scholarly journals The role of weight- and appearance-related discrimination on eating disorder symptoms among adolescents and emerging adults

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Caroline Cohrdes ◽  
Claudia Santos-Hövener ◽  
Katja Kajikhina ◽  
Heike Hölling
Keyword(s):  
Risk Factors ◽  
Body Image ◽  
Eating Disorder ◽  
Emerging Adults ◽  
Self Efficacy ◽  
Media Use ◽  
Eating Disorder Symptoms ◽  
Personal Risk ◽  
Personal Risk Factors

Abstract Background Eating disorder symptoms (EDs) have been discussed as a prominent problem among late adolescent girls with serious health risks and long-term consequences. However, there is a lack of population-based evidence on EDs comprising the age range from early adolescence to emerging adulthood as well as considering both females and males equally. Additionally, the differential role of a comprehensive set of several relevant risk factors and particularly weight- and appearance-related discrimination warrants further attention. Thus, we aimed to contribute to a better understanding of sex- and age-related differences in associations between discrimination experience and other relevant personal risk factors (body image, social media use, self-efficacy, social support) with EDs. Furthermore, we were interested in the exploration of underlying mechanisms enhancing the risk of EDs by taking discrimination experience into account. Methods Based on a logistic regression model, we investigated associations between weight- and appearance-related discrimination and EDs while controlling for other relevant personal risk factors in a subsample of N = 8504 adolescents and emerging adults (54.4% female, mean age = 20.71 years, SD = 4.32 years) drawn from a German representative health survey (KiGGS Wave 2). In a second step, we investigated the mediating role of discrimination experience between the other risk factors and EDs with the help of a path model. Results While controlling for other relevant personal risk factors, weight- and appearance-related discrimination was significantly related to EDs. Whereas the risk of EDs was significantly enhanced in males and emerging adults frequently experiencing weight-related discrimination, adolescents showed a higher risk of EDs when experiencing appearance-related discrimination. Moreover, discrimination experience partly explained the associations between body image dissatisfaction, low self-efficacy, high media use and ED symptoms. Conclusions The results highlight weight- and appearance-related discrimination as one central factor to be considered in the pathogeneses of EDs and underpin the need for discrimination prevention as well as the promotion of adaptive coping with discrimination experience to reduce the risk of developing ED symptoms. Males and emerging adults need particular attention when facing weight-related discrimination whereas risk constellations and EDs particularly affecting females need further investigation.

scholarly journals HOSPITAL ACQUIRED FUNCTIONAL DECLINE: THE ROLE OF IN-HOSPITAL PROCESSES BEYOND PERSONAL RISK FACTORS

2017 ◽  
Vol 1 (suppl_1) ◽  
pp. 1277-1277
Author(s):  
A. Zisberg ◽  
G. Sinoff ◽  
N. Gur-Yaish ◽  
O. Tonkikh ◽  
E. Shadmi
Keyword(s):  
Risk Factors ◽  
Functional Decline ◽  
Personal Risk ◽  
Personal Risk Factors ◽  
Hospital Acquired

The role of parental and personal risk factors in the formation of pharyngeal tonsil hypertrophy in infants and preschool children

2020 ◽  
Vol 19 (1) ◽  
pp. 63-76
Author(s):  
E. V. Shabaldina ◽  
◽  
R. Yu. Zamaraev ◽  
D. R. Akhtyamov ◽  
N. S. Deeva ◽  
...  
Keyword(s):  
Risk Factors ◽  
Preschool Children ◽  
Personal Risk ◽  
Personal Risk Factors ◽  
Pharyngeal Tonsil

scholarly journals Association Between Eating Disorder Symptoms and Weight Status in Midwestern US Army ROTC Cadets (P16-015-19)

2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Beatriz George ◽  
Won Song
Keyword(s):  
Risk Factors ◽  
Body Image ◽  
Eating Disorder ◽  
Weight Status ◽  
Psychological Flexibility ◽  
Body Image Dissatisfaction ◽  
Eating Disorder Symptoms ◽  
Rotc Cadets ◽  
Army Rotc ◽  
Shared Risk

