Associations between weight-based teasing and disordered eating behaviors among youth

Weight-based teasing (WBT) is commonly reported among youth and is associated with disinhibited and disordered eating. Specifically, youth who experience WBT may engage in disordered eating behaviors to cope with the resultant negative affect. Therefore, we examined associations between WBT and diso...

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Published in:Eating behaviors : an international journal Vol. 41; p. 101504
Main Authors: Rubin, Alex G., Schvey, Natasha A., Shank, Lisa M., Altman, Deborah R., Swanson, Taylor N., Ramirez, Eliana, Moore, Nia A., Jaramillo, Manuela, Ramirez, Sophie, Davis, Elisabeth K., Broadney, Miranda M., LeMay-Russell, Sarah, Byrne, Meghan E., Parker, Megan K., Brady, Sheila M., Kelly, Nichole R., Tanofsky-Kraff, Marian, Yanovski, Jack A.
Format: Journal Article
Language:English
Published: United States Elsevier Ltd 01-04-2021
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Abstract Weight-based teasing (WBT) is commonly reported among youth and is associated with disinhibited and disordered eating. Specifically, youth who experience WBT may engage in disordered eating behaviors to cope with the resultant negative affect. Therefore, we examined associations between WBT and disordered eating behaviors among youth and assessed whether negative affect mediated these relationships. Two hundred one non-treatment seeking youth (8-17y) completed questionnaires assessing WBT, disinhibited eating, depression, and anxiety. Disordered eating and loss-of-control (LOC) eating were assessed via semi-structured interview. Analyses of covariance were conducted to examine relationships between WBT and eating-related variables, and bootstrapping mediation models were used to evaluate negative affect (a composite of depressive and anxiety symptoms) as a mediator of these associations. All models were adjusted for sex, race, age, and adiposity. Among 201 participants (13.1 ± 2.8y; 54.2% female; 30.3% Black; 32.8% with overweight/obesity), WBT was associated with emotional eating, eating in the absence of hunger, and disordered eating attitudes and behaviors (ps ≤ 0.02). These associations were all mediated by negative affect. WBT was also associated with a threefold greater likelihood of reporting a recent LOC eating episode (p = .049). Among boys and girls across weight strata, WBT was associated with multiple aspects of disordered eating and these relationships were mediated by negative affect. Longitudinal studies are needed to clarify the directionality of these associations and to identify subgroups of youth that may be particularly vulnerable to WBT and its sequelae. •Among youth, weight-based teasing was associated with greater disordered eating.•Youth who had experienced weight-based teasing were three times more likely to report recent loss-of-control eating.•Weight-based teasing was associated with greater emotional eating and eating when not hungry.•Negative affect mediated the relationships between teasing and disordered eating.
AbstractList Weight-based teasing (WBT) is commonly reported among youth and is associated with disinhibited and disordered eating. Specifically, youth who experience WBT may engage in disordered eating behaviors to cope with the resultant negative affect. Therefore, we examined associations between WBT and disordered eating behaviors among youth and assessed whether negative affect mediated these relationships. Two hundred one non-treatment seeking youth (8-17y) completed questionnaires assessing WBT, disinhibited eating, depression, and anxiety. Disordered eating and loss-of-control (LOC) eating were assessed via semi-structured interview. Analyses of covariance were conducted to examine relationships between WBT and eating-related variables, and bootstrapping mediation models were used to evaluate negative affect (a composite of depressive and anxiety symptoms) as a mediator of these associations. All models were adjusted for sex, race, age, and adiposity. Among 201 participants (13.1 ± 2.8y; 54.2% female; 30.3% Black; 32.8% with overweight/obesity), WBT was associated with emotional eating, eating in the absence of hunger, and disordered eating attitudes and behaviors (ps ≤ 0.02). These associations were all mediated by negative affect. WBT was also associated with a threefold greater likelihood of reporting a recent LOC eating episode (p = .049). Among boys and girls across weight strata, WBT was associated with multiple aspects of disordered eating and these relationships were mediated by negative affect. Longitudinal studies are needed to clarify the directionality of these associations and to identify subgroups of youth that may be particularly vulnerable to WBT and its sequelae. •Among youth, weight-based teasing was associated with greater disordered eating.•Youth who had experienced weight-based teasing were three times more likely to report recent loss-of-control eating.•Weight-based teasing was associated with greater emotional eating and eating when not hungry.•Negative affect mediated the relationships between teasing and disordered eating.
