M K Higgins Neyland1, Lisa M Shank2, Jason M Lavender1, Alexander Rice3, Rachel Schindler3, Kathrin Hennigan3, Senait Solomon4, Phillip Kroke5, Natasha A Schvey6, Tracy Sbrocco5, Denise E Wilfley7, Sarah Jorgensen8, Jack A Yanovski9, Cara H Olsen10, Mark Haigney11, David A Klein12, Jeffrey Quinlan13, Marian Tanofsky-Kraff14. 1. Department of Medicine, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD 20814, USA; Military Cardiovascular Outcomes Research (MiCOR), USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA; Metis Foundation, 300 Convent St #1330, San Antonio, TX 78205, USA. 2. Department of Medicine, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD 20814, USA; Military Cardiovascular Outcomes Research (MiCOR), USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA; Metis Foundation, 300 Convent St #1330, San Antonio, TX 78205, USA; Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, DHHS, 10 Center Drive, Bethesda, MD 20892, USA; Department of Medical and Clinical Psychology, USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. 3. Military Cardiovascular Outcomes Research (MiCOR), USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA; Metis Foundation, 300 Convent St #1330, San Antonio, TX 78205, USA. 4. Military Cardiovascular Outcomes Research (MiCOR), USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA; The Henry M. Jackson Foundation for the Advancement of Military Medicine (HJF), 6720A Rockledge Drive #100, Bethesda, MD 20817, USA. 5. Department of Medical and Clinical Psychology, USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. 6. Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, DHHS, 10 Center Drive, Bethesda, MD 20892, USA; Department of Medical and Clinical Psychology, USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. 7. Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO 63110, USA. 8. Department of Family Medicine, Fort Belvoir Community Hospital, 9300 DeWitt Loop Fort Belvoir, VA 22060, USA. 9. Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, DHHS, 10 Center Drive, Bethesda, MD 20892, USA. 10. Preventative Medicine and Biometrics Department, USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. 11. Department of Medicine, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD 20814, USA; Military Cardiovascular Outcomes Research (MiCOR), USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. 12. Department of Family Medicine, Fort Belvoir Community Hospital, 9300 DeWitt Loop Fort Belvoir, VA 22060, USA; Department of Family Medicine, USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. 13. Department of Family Medicine, USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. 14. Department of Medicine, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD 20814, USA; Military Cardiovascular Outcomes Research (MiCOR), USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA; Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health, DHHS, 10 Center Drive, Bethesda, MD 20892, USA; Department of Medical and Clinical Psychology, USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA. Electronic address: marian.tanofsky-kraff@usuhs.edu.
Abstract
OBJECTIVE: Military-dependent youth appear to be at greater risk for disordered-eating than their civilian counterparts. Permanent change of station moves (PCS-moves), typically occurring every 2-3 years, are commonly experienced by adolescent military-dependents. However, the links between PCS-moves and disordered-eating in this population have not been explored. We hypothesized that stress arising from PCS-moves may contribute to the development and/or exacerbation of disordered-eating. METHODS: One-hundred-forty-nine adolescent military-dependents with overweight or obesity (59.7% female; 46.3% non-Hispanic White; 14.4±1.5 years; BMI-z: 1.9±0.4) completed measures before commencing an adulthood obesity and binge-eating disorder prevention trial for adolescents at-risk for both conditions due to BMI percentile ≥85th and loss-of-control (LOC)-eating and/or elevated anxiety symptoms. Disordered-eating attitudes and LOC-eating were assessed by semi-structured interview, and emotional eating was self-reported. Adjusting for relevant covariates, multiple linear regressions examined the unique association of PCS-move frequency with disordered-eating attitudes and disinhibited-eating behaviors. RESULTS: PCS-move frequency was not significantly associated with either LOC-eating frequency (β = 0.09, p = .27) or emotional eating (β = -0.04, p = .62). However, PCS-move frequency was positively associated with disordered-eating attitudes (β = 0.17, p = .04), which appeared to be primarily driven by shape concerns (β = 0.21, p = .01). DISCUSSION: Findings indicate that frequency of PCS-moves is related to disordered-eating attitudes, but not behaviors. Longitudinal research is needed to understand if PCS-moves prospectively relate to the onset and/or exacerbation of disordered-eating, and the relevance of disordered-eating attitudes as opposed to disinhibited-eating behaviors.
OBJECTIVE: Military-dependent youth appear to be at greater risk for disordered-eating than their civilian counterparts. Permanent change of station moves (PCS-moves), typically occurring every 2-3 years, are commonly experienced by adolescent military-dependents. However, the links between PCS-moves and disordered-eating in this population have not been explored. We hypothesized that stress arising from PCS-moves may contribute to the development and/or exacerbation of disordered-eating. METHODS: One-hundred-forty-nine adolescent military-dependents with overweight or obesity (59.7% female; 46.3% non-Hispanic White; 14.4±1.5 years; BMI-z: 1.9±0.4) completed measures before commencing an adulthood obesity and binge-eating disorder prevention trial for adolescents at-risk for both conditions due to BMI percentile ≥85th and loss-of-control (LOC)-eating and/or elevated anxiety symptoms. Disordered-eating attitudes and LOC-eating were assessed by semi-structured interview, and emotional eating was self-reported. Adjusting for relevant covariates, multiple linear regressions examined the unique association of PCS-move frequency with disordered-eating attitudes and disinhibited-eating behaviors. RESULTS: PCS-move frequency was not significantly associated with either LOC-eating frequency (β = 0.09, p = .27) or emotional eating (β = -0.04, p = .62). However, PCS-move frequency was positively associated with disordered-eating attitudes (β = 0.17, p = .04), which appeared to be primarily driven by shape concerns (β = 0.21, p = .01). DISCUSSION: Findings indicate that frequency of PCS-moves is related to disordered-eating attitudes, but not behaviors. Longitudinal research is needed to understand if PCS-moves prospectively relate to the onset and/or exacerbation of disordered-eating, and the relevance of disordered-eating attitudes as opposed to disinhibited-eating behaviors.
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Authors: Marian Tanofsky-Kraff; Lauren B Shomaker; Denise E Wilfley; Jami F Young; Tracy Sbrocco; Mark Stephens; Lisa M Ranzenhofer; Camden Elliott; Sheila Brady; Rachel M Radin; Anna Vannucci; Edny J Bryant; Robyn Osborn; Sarah S Berger; Cara Olsen; Merel Kozlosky; James C Reynolds; Jack A Yanovski Journal: Am J Clin Nutr Date: 2014-08-13 Impact factor: 7.045
Authors: M K Higgins Neyland; Lisa M Shank; Jason M Lavender; Natasha L Burke; Alexander Rice; Julia Gallagher-Teske; Bethelhem Markos; Loie M Faulkner; Kweku G Djan; Esther A Kwarteng; Sarah LeMay-Russell; Megan N Parker; Natasha A Schvey; Tracy Sbrocco; Denise E Wilfley; Brian Ford; Caitlin Ford; Mark Haigney; David A Klein; Cara H Olsen; Jeffrey Quinlan; Sarah Jorgensen; Sheila Brady; Lauren B Shomaker; Jack A Yanovski; Marian Tanofsky-Kraff Journal: J Pediatr Psychol Date: 2022-07-19