Hahn Samantha L, Pacanowski Carly R, Loth Katie A, Miller Jonathan, Eisenberg Marla E, Neumark-Sztainer Dianne
Division of Epidemiology & Community Health, School of Public Health, University of Minnesota, Minneapolis, MN, USA.
Department of Psychiatry & Behavioral Sciences, Medical School, University of Minnesota, Minneapolis, MN, USA.
J Eat Disord. 2021 Mar 10;9(1):37. doi: 10.1186/s40337-021-00391-y.
Self-weighing is widespread among young adults and is sometimes recommended by healthcare providers for weight management. The present study aims to deepen our understanding of who is frequently self-weighing among young adults, and to examine for whom self-weighing impacts mood based on weighing frequency and other eating and weight-related characteristics.
Survey data were collected from a large population-based sample of young adults (31.1 ± 1.6y) participating in Project EAT-IV (n = 1719). Cross-sectional data were stratified across sex and analyzed with chi-square, t-tests, and linear and logistic regressions controlling for age, ethnicity/race, education level, and income.
Self-weighing frequency was higher among male and female young adults with a current eating disorder, those trying to lose weight or who endorsed any disordered eating behaviors or cognition, and females with higher BMI. Young adult females were significantly more likely than males to report that self-weighing impacted their mood (53% vs 27%, p < 0.05). Among both male and female young adults, there was a higher probability of participants reporting that self-weighing impacted their mood among those who were self-weighing more frequently, had higher BMI, were trying to lose weight, and endorsed disordered eating behaviors or cognitions.
Findings suggest that for many young adults, particularly females and those with weight-related concerns, self-weighing is a behavior that comes with emotional valence. The emotional consequences of self-weighing should be considered when making public health and clinical recommendations regarding the usefulness of self-weighing.
自我称重在年轻人中很普遍,有时医疗保健提供者会推荐这种方式来管理体重。本研究旨在加深我们对年轻人中频繁自我称重人群的理解,并根据称重频率以及其他与饮食和体重相关的特征,研究自我称重对哪些人的情绪有影响。
从参与“饮食与健康项目-IV”(EAT-IV)的大量基于人群的年轻成年人样本(31.1±1.6岁,n = 1719)中收集调查数据。横断面数据按性别分层,并使用卡方检验、t检验以及控制年龄、种族/民族、教育水平和收入的线性和逻辑回归进行分析。
患有当前饮食失调症的年轻男性和女性、试图减肥的人、认可任何饮食紊乱行为或认知的人以及BMI较高的女性,其自我称重频率更高。年轻成年女性比男性更有可能报告自我称重会影响她们的情绪(53%对27%,p < 0.05)。在年轻男性和女性中,自我称重频率更高、BMI更高、试图减肥以及认可饮食紊乱行为或认知的参与者,报告自我称重影响其情绪的可能性更大。
研究结果表明,对于许多年轻人,尤其是女性和那些有体重相关问题的人来说,自我称重是一种带有情感色彩的行为。在就自我称重的有用性提出公共卫生和临床建议时,应考虑自我称重的情感后果。