BMI and disordered eating in urban, African American, adolescent girls: The mediating role of body dissatisfaction

Buckingham-Howes, Stacy; Armstrong, Bridget; Pejsa-Reitz, Megan C.; Wang, Yan; Witherspoon, Dawn; Hager, Erin R.; Black, Maureen M.

doi:10.1016/j.eatbeh.2018.02.006

Cited by 15 publications

(8 citation statements)

References 41 publications

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“…The home food environments of young individuals from low-SES households have been found to provide less access to healthy foods and to be characterised by more parental control over feeding when compared with the environments of young individuals with more household resources (127)(128)(129) . In addition to these challenges, there is evidence that weight-related concerns and disordered eating are prevalent among paediatric populations in low-income communities (132,152,(156)(157)(158) . The extent to which food insecurity and parental control over feeding may contribute to the development of disordered eating patterns among lowerincome households is an area of ongoing research.…”

Section: Discussionmentioning

confidence: 99%

Nutritional problems in childhood and adolescence: a narrative review of identified disparities

Larson

2020

Nutr. Res. Rev.

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To inform programmes and policies that promote health equity, it is essential to monitor the distribution of nutritional problems among young individuals. Common nutritional problems include overall low diet quality, the underconsumption and overconsumption of certain dietary components, unhealthy meal and snack patterns, problematic feeding practices and disordered eating. The objective of the present narrative review was to summarise recent evidence of disparities among US children (2–19 years) according to age, sex, socio-economic status, ethnicity/race and rural–urban location. Searches in PubMed® and MEDLINE® were completed to identify peer-reviewed research studies published between January 2009 and January 2019. Findings from the ninety-nine reviewed studies indicate adolescent females, young individuals from lower socio-economic households and individuals who identify as non-Hispanic Black race are particularly vulnerable populations for whom targeted strategies should be developed to address evidence of increased risk with regards to multiple aspects of nutritional wellbeing. Limitations of the existing evidence relate to the accuracy of self-reported dietary data; the need for consistent definitions of disordered eating; the focus on individual dietary components v. patterns; the complexities of categorising socio-economic status, ethnicity/race, and rural and urban areas; and the cross-sectional, observational nature of most research designs. There is an urgent need for research to address these limitations and fill a large gap in evidence on rural–urban differences in nutritional problems. It will further be important for future studies to build greater understanding of how nutritional problems cluster among population groups.

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Section: Discussionmentioning

confidence: 99%

Nutritional problems in childhood and adolescence: a narrative review of identified disparities

Larson

2020

Nutr. Res. Rev.

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“…Fu et al 6 found that the body dissatisfaction rate among Chinese children and adolescents was 77.1%. Furthermore, Buckingham-Howes et al 7 reported that 60.4% of African American adolescent girls expressed body dissatisfaction and desired to be smaller. A study from Mulasi-Pokhriyal et al 8 indicated that 79% of girls and 69% of boys in the United States were dissatisfied with their body.…”

Section: Introductionmentioning

confidence: 99%

An association between body image dissatisfaction and digit ratio among Chinese children and adolescents

Yuan

Sun

et al. 2021

Sci Rep

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Body image dissatisfaction (BID) is a negative evaluation of personal physical characteristics, including dissatisfaction with body shape, gender, sexual organs, appearance and so forth, and it plays an important role in growth and development. The second-to-fourth digit ratio (2D:4D) is recognized as a putative indicator of intra-uterine testosterone to estrogen ratio exposure, and it has been observed that higher levels of fetal testosterone exposure are associated with a lower 2D:4D. The present paper contributes to a better understanding of the biological underpinnings of BID by analyzing BID and the digit ratio (2D:4D). We found that the 2D:4D was positively related to appearance dissatisfaction in boys with first spermatorrhea, which means that low prenatal androgen exposure may increase boys’ dissatisfaction with their appearance. In girls with breast development being lower than Tanner stage II, their 2D:4D was negatively related to their body shape dissatisfaction, which means that high prenatal androgen exposure may increase girls’ dissatisfaction with their body shape. These results suggest that the prenatal androgen exposure level might play an important role in the body image dissatisfaction of the offspring.

