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Body Dissatisfaction and Unhealthy Weight-Control Practices Among Adolescents With and Without Chronic Illness: A Population-Based Study

Body Dissatisfaction and Unhealthy Weight-Control Practices Among Adolescents With and Without... Abstract Objective: To compare body dissatisfaction and unhealthy weight-loss practices among adolescents with and without chronic illness. Design: Survey. Participants: The sample consisted of 2149 adolescent boys and girls with diabetes, asthma, attention deficit disorder, physical disabilities, or seizure disorders; and a comparison group of 1381 adolescents without chronic illness. Main Outcome Measures: Body concerns, binge eating, frequent dieting, vomiting, and laxative or diuretic use among adolescents. Results: Adolescents with chronic illness reported higher body dissatisfaction and engaged in more high-risk weight-loss practices than adolescents without chronic illness. This trend was consistent across the different conditions and was not limited to those with a nutrition-related condition such as diabetes. The trend remained after conducting logistic regression and controlling for age, race, socioeconomic status, and body mass index. Conclusions: Adolescents with chronic illness are at high risk for engaging in unhealthy weight-loss practices and should be screened and targeted for prevention and treatment.(Arch Pediatr Adolesc Med. 1995;149:1330-1335) References 1. Story MS, Rosenwinkel K, Resnick M, Harris LJ, Blum RW. Demographic and risk factors associated with chronic dieting in adolescents . AJDC . 1991;15: 15-18. 2. Marchi M, Cohen P. Early childhood eating behaviors and adolescent eating disorders . J Am Acad Child Adolesc Psychiatry . 1990;19:112-117.Crossref 3. Neumark-Sztainer D, Palti H, Butler R. Weight concerns and dieting behaviors among high school girls in Israel . J Adolesc Health . 1995;16:53-59.Crossref 4. Stein DM. The prevalence of bulimia: a review of the empirical research . J Nutr Educ . 1991;23:205-213.Crossref 5. Gortmaker SL, Sappenfield W. Chronic childhood disorders: prevalence and impact . Pediatr Clin North Am . 1984;31:3-18. 6. Gortmaker SL, Walker DK, Weitzman M, Sobol AM. Chronic conditions, socioeconomic risks, and behavioral problems in children and adolescents . Pediatrics . 1990;85:267-276. 7. Chronic physical illnesses: prevention and services. Adolescent Health–Background and the Effectiveness of Selected Prevention and Treatment Services . Washington, DC: US Office of Technology Assessment. 1991;2:149-189. Publication OTA-H-466. 8. Powers PS, Malone Jl, Duncan JA. Anorexia nervosa and diabetes mellitus . J Clin Psychiatry . 1983;44:133-135. 9. Hardoff D, Shenker IR, Nussbaum M. Anorexia nervosa in a patient with juvenile diabetes . NY State J Med . 1984;82:61. 10. Rodin GM, Daneman D. Eating disorders and IDDM: a problematic association . Diabetes Care . 1992;15:1402-1412.Crossref 11. Wing RR, Nowalk MP, Marcus MD, Koeske R, Finegold D. Subclinical eating disorders and glycemic control in adolescents with type 1 diabetes . Diabetes Care . 1986;9:162-167.Crossref 12. Rodin GM, Johnson LE, Garfinkel PE, Daneman D, Kenshole AB. Eating disorders in female adolescents with insulin dependent diabetes mellitus . Int J Psychiatry Med . 1986-1987;16:49-57.Crossref 13. Steel JM, Young RJ, Lloyd GG, Macintyre CCA. Abnormal eating attitudes in young insulin-dependent diabetics . Br J Psychiatry . 1989;155:515-521.Crossref 14. Striegel-Moore RH, Nicholson TJ, Tamborlane WV. Prevalence of eating disorder symptoms in preadolescent and adolescent girls with IDDM . Diabetes Care . 1992;15:1361-1368.Crossref 15. Fairburn CG, Peveler RC, Davies B, Mann JI, Mayou RA. Eating disorders in young adults with insulin dependent diabetes mellitus: a controlled study . BMJ . 1991;303:17-20.Crossref 16. Peveler RC, Fairburn CG, Boller I, Dunger D. Eating disorders in adolescents with IDDM: a controlled study . Diabetes Care . 1992;15:1356-1360.Crossref 17. Meadows G, Treasure J. Bulimia nervosa and Crohn's disease . Acta Psychiatr Scand . 1989;79:413-414.Crossref 18. Mcfarlane AC. Blindness and anorexia nervosa . Can J Psychiatry . 1989:34: 431-433. 19. Pumariega AJ, Pursell J, Spock A, Jones JD. Eating disorders in adolescents with cystic fibrosis . J Am Acad Child Adolesc Psychiatry . 