OBJECTIVE. To assess whether weight-related teasing predicts the development of binge eating, unhealthy weight control behaviors, and frequent dieting among male and female adolescents.
METHODS.A prospective study was conducted with an ethnically and socioeconomically diverse sample of 2516 adolescents who completed surveys at both time 1 (1998 -1999) and time 2 (2003-2004) of the Project EAT (Eating Among Teens) study.RESULTS. In 1998, approximately one fourth of participants reported being teased about their weight at least a few times a year. After adjustment for age, race/ethnicity, socioeconomic status (SES), and BMI, boys who were teased about their weight were more likely than their peers to initiate binge eating with loss of control and unhealthy weight control behaviors 5 years later. The predicted prevalence for incident binge eating behaviors with loss of control among boys who were teased was 4.1% as compared with 1.4% for those who were not teased, after adjustment for age, race/ethnicity, SES, and BMI. For unhealthy weight control behaviors at time 2, the predicted prevalence was 27.5% among boys who were teased and 19.3% for boys who were not teased, after adjustment for age, race/ethnicity, SES, and BMI. Girls who were teased were more likely than their peers to become frequent dieters. The predicted prevalence for incident frequent dieting among girls who were teased was 18.2% as compared with 11.0% for those who were not teased, after adjustment for age, race/ethnicity, SES, and BMI.CONCLUSIONS. Weight teasing in adolescence predicts disordered eating behaviors at 5-year follow-up. The patterns of these associations differ by gender. Reducing teasing through educational interventions and policies may reduce the level of disordered eating behaviors among youths. EIGHT-RELATED TEASING IS prevalent among adolescents, with overweight youths reporting higher levels of weight-related teasing compared with their average-weight peers. 1,2 Nineteen percent of average-weight adolescent girls and 13% of average-weight adolescent boys report being teased about weight at least a few times a year, whereas Ͼ45% of overweight girls and boys report this frequency of weight teasing. 1 An important question exists regarding the potential impact that this weight-related mistreatment may have on the weight-related behaviors of adolescents. Disordered eating behaviors have been shown to be prevalent among youths. The 2003 Youth Risk Behavioral Surveillance System, a national survey involving 15 240 students in 9th through 12th grades, found that almost 60% of female and 29% of male students were trying to lose weight. 3 More than 13% of students reported fasting for a period of 24 hours or more in the past month to lose weight, and Ͼ11% of girls and 7% of boys reported taking diet pills, powders, or liquids in the past month. 3 Eight percent of girls and close to 4% of boys reported vomiting or taking laxatives in the past month to lose weight. 3 Project EAT (Eating Among Teens), a population-based survey ...