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“…We are unaware of any studies that have examined yoga in relation to muscle enhancing behaviors in any population‐based studies. Young people from socially marginalized ethnic/racial and low socio‐economic backgrounds have been found to be at high risk for problematic eating and weight‐related outcomes (Neumark‐Sztainer, Wall, Larson, et al, 2012; Eisenberg, Wall, & Neumark‐Sztainer, 2012; Tester et al, 2016; West et al, 2019; Buckingham‐Howes et al, 2018; Najjar et al, 2018), but may be underserved with regard to prevention and treatment interventions (Waldron, Hong, Moskowitz, & Burnett‐Zeigler, 2018; Polo et al, 2019). It is crucial to learn more about how to help in promoting a healthy body image and prevent and reduce unhealthy muscle‐enhancing and disordered eating behaviors among diverse and potentially underserved populations.…”

Section: Discussionmentioning

confidence: 99%

“…While behaviors such as engaging in physical activity, eating varied nutrient-dense foods, and mindful eating are to be encouraged, other actions such as unhealthy weight control behaviors (e.g., skipping meals, taking diet pills, and self-induced vomiting) and use of muscle enhancers, such as steroids, are problematic (5,6). Research suggests that the prevalence of disordered eating and muscleenhancing behaviors may be equally high, or even higher, among adolescents from lower socio-economic and ethnic/racial minority backgrounds than among adolescents from white and middle or upper socio-economic backgrounds (2,(7)(8)(9)(10)(11). There is a need for more research on the prevalence, correlates, and use of potentially helpful strategies aimed at promoting a healthy body image and preventing the use of unhealthy behaviors aimed at changing body shape or size among populations that are likely to have been understudied and underserved in terms of prevention and treatment interventions.…”

Section: Introductionmentioning

confidence: 99%

“…In contrast, body dissatisfaction, unhealthy weight control practices, and use of muscle enhancers, such as steroids, are problematic in that they may increase risk for adverse outcomes such as more severe disordered eating behaviors, clinical eating disorders, excessive weight gain, and cardiometabolic disturbances (Nagata et al, 2018; Hart et al, 2020; Nagata et al, 2019; Goldman & Basaria, 2018; Patton, Selzer, Coffey, Carlin, & Wolfe, 1999; Neumark‐Sztainer, Wall, Story, & Standish, 2012). Research suggests that the prevalence of disordered eating and unhealthy muscle‐enhancing behaviors may be equally high, or even higher, among young people from ethnically/racially diverse or lower socio‐economic backgrounds than among those from primarily white and middle or upper socio‐economic backgrounds (Neumark‐Sztainer, Wall, Larson, et al, 2012; Eisenberg, Wall, & Neumark‐Sztainer, 2012; Tester, Lang, & Laraia, 2016; West, Goldschmidt, Mason, & Neumark‐Sztainer, 2019; Buckingham‐Howes et al, 2018; Najjar, Jacob, & Evangelista, 2018).…”

Section: Introductionmentioning

confidence: 99%

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Yoga practice among ethnically/racially diverse emerging adults: Associations with body image, mindful and disordered eating, and muscle‐enhancing behaviors

Neumark‐Sztainer

Wall

Levine

et al. 2020

Intl J Eating Disorders

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Background This study explores cross‐sectional associations between yoga and body image, mindful eating, disordered eating, and muscle‐enhancing behaviors among a population‐based sample of ethnically/racially diverse emerging adults. Method An ethnically/racially diverse population‐based sample of 1,568 emerging adults (18–26 years) completed surveys as part of EAT 2010–2018 (Eating and Activity over Time). Models were adjusted for sociodemographic characteristics and body mass index (BMI). Results Practicing yoga at least 30 min/week was reported by 12.7% (n = 210) of the sample. Yoga practitioners had higher levels of mindful eating than those not practicing yoga. Although effect sizes were small, yoga practitioners were more likely than non‐yoga practitioners to use steroids (3.8 vs. 0.7%, p < .001, h = 0.22) or protein powder/shakes (35.1 vs. 25.3%, p < .010, h = 0.21) to increase their muscle size/tone. Body satisfaction, unhealthy weight control behaviors, and binge eating tended to be similar among yoga practitioners and non‐yoga practitioners. There was a significant interaction between BMI and yoga in predicting body satisfaction with a trend toward a positive impact among yoga practitioners at higher BMI values. Interactions between yoga practice and all body image attitudes and behaviors across gender and ethnicity/race were not statistically significant. Discussion Young people from diverse ethnic/racial backgrounds who practice yoga are more likely to engage in mindful eating but have equal or elevated levels of unhealthy body image attitudes and behaviors as compared to non‐yoga practitioners. Further research should explore how yoga is best taught and practiced to ensure that it is beneficial for body image and related behaviors.

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BMI and disordered eating in urban, African American, adolescent girls: The mediating role of body dissatisfaction

Cited by 15 publications

References 41 publications

Nutritional problems in childhood and adolescence: a narrative review of identified disparities

Nutritional problems in childhood and adolescence: a narrative review of identified disparities

An association between body image dissatisfaction and digit ratio among Chinese children and adolescents

Yoga practice among ethnically/racially diverse emerging adults: Associations with body image, mindful and disordered eating, and muscle‐enhancing behaviors

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