Overeating Among Adolescents: Prevalence and Associations With Weight-Related Characteristics and Psychological Health

Ackard, Diann M.; Neumark‐Sztainer, Dianne; Story, Mary; Perry, Cheryl L.

doi:10.1542/peds.111.1.67

Cited by 229 publications

(180 citation statements)

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“…7 Only a small subset of children and adolescents meet full Diagnostic and Statistical Manual of Mental Disorders (DSM)-IV-TR criteria for BED, while the experience of LOC eating and emotional eating seem to be more common. 6,[8][9][10][11][12][13][14] Research indicates that emotional eating and binge eating in children and adolescents are associated with anxiety, sadness, and anger 6,12,15 which has previously been shown in adults. [16][17][18][19][20][21] Overweight children 8,12,14 and adolescents 9,10,22 with LOC eating were shown to experience greater eating-related distress, anxiety, and depressive symptoms than those without LOC eating.…”

Section: Introductionmentioning

confidence: 80%

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Emotion regulation and binge eating in children

Czaja

Rief

Hilbert

2008

Intl J Eating Disorders

113

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Objective: To examine the ability to regulate emotions in children with binge eating.Method: A community sample of 60 children ages 8-13 with at least one episode of loss of control (LOC) eating during the past 3 months and a matched control group without LOC (n 5 60) underwent a clinical interview (Eating Disorder Examination adapted for Children) and completed self-report questionnaires assessing emotion regulation strategies, eating pathology, and depressive symptoms.Results: Children with LOC eating made a significantly higher use of dysfunctional emotion regulation strategies (p \ .01), especially for the regulation of anxiety (p \ .01). Maladaptive strategies were associated with greater depressiveness (p \ .001). Use of adaptive emotion regulation strategies did not differ between children with and without LOC eating.Discussion: Results document an association between LOC eating and difficulties in regulating negative emotions in children. Interventions targeting LOC eating in children should include training for coping with negative emotions.

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Section: Introductionmentioning

confidence: 80%

“…51,52 The Children's Depression Inventory (CDI) is a 26-item self report questionnaire of depressive feelings for ages [8][9][10][11][12][13][14][15][16]. Internal consistency of the total score of the German version is high, convergent, and discriminant validity have been demonstrated.…”

Section: Methodsmentioning

confidence: 99%

Emotion regulation and binge eating in children

Czaja

Rief

Hilbert

2008

Intl J Eating Disorders

113

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“…3,4 This relationship may in part be causal; overweight during adolescence has been associated with higher levels of weight control behaviours including dieting 5,6 and binge eating, 7 as well as with psychological comorbidity, including low selfesteem, 8 poor body image and depression. 9 The obesity epidemic has disproportionately affected those from non-white ethnic groups, 1,10 yet little is known about the weight control behaviours and psychological concomitants of overweight in adolescents from minority ethnic groups.…”

Section: Introductionmentioning

confidence: 99%

Body mass, weight control behaviours, weight perception and emotional well being in a multiethnic sample of early adolescents

et al. 2006

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Objective: To investigate weight perception, dieting and emotional well being across the range of body mass index (BMI) in a population-based multiethnic sample of early adolescents. Design: Cross-sectional population-based survey. Subjects: In total, 2789 adolescents 11-14 years of age from three highly deprived regional authorities in East London, in 2001. Measurements: Data were collected by student-completed questionnaire on weight perception, dieting history, mental and physical health, health behaviours, social capital and sociodemographic factors. Height and weight were measured by trained researchers. Overweight was defined as BMI X85th centile and obesity as BMI X98th centile. Underweight was defined as BMIp15th centile. Results: In all, 73% were from ethnic groups other than white British. Valid BMI were available for 2522 subjects (90.4%) of whom 14% were obese. Only 20% of overweight boys and 51% of overweight girls assessed their weight accurately. Accuracy of weight perception did not vary between ethnic groups. In all, 42% of girls and 26% of boys reported current dieting to lose weight. Compared with white British teenagers, a history of dieting was more common among Bangladeshi, Indian and mixed ethnicity boys and less likely among Pakistani girls. Self-esteem was not associated with BMI in girls but was significantly lower in obese boys than those of normal weight (P ¼ 0.02). Within ethnic subgroups, self-esteem was significantly lower in overweight white British boys (P ¼ 0.03) and obese Bangladeshi boys (P ¼ 0.01) and Bangladeshi girls (P ¼ 0.04), but significantly higher in obese black African girls (P ¼ 0.01) than those of normal weight. Obese young people had a higher prevalence of psychological distress (P ¼ 0.04), except among Bangladeshi teenagers, where overweight and obese young people had less psychological distress than those of normal weight (P ¼ 0.02). Birth outside the UK was associated with reduced risk of obesity in girls (P ¼ 0.02) but not with history of dieting, weight perception or psychological factors in either gender. Conclusion: High levels of current dieting for weight control and inaccurate perception of body mass are common across all ethnic groups. However, dieting history and the associations of obesity with self-esteem and psychological distress vary between ethnic groups. Interventions to prevent or treat obesity in black or minority ethnicity groups must consider cultural differences in the relationship between body mass, self-esteem and psychological distress.

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“…Burrows and Cooper (2002) also report that girls ages 11−12 years who were overweight were more likely to engage in restrained eating and that higher weight status has been linked to the initiation of dieting in adolescence (Field et al, 2003;Stice, Cameron, Killen, Hayward, & Taylor, 1999). In a crosssectional study of adolescents, Ackard, Neumark-Sztainer, Story, and Perry (2003) found that those who engaged in overeating were more likely to be overweight or obese, to have a history of past and current dieting, and to indicate that feelings related to weight and body shape are important to their self-concept. Elevated weight status elevates the risk for disordered eating and may also moderate the influence of other individual characteristics on eating disorder risk.…”

Section: Introductionmentioning

confidence: 99%

Weight status and psychosocial factors predict the emergence of dieting in preadolescent girls

Sinton

Birch

2005

Int. J. Eat. Disord.

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Objective-The current study tested a longitudinal model predicting the emergence of dieting in girls (n = 183) at age 9 years using data from the same girls measured at ages 5 and 7.Method-Variables related to the girls' weight status, psychological health, body satisfaction, maternal child feeding practices, and family environment are included in a hierarchical regression model predicting the emergence of dieting in girls. Interactions of girls' weight status with other variables in the model are also included in the last step.Results-Results indicate that the model accounts for 45% of the variance in the outcome scores and that variables across constructs have significant contributions to the model. Results also show that girls' weight status, both independently and as an interaction term, accounts for a large proportion of variance in this model. Conclusion-Weight status at age 5 years is a critical factor related to the emergence of dieting in young girls.

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Overeating Among Adolescents: Prevalence and Associations With Weight-Related Characteristics and Psychological Health

Cited by 229 publications

References 38 publications

Emotion regulation and binge eating in children

Emotion regulation and binge eating in children

Body mass, weight control behaviours, weight perception and emotional well being in a multiethnic sample of early adolescents

Weight status and psychosocial factors predict the emergence of dieting in preadolescent girls

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