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Food Insecurity and Eating Pathology in Adolescents

Adolescence is a critical period for the emergence of eating disorders, and food insecurity may be related to eating pathology and weight, as evidenced in adults. However, little is known about food insecurity and eating pathology during this developmental period, and associations between food insec...

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Autores principales: Kim, Brittany H., Ranzenhofer, Lisa, Stadterman, Jill, Karvay, Yvette G., Burke, Natasha L.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431477/
https://www.ncbi.nlm.nih.gov/pubmed/34501745
http://dx.doi.org/10.3390/ijerph18179155
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author Kim, Brittany H.
Ranzenhofer, Lisa
Stadterman, Jill
Karvay, Yvette G.
Burke, Natasha L.
author_facet Kim, Brittany H.
Ranzenhofer, Lisa
Stadterman, Jill
Karvay, Yvette G.
Burke, Natasha L.
author_sort Kim, Brittany H.
collection PubMed
description Adolescence is a critical period for the emergence of eating disorders, and food insecurity may be related to eating pathology and weight, as evidenced in adults. However, little is known about food insecurity and eating pathology during this developmental period, and associations between food insecurity and body mass index (BMI) are mixed. Therefore, we examined associations between food insecurity and BMI percentile, self-reported eating-related pathology and binge eating, and subgroup differences by race/ethnicity. In a subset, we examined the relationship between food insecurity and real-world hunger, food craving, and loss-of-control eating using ecological momentary assessment (EMA). Fifty-eight adolescents at two sites (clinical sample, n = 38, BMI percentile ≥ 70th; community sample, n = 20, all BMI strata) completed self-report questionnaires. Adolescents were 15.2 ± 2.1 years old, 62% female, 50% Black, 34.5% Hispanic, with BMI percentile = 80.5 ± 25.8 (range 4–99). In the full sample, food insecurity was associated with greater BMI (p < 0.01), higher shape/weight overvaluation (p = 0.04), and greater number of binge eating episodes among those reporting at least one binge episode (p < 0.01), with significant relationships for BMI percentile, shape/weight overvaluation, body dissatisfaction, and binge episode frequency among Hispanic adolescents only (each p < 0.01). As in adults, food insecurity may be a risk factor for eating pathology, particularly for Hispanic teens.
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spelling pubmed-84314772021-09-11 Food Insecurity and Eating Pathology in Adolescents Kim, Brittany H. Ranzenhofer, Lisa Stadterman, Jill Karvay, Yvette G. Burke, Natasha L. Int J Environ Res Public Health Article Adolescence is a critical period for the emergence of eating disorders, and food insecurity may be related to eating pathology and weight, as evidenced in adults. However, little is known about food insecurity and eating pathology during this developmental period, and associations between food insecurity and body mass index (BMI) are mixed. Therefore, we examined associations between food insecurity and BMI percentile, self-reported eating-related pathology and binge eating, and subgroup differences by race/ethnicity. In a subset, we examined the relationship between food insecurity and real-world hunger, food craving, and loss-of-control eating using ecological momentary assessment (EMA). Fifty-eight adolescents at two sites (clinical sample, n = 38, BMI percentile ≥ 70th; community sample, n = 20, all BMI strata) completed self-report questionnaires. Adolescents were 15.2 ± 2.1 years old, 62% female, 50% Black, 34.5% Hispanic, with BMI percentile = 80.5 ± 25.8 (range 4–99). In the full sample, food insecurity was associated with greater BMI (p < 0.01), higher shape/weight overvaluation (p = 0.04), and greater number of binge eating episodes among those reporting at least one binge episode (p < 0.01), with significant relationships for BMI percentile, shape/weight overvaluation, body dissatisfaction, and binge episode frequency among Hispanic adolescents only (each p < 0.01). As in adults, food insecurity may be a risk factor for eating pathology, particularly for Hispanic teens. MDPI 2021-08-30 /pmc/articles/PMC8431477/ /pubmed/34501745 http://dx.doi.org/10.3390/ijerph18179155 Text en © 2021 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Kim, Brittany H.
Ranzenhofer, Lisa
Stadterman, Jill
Karvay, Yvette G.
Burke, Natasha L.
Food Insecurity and Eating Pathology in Adolescents
title Food Insecurity and Eating Pathology in Adolescents
title_full Food Insecurity and Eating Pathology in Adolescents
title_fullStr Food Insecurity and Eating Pathology in Adolescents
title_full_unstemmed Food Insecurity and Eating Pathology in Adolescents
title_short Food Insecurity and Eating Pathology in Adolescents
title_sort food insecurity and eating pathology in adolescents
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8431477/
https://www.ncbi.nlm.nih.gov/pubmed/34501745
http://dx.doi.org/10.3390/ijerph18179155
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