Associations of disordered eating and unhealthy weight control behaviors with cardiovascular health: The coronary artery risk development in young adults study.

IF 3.1 2区心理学 Q1 PSYCHOLOGY

Health Psychology Pub Date : 2024-09-23 DOI:10.1037/hea0001413

Brittanny M Polanka, Cynthia Yoon, David R Jacobs, Pamela J Schreiner, Nancy E Sherwood

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引用次数: 0

Abstract

Objective: Few studies have investigated disordered eating and unhealthy weight control behaviors and cardiovascular health (CVH) outside of adolescence and early adulthood. We examined the cross-sectional and prospective associations of these behaviors and CVH in middle adulthood.

Method: A total of 2,095 Coronary Artery Risk Development in Young Adults participants were assessed at Year 10 (Y10, 1995-1996) and Year 30 (Y30, 2015-2016). The Y10-administered Questionnaire on Eating and Weight Patterns-Revised was used to create the problematic relationship to eating and food (PREF) score (range 0-8). Higher scores indicated greater disordered eating and/or unhealthy weight control behaviors across eight components. PREF was modeled categorically: 0-1 (reference), 2-3, and 4-8. Diet, physical activity, smoking, blood pressure, cholesterol, glucose, and body mass index (BMI) were measured at Y10 and Y30 (diet at Y7 and Y20) and used to define CVH. CVH was modeled categorically: poor-to-intermediate (0-9) and ideal (10-14; reference). Logistic regression was used to evaluate associations between PREF and CVH categories and components.

Results: PREF 4-8 was associated with Y10 poor-to-intermediate CVH (OR = 2.35, 95% confidence interval (CI) [1.78, 3.10]) but not Y30 (OR = 1.34, 95% CI [0.96, 1.87]) compared to PREF 0-1. PREF 2-3 was not associated with Y10 or Y30 CVH. Individual PREF components were not uniformly associated with individual CVH components, although all PREF components were associated with Y10 poor-to-intermediate BMI.

Conclusions: Disordered eating and unhealthy weight control behaviors are cross-sectionally but not prospectively associated with poorer CVH during middle age. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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饮食紊乱和不健康的体重控制行为与心血管健康的关系：青少年冠状动脉风险发展研究。

研究目的很少有研究调查过青春期和成年早期以外的饮食紊乱和不健康体重控制行为与心血管健康（CVH）的关系。我们研究了这些行为与成年中期心血管健康的横断面和前瞻性关联：我们在第 10 年（Y10，1995-1996 年）和第 30 年（Y30，2015-2016 年）对 2095 名青少年冠状动脉风险发展参与者进行了评估。采用Y10管理的《饮食和体重模式问卷-修订版》来计算与饮食和食物的问题关系（PREF）得分（范围0-8）。分数越高，表明饮食失调和/或不健康的体重控制行为越严重，包括八个方面。PREF 采用分类模型：0-1（参考值）、2-3 和 4-8。饮食、体力活动、吸烟、血压、胆固醇、血糖和体重指数（BMI）在 10 岁和 30 岁时（饮食在 7 岁和 20 岁时）进行测量，并用于定义 CVH。CVH 被分类为：差至中等（0-9）和理想（10-14；参考）。采用逻辑回归法评估 PREF 与 CVH 类别和成分之间的关联：与 PREF 0-1 相比，PREF 4-8 与 Y10 差至中等 CVH 相关（OR = 2.35，95% 置信区间 (CI) [1.78，3.10]），但与 Y30 无关（OR = 1.34，95% CI [0.96，1.87]）。PREF 2-3 与 Y10 或 Y30 CVH 无关。单个 PREF 成分与单个 CVH 成分的相关性并不一致，尽管所有 PREF 成分都与 Y10 差到中等的 BMI 相关：结论：饮食紊乱和不健康的体重控制行为在横截面上与中年时期较差的CVH有关，但在前瞻性上无关。(PsycInfo Database Record (c) 2024 APA，保留所有权利）。

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来源期刊

Health Psychology 医学-心理学

CiteScore

4.90

自引率

2.40%

发文量

170

审稿时长

4-8 weeks

期刊介绍： Health Psychology publishes articles on psychological, biobehavioral, social, and environmental factors in physical health and medical illness, and other issues in health psychology.