The Body Image, Weight Satisfaction, and Eating Disorder Tendency of School Children: The 2-Year Follow-up Study

Wong, Yueching; Chang, Yu-Jhen; Tsai, Mei-Rong; Liu, Tsai-Wei; Lin, Wei

doi:10.1080/07315724.2011.10719951

Cited by 7 publications

(9 citation statements)

References 39 publications

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“…54 However, it is unclear how other measures of problematic eating attitudes can approximate the prognostic value of the ChEAT questionnaire, or what the optimum threshold for defining problematic eating attitudes should be. 19, 34, 37, 38, 55, 56 In our study, the use of either the 85th or 91st percentiles as thresholds for problematic eating gave similar results.…”

Section: Discussionsupporting

confidence: 74%

“…5, 10, 12, 22, 38 Previously reported parental risk factors for childhood eating disorders include obesity, overprotection, family conflict, eating disorders, imposition of food restriction onto the child and concerns about the parents own or their child's weight. 4, 5, 6, 7, 8, 9, 10, 11, 12, 14, 24, 44, 45, 46, 47 However, as described in the introduction, most previous studies were cross-sectional and had limited power 6, 7, 10, 11, 12, 13, 14, 24 .…”

Section: Discussionmentioning

confidence: 99%

“…In agreement with prospective studies that used ChEAT, girls had a greater risk of problematic eating attitudes than boys. 22, 38 …”

Section: Discussionmentioning

confidence: 99%

“…22, 34, 36, 37, 38, 39 Moreover, lower thresholds can generate more false-positive results than higher thresholds. 36, 40 Therefore, we defined our threshold closer to the upper end of the range for problematic eating attitudes as a ChEAT-24 score ⩾22.5, corresponding to the 85th percentile in our data.…”

Section: Methodsmentioning

confidence: 99%

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Prospective associations of parental smoking, alcohol use, marital status, maternal satisfaction, and parental and childhood body mass index at 6.5 years with later problematic eating attitudes

et al. 2014

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Background:Few studies have prospectively investigated whether early-life exposures are associated with pre-adolescent eating attitudes.Objective:The objective of this study is to prospectively investigate associations of parental smoking, alcohol use, marital status, measures of maternal satisfaction, self-reported parental body mass index (BMI) and clinically measured childhood BMI, assessed between birth and 6.5 years, with problematic eating attitudes at 11.5 years.Methods:Observational cohort analysis nested within the Promotion of Breastfeeding Intervention Trial, a cluster-randomised trial conducted in 31 maternity hospitals and affiliated polyclinics in Belarus. Our primary outcome was a Children's Eating Attitudes Test (ChEAT) score ⩾22.5 (85th percentile), an indicator of problematic eating attitudes. We employed multivariable mixed logistic regression models, which allow inference at the individual level. We also performed instrumental variable (IV) analysis using parents' BMIs as instruments for the child's BMI, to assess whether associations could be explained by residual confounding or reverse causation.Subjects:Of the 17 046 infants enrolled between 1996 and 1997 across Belarus, 13 751 (80.7%) completed the ChEAT test at 11.5 years.Results:In fully adjusted models, overweight children at age 6.5 years had a 2.14-fold (95% confidence interval (CI): 1.82, 2.52) increased odds of having ChEAT scores ⩾85th percentile at age 11.5 years, and those who were obese had a 3.89-fold (95% CI: 2.95, 5.14) increased odds compared with normal-weight children. Children of mothers or fathers who were themselves overweight or obese were more likely to score ⩾85th percentile (P for trend ⩽0.001). IV analysis was consistent with a child's BMI causally affecting future eating attitudes. There was little evidence that parental smoking, alcohol use, or marital status or maternal satisfaction were associated with eating attitudes.Conclusion:In our large, prospective cohort in Belarus, both parental and childhood overweight and obesity at 6.5 years were associated with pre-adolescent problematic eating attitudes 5 years later.

