Literature DB >> 31220361

Predictors of muscularity-oriented disordered eating behaviors in U.S. young adults: A prospective cohort study.

Jason M Nagata1, Stuart B Murray2, Kirsten Bibbins-Domingo3,4, Andrea K Garber1, Deborah Mitchison5,6, Scott Griffiths7.   

Abstract

OBJECTIVE: To determine adolescent predictors of muscularity-oriented disordered eating behaviors in young men and women using a nationally representative longitudinal sample in the United States and to examine differences by sex.
METHOD: We used nationally representative longitudinal cohort data collected from baseline (11-18 years old, 1994-1995) and 7-year follow-up (18-24 years old, 2001-2002) of the National Longitudinal Study of Adolescent to Adult Health. We examined adolescent demographic, behavioral, and mental health predictors of young adult muscularity-oriented disordered eating behaviors defined as eating more or differently to gain weight or bulk up, supplements to gain weight or bulk up, or androgenic anabolic steroid use at 7-year follow-up.
RESULTS: Of the 14,891 included participants, 22% of males and 5% of females reported any muscularity-oriented disordered eating behavior at follow-up in young adulthood. Factors recorded at adolescence that were prospectively associated with higher odds of muscularity-oriented disordered eating in both sexes included black race, exercising to gain weight, self-perception of being underweight, and lower body mass index z-score. In addition, participation in weightlifting; roller-blading, roller-skating, skate-boarding, or bicycling; and alcohol among males and depressive symptoms among females during adolescence were associated with higher odds of muscularity-oriented disordered eating in young adulthood.
CONCLUSIONS: Interventions to prevent muscularity-oriented disordered eating behaviors may target at-risk youth, particularly those of black race or who engage in exercise to gain weight. Future research should examine longitudinal health outcomes associated with muscularity-oriented disordered eating behaviors.
© 2019 Wiley Periodicals, Inc.

Entities:  

Keywords:  body image; disordered eating; males; muscle; steroids; weight control; young adults

Year:  2019        PMID: 31220361      PMCID: PMC6901753          DOI: 10.1002/eat.23094

Source DB:  PubMed          Journal:  Int J Eat Disord        ISSN: 0276-3478            Impact factor:   4.861


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