Fonseca Helena, Ireland Marjorie, Resnick Michael D
Adolescent Health Outpatient Clinic, Pediatric Division, Hospital de Santa Maria, Lisboa, Portugal.
Int J Eat Disord. 2002 Dec;32(4):441-8. doi: 10.1002/eat.10078.
To identify familial factors associated with extreme weight control among adolescents.
Analysis of a comprehensive 1996 health survey of Connecticut students. Familial factors among extreme dieters who deliberately vomited, took diet pills, laxatives, or diuretics were compared with youth reporting none of these behaviors, using logistic regression controlling for age and body mass index.
Nearly 7% of adolescents reported engaging in extreme weight control behaviors. Boys' risk factors included high parental supervision/monitoring and sexual abuse history. Protective factors included high parental expectations, maternal presence, and connectedness with friends and other adults. The only significant risk factor for girls was sexual abuse history. Protective factors included family connectedness, positive family communication, parental supervision/monitoring, and maternal presence.
Extreme dieting appears to be less an expression of body composition than of psychosocial issues. That connectedness to family, other adults, and friends is protective further demonstrates interrelationships of extreme weight control behaviors with family/social issues.
确定与青少年极端体重控制相关的家庭因素。
对1996年康涅狄格州学生的一项全面健康调查进行分析。将故意呕吐、服用减肥药、泻药或利尿剂的极端节食者的家庭因素与未报告这些行为的青少年进行比较,使用逻辑回归控制年龄和体重指数。
近7%的青少年报告有极端体重控制行为。男孩的风险因素包括父母的高监督/监控和性虐待史。保护因素包括父母的高期望、母亲的陪伴以及与朋友和其他成年人的联系。女孩唯一显著的风险因素是性虐待史。保护因素包括家庭联系、积极的家庭沟通、父母的监督/监控和母亲的陪伴。
极端节食似乎更多地是心理社会问题的表现,而非身体组成的体现。与家庭、其他成年人和朋友的联系具有保护作用,这进一步证明了极端体重控制行为与家庭/社会问题之间的相互关系。