1986;25:269-275.Crossref 20. Mallett P, Murch S. Anorexia nervosa complicating inflammatory bowel disease . Arch Dis Child . 1990:65:298-300.Crossref 21. Harris LJ, Resnick MD, Blum RW, Rosenwinkel K. Technical report on the adolescent health survey. Minneapolis, Minn: University of Minnesota Adolescent Health Program; 1989. 22. Blum RW, Harmon B, Harris L, Resnick MD. Amercan Indian-Alaskan Native Youth Health . JAMA . 1992;267:1637-1644.Crossref 23. Halmi KA, Falk JR, Schwartz E. Binge-eating and vomiting: a survey of a college population . Psychol Med . 1981;11:697-706.Crossref 24. Johnson CL, Lewis C, Love S, Stuckey M, Lewis L. A descriptive survey of dieting and bulimic behavior in a female high school population . In: Understanding Anorexia Nervosa and Bulimia: Report of the Fourth Ross Conference on Medical Research . Columbus, Ohio: Ross Laboratories; 1981:14-20. 25. Story M, Hauck FR, Broussard BA, White LL, Resnick MD, Blum RW. Weight perceptions and weight control practices in American Indian and Alaska Native Adolescents . Arch Pediatr Adolesc Med . 1994;148:567-571.Crossref 26. Ostrov MR, Ostrov E. The self-image of asthmatic adolescents . J Asthma . 1986; 23:187-193.Crossref 27. Offer D, Ostrov E, Howard K. Body image, self-perception, and chronic illness in adolescence . In: Blum, R. Chronic Illness and Disabilities in Childhood and Adolescence . New York, NY: Grune & Stratton; 1984:59-73. 28. Wolman C, Blum RW, Resnick MD, Harris LJ. Emotional well-being of adolescents with chronic conditions . J Adolesc Health . 1994;15:199-204.Crossref 29. McAnarney ER. Social maturation: a challenge for handicapped and chronically ill adolescents . J Adolesc Health . 1985;6:90-101.Crossref 30. Blum RW. Chronic illness and disability in adolescence . J Adolesc Health . 1992; 13:364-368.Crossref 31. Motet-Grigoras CN, Schuckit MA. Depression and substance abuse in handicapped young men . J Clin Psychiatry . 1986;47:234-236. 32. Moore D, Polsgrove L. Disabilities, developmental handicaps, and substance misuse: a review . Int J Addict . 1991;26:65-90. 33. Moore D. Resarch in substance abuse and disabilities: the implications for prevention and treatment. Plenary session paper presented at The Third National Prevention and Training Conference: People with Disabilities. April 4-9,1990. 34. Dean JC, Fox A, Jensen W. Drug and alcohol use by disabled and nondisabled persons: a comparative study . Int J Addict . 1985;20:629-641. 35. Neumark-Sztainer D. The Prevention of Eating Disturbances Among Adolescent Females. Jerusalem, Israel: Hebrew University. 1993:153. 36. Rosen JC, Poplawski D. The validity of self-reported weight loss and weight gain efforts in adolescents . Int J Eat Disord . 1987;6:515-523.Crossref 37. Rodin J, Silberstein L, Striegel-Moore R. Women and weight: a normative discontent . Nebr Symp Motiv . 1984:267-307. 38. Nylander I. The feeling of being fat and dieting in a school population: an epidemiological investigation . Acta Sociomed Scand . 1971;1:17-26. 39. Patton GC, Johnson-Sabine E, Wood K, Mann AH, Wakeling A. Abnormal eating attitudes in London schoolgirls: a prospective epidemiological study: outcome at twelve month follow-up . Psychol Med . 1990;20:383-394.Crossref 40. Neumark-Sztainer D. Dieting for weight loss: normative but not harmless . Nutr Today . 1995;30:68-74.Crossref 41. Neumark-Sztainer D, Butler R, Palti H. Eating disturbances among adolescent girls: evaluation of a school-based primary prevention program . J Nutr Educ . 1995;27:24-31.Crossref 42. Levine MP. How schools can help combat student eating disorders: anorexia nervosa and bulimia. National Education Association of the United States. 1987. 43. Garner DM, Rockert W, Olmstead MP, Johnson C, Coscina DV. Psychoeducational principles in the treatment of bulimia and anorexia nervosa . In: Garner DM, Garfinkle PE. Handbook of Psychotherapy for Anorexia Nervosa and Bulimia . New York, NY: Guilford Press; 1986. 44. Pless IB, Perrin JM, Issues common to a variety of illnesses . In: Hobbs N. Perrin JM, eds. Issues in the Care of Children With Chronic Illness . San Francisco, Calif: Jossey-Bass Inc Publishers; 1985. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Pediatrics & Adolescent Medicine American Medical Association

Body Dissatisfaction and Unhealthy Weight-Control Practices Among Adolescents With and Without Chronic Illness: A Population-Based Study

