Unhealthy weight control behaviors, disordered eating, and body image dissatisfaction in adolescents from São Paulo, Brazil

Leal, Greisse Viero da Silva; Philippi, Sônia Tucunduva; Alvarenga, Marle dos Santos

doi:10.1590/1516-4446-2019-0437

Cited by 46 publications

(47 citation statements)

References 39 publications

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“…In a recent study in Brazil, adolescents who self-perceived as overweight showed a 2.381-fold higher prevalence of unhealthy weight control behaviors, such as skipping meals, using shakes or supplements as food substitutes, smoking cigarettes, or taking diet pills. The odds of disordered eating behaviors, such as binge-eating episodes, diuretics and laxatives use, self-induced vomiting, or extremely strict diet or fasting, was 1.795-fold higher in adolescents with overweight perceived status compared to adolescents who self-perceived as normal weight [ 67 ]. These results corroborate the evidence that, despite greater attempts to lose weight, adolescents of normal weight who self-perceive as overweight may not effectively translate their intentions into healthy weight loss behaviors [ 18 ].…”

Section: Discussionmentioning

confidence: 99%

Association between body weight misperception and dietary patterns in Brazilian adolescents: Cross-sectional study using ERICA data

et al. 2021

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The association between body image and eating behaviors or weight control strategies has been demonstrated in the scientific literature, but there is a lack of evidence on the association between weight misperception and food consumption indicators in adolescents. This study aimed to evaluate the association between weight misperception and dietary patterns (DPs) in the Brazilian Study of Cardiovascular Risks in Adolescents (ERICA). It was a national school-based cross-sectional study conducted among students aged 12–17 years. Data were collected in the form of anthropometric measurements, responses in self-answered questionnaires, and 24-h dietary recall. The following variables were assessed: weight underestimation and overestimation (independent variables), which were defined as the presence of a disagreement between nutritional status and self-perceived weight; dietary patterns (dependent variables), defined by a posteriori method using principal component factor analysis; and individual and demographic variables (covariates). Data analysis was performed using the Poisson regression models method, stratified by sex. A total of 52,038 adolescents with normal weights were evaluated. The weight misperception prevalence was 34.0% (95% confidence interval [CI]: 33.0, 35.0). Three DPs were identified: “Traditional Brazilian,” “Processed meat sandwiches and coffee,” and “Ultra-processed and sweet foods.” In girls, weight underestimation was directly associated with the “Traditional Brazilian” (1.24; 95% CI: 1.08, 1.43) and “Ultra-processed and sweet foods” DPs (1.29; 95% CI: 1.09, 1.54), and overestimation was inversely associated with all the DPs. In boys, a direct association between underestimation and the “Ultra-processed and sweet foods” DP (1.29; 95% CI: 1.10, 1.51) was found. Overestimation was inversely associated with the “Traditional Brazilian” DP (0.79; 95% CI: 0.63, 0.99). The inverse association between overestimation and the “Traditional Brazilian” DP, and the direct association between underestimation and the “Ultra-processed and sweet foods” DP indicated that weight misperception was related to unhealthy eating habits in Brazilian adolescents.

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Section: Discussionmentioning

confidence: 99%

Association between body weight misperception and dietary patterns in Brazilian adolescents: Cross-sectional study using ERICA data

et al. 2021

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“…As per previous studies (Lee et al, 2016;Lee & Lee, 2019), this is referred to as the act of trying to manage weight-in the last 30 days for this study-using the following methods: (a) one-food diets, (b) fasting (skipping meals for over 24 h), (c) diet pill use (without a prescription from a doctor), and (d) purging (using laxatives or diuretics or vomiting). An affirmative answer to at least one of these behaviors was regarded as "Yes" to unhealthy weight control behavior (Leal, Philippi, & Alvarenga, 2020).…”

Section: Unhealthy Weight Control Behaviormentioning

confidence: 99%

Associations Between Weight Perception, Unhealthy Weight Control Behavior, and Suicidal Ideation and Planning Among Korean Adolescents: A National Cross-Sectional Secondary Analysis

