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Parent conversations about healthful eating and weight: associations with adolescent disordered eating behaviors.

ABSTRACT: The prevalence of weight-related problems in adolescents is high. Parents of adolescents may wonder whether talking about eating habits and weight is useful or detrimental.To examine the associations between parent conversations about healthful eating and weight and adolescent disordered eating behaviors.Cross-sectional analysis using data from 2 linked multilevel population-based studies.Anthropometric assessments and surveys completed at school by adolescents and surveys completed at home by parents in 2009-2010.Socioeconomically and racially/ethnically diverse sample (81% ethnic minority; 60% low income) of adolescents from Eating and Activity in Teens 2010 (EAT 2010) (n?=?2793; mean age, 14.4 years) and parents from Project Families and Eating and Activity in Teens (Project F-EAT) (n?=?3709; mean age, 42.3 years). EXPOSURE Parent conversations about healthful eating and weight/size.Adolescent dieting, unhealthy weight-control behaviors, and binge eating.Mothers and fathers who engaged in weight-related conversations had adolescents who were more likely to diet, use unhealthy weight-control behaviors, and engage in binge eating. Overweight or obese adolescents whose mothers engaged in conversations that were focused only on healthful eating behaviors were less likely to diet and use unhealthy weight-control behaviors. Additionally, subanalyses with adolescents with data from 2 parents showed that when both parents engaged in healthful eating conversations, their overweight or obese adolescent children were less likely to diet and use unhealthy weight-control behaviors.Parent conversations focused on weight/size are associated with increased risk for adolescent disordered eating behaviors, whereas conversations focused on healthful eating are protective against disordered eating behaviors.

SUBMITTER: Berge JM

PROVIDER: S-EPMC3737359 | biostudies-literature | 2013 Aug

REPOSITORIES: biostudies-literature

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Parent conversations about healthful eating and weight: associations with adolescent disordered eating behaviors.

Berge Jerica M JM Maclehose Rich R Loth Katie A KA Eisenberg Marla M Bucchianeri Michaela M MM Neumark-Sztainer Dianne D

JAMA pediatrics 20130801 8

<h4>Importance</h4>The prevalence of weight-related problems in adolescents is high. Parents of adolescents may wonder whether talking about eating habits and weight is useful or detrimental.<h4>Objective</h4>To examine the associations between parent conversations about healthful eating and weight and adolescent disordered eating behaviors.<h4>Design</h4>Cross-sectional analysis using data from 2 linked multilevel population-based studies.<h4>Setting</h4>Anthropometric assessments and surveys c ...[more]

PMID: 23797808

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Project description:ObjectiveTo investigate whether anorexia nervosa (AN), bulimia nervosa (BN), binge eating disorder (BED), and other specified feeding and eating disorders (OSFED), including purging disorder (PD), subthreshold BN, and BED at ages 14 and 16 years, are prospectively associated with later depression, anxiety disorders, alcohol and substance use, and self-harm.MethodEating disorders were ascertained at ages 14 and 16 years in 6,140 youth at age 14 (58% of those eligible) and 5,069 at age 16 (52% of those eligible) as part of the prospective Avon Longitudinal Study of Parents and Children (ALSPAC). Outcomes (depression, anxiety disorders, binge drinking, drug use, deliberate self-harm, weight status) were measured using interviews and questionnaires about 2 years after predictors. Generalized estimating equation models adjusting for gender, socio-demographic variables, and prior outcome were used to examine prospective associations between eating disorders and each outcome.ResultsAll eating disorders were predictive of later anxiety disorders. AN, BN, BED, PD, and OSFED were prospectively associated with depression (respectively AN: odds ratio [OR] = 1.39, 95% CI = 1.00-1.94; BN: OR = 3.39, 95% CI = 1.25-9.20; BED: OR = 2.00, 95% CI = 1.06-3.75; and PD: OR = 2.56, 95% CI = 1.38-4.74). All eating disorders but AN predicted drug use and deliberate self-harm (BN: OR = 5.72, 95% CI = 2.22-14.72; PD: OR = 4.88, 95% CI = 2.78-8.57; subthreshold BN: OR = 3.97, 95% CI = 1.44-10.98; and subthreshold BED: OR = 2.32, 95% CI = 1.43-3.75). Although BED and BN predicted obesity (respectively OR = 3.58, 95% CI = 1.06-12.14 and OR = 6.42, 95% CI = 1.69-24.30), AN was prospectively associated with underweight.ConclusionsAdolescent eating disorders, including subthreshold presentations, predict negative outcomes, including mental health disorders, substance use, deliberate self-harm, and weight outcomes. This study highlights the high public health and clinical burden of eating disorders among adolescents.

Dataset Information

Parent conversations about healthful eating and weight: associations with adolescent disordered eating behaviors.

Publications

Parent conversations about healthful eating and weight: associations with adolescent disordered eating behaviors.

Similar Datasets

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