在青春期早期的体重歧视和饮食障碍症状:一个前性队列研究
Jason M Nagata1, Arianna Thompson2, Christiane K Helmer2
1Department of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA. jason.nagata@ucsf.edu.
Journal of eating disorders
|September 30, 2025
概括
体重歧视预测了青少年的饮食障碍 (ED) 症状. 干预措施应针对所有身体质量指数 (BMI) 百分点的体重耻辱.
科学领域:
- 青少年健康 青少年健康
- 精神病学是一个精神病学.
- 公共卫生 公共卫生
背景情况:
- 体重歧视与不良结果有关,包括饮食障碍 (ED) 症状.
- 关于青春期早期这种关系的长度研究有限.
研究的目的:
- 检查早期青少年体重歧视与ED症状之间的潜在关联.
- 调查身体质量指数 (BMI) 百分位和性别是否适度这种关联.
主要方法:
- 来自青少年大脑认知发展 (ABCD) 研究数据的前性分析 (N=9,079).
- 使用后勤和顺序后勤回归来评估体重歧视和一年后的ED症状之间的关联.
- 控制共变量,包括基线ED症状,并研究BMI百分位数和性别作为调节者.
主要成果:
- 体重歧视可能与担心体重增加,与体重相关的自我价值,补偿性行为,暴饮暴食和整体ED症状的可能性增加有关.
- 发现BMI百分位数的显著相互作用:在BMI百分位数从第5到第85以下的青少年中,过度饮食症状和痛苦的关联更为强烈.
结论:
- 支持体重歧视和早期青少年ED症状之间的前性关系.
- 基于BMI百分位数的差异性关联强调了需要采取干预措施,解决整个体重范围内的体重耻辱问题.
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