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Why Does Dieting Predict Weight Gain in Adolescents? Findings from Project EAT-II: A 5-Year Longitudinal Study

      Abstract

      Objective

      Dieting has been found to predict weight gain in adolescents, but reasons for this association remain unclear. This study aimed to explore potential mechanisms by which dieting predicts weight gain over time in adolescents.

      Design

      Population-based, 5-year longitudinal study.

      Participants

      Adolescents (n=2,516) from diverse ethnic and socioeconomic backgrounds who completed Project EAT (Eating Among Teens) surveys in 1999 (Time 1) and 2004 (Time 2).

      Main Outcome Measure

      Body mass index (BMI) change over 5 years.

      Statistical Analysis

      Multiple regressions were used to examine associations between Time 1 dieting and Time 2 binge eating, breakfast consumption, fruit and vegetable intake, and physical activity. Associations were then examined between these behaviors and BMI change. Finally, to test for mediating effects, associations between dieting and BMI change were examined with and without the inclusion of these behaviors, and regression coefficients were compared.

      Results

      In female adolescents, dieting predicted increased binge eating (P<0.001) and decreased breakfast consumption (P=0.030). In male adolescents, dieting predicted increased binge eating (P<0.001), decreased physical activity (P=0.006), and a trend toward decreased breakfast consumption (P=0.064). These behaviors were also associated with increases in BMI. The association between dieting and BMI increase was weakened, but still remained significant, after binge eating, breakfast consumption, fruit/vegetable intake, and physical activity were included in the model being tested. Thus, the longitudinal association between dieting and BMI increase was partially mediated by these behaviors.

      Conclusions

      In part, dieting may lead to weight gain via the long-term adoption of behavioral patterns that are counterproductive to weight management.
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      References

