Journal of the Academy of Nutrition and Dietetics最新文献

{"title":"(Mis)matches in Daily Weight Stigma Perpetrators’ and Targets’ Genders and Races Relative to Targets’ Daily Disordered Eating Behaviors: Examining Differences Between Black and White Women","authors":"Kelly A. Romano PhD ,&nbsp;Emily Panza PhD ,&nbsp;Carol B. Peterson PhD ,&nbsp;Laura Hooper PhD ,&nbsp;Tyler B. Mason PhD","doi":"10.1016/j.jand.2025.07.002","DOIUrl":"10.1016/j.jand.2025.07.002","url":null,"abstract":"<div><h3>Background</h3><div>Associations between weight stigma (WS) and disordered eating behaviors (DEBs) vary based on the WS source (eg, family, strangers). However, no research has examined how (mis)matches in WS perpetrators’ and targets’ races and genders relate to targets’ DEBs in the natural environment (eg, home, work/school).</div></div><div><h3>Objective</h3><div>This study examined whether associations between daily WS and DEBs differed: for Black vs White women, based on whether there were (mis)matches in the races and—separately—genders of WS perpetrators and targets.</div></div><div><h3>Design</h3><div>This is a secondary analysis of a remote daily diary study conducted in the Mid-Atlantic United States. Participants completed nightly surveys on mobile devices for 14 days from January 2019 to July 2020.</div></div><div><h3>Participants/setting</h3><div>Participants included Black (n = 58) and White (n = 86) women with body dissatisfaction (ages 18 to 35 years).</div></div><div><h3>Main Outcome Measures</h3><div>Outcomes included binge eating, overeating, loss of control eating, and dietary restriction (skipped meals, refused food/drinks, replaced meals with no/low-calorie substances, and limited food amount).</div></div><div><h3>Statistical Analyses Performed</h3><div>Multilevel models examined whether associations between daily WS by men, women, Black or White perpetrators (vs no daily WS; independent variables) and daily DEBs (outcomes) differed for Black vs White women (moderator).</div></div><div><h3>Results</h3><div>Associations between daily WS and different DEBs were generally largest for Black women when WS was perpetrated by women and, for White women, by men (with exceptions). For example, on days when Black women experienced WS by other women, they were more likely than White women to engage in binge eating (<em>b</em> = .14 ± .06; <em>P</em> = .024), refuse food/drinks (<em>b =</em> .21 ± .07; <em>P</em> = .004), and limit the amount of food they ate (<em>b =</em> .27 ± .10; <em>P</em> = .008). (Mis)matches in WS perpetrators’ and targets’ races were not associated with Black or White women’s daily DEBs (<em>P</em> values &gt; .05).</div></div><div><h3>Conclusions</h3><div>Findings suggest that associations between daily WS and DEBs are especially harmful for women with multiple marginalized identities (Black women), particularly when Black women experience WS by women perpetrators. Further WS research centered on Black women’s experiences is needed.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 12","pages":"Pages 1841-1852"},"PeriodicalIF":4.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144673654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cross-Sectional Associations Between Family Dinner Frequency and Quality, Self-Directed Parental Weight Talk During Meals, and Disordered Eating Behaviors in Adolescents","authors":"Rachael A. Sabelli MSc ,&nbsp;Grace Hajinazarian MPH ,&nbsp;Margie R. Skeer ScD, MPH, MSW ,&nbsp;Katherine M. Rancaño PhD ,&nbsp;Sara C. Folta PhD ,&nbsp;Misha Eliasziw PhD ,&nbsp;Kendrin R. Sonneville ScD, RD","doi":"10.1016/j.jand.2025.07.007","DOIUrl":"10.1016/j.jand.2025.07.007","url":null,"abstract":"<div><h3>Background</h3><div>Although a higher frequency of family meals is associated with lower levels of disordered eating in adolescents, the quality of family meal interactions and weight-related discourse during mealtimes may play a role in the level of protection.</div></div><div><h3>Objective</h3><div>To examine, based on <em>a priori</em> hypotheses, the protective associations between family dinner frequency and quality (referring to the quality of experiences and not the nutritional or dietary quality of foods served) and disordered eating, and whether the associations are lower or absent when self-directed parental weight talk during meals (weight talk) is present.