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Publisher
American Medical Association
Copyright
Copyright © 1995 American Medical Association. All Rights Reserved.
ISSN
1072-4710
eISSN
1538-3628
DOI
10.1001/archpedi.1995.02170250036005
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See Article on Publisher Site

Abstract

Abstract Objective: To compare body dissatisfaction and unhealthy weight-loss practices among adolescents with and without chronic illness. Design: Survey. Participants: The sample consisted of 2149 adolescent boys and girls with diabetes, asthma, attention deficit disorder, physical disabilities, or seizure disorders; and a comparison group of 1381 adolescents without chronic illness. Main Outcome Measures: Body concerns, binge eating, frequent dieting, vomiting, and laxative or diuretic use among adolescents. Results: Adolescents with chronic illness reported higher body dissatisfaction and engaged in more high-risk weight-loss practices than adolescents without chronic illness. This trend was consistent across the different conditions and was not limited to those with a nutrition-related condition such as diabetes. The trend remained after conducting logistic regression and controlling for age, race, socioeconomic status, and body mass index. Conclusions: Adolescents with chronic illness are at high risk for engaging in unhealthy weight-loss practices and should be screened and targeted for prevention and treatment.(Arch Pediatr Adolesc Med. 1995;149:1330-1335) References 1. Story MS, Rosenwinkel K, Resnick M, Harris LJ, Blum RW. Demographic and risk factors associated with chronic dieting in adolescents . AJDC . 1991;15: 15-18. 2. Marchi M, Cohen P. Early childhood eating behaviors and adolescent eating disorders . J Am Acad Child Adolesc Psychiatry . 1990;19:112-117.Crossref 3. Neumark-Sztainer D, Palti H, Butler R. Weight concerns and dieting behaviors among high school girls in Israel . J Adolesc Health . 1995;16:53-59.Crossref 4. Stein DM. The prevalence of bulimia: a review of the empirical research . J Nutr Educ . 1991;23:205-213.Crossref 5. Gortmaker SL, Sappenfield W. Chronic childhood disorders: prevalence and impact . Pediatr Clin North Am . 1984;31:3-18. 6. Gortmaker SL, Walker DK, Weitzman M, Sobol AM. Chronic conditions, socioeconomic risks, and behavioral problems in children and adolescents . Pediatrics . 1990;85:267-276. 7. Chronic physical illnesses: prevention and services. Adolescent Health–Background and the Effectiveness of Selected Prevention and Treatment Services . Washington, DC: US Office of Technology Assessment. 1991;2:149-189. Publication OTA-H-466. 8. Powers PS, Malone Jl, Duncan JA. Anorexia nervosa and diabetes mellitus . J Clin Psychiatry . 1983;44:133-135. 9. Hardoff D, Shenker IR, Nussbaum M. Anorexia nervosa in a patient with juvenile diabetes . NY State J Med . 1984;82:61. 10. Rodin GM, Daneman D. Eating disorders and IDDM: a problematic association . Diabetes Care . 1992;15:1402-1412.Crossref 11. Wing RR, Nowalk MP, Marcus MD, Koeske R, Finegold D. Subclinical eating disorders and glycemic control in adolescents with type 1 diabetes . Diabetes Care . 1986;9:162-167.Crossref 12. Rodin GM, Johnson LE, Garfinkel PE, Daneman D, Kenshole AB. Eating disorders in female adolescents with insulin dependent diabetes mellitus . Int J Psychiatry Med . 1986-1987;16:49-57.Crossref 13. Steel JM, Young RJ, Lloyd GG, Macintyre CCA. Abnormal eating attitudes in young insulin-dependent diabetics . Br J Psychiatry . 1989;155:515-521.Crossref 14. Striegel-Moore RH, Nicholson TJ, Tamborlane WV. Prevalence of eating disorder symptoms in preadolescent and adolescent girls with IDDM . Diabetes Care . 1992;15:1361-1368.Crossref 15. Fairburn CG, Peveler RC, Davies B, Mann JI, Mayou RA. Eating disorders in young adults with insulin dependent diabetes mellitus: a controlled study . BMJ . 1991;303:17-20.Crossref 16. Peveler RC, Fairburn CG, Boller I, Dunger D. Eating disorders in adolescents with IDDM: a controlled study . Diabetes Care . 1992;15:1356-1360.Crossref 17. Meadows G, Treasure J. Bulimia nervosa and Crohn's disease . Acta Psychiatr Scand . 1989;79:413-414.Crossref 18. Mcfarlane AC. Blindness and anorexia nervosa . Can J Psychiatry . 1989:34: 431-433. 19. Pumariega AJ, Pursell J, Spock A, Jones JD. Eating disorders in adolescents with cystic fibrosis . J Am Acad Child Adolesc Psychiatry . 