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Section: Discussionsupporting

confidence: 74%

Section: Discussionmentioning

confidence: 99%

“…In agreement with prospective studies that used ChEAT, girls had a greater risk of problematic eating attitudes than boys. 22, 38 …”

Section: Discussionmentioning

confidence: 99%

Section: Methodsmentioning

confidence: 99%

See 2 more Smart Citations

Prospective associations of parental smoking, alcohol use, marital status, maternal satisfaction, and parental and childhood body mass index at 6.5 years with later problematic eating attitudes

et al. 2014

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“…However, this explanation may not be applicable to the lowest SES group in light of the lower academic achievement of those in this group. Given the high prevalence of overweight individuals and those with negative body images in the lowest SES group, we considered that these factors may be connected to higher risk for EDs [42]–[45]. These patterns were much stronger in girls than in boys.…”

Section: Discussionmentioning

confidence: 99%

The Association between Disturbed Eating Behavior and Socioeconomic Status: The Online Korean Adolescent Panel Survey (OnKAPS)

et al. 2013

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BackgroundA limited amount of research, primarily conducted in Western countries, has suggested that higher socioeconomic status (SES) is associated with higher risk of eating disorders (EDs). However, little is known about this association in Asian countries. We examined the association of SES with disturbed eating behavior (DEB) and related factors in Korean adolescents.SubjectsA nationwide online panel survey was conducted in a sample of adolescents (n = 6,943, 49.9% girls). DEB was measured with the 26-item Eating Attitudes Test (EAT-26). Participants who scored ≥20 on the EAT-26 were considered to have DEB. Participants’ SES was determined based on self-reported household economic status.ResultsThe prevalence of DEB was 12.7%: 10.5% among boys and 14.8% among girls. Both boys and girls with DEB were more likely to perceive themselves as obese, experience higher levels of stress, and have lower academic achievement. The risk for DEB was significantly higher in boys of higher SES than in those of middle SES (OR = 1.45, 95%CI = 1.05–1.99 for high SES; OR = 5.16, 95%CI: 3.50–7.61 for highest SES). Among girls, higher risk of DEB was associated with the highest and lowest SES (OR = 1.52, 95%CI: 1.13–2.06 for lowest SES; OR = 2.22, 95%CI: 1.34–3.68 for highest SES).ConclusionsDespite the lower prevalence of obesity in Korea compared with Western countries, the prevalence of DEB in Korean adolescents was high, especially among girls. Moreover, the association between SES and DEB followed a U-shaped curve for girls and a J-shaped curve for boys.

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Eating Problems in Youths with Type 1 Diabetes During and After Lockdown in Italy: An 8-Month Follow-Up Study

Troncone

Chianese

Cascella

et al. 2022

J Clin Psychol Med Settings

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Eighty-five youths with T1D and 176 controls aged 8–19 years were asked to complete online questionnaires (ChEAT and EAT-26) measuring disordered eating behaviors (DEBs) during (baseline) and after (8-month follow-up) the lockdown. DEB symptoms in all participants (especially younger than 13 years), glycemic control, and zBMI were found unchanged from baseline to follow-up (all p > .05). After 8 months, the ChEAT/EAT-26 critical score frequency decreased significantly in controls (p = .004), as was the score for the ChEAT/EAT-26’s Oral Control subscale in both groups (T1D: p = .005; controls: p = .01). Participants with T1D, especially those older than 13 years, had higher ChEAT/EAT-26 Dieting scores (p = .037) and lower ChEAT/EAT-26 Oral Control scores (p = .046) than controls. Unchanged DEB symptoms suggest that the COVID-19 restrictions did not significantly affect participants’ eating behaviors and that a general adaptation to the challenges of lockdown and other pandemic containment measures occurred in both T1D and control participants.

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The Body Image, Weight Satisfaction, and Eating Disorder Tendency of School Children: The 2-Year Follow-up Study

Cited by 7 publications

References 39 publications

Prospective associations of parental smoking, alcohol use, marital status, maternal satisfaction, and parental and childhood body mass index at 6.5 years with later problematic eating attitudes

Prospective associations of parental smoking, alcohol use, marital status, maternal satisfaction, and parental and childhood body mass index at 6.5 years with later problematic eating attitudes

The Association between Disturbed Eating Behavior and Socioeconomic Status: The Online Korean Adolescent Panel Survey (OnKAPS)

Eating Problems in Youths with Type 1 Diabetes During and After Lockdown in Italy: An 8-Month Follow-Up Study

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