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Associations between body mass index, weight control concerns and behaviors, and eating disorder symptoms among non-clinical Chinese adolescents

机译:体重指数,体重控制问题与行为之间的关联,非临床中国青少年的进食症状

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Background Previous research with adolescents has shown associations of body weight, weight control concerns and behaviors with eating disorder symptoms, but it is unclear whether these associations are direct or whether a mediating effect exists. This study was conducted to investigate the prevalence of overweight and obesity, weight control concerns and behaviors, and eating disorder symptoms and to examine the mediating function of weight control concerns and behaviors on the relationship between body mass index (BMI) and eating disorder symptoms among non-clinical adolescents in China. Methods A cross-sectional survey among 2019 adolescent girls and 1525 adolescent boys in the 7th, 8th, 10th and 11th grades from seven cities in China was conducted. Information on weight control concerns and behaviors, and eating disorder symptoms (Eating Disorder Inventory-3) were collected from the adolescents using a self-administrated questionnaire. Results Weight control concerns and behaviors, and eating disorder symptoms were prevalent among the study population. A high proportion of adolescents scored at or above the threshold on the eating disorder inventory (EDI) subscale such as bulimia, interoceptive deficits, perfectionism, and maturity fears, which indicated eating disorder symptoms. High BMI was significantly associated with high score of drive for thinness, body dissatisfaction, bulimia, low self-esteem, interceptive deficits and maturity fears, so do perceived body weight status. Almost all weight control concerns and behaviors we investigated were significantly associated with high EDI subscale scores. When weight control concerns were added to the model, as shown in the model, the association between BMI and tendency of drive to thinness and bulimia was attenuated but still kept significant. The association between BMI and body dissatisfaction were no further significant. The association of BMI and drive for thinness, body dissatisfaction and bulimia was considerably weaker than when weight control behaviors were not included. Conclusions Weight control concerns and behaviors may be mediators of the association between BMI and eating disorder symptoms. Interpretation of these weight control problems is crucial to develop culturally appropriate educational and intervention programs for adolescents.
机译:背景技术前面的青少年的研究表明了体重,体重的关键,重量控制问题和具有进食失调症状的行为,但目前尚不清楚这些关联是否是直接的或是否存在调解效果。进行了该研究以研究超重和肥胖,体重控制问题和行为以及进食紊乱症状的患病率,并检查体重指数(BMI)与进食症状之间关系的体重控制问题和行为的介导功能中国的非临床青少年。方法对中国七个城市的7,第8,第10次和第11级的2019年青少年女孩和1525年的青少年男孩之间的横断面征。使用自我管理的调查问卷从青少年收集有关体重控制问题和行为的信息,以及吃疾病症状(饮食失调库存-3)。结果重量控制涉及和行为,以及进食障碍症状在研究人群中普遍存在。高比例的青少年在饮食障碍库存(EDI)船只(如贪食症,间歇性赤字,完美主义和成熟症状)上均得分或高于阈值,这表明饮食失调症状。高BMI与薄弱,身体不满,贪食症,低自尊,拦截赤字和成熟度恐惧的高分性显着相关,因此感知体重状况。我们调查的几乎所有体重控制问题和行为都与高EDI次额分数显着相关。当重量控制问题被添加到模型中时,如模型所示,BMI之间的关联和薄荷和贪食症的驱动趋势衰减但仍保持显着。 BMI与身体不满之间的关联并没有进一步显着。 BMI和驱动为薄度的关联,身体不满和贪食症的关联比重量控制行为不包括在内。结论重量控制涉及和行为可能是BMI与进食障碍症状之间关联的介质。解释这些体重控制问题对于为青少年制定文化适当的教育和干预计划至关重要。

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