Determinants of binge eating and its impact on indicators of obesity among Finnish adolescents - a cohort study.

IF 3.5 3区医学 Q2 NUTRITION & DIETETICS

Journal of Eating Disorders Pub Date : 2024-12-23 DOI:10.1186/s40337-024-01181-y

Reetta Lehto, Monica Ålgars, Sohvi Lommi, Marja H Leppänen, Heli Viljakainen

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引用次数: 0

Abstract

Background: Binge eating, a type of disordered eating, is relatively common among youth and predisposes them to many adverse health outcomes. Diverse psychological and social factors may be associated with binge eating. The aim of this study was to examine child and parental psychosocial determinants of binge eating and its impact on indicators of obesity.

Methods: The sample consisted of 10 679 Finnish adolescents who participated in the Fin-HIT cohort study. The participants were 9-12 years at baseline, and they were followed-up for 2.6 years on average. At baseline, children's anthropometry was measured, and they reported binge eating, disordered eating attitudes and behaviors, self-esteem, and body shape satisfaction with validated questionnaires. Parents reported their own weight satisfaction, dieting, and depressive symptoms at baseline. Adjusted logistic and linear regressions were used in the analyses.

Results: Self-esteem was associated with lower odds (OR 0.88, 95% CI 0.85-0.91), and overall disordered eating attitudes and behaviors were associated with higher odds (OR 1.08, 95% CI 1.06-1.10) of binge eating. Additionally, child and parent body dissatisfaction were associated with binge eating but not in the fully adjusted model where the child's BMI was additionally considered. None of the parental factors were associated with binge eating in the fully adjusted model. Binge eating was associated with higher BMI z-scores and waist circumferences both cross-sectionally and longitudinally.

Conclusions: In support of previous findings, we found that low self-esteem, body dissatisfaction and other disordered eating attitudes and behaviors are associated with binge eating, but our results also highlight the impact of weight status as a potential moderator when the determinants of binge eating are examined. More studies on the role of parental factors in adolescent binge eating are needed.

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芬兰青少年暴饮暴食的决定因素及其对肥胖指标的影响——一项队列研究。

背景：暴饮暴食是饮食失调的一种，在年轻人中相对常见，并使他们容易产生许多不良的健康后果。多种心理和社会因素可能与暴饮暴食有关。这项研究的目的是检查孩子和父母的心理社会因素暴饮暴食及其对肥胖指标的影响。方法：样本包括参加Fin-HIT队列研究的10679名芬兰青少年。参与者的基线年龄为9-12岁，平均随访时间为2.6年。在基线，测量儿童的人体测量，他们报告暴食，饮食态度和行为失调，自尊和身体形状满意度的有效问卷。父母在基线时报告了自己的体重满意度、节食和抑郁症状。在分析中使用了调整后的逻辑回归和线性回归。结果：自尊与较低的几率相关（OR 0.88, 95% CI 0.85-0.91），而整体饮食态度和行为失调与较高的几率相关（OR 1.08, 95% CI 1.06-1.10）。此外，孩子和父母的身体不满意与暴饮暴食有关，但在完全调整的模型中，孩子的身体质量指数没有被额外考虑。在完全调整后的模型中，没有任何父母因素与暴饮暴食有关。暴饮暴食与较高的BMI z分数和腰围相关，无论是横断面还是纵向。结论：支持先前的研究结果，我们发现低自尊，身体不满和其他饮食态度和行为失调与暴饮暴食有关，但我们的研究结果也强调了体重状况在暴饮暴食的决定因素中作为潜在调节因素的影响。需要对父母因素在青少年暴饮暴食中的作用进行更多的研究。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Eating Disorders Neuroscience-Behavioral Neuroscience

CiteScore

5.30

自引率

17.10%

发文量

161

审稿时长

16 weeks

期刊介绍： Journal of Eating Disorders is the first open access, peer-reviewed journal publishing leading research in the science and clinical practice of eating disorders. It disseminates research that provides answers to the important issues and key challenges in the field of eating disorders and to facilitate translation of evidence into practice. The journal publishes research on all aspects of eating disorders namely their epidemiology, nature, determinants, neurobiology, prevention, treatment and outcomes. The scope includes, but is not limited to anorexia nervosa, bulimia nervosa, binge eating disorder and other eating disorders. Related areas such as important co-morbidities, obesity, body image, appetite, food and eating are also included. Articles about research methodology and assessment are welcomed where they advance the field of eating disorders.