</div></div><div><h3>Design</h3><div>This was a cross-sectional study using online surveys in the United States with data collected between October 2021 and February 2022.</div></div><div><h3>Participants</h3><div>Parents and adolescents were eligible if adolescents were aged 12 to 17 years and parents and adolescents lived together at least 50% of the time (n = 2090).</div></div><div><h3>Main Outcome Measures</h3><div>Adolescents reported disordered eating behaviors (eg, fasting, binge eating, purging, and diet medications; “yes”/”no”) and parents reported weight talk (“never to rarely”/“sometimes to always”) during the past 6 months.</div></div><div><h3>Statistical Analyses Performed</h3><div>Primary associations were examined between the Family Dinner Index-Parent version (0 = very low to 6 = very high) and weekly family dinner frequency (0-7) and disordered eating. Generalized linear models were used and adjusted for adolescents’ age, gender, race, and ethnicity. A cross-product term between Family Dinner Index-Parent version and weight talk was added to test for moderation.</div></div><div><h3>Results</h3><div>A higher mean family dinner frequency was associated with 7% lower prevalence of binge eating (95% CI, 2% to 12%; <em>P</em> = .01). A higher Family Dinner Index-parent version score was associated with 29% lower prevalence of fasting (95% CI, 22% to 36%; <em>P</em> &lt; .001), 18% lower prevalence of binge eating (95% CI, 11% to 25%; <em>P</em> &lt; .001), 34% lower prevalence of purging (95% CI, 25% to 43%; <em>P</em> &lt; .001), and 35% lower prevalence of using diet medications (95% CI, 26% to 42%; <em>P</em> &lt; .001). As hypothesized, higher family dinner quality was associated with lower disordered eating when weight talk was absent compared with when it was present.</div></div><div><h3>Conclusions</h3><div>Higher family dinner quality and no weight talk during mealtimes are associated with lower adolescent disordered eating. These protective associations should be examined longitudinally.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 12","pages":"Pages 1831-1840"},"PeriodicalIF":4.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144717208","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2025 Members Honored with Excellence in Practice Awards","authors":"","doi":"10.1016/j.jand.2025.10.008","DOIUrl":"10.1016/j.jand.2025.10.008","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 12","pages":"Page 1915"},"PeriodicalIF":4.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537096","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2025 Distinguished Lecture Award","authors":"","doi":"10.1016/j.jand.2025.10.009","DOIUrl":"10.1016/j.jand.2025.10.009","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 12","pages":"Page 1916"},"PeriodicalIF":4.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537097","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"In Memoriam: Karen Ann Lechowich, MBA, RDN, FAND (1948–2025)","authors":"","doi":"10.1016/j.jand.2025.09.001","DOIUrl":"10.1016/j.jand.2025.09.001","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 12","pages":"Page 1921"},"PeriodicalIF":4.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145537100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"2025 Lifetime Achievement Award","authors":"","doi":"10.1016/j.jand.2025.10.005","DOIUrl":"10.1016/j.jand.2025.10.005","url":null,"abstract":"","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 12","pages":"Page 1911"},"PeriodicalIF":4.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145536884","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Parental Weight Stigma Associated With Self-Directed Weight Talk and Use of Health-Related Restrictive Feeding Practices","authors":"Kendrin R. Sonneville ScD, RD ,&nbsp;Natasha A. Schvey PhD ,&nbsp;Heidi M. Weeks PhD ,&nbsp;Michelle E. Clayson MS ,&nbsp;Katherine W. Bauer PhD, MS","doi":"10.1016/j.jand.2025.01.012","DOIUrl":"10.1016/j.jand.2025.01.012","url":null,"abstract":"<div><h3>Background</h3><div>Parents are important conduits of weight- and health-related messaging. Weight-related communication and approaches to child feeding<span> used by parents may reflect their past experiences with weight stigma and are understudied pathways through which intergenerational weight stigma may be transmitted.