Abstract Objectives The prevalence of eating disorder symptoms and obesity has been high amongst young adults (18–25 y), who comprise an important demographic in the US military. Current approaches to prevent obesity may lead to an overemphasis on weight and body image, as well as adoption of strict dieting for weight loss, increasing risk for obesity and eating disorder symptoms. Body image dissatisfaction and dieting have been implicated as important shared risk factors in the onset of both obesity and eating disorder symptoms. While current cognitive behavioral approaches to obesity and eating disorder management are the gold standard of treatment, these interventions often don't consider shared risk factors between obesity and eating disorder symptoms. Newer approaches, such as Acceptance and Commitment Therapy (ACT) and the ACT construct of psychological flexibility, focus on changing problematic behaviors, such as bingeing and compensatory behaviors like dieting, through awareness of these behaviors as coping mechanisms for problematic thoughts, such as body image dissatisfaction. Understanding the role of ACT processes in the relation between eating disorder symptoms and obesity may offer potential new targets for treatments that consider shared risk factors, such as strict dieting and body image dissatisfaction. Given ongoing evidence of both obesity and eating disorders in the military, the aim of this study was to determine whether eating disorder symptoms were associated with weight status and whether the effect of eating disorder symptoms on weight status was mediated by body image flexibility and psychological flexibility related to dieting. Methods The present cross-sectional study included 205 US Army ROTC Cadets (18–32 y). Results Results revealed a significant indirect effect of eating disorder symptoms on weight status through psychological flexibility related to dieting, and a significant indirect effect of eating disorder symptoms on weight status through psychological flexibility related to body image for male but not female ROTC Cadets. Conclusions These findings suggest psychological flexibility is an important mechanism in understanding the relation between eating disorder symptoms and obesity in military-related populations. Funding Sources RAMSCA Endowment for Scholarly Activity.

scholarly journals Cumulative Risks from Stressor Exposures and Personal Risk Factors in the Workplace: Examples from a Scoping Review

2021 ◽  
Vol 18 (11) ◽  
pp. 5850
Author(s):  
Mary A. Fox ◽  
Richard Todd Niemeier ◽  
Naomi Hudson ◽  
Miriam R. Siegel ◽  
Gary Scott Dotson
Keyword(s):  
Risk Factors ◽  
Risk Assessment ◽  
Scoping Review ◽  
Multiple Stressors ◽  
Cumulative Risk ◽  
Real Life ◽  
Personal Factors ◽  
Exposure Limits ◽  
Personal Risk ◽  
Personal Risk Factors

Protecting worker and public health involves an understanding of multiple determinants, including exposures to biological, chemical, or physical agents or stressors in combination with other determinants including type of employment, health status, and individual behaviors. This has been illustrated during the COVID-19 pandemic by increased exposure and health risks for essential workers and those with pre-existing conditions, and mask-wearing behavior. Health risk assessment practices for environmental and occupational health typically do not incorporate multiple stressors in combination with personal risk factors. While conceptual developments in cumulative risk assessment to inform a more holistic approach to these real-life conditions have progressed, gaps remain, and practical methods and applications are rare. This scoping review characterizes existing evidence of combined stressor exposures and personal factors and risk to foster methods for occupational cumulative risk assessment. The review found examples from many workplaces, such as manufacturing, offices, and health care; exposures to chemical, physical, and psychosocial stressors combined with modifiable and unmodifiable determinants of health; and outcomes including respiratory function and disease, cancers, cardio-metabolic diseases, and hearing loss, as well as increased fertility, menstrual dysfunction and worsened mental health. To protect workers, workplace exposures and modifiable and unmodifiable characteristics should be considered in risk assessment and management. Data on combination exposures can improve assessments and risk estimates and inform protective exposure limits and management strategies.

Suicidal Ideation and Eating Disorder Symptoms in Adolescents: The Role of Interoceptive Deficits

2021 ◽  
Author(s):  
Natalie M. Perkins ◽  
Shelby N. Ortiz ◽  
April R. Smith ◽  
Amy M. Brausch
Keyword(s):  
Eating Disorder ◽  
Suicidal Ideation ◽  
Eating Disorder Symptoms

scholarly journals Feeding and eating problems in children and adolescents with autism: A scoping review

Autism ◽  
2021 ◽  
pp. 136236132199563
Author(s):  
Jessica Baraskewich ◽  
Kristin M von Ranson ◽  
Adam McCrimmon ◽  
Carly A McMorris
Keyword(s):  
Body Image ◽  
Eating Disorder ◽  
Food Presentation ◽  
Eating Problems ◽  
Feeding Problems ◽  
Picky Eating ◽  
Food Avoidance ◽  
Eating Disorder Symptoms ◽  
Almost All ◽  
Specific Food