        • Grunbaum J.A.
        • Kann L.
        • Kinchen S.
        • Ross J.
        • Hawkins J.
        • Lowry R.
        • Harris W.A.
        • McManus T.
        • Chyen D.
        • Collins J.
        Youth Risk Behavior Surveillance—United States, 2003.
        MMWR Surveill Summ. 2004; 53: 1-29
        • Neumark-Sztainer D.
        • Story M.
        • Hannan P.J.
        • Perry C.L.
        • Irving L.M.
        Weight-related concerns and behaviors among overweight and non-overweight adolescents: Implications for preventing weight-related disorders.
        Arch Pediatr Adolesc Med. 2002; 156: 171-178
        • French S.A.
        • Story M.
        • Downes B.
        • Resnick M.D.
        • Blum R.W.
        Frequent dieting among adolescents: Psychosocial and health behavior correlates.
        Am J Public Health. 1995; 85: 695-701
        • Neumark-Sztainer D.
        • Wall M.
        • Guo J.
        • Story M.
        • Haines J.
        • Eisenberg M.
        Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: How do dieters fare 5 years later?.
        J Am Diet Assoc. 2006; 106: 559-568
        • Field A.E.
        • Austin S.B.
        • Taylor C.B.
        • Malspeis S.
        • Rosner B.
        • Rockett H.R.
        • Gillman M.W.
        • Colditz G.A.
        Relation between dieting and weight change among preadolescents and adolescents.
        Pediatrics. 2003; 112: 900-906
        • Stice E.
        • Presnell K.
        • Shaw H.
        • Rohde P.
        Psychological and behavioral risk factors for obesity onset in adolescent girls: A prospective study.
        J Consult Clin Psychol. 2005; 73: 195-202
        • Stice E.
        • Cameron R.P.
        • Killen J.D.
        • Hayward C.
        • Taylor C.B.
        Naturalistic weight-reduction efforts prospectively predict growth in relative weight and onset of obesity among female adolescents.
        J Consult Clin Psychol. 1999; 67: 967-974
        • Stice E.
        • Presnell K.
        • Spangler D.
        Risk factors for binge eating onset in adolescent girls: A 2-year prospective investigation.
        Health Psychol. 2002; 21: 131-138
        • Tanofsky-Kraff M.
        • Cohen M.L.
        • Yanovski S.Z.
        • Cox C.
        • Theim K.R.
        • Keil M.
        • Reynolds J.C.
        • Yanovski J.A.
        A prospective study of psychological predictors of body fat gain among children at high risk for adult obesity.
        Pediatrics. 2006; 117: 1203-1209
        • Fiore H.
        • Travis S.
        • Whalen A.
        • Auinger P.
        • Ryan S.
        Potentially protective factors associated with healthful body mass index in adolescents with obese and nonobese parents: A secondary data analysis of the third national health and nutrition examination survey, 1988-1994.
        J Am Diet Assoc. 2006; 106: 55-64
        • Siega-Riz A.M.
        • Popkin B.M.
        • Carson T.
        Trends in breakfast consumption for children in the United States from 1965-1991.
        Am J Clin Nutr. 1998; 67: 748S-756S
        • Boutelle K.
        • Neumark-Sztainer D.
        • Story M.
        • Resnick M.
        Weight control behaviors among obese, overweight, and nonoverweight adolescents.
        J Pediatr Psychol. 2002; 27: 531-540
        • Keski-Rahkonen A.
        • Kaprio J.
        • Rissanen A.
        • Virkkunen M.
        • Rose R.J.
        Breakfast skipping and health-compromising behaviors in adolescents and adults.
        Eur J Clin Nutr. 2003; 57: 842-853
        • Epstein L.H.
        • Gordy C.C.
        • Raynor H.A.
        • Beddome M.
        • Kilanowski C.K.
        • Paluch R.
        Increasing fruit and vegetable intake and decreasing fat and sugar intake in families at risk for childhood obesity.
        Obes Res. 2001; 9: 171-176
        • Lin B.-H.
        • Morrison R.M.
        Higher fruit consumption linked with lower body mass index.
        Food Rev. 2002; 25: 28-32
        • Berkey C.S.
        • Rockett H.R.
        • Gillman M.W.
        • Colditz G.A.
        One-year changes in activity and in inactivity among 10- to 15-year-old boys and girls: Relationship to change in body mass index.
        Pediatrics. 2003; 111: 836-843
        • Kimm S.Y.
        • Glynn N.W.
        • Obarzanek E.
        • Kriska A.M.
        • Daniels S.R.
        • Barton B.A.
        • Liu K.
        Relation between the changes in physical activity and body-mass index during adolescence: A multicentre longitudinal study.
        Lancet. 2005; 366: 301-307
        • Kvaavik E.
        • Tell G.S.
        • Klepp K.I.
        Predictors and tracking of body mass index from adolescence into adulthood: Follow-up of 18 to 20 years in the Oslo Youth Study.
        Arch Pediatr Adolesc Med. 2003; 157: 1212-1218
        • Bild D.
        • Sholinsky P.
        • Smith D.
        • Hardin J.
        • Burke G.
        Correlates and predictors of weight loss in young adults: The CARDIA Study.
        Int J Obes Relat Metab Disord. 1996; 20: 47-55
        • Patrick K.
        • Norman G.J.
        • Calfas K.J.
        • Sallis J.F.
        • Zabinski M.F.
        • Rupp J.
        • Cella J.
        Diet, physical activity, and sedentary behaviors as risk factors for overweight in adolescence.
        Arch Pediatr Adolesc Med. 2004; 158: 385-390
        • Neumark-Sztainer D.
        • Butler R.
        • Palti H.
        Dieting and binge eating: Which dieters are at risk?.
        J Am Diet Assoc. 1995; 95: 586-589
        • Polivy J.
        • Herman C.P.
        Dieting and bingeing.
        Am Psychol. 1985; 40: 193-201
        • Neumark-Sztainer D.
        • Story M.
        • Hannan P.J.
        • Croll J.
        Overweight status and eating patterns among adolescents: Where do youth stand in comparison to the Healthy People 2010 Objectives?.
        Am J Public Health. 2002; 92: 844-851
        • Rockett H.R.H.
        • Breitenbach M.A.
        • Frazier A.L.
        • Witschi J.
        • Wolf A.M.
        • Field A.E.
        • Colditz G.A.
        Validation of a youth/adolescent food frequency questionnaire.
        Prev Med. 1997; 26: 808-816
        • Rockett H.R.
        • Wolf A.M.
        • Colditz G.A.
        Development and reproducibility of a food frequency questionnaire to assess diets of older children and adolescents.
        J Am Diet Assoc. 1995; 95: 336-340
      1. Centers for Disease Control and Prevention. Youth Risk Behavior Surveillance System. Available at: http://www.cdc.gov/HealthyYouth/yrbs/index.htm. Accessed January 23, 2006.