</span></div></div><div><h3>Objective</h3><div>The aim of this study was to examine how experienced and internalized weight stigma among parents of children with higher weights are associated with weight-related communication and the feeding practices they use.</div></div><div><h3>Design</h3><div>The Listening to Parents study is a cross-sectional study of 103 parent-child dyads who completed in-person study visits at the University of Michigan in Ann Arbor between November 2022 through June 2023.</div></div><div><h3>Participants/setting</h3><div>Participants were parents of children (ages 6 through 14 years, identified by parents as “heavier or overweight”) who completed the Stigmatizing Situations Inventory Brief and Weight Bias Internalization Scale-Modified, as well as questions about weight-related communication and the Comprehensive Feeding Practices Questionnaire.</div></div><div><h3>Main outcome measures</h3><div>Outcomes included 5 items corresponding to parental weight-related communication (ie, self-directed, other-directed, and child-directed weight talk, child-directed weight teasing, and child-directed encouragement to lose weight) and 3 Comprehensive Feeding Practices Questionnaire subscales (ie, Monitoring, Restriction for Health, and Restriction for Weight Control).</div></div><div><h3>Statistical analyses performed</h3><div>Linear regression models were used to examine associations between mean scored parent-experienced and parent-internalized weight stigma and weight-related communication and feeding practices. Models were adjusted for child gender, parent-perceived child weight status, parental race and ethnicity, parental body mass index, and household income-to-needs ratio.</div></div><div><h3>Results</h3><div>In covariate-adjusted models, parent-internalized weight stigma was positively associated with self-directed weight talk (β = .20, SE = .078; <em>P</em> = .01) and greater use of health-related restrictive child feeding practices (β = .16, SE = .070; <em>P</em> = .02). No other significant associations in covariate-adjusted models were observed.</div></div><div><h3>Conclusions</h3><div>Although parents with greater internalized weight stigma may engage in more self-directed weight talk, they may also be more attuned to the harms of weight stigma and seek to minimize child-directed weight talk and weight teasing.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 12","pages":"Pages 1892-1898"},"PeriodicalIF":4.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143027482","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Weight Bias Internalization Statistically Mediates the Association Between Positive Body Image and Intuitive Eating: A Cross-Sectional Study","authors":"Paula M. Brochu PhD ,&nbsp;Janell L. Mensinger PhD ,&nbsp;Lauren B. Moss PsyD ,&nbsp;Stephanie L. Rothenberg MS","doi":"10.1016/j.jand.2024.12.007","DOIUrl":"10.1016/j.jand.2024.12.007","url":null,"abstract":"<div><h3>Background</h3><div>Two facets of positive body image, body appreciation and functionality appreciation, are positively associated with an adaptive eating style known as intuitive eating. Little is known about the mechanisms underlying the association between positive body image and intuitive eating, although it is well established that weight bias internalization is associated with unfavorable views of the self and body and interferes with health behavior engagement.</div></div><div><h3>Objective</h3><div>The present cross-sectional study examined weight bias internalization as a statistical mediator of the association between positive body image (ie, body appreciation and functionality appreciation) and intuitive eating.</div></div><div><h3>Design</h3><div>An online cross-sectional survey was conducted with a convenience sample of adults who were recruited through social media from February to April 2019.</div></div><div><h3>Participants and setting</h3><div>The final sample included 178 participants (120 women, 55 men, 2 gender nonbinary; mean age = 26.34 years, <em>SD</em> = 9.53 years) who completed the study online.</div></div><div><h3>Main outcome measures</h3><div>Participants completed the Intuitive Eating Scale-2 as the main outcome measure.