Weight-based teasing (WBT) is commonly reported among youth and is associated with disinhibited and disordered eating. Specifically, youth who experience WBT may engage in disordered eating behaviors to cope with the resultant negative affect. Therefore, we examined associations between WBT and disordered eating behaviors among youth and assessed whether negative affect mediated these relationships. Two hundred one non-treatment seeking youth (8–17y) completed questionnaires assessing WBT, disinhibited eating, depression, and anxiety. Disordered eating and loss-of-control (LOC) eating were assessed via semi-structured interview. Analyses of covariance were conducted to examine relationships between WBT and eating-related variables, and bootstrapping mediation models were used to evaluate negative affect (a composite of depressive and anxiety symptoms) as a mediator of these associations. All models were adjusted for sex, race, age, and adiposity. Among 201 participants (13.1 ± 2.8y; 54.2% female; 30.3% Black; 32.8% with overweight/obesity), WBT was associated with emotional eating, eating in the absence of hunger, and disordered eating attitudes and behaviors ( p s ≤ .02). These associations were all mediated by negative affect. WBT was also associated with a threefold greater likelihood of reporting a recent LOC eating episode ( p = .049). Among boys and girls across weight strata, WBT was associated with multiple aspects of disordered eating and these relationships were mediated by negative affect. Longitudinal studies are needed to clarify the directionality of these associations and to identify subgroups of youth that may be particularly vulnerable to WBT and its sequelae.
Weight-based teasing (WBT) is commonly reported among youth and is associated with disinhibited and disordered eating. Specifically, youth who experience WBT may engage in disordered eating behaviors to cope with the resultant negative affect. Therefore, we examined associations between WBT and disordered eating behaviors among youth and assessed whether negative affect mediated these relationships. Two hundred one non-treatment seeking youth (8-17y) completed questionnaires assessing WBT, disinhibited eating, depression, and anxiety. Disordered eating and loss-of-control (LOC) eating were assessed via semi-structured interview. Analyses of covariance were conducted to examine relationships between WBT and eating-related variables, and bootstrapping mediation models were used to evaluate negative affect (a composite of depressive and anxiety symptoms) as a mediator of these associations. All models were adjusted for sex, race, age, and adiposity. Among 201 participants (13.1 ± 2.8y; 54.2% female; 30.3% Black; 32.8% with overweight/obesity), WBT was associated with emotional eating, eating in the absence of hunger, and disordered eating attitudes and behaviors (ps ≤ 0.02). These associations were all mediated by negative affect. WBT was also associated with a threefold greater likelihood of reporting a recent LOC eating episode (p = .049). Among boys and girls across weight strata, WBT was associated with multiple aspects of disordered eating and these relationships were mediated by negative affect. Longitudinal studies are needed to clarify the directionality of these associations and to identify subgroups of youth that may be particularly vulnerable to WBT and its sequelae.
