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Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: how do dieters fare 5 years later?

Publication ,  Journal Article
Neumark-Sztainer, D; Wall, M; Guo, J; Story, M; Haines, J; Eisenberg, M
Published in: J Am Diet Assoc
April 2006

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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Published In

J Am Diet Assoc

DOI

ISSN

0002-8223

Publication Date

April 2006

Volume

106

Issue

4

Start / End Page

559 / 568

Location

United States

Related Subject Headings

  • Risk Factors
  • Prevalence
  • Odds Ratio
  • Obesity
  • Nutrition & Dietetics
  • Male
  • Longitudinal Studies
  • Logistic Models
  • Linear Models
  • Humans
 

Citation

APA
Chicago
ICMJE
MLA
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Neumark-Sztainer, D., Wall, M., Guo, J., Story, M., Haines, J., & Eisenberg, M. (2006). Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: how do dieters fare 5 years later? J Am Diet Assoc, 106(4), 559–568. https://doi.org/10.1016/j.jada.2006.01.003
Neumark-Sztainer, Dianne, Melanie Wall, Jia Guo, Mary Story, Jess Haines, and Marla Eisenberg. “Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: how do dieters fare 5 years later?J Am Diet Assoc 106, no. 4 (April 2006): 559–68. https://doi.org/10.1016/j.jada.2006.01.003.
Neumark-Sztainer D, Wall M, Guo J, Story M, Haines J, Eisenberg M. Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: how do dieters fare 5 years later? J Am Diet Assoc. 2006 Apr;106(4):559–68.
Neumark-Sztainer, Dianne, et al. “Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: how do dieters fare 5 years later?J Am Diet Assoc, vol. 106, no. 4, Apr. 2006, pp. 559–68. Pubmed, doi:10.1016/j.jada.2006.01.003.
Neumark-Sztainer D, Wall M, Guo J, Story M, Haines J, Eisenberg M. Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: how do dieters fare 5 years later? J Am Diet Assoc. 2006 Apr;106(4):559–568.
Journal cover image

Published In

J Am Diet Assoc

DOI

ISSN

0002-8223

Publication Date

April 2006

Volume

106

Issue

4

Start / End Page

559 / 568

Location

United States

Related Subject Headings

  • Risk Factors
  • Prevalence
  • Odds Ratio
  • Obesity
  • Nutrition & Dietetics
  • Male
  • Longitudinal Studies
  • Logistic Models
  • Linear Models
  • Humans