Feeding and Eating Disorders Unit, Department of Mental Health and Addiction, Azienda USL Toscana Centro, Florence, Italy.
Psychiatry Unit, Department of Health Sciences, University of Florence, Florence, Italy.
Eat Weight Disord. 2024 Nov 28;29(1):75. doi: 10.1007/s40519-024-01696-y.
To provide a prospective 2 year follow-up of a previously enrolled adolescent high school sample, regarding body image and eating concerns, and patterns of sports type and physical activity.
Sports type, weekly time devoted to it, and psychopathological self-reports (Eating Disorders Examination Questionnaire 6.0, Body Uneasiness Test, and Muscle Dysmorphia Disorder Inventory) were evaluated longitudinally in a general population sample enrolled in a previous study, testing prospective variations in an observational setting.
At follow-up, girls expressed increased dietary restraint and body uneasiness as compared to baseline, whereas boys expressed increased body uneasiness-and specifically in the avoidance, depersonalisation and compulsive self-monitoring dimensions. Among both sexes, a significant shift towards individual activities or lack of activity was observed after 2 years, with a reduction in team sports involvement. Among girls, time devoted to exercise significantly decreased at follow-up.
The present findings indirectly confirm an increased vulnerability to dietary, bodily and appearance-based concerns among adolescents. The role of different patterns of physical activity and exercise time may interact bidirectionally with these problematic areas, considering that previous studies point out increased concerns among inactive subjects, and among those who choose individual activities.
Level IV-longitudinal observational study.
对先前招募的青少年高中生样本进行为期 2 年的前瞻性随访，以了解其身体意象和饮食问题，以及运动类型和身体活动模式。
在先前的研究中，对一般人群样本进行了观察性设置中的前瞻性变化测试，评估了运动类型、每周投入的时间以及心理病理学自我报告（饮食失调检查问卷 6.0、身体不适测试和肌肉变形障碍量表）。
与基线相比，随访时女孩的饮食控制和身体不适明显增加，而男孩的身体不适增加，特别是在回避、人格解体和强迫自我监测方面。在两性中，2 年后观察到个体活动或缺乏活动的显著转变，团队运动参与减少。随访时，女孩的运动时间显著减少。
目前的研究结果间接证实了青少年在饮食、身体和外貌方面的问题更为脆弱。不同的身体活动模式和锻炼时间的作用可能会与这些问题领域相互作用，因为之前的研究指出不活跃的参与者以及选择个体活动的参与者的关注度增加。
四级-纵向观察研究。