Weight-based teasing (WBT) is commonly reported among youth and is associated with disinhibited and disordered eating. Specifically, youth who experience WBT may engage in disordered eating behaviors to cope with the resultant negative affect. Therefore, we examined associations between WBT and disordered eating behaviors among youth and assessed whether negative affect mediated these relationships. Two hundred one non-treatment seeking youth (8-17y) completed questionnaires assessing WBT, disinhibited eating, depression, and anxiety. Disordered eating and loss-of-control (LOC) eating were assessed via semi-structured interview. Analyses of covariance were conducted to examine relationships between WBT and eating-related variables, and bootstrapping mediation models were used to evaluate negative affect (a composite of depressive and anxiety symptoms) as a mediator of these associations. All models were adjusted for sex, race, age, and adiposity. Among 201 participants (13.1 ± 2.8y; 54.2% female; 30.3% Black; 32.8% with overweight/obesity), WBT was associated with emotional eating, eating in the absence of hunger, and disordered eating attitudes and behaviors (ps ≤ 0.02). These associations were all mediated by negative affect. WBT was also associated with a threefold greater likelihood of reporting a recent LOC eating episode (p = .049). Among boys and girls across weight strata, WBT was associated with multiple aspects of disordered eating and these relationships were mediated by negative affect. Longitudinal studies are needed to clarify the directionality of these associations and to identify subgroups of youth that may be particularly vulnerable to WBT and its sequelae.Weight-based teasing (WBT) is commonly reported among youth and is associated with disinhibited and disordered eating. Specifically, youth who experience WBT may engage in disordered eating behaviors to cope with the resultant negative affect. Therefore, we examined associations between WBT and disordered eating behaviors among youth and assessed whether negative affect mediated these relationships. Two hundred one non-treatment seeking youth (8-17y) completed questionnaires assessing WBT, disinhibited eating, depression, and anxiety. Disordered eating and loss-of-control (LOC) eating were assessed via semi-structured interview. Analyses of covariance were conducted to examine relationships between WBT and eating-related variables, and bootstrapping mediation models were used to evaluate negative affect (a composite of depressive and anxiety symptoms) as a mediator of these associations. All models were adjusted for sex, race, age, and adiposity. Among 201 participants (13.1 ± 2.8y; 54.2% female; 30.3% Black; 32.8% with overweight/obesity), WBT was associated with emotional eating, eating in the absence of hunger, and disordered eating attitudes and behaviors (ps ≤ 0.02). These associations were all mediated by negative affect. WBT was also associated with a threefold greater likelihood of reporting a recent LOC eating episode (p = .049). Among boys and girls across weight strata, WBT was associated with multiple aspects of disordered eating and these relationships were mediated by negative affect. Longitudinal studies are needed to clarify the directionality of these associations and to identify subgroups of youth that may be particularly vulnerable to WBT and its sequelae.
ArticleNumber 101504
Author Ramirez, Eliana
Schvey, Natasha A.
Broadney, Miranda M.
Shank, Lisa M.
Parker, Megan K.
Davis, Elisabeth K.
Rubin, Alex G.
Moore, Nia A.
Swanson, Taylor N.
Kelly, Nichole R.
Tanofsky-Kraff, Marian
Altman, Deborah R.
Ramirez, Sophie
LeMay-Russell, Sarah
Jaramillo, Manuela
Yanovski, Jack A.
Byrne, Meghan E.
Brady, Sheila M.
AuthorAffiliation 2 Medical and Clinical Psychology Department, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD, 20814, USA
5 Department of Counseling Psychology and Human Services, University of Oregon, 5207 University of Oregon, Eugene, OR 97403-5207, USA
3 Military Cardiovascular Outcomes Research (MiCOR) Program, Department of Medicine, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD, 20814, USA
1 Section on Growth and Obesity, Division of Intramural Research Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, Bethesda, MD, 20892, USA
4 Metis Foundation, 300 Convent Street, Suite 1330, San Antonio, Texas 78205
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– name: 3 Military Cardiovascular Outcomes Research (MiCOR) Program, Department of Medicine, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD, 20814, USA
– name: 1 Section on Growth and Obesity, Division of Intramural Research Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, Bethesda, MD, 20892, USA
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  givenname: Alex G.
  surname: Rubin
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  organization: Section on Growth and Obesity, Division of Intramural Research Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, Bethesda, MD 20892, USA
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  givenname: Lisa M.
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  organization: Section on Growth and Obesity, Division of Intramural Research Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, Bethesda, MD 20892, USA
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  givenname: Deborah R.
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  givenname: Taylor N.
  surname: Swanson
  fullname: Swanson, Taylor N.
