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Weight-Related Concerns and Behaviors Among Overweight and Nonoverweight Adolescents
Implications for Preventing Weight-Related Disorders
Dianne Neumark-Sztainer, PhD, MPH, RD;
Mary Story, PhD;
Peter J. Hannan, MStat;
Cheryl L. Perry, PhD;
Lori M. Irving, PhD
Arch Pediatr Adolesc Med. 2002;156:171-178.
Objectives To assess weight-related concerns and behaviors in a population-based
sample of adolescents and to compare these concerns and behaviors across sex
and weight status.
Design The study population included 4746 adolescents from St Paul or Minneapolis,
Minn, public schools who completed surveys and anthropometric measurements
as part of Project EAT (Eating Among Teens), a population-based study focusing
on eating patterns and weight concerns among teenagers.
Main Outcome Measures Measured weight status, weight-related concerns (perceived weight status,
weight disparity, body satisfaction, and care about controlling weight), and
weight-related behaviors (general and specific weight control behaviors and
binge eating).
Results Weight-related concerns and behaviors were prevalent among the study
population. Although adolescents were most likely to report healthy weight
control behaviors (adolescent girls, 85%; and adolescent boys, 70%), also
prevalent were weight control behaviors considered to be unhealthy (adolescent
girls, 57%; and adolescent boys, 33%) or extreme (adolescent girls, 12%; and
adolescent boys, 5%). Most overweight youth perceived themselves as overweight
and reported the use of healthy weight control behaviors during the past year.
However, the use of unhealthy and extreme weight control behaviors and binge
eating were alarmingly high among overweight youth, particularly adolescent
girls. Extreme weight control practices (taking diet pills, laxatives, or
diuretics or vomiting) were reported by 18% of very overweight adolescent
girls, compared with 6% of very overweight adolescent boys (body mass index,  95th
percentile).
Conclusion Prevention interventions that address the broad spectrum of weight-related
disorders, enhance skill development for behavioral change, and provide support
for dealing with potentially harmful social norms are warranted in light of
the high prevalence and co-occurrence of obesity and unhealthy weight-related
behaviors.
From the Division of Epidemiology, School of Public Health, University
of Minnesota, Minneapolis (Drs Neumark-Sztainer, Story, and Perry and Mr Hannan);
and the Department of Psychology, Washington State University, Vancouver (Dr
Irving).
Dr Irving is deceased.
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