Abstract
Objectives
This study was conducted to compare dietary habits, weight control behaviors, eating disorder risk and depression among middle school girls who were at various stages of dieting.
Methods
Subjects were 391 girls attending a middle school in Kyeonggido, Korea. All the information was gathered by self-administered questionnaires. Eating disorder risk and depression were assessed using EAT-26 and PHQ-9, respectively. Data were compared among 4 groups; no interest in a diet (N=112), had experienced dieting (N=86), on diet currently (N=71), and plan to diet (N=122).
Results
A higher number of students currently on diet tended to be unsatisfied with their own weight (p < 0.01), overestimated their weight (p < 0.05), and weighed own body frequently (p < 0.001), compared to those with only experienced dieting in the past or those who plan to diet, despite similar weights and body mass index. The students who experienced dieting in the past or those who plan to diet appeared to have several undesirable as well as desirable dietary habits and their risk of eating disorder was significantly more prevalent compared to those without an interest in dieting (p < 0.01), although significantly less prevalent compared to those currently on a diet.
References
1. Ministry of Education. Adolescent Health Behavior Online Survey 2014 [internet]. 2014. cited 2015 Apr 27. Available from: http://yhs.cdc.go.kr/.
2. Choi HM, Kim JH, Lee JH, Kim CI, Song KH, Chang KJ, et al. Essentials of Nutrition. 3rd ed. Paju: Kyomunsa;2011. p. 150–151.
3. Montani JP, Schutz Y, Dulloo AG. Dieting and weight cycling as risk factors for cardiometabolic diseases: who is really at risk? Obes Rev. 2015; 16:Suppl 1. 7–18.
4. Ingolfsdottir G, Asgeirsdottir BB, Gunnarsdottir T, Bjornsson AS. Changes in body image and dieting among 16-19-year-old Icelandic students from 2000 to 2010. Body Image. 2014; 11(4):364–369.
5. American Academy of Pediatrics. Promotion of healthy weight-control practices in young athletes. Pediatrics. 1996; 97(5):752–753.
6. Garner DM. Eating attitude Test (EAT-26): Scoring and interpretation [internet]. River Centre Clinic;1982. cited 2015 Apr 28. Available from: http://www.eat-26.com/.
7. Wikipedia. Disordered eating [internet]. Wikipedia;2015. cited 2015 Jun 4. Available from: http://en.wikipedia.org/wiki/Disordered_eating/.
8. Park SJ, Choi HR, Choi JH, Kim KW, Hong JP. Reliability and validity of the Korean version of the Patient Health Questionnaire-9 (PHQ-9). Anxiety Mood. 2010; 6(2):119–124.
9. Seo JS, Lee JH, Yun JS, Cho SH, Choi YS. Nutritional assessment. 1st ed. Paju: Powerbook;2008. p. 54–55.
10. Kim M, Lee H. Overestimation of own body weights in female university students: associations with lifestyles, weight control behaviors and depression. Nutr Res Pract. 2010; 4(6):499–506.
11. Higgs S, Woodward M. Television watching during lunch increases afternoon snack intake of young women. Appetite. 2009; 52(1):39–43.
12. Anschutz DJ, Engels RCME, Becker ES, van Strien T. The bold and the beautiful. Influence of body size of telelvised media models on body dissatisfaction and actual food intake. Appetite. 2008; 51(3):530–537.
13. Kim JH, Jung IK. A study on body image perception and eating disorders by gender in junior high school students in Seoul. J Korean Home Econ Assoc. 2006; 45(1):101–109.
14. Yim KS. Effects of obesity, body image dissatisfaction and dietary habits on the risk of disturbed eating attitudes among high school students in Gyunggi province, Korea. Korean J Community Nutr. 2010; 15(5):656–669.
15. Oh MY, Yu HH. Relation of body weight control and eating disorder of university students in the Gunsan area. Korean J Community Nutr. 2007; 12(6):724–741.
16. Tang J, Yu Y, Du Y, Ma Y, Zhu H, Liu Z. Association between actual weight status, perceived weight and depressive, anxious symptoms in Chinese adolescents: a cross-sectional study. BMC Public Health. 2010; 10(1):594–601.
17. Al Sabbah H, Vereecken C, Abdeen Z, Kelly C, Ojala K, Nemeth A. Weight control behaviors among overweight, normal weight and underweight adolescents in Palestine: findings from the national study of Palestinian schoolchildren (HBSC-WBG2004). Int J Eat Disord. 2010; 43(4):326–336.
18. Jansen W, van de Looij-Jansen PM, de Wilde EJ, Brug J. Feeling fat rather than being fat may be associated with psychological well-being in young Dutch adolescents. J Adolesc Health. 2008; 42(2):128–136.
19. Cho JH, Han SN, Kim JH, Lee HM. Body image distortion in fifth and sixth grade students may lead to stress, depression, and undesirable dieting behavior. Nutr Res Pract. 2012; 6(2):175–181.
20. Kim DS, Kim HS, Cho Y, Cho SI. The effects of actual and perceived body weight on unhealthy weight control behaviors and depressed mood among adult women in Seoul, Korea. J Prev Med Public Health. 2008; 41(5):323–330.
21. Neumark-Sztainer D, Bauer KW, Friend S, Hannan PJ, Story M, Berge JM. Family weight talk and dieting: How much do they matter for body dissatisfaction and disordered eating behaviors in adolescent girls. J Adolesc Health. 2010; 47(3):270–276.
22. Pronk NP, Boyle RG. Self-weighing in weight gain prevention and weight loss trials. Ann Behav Med. 2005; 30(3):210–216.
23. Wing RR, Tate DF, Gorin AA, Raynor HA, Fava JL, Machan J. STOP regain: Are there negative effects of daily weighing. J Consult Clin Psychol. 2007; 75(4):652–656.
24. Neumark-Sztainer D, van den Berg P, Hannan PJ, Story M. Self-weighing in adolescents: helpful or harmful? longitudinal associations with body weight changes and disordered eating. J Adolesc Health. 2006; 39(6):811–818.