        • Godin G.
        • Shephard R.J.
        A simple method to assess exercise behavior in the community.
        Can J Appl Sport Sci. 1985; 10: 141-146
      2. Godin Leisure-Time Exercise Questionnaire.
        Med Sci Sports Exerc. 1997; 29: S36-S38
        • Gortmaker S.L.
        • Peterson K.
        • Wiecha J.
        • Sobol A.M.
        • Dixit S.
        • Fox M.K.
        • Laird N.
        Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health.
        Arch Pediatr Adolesc Med. 1999; 153: 409-418
        • Himes J.H.
        • Hannan P.
        • Wall M.
        • Neumark-Sztainer D.
        Factors associated with errors in self-reports of stature, weight, and body mass index in Minnesota adolescents.
        Ann Epidemiol. 2005; 15: 272-278
        • Must A.
        • Dallal G.E.
        • Dietz W.H.
        Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2) and tricep skinfold thickness.
        Am J Clin Nutr. 1991; 53: 839-846
        • Must A.
        • Dallal G.E.
        • Dietz W.H.
        Reference data for obesity: 85th and 95th percentiles of body mass index (wt/ht2)—a correction.
        Am J Clin Nutr. 1991; 54: 773
        • Preacher K.J.
        • Hayes A.F.
        SPSS and SAS procedures for estimating indirect effects in simple mediation models.
        Behav Res Methods Instrum Comput. 2004; 36: 717-731
        • Little R.J.A.
        Survey nonresponse adjustments for estimates of means.
        Int Stat Rev. 1986; 54: 137-139
        • Lattimore P.J.
        • Halford J.C.
        Adolescence and the diet-dieting disparity: Healthy food choice or risky health behaviour?.
        Br J Health Psychol. 2003; 8: 451-463
        • Nowak M.
        The weight-conscious adolescent: Body image, food intake, and weight-related behavior.
        J Adolesc Health. 1998; 23: 389-398
        • Story M.
        • Neumark-Sztainer D.
        • Sherwood N.
        • Stang J.
        • Murray D.
        Dieting status and its relationship to eating and physical activity behaviors in a representative sample of US adolescents.
        J Am Diet Assoc. 1998; 98 (1255): 1127-1135
        • Neumark-Sztainer D.
        • Story M.
        • Resnick M.D.
        • Blum R.W.
        Correlates of inadequate fruit and vegetable consumption among adolescents.
        Prev Med. 1996; 25: 497-505
        • Rafiroiu C.
        • Sargent R.G.
        • Parra-Medina D.
        • Drane W.J.
        • Valois R.F.
        Covariations of adolescent weight-control, health-risk and health-promoting behaviors.
        Am J Health Behav. 2003; 27: 3-14
        • Middleman A.B.
        • Vazquez I.
        • Durant R.H.
        Eating patterns, physical activity, and attempts to change weight among adolescents.
        J Adolesc Health. 1998; 22: 37-42
        • Paxton R.J.
        • Valois R.F.
        • Drane J.W.
        Correlates of body mass index, weight goals, and weight-management practices among adolescents.
        J Sch Health. 2004; 74: 136-143
        • Lowry R.
        • Galuska D.A.
        • Fulton J.E.
        • Wechsler H.
        • Kann L.
        Weight management goals and practices among US high school students: Associations with physical activity, diet, and smoking.
        J Adolesc Health. 2002; 31: 133-144
        • French S.A.
        • Perry C.L.
        • Leon G.R.
        • Fulkerson J.A.
        Changes in psychological variables and health behaviors by dieting status over a 3-year period in a cohort of adolescent females.
        J Adolesc Health. 1995; 16: 438-447
        • Field A.E.
        • Wolf A.M.
        • Herzog D.B.
        • Cheung L.
        • Colditz G.A.
        The relationship of caloric intake to frequency of dieting among preadolescent and adolescent girls.
        J Am Acad Child Adolesc Psychiatry. 1993; 32: 1246-1252
        • Neumark-Sztainer D.
        • Wall M.
        • Eisenberg M.E.
        • Story M.
        • Hannan P.J.
        Overweight status and weight control behaviors in adolescents: Longitudinal and secular trends from 1999-2004.
        Prev Med. 2006; 43: 52-59

      Biography

      D. Neumark-Sztainer and M. Story are professors, M. E. Eisenberg is an assistant professor, and J. Haines is a research associate, Division of Epidemiology and Community Health, and M. Wall is an associate professor, Division of Biostatistics, School of Public Health, University of Minnesota, Minneapolis.