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  givenname: Nia A.
  surname: Moore
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  givenname: Manuela
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– sequence: 9
  givenname: Sophie
  surname: Ramirez
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  organization: Section on Growth and Obesity, Division of Intramural Research Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, Bethesda, MD 20892, USA
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  givenname: Elisabeth K.
  surname: Davis
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– sequence: 11
  givenname: Miranda M.
  surname: Broadney
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  givenname: Sarah
  surname: LeMay-Russell
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– sequence: 13
  givenname: Meghan E.
  surname: Byrne
  fullname: Byrne, Meghan E.
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  givenname: Megan K.
  surname: Parker
  fullname: Parker, Megan K.
  organization: Section on Growth and Obesity, Division of Intramural Research Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, Bethesda, MD 20892, USA
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  givenname: Sheila M.
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  surname: Tanofsky-Kraff
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  givenname: Jack A.
  surname: Yanovski
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  organization: Section on Growth and Obesity, Division of Intramural Research Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), 10 Center Drive, Bethesda, MD 20892, USA
BackLink https://www.ncbi.nlm.nih.gov/pubmed/33831812$$D View this record in MEDLINE/PubMed
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Keywords Children
Weight-based teasing
Adolescents
Disordered eating
Loss-of-control eating
Negative affect
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Sarah G. Rubin: Conceptualization, Data Curation, Formal analysis, Investigation, Project administration, Writing - Original Draft; Natasha A. Schvey: Conceptualization, Data Curation, Formal analysis, Investigation, Supervision, Writing - Original Draft; Lisa M. Shank: Conceptualization, Data Curation, Formal analysis, Investigation, Supervision, Writing - Original Draft; Deborah R. Altman: Investigation, Writing - Review & Editing; Taylor N. Swanson: Investigation, Writing - Review & Editing; Eliana Ramirez: Investigation, Writing - Review & Editing; Nia A. Moore: Investigation, Writing - Review & Editing; Manuela Jaramillo: Investigation, Writing - Review & Editing; Sophie Ramirez: Investigation, Writing - Review & Editing; Elisabeth K. Davis: Investigation, Writing - Review & Editing; Miranda M. Broadney: Investigation, Writing - Review & Editing; Sarah LeMay-Russell: Investigation, Writing - Review & Editing, Supervision; Meghan E. Byrne: Investigation, Writing - Review & Editing, Supervision; Megan K. Parker: Investigation, Writing - Review & Editing, Supervision; Sheila M. Brady: Investigation, Writing - Review & Editing; Nichole R. Kelly: Conceptualization, Methodology, Investigation, Writing - Review & Editing, Supervision; Marian Tanofsky-Kraff: Conceptualization, Methodology, Investigation, Writing - Original Draft, Supervision; Jack A. Yanovski: Conceptualization, Methodology, Investigation, Resources, Writing - Original Draft, Supervision, Funding acquisition
OpenAccessLink https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8131258
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PublicationCentury 2000
PublicationDate 2021-04-01
PublicationDateYYYYMMDD 2021-04-01
PublicationDate_xml – month: 04
  year: 2021
  text: 2021-04-01
  day: 01
PublicationDecade 2020
PublicationPlace United States
PublicationPlace_xml – name: United States
PublicationTitle Eating behaviors : an international journal
PublicationTitleAlternate Eat Behav
PublicationYear 2021
Publisher Elsevier Ltd
Publisher_xml – name: Elsevier Ltd
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Snippet Weight-based teasing (WBT) is commonly reported among youth and is associated with disinhibited and disordered eating. Specifically, youth who experience WBT...
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StartPage 101504
SubjectTerms Adiposity
Adolescent
Adolescents
Body Weight
Children
Disordered eating
Feeding and Eating Disorders
Feeding Behavior
Female
Humans
Loss-of-control eating
Male
Negative affect
Obesity
Overweight
Weight-based teasing
Title Associations between weight-based teasing and disordered eating behaviors among youth
URI https://dx.doi.org/10.1016/j.eatbeh.2021.101504
https://www.ncbi.nlm.nih.gov/pubmed/33831812
https://www.proquest.com/docview/2511240075
https://pubmed.ncbi.nlm.nih.gov/PMC8131258
Volume 41
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