“Restrained eating” vs “dieting”: how are they associated with body weight status, eating behavior and eating frequency among Polish adolescent
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Keywords
adolescents, dieting, disinhibition, restrained eaters, eating behavior
Abstract
Aim: This study aimed to assess how dieting and dietary restraint were associated with body weight status and eating frequency of certain food groups in a sample of 874 healthy Polish adolescents and young adults aged 16-18 years. Methods: Anthropometric parameters were measured using standardised techniques and instruments. The validated food frequency questionnaire was used to assess habitual dietary intakes. Eating behaviour was assessed with the Three-Factor Eating Questionnaire. The physical activity was assessed by the International Physical Activity Questionnaire. Results: The odds ratio (OR) for overweight and obesity was 1.81 (CI95%:1.22;2.70, p=0.003) times higher among current dieters than nondieters. The odds of being overweight or obese were significantly lower with female sex [OR=0.40 (CI95%:0.27;0.59, p<0.001)]. BMI z-score and WHtR were significantly higher by 0.32 (CI95%:0.18;0.47,p<0.001) and 0.02 (CI95%:0.01;0.02,p<0.001) among dieters than nondieters respectively. Those variables did not differ among restrained and nonrestrained eaters. Dieters were more restrained by 1.71 (CI95%:1.35;2.07,p<0.001) and they had significantly higher disinhibition scores that nondieters did by 0.71 (CI95%:0.33;1.09,p<0.001). Restraint scores were significantly higher by 5.24 (CI95%:4.90;5.57,p<0.001) among restrained eaters vs. unrestrained counterparts. Dieters (especially males) declared less frequent eating of meats & eggs, milk & dairy products, sweets, snacks & fast foods, sweetened beverages. Restrained eaters (especially females) limited the frequency of consumption of most of the unhealthy food items. Conclusions: Effective nutrition education programmes targeted at weight management in adolescents should be gender-specific and concentrate on both the common dietary errors and sensible dietary approaches to weight reduction.
References
1. Ribeiro-Silva RC, Fiaccone RL, Pereira da Conceição-Machado ME, Ruiz AS, Barreto ML, Santana ML. Body Image Dissatisfaction and Dietary Patterns According to Nutritional Status in Adolescents. J Pediatr (Rio J) 2018; 94 (2): 155–61. https://doi.org/10.1016/j.jped.2017.05.005.
2. Rodgers, RF. Trajectories of Body Dissatisfaction and Dietary Restriction in Early Adolescent Females: A Latent Class Growth Analysis. J Youth Adolescence 2016; 45, 1664–1677
3. Reel, J., Voelker, D., Greenleaf, C. Weight Status and Body Image Perceptions in Adolescents: Current Perspectives. Adolescent Health, Medicine and Therapeutics. 2015; 08, 149. https://doi.org/10.2147/AHMT.S68344
4. Whyte, HEA, Findlay SM, Canadian Paediatric Society, Adolescent Health Committee. Dieting in Adolescence. Paediatr Child Health (Oxford) 2004; 9 (7): 487–91. https://doi.org/10.1093/pch/9.7.487.
5. Brigham KS., Manzo LD., Eddy KT., Thomas JJ. Evaluation and Treatment of Avoidant/Restrictive Food Intake Disorder (ARFID) in Adolescents. Curr Pediatr 2018; 6 (2): 107–13. https://doi.org/10.1007/s40124-018-0162-y.
6. Savage JS, Hoffman L, Birch LL. Dieting, Restraint, and Disinhibition Predict Women’s Weight Change over 6 y. Am J Clin Nutr 2009; 90 (1): 33–40. https://doi.org/10.3945/ajcn.2008.26558.
7. Bauer, KW., Chuisano S. Intentional Self-Regulation of Eating Among Children and Adolescents. W Pediatric Food Preferences and Eating Behaviors 2018; 255–70. Elsevier. https://doi.org/10.1016/B978-0-12-811716-3.00013-0.
8. Schaumberg, K., Anderson DA., Anderson LM, Reilly EE, Gorrell S. Dietary Restraint: What’s the Harm? A Review of the Relationship between Dietary Restraint, Weight Trajectory and the Development of Eating Pathology: Dietary Restraint. Clin Obes 2016; 6 (2): 89–100. https://doi.org/10.1111/cob.12134.
9. Koch, SA. Alexy U, Diederichs T, Buyken AE, Roßbach S. The Relevance of Restrained Eating Behavior for Circadian Eating Patterns in Adolescents. PLOS ONE 2018; 13 (5): e0197131. https://doi.org/10.1371/journal.pone.0197131.
10. Rideout CA, Baar SI “Restrained Eating” vs “Trying to Lose Weight”: How Are They Associated with Body Weight and Tendency to Overeat among Postmenopausal Women?, J Am Diet Assoc. 2009; 109:890-893.
11. Morinaka T, Wozniewicz M, Jeszka J, Bajerska J, Nowaczyk P, Sone Y. Westernization of Dietary Patterns among Young Japanese and Polish Females – a Comparison Study. ANN AGR ENV MED 2013; 20 (1): 9.
12. Biernat E, Stupnicki R, Gajewski A. International Physical Activity Questionnaire (IPAQ) – Polish version. Physical Education and Sport. 2007; 51.
13. https://apps.cpeg-gcep.net/who2007_cpeg/ online access 18.08.2021
14. Onis M. WHO child growth standards based on length/height, weight and age. Acta Paediatr. 2006;95(S450):76–85.
15. Bibiloni M, Pons A, Tur JA. Prevalence of Overweight and Obesity in Adolescents: A Systematic Review. ISRN Obesity 2013; (6): 1–14. https://doi.org/10.1155/2013/392747.
16. Kułaga Z, Grajda A, Gurzkowska B, Wojtyło M, Góźdź M, Litwin M. The Prevalence of Overweight and Obesity among Polish School- Aged Children and Adolescents. Przegl Epidemiol. 2016; 70 (4): 641–51.
17. Goluch-Koniuszy Z, Heberlej A. Methods used by adolescents for reducing body mass, Rocz Panstw Zakl Hig; 2015;66(4):327-335
18. Neumark-Sztainer D, Wall M, Haines J, Story M, Eisenberg ME. Why Does Dieting Predict Weight Gain in Adolescents? Findings from Project EAT-II: A 5-Year Longitudinal Study. J Am Diet Assoc 2007;107 (3): 448 55.https://doi.org/10.1016/j.jada.2006.12.013.
19. Dulloo AG, Montani JP Pathways from Dieting to Weight Regain, to Obesity and to the Metabolic Syndrome: An Overview: Dieting and Cardiometabolic Risks. Obes Rev 2015; 16 (2): 1–6. https://doi.org/10.1111/obr.12250.
20. Westenhoefer J. Restraint and Disinhibition: Is Restraint a Homogeneous Construct? Appetite 1991; 16 (1): 45–55. https://doi.org/10.1016/0195-6663(91)90110-E.
21. Johnson, F, Pratt M, Wardle J. Dietary Restraint and Self-Regulation in Eating Behavior. Int J Obes (Lond) 2012;36 (5): 665–74. https://doi.org/10.1038/ijo.2011.156.
22. Duffey KJ, Huybrechts I, Mouratidou T, Libuda L, Kersting M, De Vriendt T, Gottrand F. Beverage Consumption among European Adolescents in the HELENA Study. Eur J Clin Nutr 2012; 66 (2): 244–52. https://doi.org/10.1038/ejcn.2011.166.
23. Papies E, Wolfgang S. Dieting in a food-rich environment: Nonconscious mechanisms of self-regulatory failure and success. 2021
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