scholarly journals Changes in Eating Attitudes, Body Esteem and Weight Control Behaviours during Adolescence in a South African Cohort

PLoS ONE ◽  
2014 ◽  
Vol 9 (10) ◽  
pp. e109709 ◽  
Author(s):  
Tabither M. Gitau ◽  
Lisa K. Micklesfield ◽  
John M. Pettifor ◽  
Shane A. Norris
2019 ◽  
Vol 3 (Supplement_1) ◽  
Author(s):  
Alysse Kowalski ◽  
Shane Norris ◽  
Linda Richter ◽  
Rachel Waford ◽  
Aryeh Stein

Abstract Objectives Psychological, biological, and behavioral predictors of change in adolescent eating attitudes have not previously been examined in a South African context. We aimed to characterize patterns and predictors of trends in eating attitudes from age 13 to 17 y in an urban South African cohort. Methods Data come from the Birth to Twenty Plus birth cohort in Soweto-Johannesburg. The 26-item Eating Attitudes Test (EAT-26) was administered at ages 13 and 17 y. Self-esteem, weight control behavior, and body mass index (BMI) were assessed at the same ages. Sex-specific associations of changes in predictors over time with changes in the EAT-26 were modeled using linear regression. Results At age 13 y, EAT-26 (mean ± SD) was 9.92 ± 7.34 with no difference between girls and boys. At age 17 y, EAT-26 was higher, reflecting poorer eating attitudes, among girls (11.14 ± 8.75) than boys (10.06 ± 6.77). From age 13 to 17 y, self-esteem scores improved slightly (0.36 ± 4.95), with no difference by sex, while BMI increased more among girls (2.57 ± 2.34 kg/m2) than boys (1.72 ± 2.21 kg/m2). More girls reported a weight loss attempt at age 17 (32%) than at 13 y (19%), while more boys reported trying to lose weight at age 13 (14%) than at 17 y (9%). Among girls, greater BMI increase from age 13 to age 17 y was associated with higher EAT-26 (β = 0.52 per kg/m2, 95% confidence interval [CI]: 0.09, 0.95), and increased self-esteem score was associated with decreased EAT-26 (β = −0.40, CI: −0.59, −0.22). Similar associations were observed among boys. Compared to those whose weight control behavior did not change, attempted weight loss at age 13 y but not at age 17 y was associated with decreased EAT-26 (β = −3.67, CI: −7.3, −0.03) among girls, while among boys, attempted weight loss at age 17 y but not at age 13 y was associated with increased EAT-26 (β = 7.16, CI: 3.53, 10.8). Conclusions In a longitudinal sample of Black South African adolescents, improved self-esteem and decreased BMI were each associated with improved eating attitudes in both boys and girls, while associations of patterns of weight control behavior with eating attitudes differed by sex. Funding Sources NIH Fogarty International Center, Bill & Melinda Gates Foundation, Wellcome Trust, University of the Witwatersrand, South African Medical Research Council. Supporting Tables, Images and/or Graphs


2006 ◽  
Vol 19 (2) ◽  
pp. 80-85 ◽  
Author(s):  
Carmen Petersen ◽  
Shane Norris ◽  
John Pettifor ◽  
Jenny MacKeown

Children ◽  
2020 ◽  
Vol 7 (11) ◽  
pp. 225
Author(s):  
Ana Rosa Sepúlveda ◽  
Tatiana Lacruz ◽  
Santos Solano ◽  
Miriam Blanco ◽  
Alba Moreno ◽  
...  

This study aims to examine the differences in family environment, psychological distress, and disordered eating symptomatology between children classified by weight status with or without loss of control (LOC) eating and to test a model of the role of emotional regulation of LOC eating based on a dysfunctional family environment. A cross-sectional study was conducted among 239 families. The assessment measured family expressed emotion, family adaptability and cohesion, child levels of depression and anxiety, body esteem, and disordered eating attitudes. The assessment was carried out in primary care centers and primary schools. Child body mass index (BMI) was associated with higher expressed emotion, psychological distress, and disordered eating symptomatology. Children with obesity and LOC presented higher BMI, poorer body esteem, and more disordered eating attitudes than children without LOC. Children with overweight/obesity, both with or without LOC, exhibited higher psychological distress and emotional overinvolvement than normal-weight children. A partial mediation of depression or anxiety and disordered eating attitudes between expressed emotion and LOC was found. Findings support that children with overweight/obesity show more family and psychological distress. Body esteem issues and disordered eating attitudes could alert the presence of LOC in children with obesity. The function of LOC might be to cope with psychological distress that may appear in a dysfunctional family environment.


1993 ◽  
Vol 76 (3) ◽  
pp. 783-792 ◽  
Author(s):  
Mel E. Finkenberg ◽  
James M DiNucci ◽  
Sandra L. McCune ◽  
E. Donice McCune

Differences in self-reported scores on the Body Esteem Scale were recorded for college women and men who participated in classes requiring differing amounts of physical activity. Scores for 116 women and 38 men were compared to scores for 99 college women and 60 college men enrolled in classes requiring vigorous or little physical activity, respectively. The correlation between participation and body esteem was also examined. The Body Esteem Scale was given to the subjects during the first and last weeks of one semester. Multivariate analysis of variance of scores indicated significant differences initially among the two groups of women on three subscales, Sexual Attractiveness, Weight Control, and Physical Condition, while mean over-all scores for body esteem were higher for women in the vigorous activity group than in the comparison group. No significant differences were found at the later testing. For men, no significant differences were obtained at either testing.


1993 ◽  
Vol 23 (2) ◽  
pp. 437-451 ◽  
Author(s):  
Sing Lee

SynopsisUsing the 40-item Eating Attitudes Test and other self-report questions, a two-stage screening survey of 1020 (F 646, M 374) Chinese bilingual university students in Hong Kong showed that although female students were ‘underweight’ by Western standard, the majority of them and nearly all female students above a body mass index of 20·5 kg/m2 were cognitively inclined to diet and weigh less, albeit without being driven to actual weight control behaviour. In contrast, most male students and a minority of constitutionally thin female students clearly wished to gain weight. While a number of items were culturally inappropriate, factor analysis supported the overall cross-cultural conceptual validity of the EAT. The principal factor, reflecting dieting concerns, correlated positively with the current body mass index. Among the high scorers, only three female students with partial syndrome bulimia nervosa were identified, yielding a low prevalence of 0·46% for the spectrum of eating disorders. It is argued that the desire for slimness is widespread but its intensity and pathogenic potentiality vary across cultures. In the relative absence of obesity, it may not lead to more eating disorder.


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