Feeding problems, such as picky eating and food avoidance, are common in youth with autism. Other feeding and eating problems (e.g. disordered eating, fear of trying new foods, and insistence on specific food presentation) are also common in this population. This scoping review describes the nature and extent of feeding and eating problems in autistic youth and reports characteristics of autistic youth who experience such issues. Thirty-four studies were included in the current review, with almost all studies (91%) investigating feeding problems. Only 9% of studies examined concern with weight, shape, and/or body image, but several authors noted that disordered eating attitudes and behaviors may occur more frequently in those with autism than their peers without autism. No common individual characteristics (e.g. cognitive functioning and autism symptom severity) were identified for youth who experience feeding or eating problems. Although differentiating “feeding” from “eating” problems is critical for accurate identification and treatment of these issues, the existing literature has failed to do so. We propose that in future research “eating problems” be used when behaviors involve preoccupation with food, eating, or body image, and “feeding problems” be used when such preoccupation is absent. Lay abstract Feeding problems, such as picky eating and food avoidance, are common in youth with autism. Other, broader difficulties with feeding and eating (eating disorder symptoms such as restricting food intake or preoccupation with body shape or weight and insistence on specific food presentation) are also common in autistic individuals. Here, we describe the nature and extent of feeding and eating problems in youth with autism. We found no common characteristics (such as severity of autism symptoms) that best describe autistic youth who experience problems with feeding or eating. Almost all studies we reviewed focused on problems with feeding (selective or picky eating), and only a few studies focused on eating disorder symptoms (concern with weight, shape, and/or body image). However, some researchers reported that eating disorder symptoms may occur more often in autistic individuals compared to their peers without autism. Many studies used the terms “feeding” and “eating” problems interchangeably, but understanding the difference between these problems is important for researchers to be consistent, as well as for proper identification and treatment. We suggest future researchers use “eating problems” when behaviors involve preoccupation with food, eating, or body image, and “feeding problems” when this preoccupation is absent. We highlight the importance of understanding whether feeding or eating problems are separate from autism traits, and the role of caregivers and other adults in the child’s treatment. Considerations for health-care providers to assist with diagnosis and treatment are also provided.

Physical Distancing and Social Media Use in Emerging and Older Adults During COVID-19: Large Scale Cross-Sectional and Longitudinal Survey Study (Preprint)

2021 ◽  
Author(s):  
Thabo J van Woudenberg ◽  
Roy Hendrikx ◽  
Moniek Buijzen ◽  
Julia CM van Weert ◽  
Bas van den Putte ◽  
...  
Keyword(s):  
Older Adults ◽  
Social Media ◽  
Emerging Adults ◽  
Large Scale ◽  
Media Use ◽  
Longitudinal Survey ◽  
Social Media Use ◽  
Random Intercept ◽  
Social Media Platforms

BACKGROUND Although emerging adults play a role in the spread of COVID-19, they are less likely to develop severe symptoms after infection. Emerging adults’ relatively high use of social media as source of information raises concerns regarding COVID-19 related behavioral compliance (i.e., physical distancing) in this age group. OBJECTIVE Therefore, the current study investigated physical distancing in emerging adults in comparison to older adults and looked at the role of using social media for COVID-19 news and information in this regard. In addition, this study explored the relation between physical distancing and different social media platforms and sources. METHODS Secondary data of a large-scale national longitudinal survey (N = 123,848, 34.% male) between April and November 2020 were used. Participants indicated, ranging for one to eight waves, how often they were successful in keeping 1.5 meters distance on a 7-point Likert scale. Participants between 18 and 24 years old were considered young adults and older participants were identified as older adults. Also, a dummy variable was created to indicate per wave whether participants used social media for COVID-19 news and information. A subset received follow-up questions asking participants to indicate which platforms they have used and what sources of news and information they had seen on social media. All preregistered hypotheses were tested with Linear Mixed-Effects Models and Random Intercept Cross-Lagged Panel Models. RESULTS Emerging adults reported less physical distancing behaviors than older adults (b = -.08, t(86213.83) = -26.79, p < .001). Also, emerging adults were more likely to use social media for COVID-19 news and information (b = 2.48, SE = .11, Wald = 23.66, p = <.001), which mediated the association with physical distancing, but only to a small extend (indirect effect: b = -0.03, 95% CI = [-0.04; -0.02]). Opposed to our hypothesis, the longitudinal Random Intercept Cross-Lagged Panel Model showed no evidence that physical distancing was predicted by social media use of the previous wave. However, we did find evidence that using social media affected subsequent physical distancing behavior. Moreover, additional analyses showed that most social media platforms (i.e., YouTube, Facebook and Instagram) and interpersonal communication showed negative associations with physical distancing while others platforms (i.e. LinkedIn and Twitter) and Governmental messages showed no to a slightly positive associations with physical distancing. CONCLUSIONS In conclusion, we should be vigilant for physical distancing of emerging adults, but this study give no reason the to worry about the role of social media for COVID-19 news and information. However, as some social media platforms and sources showed negative associations, future studies should more carefully look into these factors to better understand the associations between social media use for news and information, and behavioral interventions in times of crisis.

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