1986;25:269-275.Crossref 20. Mallett P, Murch S. Anorexia nervosa complicating inflammatory bowel disease . Arch Dis Child . 1990:65:298-300.Crossref 21. Harris LJ, Resnick MD, Blum RW, Rosenwinkel K. Technical report on the adolescent health survey. Minneapolis, Minn: University of Minnesota Adolescent Health Program; 1989. 22. Blum RW, Harmon B, Harris L, Resnick MD. Amercan Indian-Alaskan Native Youth Health . JAMA . 1992;267:1637-1644.Crossref 23. Halmi KA, Falk JR, Schwartz E. Binge-eating and vomiting: a survey of a college population . Psychol Med . 1981;11:697-706.Crossref 24. Johnson CL, Lewis C, Love S, Stuckey M, Lewis L. A descriptive survey of dieting and bulimic behavior in a female high school population . In: Understanding Anorexia Nervosa and Bulimia: Report of the Fourth Ross Conference on Medical Research . Columbus, Ohio: Ross Laboratories; 1981:14-20. 25. Story M, Hauck FR, Broussard BA, White LL, Resnick MD, Blum RW. Weight perceptions and weight control practices in American Indian and Alaska Native Adolescents . Arch Pediatr Adolesc Med . 1994;148:567-571.Crossref 26. Ostrov MR, Ostrov E. The self-image of asthmatic adolescents . J Asthma . 1986; 23:187-193.Crossref 27. Offer D, Ostrov E, Howard K. Body image, self-perception, and chronic illness in adolescence . In: Blum, R. Chronic Illness and Disabilities in Childhood and Adolescence . New York, NY: Grune & Stratton; 1984:59-73. 28. Wolman C, Blum RW, Resnick MD, Harris LJ. Emotional well-being of adolescents with chronic conditions . J Adolesc Health . 1994;15:199-204.Crossref 29. McAnarney ER. Social maturation: a challenge for handicapped and chronically ill adolescents . J Adolesc Health . 1985;6:90-101.Crossref 30. Blum RW. Chronic illness and disability in adolescence . J Adolesc Health . 1992; 13:364-368.Crossref 31. Motet-Grigoras CN, Schuckit MA. Depression and substance abuse in handicapped young men . J Clin Psychiatry . 1986;47:234-236. 32. Moore D, Polsgrove L. Disabilities, developmental handicaps, and substance misuse: a review . Int J Addict . 1991;26:65-90. 33. Moore D. Resarch in substance abuse and disabilities: the implications for prevention and treatment. Plenary session paper presented at The Third National Prevention and Training Conference: People with Disabilities. April 4-9,1990. 34. Dean JC, Fox A, Jensen W. Drug and alcohol use by disabled and nondisabled persons: a comparative study . Int J Addict . 1985;20:629-641. 35. Neumark-Sztainer D. The Prevention of Eating Disturbances Among Adolescent Females. Jerusalem, Israel: Hebrew University. 1993:153. 36. Rosen JC, Poplawski D. The validity of self-reported weight loss and weight gain efforts in adolescents . Int J Eat Disord . 1987;6:515-523.Crossref 37. Rodin J, Silberstein L, Striegel-Moore R. Women and weight: a normative discontent . Nebr Symp Motiv . 1984:267-307. 38. Nylander I. The feeling of being fat and dieting in a school population: an epidemiological investigation . Acta Sociomed Scand . 1971;1:17-26. 39. Patton GC, Johnson-Sabine E, Wood K, Mann AH, Wakeling A. Abnormal eating attitudes in London schoolgirls: a prospective epidemiological study: outcome at twelve month follow-up . Psychol Med . 1990;20:383-394.Crossref 40. Neumark-Sztainer D. Dieting for weight loss: normative but not harmless . Nutr Today . 1995;30:68-74.Crossref 41. Neumark-Sztainer D, Butler R, Palti H. Eating disturbances among adolescent girls: evaluation of a school-based primary prevention program . J Nutr Educ . 1995;27:24-31.Crossref 42. Levine MP. How schools can help combat student eating disorders: anorexia nervosa and bulimia. National Education Association of the United States. 1987. 43. Garner DM, Rockert W, Olmstead MP, Johnson C, Coscina DV. Psychoeducational principles in the treatment of bulimia and anorexia nervosa . In: Garner DM, Garfinkle PE. Handbook of Psychotherapy for Anorexia Nervosa and Bulimia . New York, NY: Guilford Press; 1986. 44. Pless IB, Perrin JM, Issues common to a variety of illnesses . In: Hobbs N. Perrin JM, eds. Issues in the Care of Children With Chronic Illness . San Francisco, Calif: Jossey-Bass Inc Publishers; 1985.

Journal

Archives of Pediatrics & Adolescent MedicineAmerican Medical Association

Published: Dec 1, 1995

References