Kim

Seo

2021

Journal of Pediatric Nursing

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This study aimed to investigate the associations between weight perception, unhealthy weight control behavior, and suicidal ideation and planning and identify the role of unhealthy weight control behavior as a mediator in these associations among Korean adolescents. Design and methods: This national cross-sectional secondary study used data from the 2015-2017 Korea Youth Risk Behavior Web-Based Surveys, with a final sample of 96,285 adolescents who tried to manage their weight in the 30 days prior to the surveys. A multivariate logistic regression was conducted. Results: Both adolescent groups who perceived themselves to be underweight or overweight were significantly linked to a greater likelihood of suicidal ideation and planning (COR, 95% CI = 1.249, 1.141-1.367; COR, 95% CI = 1.339, 1.282-1.399) respectively. While adolescents with perceptions of being underweight are associated with suicidal ideation and planning through the suppression effect of unhealthy weight control behavior (Pathway A: OR, 95% CI = 0.628, 0.587-0.671), adolescents with perceptions of being overweight are linked with the same through the mediation effect (Pathway A: OR, 95% CI = 1.195, 1.141-1.251). Conclusions: Adolescents with perceptions of being overweight are highly likely to have unhealthy weight control behavior that can be linked to the possibility of suicidal ideation and planning, while adolescents with perceptions of being underweight are comparatively less likely to engage in such behavior. Practice implications: It is necessary to identify the status of weight perception among adolescents and closely monitor the unhealthy weight control behavior to prevent suicidal ideation and planning.

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“…En este sentido existiría concordancia socializadora a partir del modelamiento materno. Pero, además, nos reafirma que la falta de categorías individuales sobre FP puede significar una tendencia, propia de la adolescencia, hacia el fomento de conductas poco saludables asociadas al control del peso (Leal, Philippi, & Alvarenga, 2020). Como lo refirman Harrison et al, (2020), existe cada vez una mayor prevalencia en adolescentes a conductas y actitudes alimentarias desordenadas, sobre todo en países de ingresos medios.…”

Section: Discussionunclassified

Factores protectores y de riesgos en conductas alimentarias de madres e hijos

berthet

2021

RevPsicología

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Con el objetivo de explorar en factores protectores y de riesgos asociados a conductas alimentarias se contactaron 18 familias de distinta estructura socioeconómica y familiar con hijos entre 10 a 17 años de edad. Participaron 18 madres con edades entre 31 a 53 años y un promedio de dos hijos. Respecto de los adolescentes, se seleccionó uno por cada madre, de los cuáles 10 fueron mujeres y 8 varones, la edad promedio de los hijos fue de 14 años. A ambos se les aplicó una entrevista semiestructurada que abordó tópicos sobre socialización y prácticas alimentarias promovidas en el hogar. Las entrevistas fueron analizadas con el software atlas ti, siguiendo las recomendaciones de la teoría fundamentada. El análisis a las diadas de madres e hijos señala, que si bien, existen condiciones positivas en las familias que dan cuenta de rutinas de alimentación definidas, utilización de un enfoque de conversación y estrategias de vigilancia corporal, también deja en evidencia las barreras presentes en la socialización alimentaria. La utilización de estrategias parentales estructuradas, la alimentación permisiva, la falta de accesibilidad para comprar alimentos saludables y los comentarios maternos sobre el cuerpo, constituyen factores que actuarían como promotores de riesgos para una alimentación saludable

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Unhealthy weight control behaviors, disordered eating, and body image dissatisfaction in adolescents from São Paulo, Brazil

Cited by 46 publications

References 39 publications

Association between body weight misperception and dietary patterns in Brazilian adolescents: Cross-sectional study using ERICA data

Association between body weight misperception and dietary patterns in Brazilian adolescents: Cross-sectional study using ERICA data

Associations Between Weight Perception, Unhealthy Weight Control Behavior, and Suicidal Ideation and Planning Among Korean Adolescents: A National Cross-Sectional Secondary Analysis

Factores protectores y de riesgos en conductas alimentarias de madres e hijos

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