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重要他人的节食和鼓励节食与年轻人饮食失调的关联。

Dieting and encouragement to diet by significant others: associations with disordered eating in young adults.

机构信息

Division of Adolescent Health and Medicine, Department of Pediatrics, University of Minnesota, Minneapolis, Minnesota 55455, USA.

出版信息

Am J Health Promot. 2013 Jul-Aug;27(6):370-7. doi: 10.4278/ajhp.120120-QUAN-57. Epub 2013 Feb 11.

Abstract

PURPOSE

Examine the role of perceived significant other's modeling or encouragement of dieting in young adults' disordered eating behaviors.

DESIGN

Online survey data were collected (2008-2009) as part of an ongoing study examining weight and related issues in young people.

SETTING

Participants were originally recruited as students at middle and high schools in Minnesota (1998-1999).

SUBJECTS

One thousand two hundred ninety-four young adults (mean age 25.3, 55% female, 50% white) with significant others.

MEASURES

Participants were asked if their significant other diets or encourages them to diet. Behaviors included unhealthy weight control, extreme weight control, and binge eating.

ANALYSIS

General linear models estimated the predicted probability of using each behavior across levels of significant other's dieting or encouraging dieting, stratifying by gender, and adjusting for demographics and body mass index.

RESULTS

Perceived dieting and encouragement to diet by significant others were common. Disordered eating behaviors were positively associated with significant other's dieting and encouragement to diet, particularly for females. In models including both perceived dieting and encouragement, encouragement remained significantly associated with disordered eating. For example, women's binge eating was almost doubled if their significant other encouraged dieting "very much" (25.5%) compared to "not at all" (13.6%, p = .015).

CONCLUSION

There is a strong association between disordered eating behaviors and perceived modeling and encouragement to diet by significant others in young adulthood.

摘要

目的

探讨年轻成年人饮食失调行为中感知到的重要他人对节食的榜样作用或鼓励作用。

设计

作为一项正在进行的研究的一部分,收集了在线调查数据,该研究检查年轻人的体重和相关问题。

设置

参与者最初是在明尼苏达州的中学和高中作为学生招募的(1998-1999 年)。

受试者

1294 名有重要他人的年轻成年人(平均年龄 25.3 岁,55%为女性,50%为白人)。

措施

参与者被问及他们的重要他人是否节食或鼓励他们节食。行为包括不健康的体重控制、极端的体重控制和暴食。

分析

使用广义线性模型估计了在重要他人节食或鼓励节食的各个水平上使用每种行为的预测概率,按性别分层,并调整了人口统计学和体重指数。

结果

感知到的重要他人的节食和鼓励节食很常见。饮食失调行为与重要他人的节食和鼓励节食呈正相关,特别是对女性而言。在包括感知到的节食和鼓励的模型中,鼓励仍然与饮食失调显著相关。例如,如果女性的重要他人非常鼓励节食(25.5%),那么暴食的可能性几乎是不鼓励节食(13.6%)的两倍(p=0.015)。

结论

在年轻成年人中,饮食失调行为与感知到的重要他人对节食的榜样作用或鼓励作用之间存在很强的关联。

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