</div></div><div><h3>Statistical analyses</h3><div>The PROCESS macro was used to conduct 2 mediation analyses with body appreciation and functionality appreciation as the antecedents, intuitive eating as the outcome, and weight bias internalization as the mediator.</div></div><div><h3>Results</h3><div>As expected, body appreciation (<em>b</em> = .34, <em>SE</em> = .06; <em>P</em> &lt; .001) and functionality appreciation (<em>b =</em> .13, <em>SE</em> = .06; <em>P</em> = .043) had significant positive associations with intuitive eating. Weight bias internalization statistically mediated the association between body appreciation and intuitive eating (<em>b</em> = .24, <em>SE</em> = .07, 95% CI .114 to .376), and functionality appreciation and intuitive eating (<em>b</em> = .04, <em>SE</em> = .03, 95% CI .004 to .104).</div></div><div><h3>Conclusions</h3><div>These findings contribute to better understanding the mechanisms connecting positive body image and intuitive eating. Results from this cross-sectional study indicate weight bias internalization statistically mediates the associations between body appreciation and intuitive eating and functionality appreciation and intuitive eating.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 12","pages":"Pages 1899-1906"},"PeriodicalIF":4.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142870917","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Explicit, Implicit, and Internalized Weight Bias: Relationships With Self-Perceptions of Weight and Current Dieting","authors":"Diane L. Rosenbaum PhD ,&nbsp;Meghan M. Gillen PhD ,&nbsp;Charlotte H. Markey PhD","doi":"10.1016/j.jand.2025.06.026","DOIUrl":"10.1016/j.jand.2025.06.026","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Negative attitudes regarding body size, including explicit, implicit, and internalized weight bias, are associated with deleterious outcomes, particularly for those in larger bodies.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;This study evaluated the relation of weight bias (explicit, implicit, and internalized forms) and body mass index (BMI) to self-perceived weight and current dieting.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;This was a cross-sectional study. Participants completed the AntiFat Attitudes Questionnaire, which assesses 3 domains of explicit weight bias, a weight-specific version of the Implicit Attitudes Test, and the Weight Bias Internalization-Modified Questionnaires through an online survey.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Participants/setting&lt;/h3&gt;&lt;div&gt;Participants (N = 392; 62.5% women; 15.8% African American/Black, 24.2% Asian American/Asian/Pacific Islander, 15.1% Latino/Hispanic, 37.0% White, 5.4% Multiracial, 2.3% Other, and 0.2% Did not disclose) were individuals of varying body size (mean BMI = 25.0 ± 5.73 kg/m&lt;sup&gt;2&lt;/sup&gt;, range = 14.08 to 50.17 kg/m&lt;sup&gt;2&lt;/sup&gt;). This study took place at a university in the Mid-Atlantic region of the United States from 2020 to 2022. Undergraduates who were aged at least 18 years, fluent in English, and enrolled in a psychology course that required subject pool participation were eligible to take part in the study.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Main outcome measures&lt;/h3&gt;&lt;div&gt;Participants completed the Self-Classified Weight Scale and reported dieting behavior.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Statistical analyses performed&lt;/h3&gt;&lt;div&gt;Using the PROCESS macro, regression models evaluated main effects and interactions for the different weight bias measures and BMI on self-perceived weight and current dieting, controlling for gender.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Results&lt;/h3&gt;&lt;div&gt;The 3 forms of weight bias had inconsistent relationships with self-perceived weight and dieting—some were significant while others were not. There were significant interactions between BMI and fear of fat (explicit weight bias) for both self-perceived weight (&lt;em&gt;P&lt;/em&gt; = .003) and dieting (&lt;em&gt;P&lt;/em&gt; = .02). A significant interaction was also found between BMI and implicit weight bias (&lt;em&gt;P&lt;/em&gt; = .01); those with higher bias had more discrepancies between actual and self-perceived weight. Believing that body size is controlled by willpower (explicit weight bias; &lt;em&gt;P&lt;/em&gt; = .005) and weight bias internalization (&lt;em&gt;P&lt;/em&gt; = .008) were positively related to dieting. Weight bias internalization was also positively associated with self-perceived weight (&lt;em&gt;P&lt;/em&gt; &lt; .001).