlations were used for the analyses of the construct and concurrent validity with the subscales of LT‐MBSRQ‐AS, LT‐WHOQOL‐BREF, and RSES. Intraclass correlation coefficients (ICC) were calculated for assessing test‐retest reliability. Results The mean score of the LT‐EDE‐Q 6.0 in the mixed sample was 1.5 ± 1.02. For women and men, the general mean scores were higher than in the majority of the samples of Western Europe but lower than in the United States. Acceptable internal consistency for the four subscales (0.75–0.88) and the LT‐EDE‐Q 6.0 general score (0.94) was obtained. Test‐retest reliability was good to excellent for all subscales (0.66–0.91) and for the items that assessed essential behavioral features of EDs (0.84–0.90, except item 14 ICC = 0.4). The LT‐EDE‐Q 6.0 scores had adequate concurrent validity. However, the original 4‐factor structure or other proposed models of EDE‐Q were not obtained by CFA. Conclusions The results of the current study support the applicability, validity, and reliability of the LT‐EDE‐Q 6.0 in a nonclinical Lithuanian student sample. However, we recommend assessing the general scale score without the application of the subscales. The Lithuanian version of this instrument should be further investigated with clinical samples to identify clinically diagnosed cases.

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“…Body image concerns and body dissatisfaction are highly prevalent in adolescents worldwide [1][2][3][4][5]. Studies have demonstrated that adolescents' body image concerns are associated with disturbed eating attitudes and behaviors (DEABs) that might be the precursor of clinical eating disorders [6,7].…”

Section: Introductionmentioning

confidence: 99%

Body Image and Disturbed Eating Attitudes and Behaviors in Sport-Involved Adolescents: The Role of Gender and Sport Characteristics

Jankauskienė

Bacevičienė

2019

Nutrients

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Disordered eating in adolescents who participate in sports is an issue of great concern. However, very few studies have examined the prevalence of sport-related determinants of disturbed eating attitudes and behaviours (DEABs) in sport-involved adolescents. The present study aims to assess body image and DEABs in the sample of adolescents involved in a sport of different characteristics (competitive sport, leisure sport; weight-sensitive and less-weight-sensitive sport) and to compare the results with those of the controls. A total sample of 732 adolescents (437 (59.4%) were female) participated in the study. The participants ranged in age from 16 to 19 years (mean = 17.2, SD = 0.6). Study participants completed a questionnaire assessing sports characteristics, body image, disordered eating, and health-compromising eating behaviours. Analysis of covariance was used to test the differences of major study variables between controls and weight-sensitive and less-weight-sensitive leisure and competitive sports groups. There was no significant difference observed in DEABs between the sports groups. Competitive athletes reported more satisfaction with body image than controls. The girls participating in weight-sensitive leisure sports reported higher overweight preoccupation and greater DEABs compared to those participating in less-weight-sensitive leisure sports. Boys participating in weight-sensitive leisure sports reported a greater drive for muscularity-related behaviour compared to those participating in less-weight-sensitive leisure sports. There was no observed interaction between gender and weight sensitivity in the competitive sports group. Adolescents involved in a competitive sport demonstrated greater body image satisfaction and did not seem to present a greater risk for DEABs than controls. Special prevention attempts for lowering body image concerns and DEABs should be addressed for adolescents participating in a weight-sensitive leisure sports.

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Eating, Activity, and Weight-related Problems From Adolescence to Adulthood

Cited by 98 publications

References 62 publications

The Role of Body Image, Disordered Eating and Lifestyle on the Quality of Life in Lithuanian University Students

The Role of Body Image, Disordered Eating and Lifestyle on the Quality of Life in Lithuanian University Students

Validation of the Lithuanian version of the Eating Disorder Examination Questionnaire 6.0 in a student sample

Body Image and Disturbed Eating Attitudes and Behaviors in Sport-Involved Adolescents: The Role of Gender and Sport Characteristics

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