&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Conclusions&lt;/h3&gt;&lt;div&gt;Internalized and some domains of explicit weight bias relate to larger self-perceived weight and greater dieting likelihood. Implicit weight bias in conjunction with BMI may also contribute to perceptions about one’s own body size. Findings highlight the importance of considering weight bias in disordered eating risk.&lt;/div&gt;&lt;/","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 12","pages":"Pages 1853-1863"},"PeriodicalIF":4.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144281922","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Empirical Redundancy? What Is the Distinct Role of Self-Objectification, Thin-Ideal Internalization, and Internalized Weight Stigma on Eating Pathology?","authors":"Caitlin A. Martin-Wagar PhD ,&nbsp;Sarah E. Attaway MA ,&nbsp;Lillian King BA ,&nbsp;Oscar R. Kronenberger BA ,&nbsp;Katelyn A. Melcher MA","doi":"10.1016/j.jand.2025.02.007","DOIUrl":"10.1016/j.jand.2025.02.007","url":null,"abstract":"<div><h3>Background</h3><div>Sociocultural risk factors predict disordered eating and body dissatisfaction. Three internalized variables (self-objectification, thin-ideal internalization, and internalized weight stigma) have each been shown to relate to body dissatisfaction and disordered eating. Although these 3 variables have distinct conceptualizations and definitions, they show similarity in theoretical definitions, evidence of strong relationships between the 3 variables, and similarity in how they each relate to adverse health outcomes.</div></div><div><h3>Objective</h3><div>This study investigated potential construct proliferation among these 3 internalized sociocultural variables.</div></div><div><h3>Design</h3><div>Data collection was cross-sectional, with undergraduate students completing online self-report measures from January to December 2023.</div></div><div><h3>Participants</h3><div>Participants were 599 undergraduate students at a northwestern US university.</div></div><div><h3>Main outcome measures</h3><div><span>The Objectified Body Consciousness Scale body surveillance subscale, Sociocultural Attitudes Toward Appearance Questionnaire-4 thin/low body fat subscale, Modified Weight Bias Internalization Scale, and </span>Eating Disorder<span> Examination-Questionnaire-6.0 subscales and behavioral items were used to measure self-objectification, thin-ideal internalization, internalized weight stigma, and eating disorder symptoms.</span></div></div><div><h3>Statistical analyses performed</h3><div>Six multiple regression analyses were performed to examine how the 3 internalization variables related to the outcome variables: restraint, eating concern, shape concern, weight concern, binge eating, and compensatory behaviors. Given the multiple analyses performed, a Bonferroni correction adjusted alpha levels to .008.</div></div><div><h3>Results</h3><div>All 6 regression models were significant (<em>P &lt;</em> .001). Although self-objectification, thin-ideal internalization, and internalized weight stigma (IWS) each contributed uniquely to the body image variables (weight concern and shape concern), only IWS contributed uniquely to binge eating, and only thin-ideal internalization and IWS contributed uniquely to restraint, eating concerns, and compensatory behaviors.</div></div><div><h3>Conclusions</h3><div>This study provides evidence that contradicts the premise of empirical redundancy and construct proliferation for these 3 internalization variables. Findings also highlight the potential to target each of the 3 internalized variables within prevention and intervention efforts. Particularly, future research should explore IWS within eating disorder prevention and treatment, given the unique relationship of IWS with all outcome variables.</div></div>","PeriodicalId":379,"journal":{"name":"Journal of the Academy of Nutrition and Dietetics","volume":"125 12","pages":"Pages 1884-1891"},"PeriodicalIF":4.0,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143456382","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}