Abstract
The current study examined healthy weight control practices among a sample of college women enrolled at an urban university (N=715; age=19.87±1.16; 77.2% Caucasian; 13.4% African American, 7.2% Asian, 2.2% other races). Participants completed measures as part of an on-line study about health habits, behaviors, and attitudes. Items from the Three Factor Eating Questionnaire were selected and evaluated with exploratory factor analysis to create a healthy weight control practices scale. Results revealed that college women, regardless of weight status, used a comparable number (four of eight) of practices. Examination of racial differences between Caucasian and African American women revealed that normal weight African American women used significantly fewer strategies than Caucasian women. Of note, greater use of healthy weight control practices was associated with higher cognitive restraint, drive for thinness, minutes of physical activity, and more frequent use of compensatory strategies. Higher scores on measures of binge and disinhibited eating, body dissatisfaction, negative affect, and depressive symptoms were associated with greater use of healthy weight control practices by underweight/normal weight but not by overweight/obese college women. Results suggest that among a sample of college females, a combination of healthy and potentially unhealthy weight control practices occurs. Implications of the findings suggest the need for effective weight management and eating disorder prevention programs for this critical developmental life stage. Such programs should be designed to help students learn how to appropriately use healthy weight control practices, as motivations for use may vary by weight status.
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References
American College Health Association. National college health assessment spring 2007 reference group data report. J Am Coll Health 2008; 56: 469–79.
Sira N, Pawlak R. Prevalence of overweight and obesity, and dieting attitudes among Caucasian and African American college students in Eastern North Carolina: a cross-sectional survey. Nutr Res Pract 2010; 4: 36–42.
Seagle HM, Strain GW, Makris A, et al. Position of the American Dietetic Association: Weight management. J Am Diet Assoc 2009; 109: 330–46.
Foster GD, Makris AP, Bailer BA. Behavioral treatment of obesity. Am J Clin Nutr 2005; 82: 230S–5S.
Thomas JG, Wing RR. Maintenance of long-term weight loss. Med Health R I 2009; 92: 53.
Wing RR, Phelan S. Long-term weight loss maintenance. Am J Clin Nutr 2005; 82: 222S–5S.
Stuckey HL, Boan J, Kraschnewski JL, et al. Using positive deviance for determining successful weight-control practices. Qual Health Res 2011; 21: 563–79.
Field AE, Haines J, Rosner B, et al. Weight-control behaviors and subsequent weight change among adolescents and young adult females. Am J Clin Nutr 2010; 91: 147–53.
Gokee LaRose J, Tate DF, Gorin AA, et al. Preventing weight gain in young adults: A randomized controlled pilot study. Am J Prev Med 2010; 39: 63–8.
Levine MD, Klem ML, Kalarchian MA, et al. Weight gain prevention among women. Obesity (Silver Spring) 2007; 15: 1267–77.
Stice E, Presnell K. Dieting and the eating disorders. In: Agras WS, ed. The Oxford Handbook of Eating Disorders. New York, Oxford University Press, 2010, pp 148–79.
de Lauzon-Guillain B, Basdevant A, Romon M, et al. Is restrained eating a risk factor for weight gain in a general population? Am J Clin Nutr 2006; 83: 132–8.
Provencher V, Polivy J, Wintre MG, et al. Who gains or who loses weight? Psychosocial factors among firstyear university students. Physiol Behav 2009; 96: 135–41.
Stice E, Cooper JA, Schoeller DA, et al. Are dietary restraint scales valid measures of moderate- to longterm dietary restriction? Objective biological and behavioral data suggest not. Psychol Assess 2007; 19: 449–58.
Klein DA, Walsh BT. Eating disorders. Int Rev Psychiatry 2003; 15: 205–16.
Malinauskas BM, Raedeke TD, Aeby VG, et al. Dieting practices, weight perceptions, and body composition: A comparison of normal weight, overweight, and obese college females. Nutr J 2006; 5: 11.
Jung ME, Bray SR, Martin Ginis KA. Behavior change and the freshman 15: tracking physical activity and dietary patterns in 1st-year university women. J Am Coll Health 2008; 56: 523–30.
Nelson MC, Story M, Larson NI, et al. Emerging adulthood and college-aged youth: an overlooked age for weight-related behavior change. Obesity (Silver Spring) 2008; 16: 2205–11.
Nelson TF, Gortmaker SL, Subramanian SV, et al. Disparities in overweight and obesity among US college students. Am J Health Behav 2007; 31: 363–73.
Ogden CL. Disparities in obesity prevalence in the United States: Black women at risk. Am J Clin Nutr 2009; 89: 1001–2.
Lowry R, Galuska DA, Fulton JE, et al. Physical activity, food choice, and weight management goals and practices among US college students. Am J Prev Med 2000; 18: 18–27.
Vaughan CA, Sacco WP, Beckstead JW. Racial/ethnic differences in body mass index: the roles of beliefs about thinness and dietary restriction. Body Image 2008; 5: 291–8.
Wildes JE, Emery RE, Simons AD. The roles of ethnicity and culture in the development of eating disturbance and body dissatisfaction: A meta-analytic review. Clin Psychol Rev 2001; 21: 521–51.
Grieve FG, Wann D, Henson CT, et al. Healthy and unhealthy weight management practices in collegiate men and women. J Sport Behav 2006; 29: 229–41.
Desai MN, Miller WC, Staples B, et al. Risk factors associated with overweight and obesity in college students. J Am Coll Health 2008; 57: 109–14.
Tamim H, Tamim R, Almawi W, et al. Risky weight control among university students. Int J Eat Disord 2006; 39: 80–3.
Stunkard AJ, Messick S. The three-factor eating questionnaire to measure dietary restraint, disinhibition and hunger. J Psychosom Res 1985; 29: 71–83.
Heywood S, McCabe MP. Negative affect as a mediator between body dissatisfaction and extreme weight loss and muscle gain behaviors. J Health Psychol 2006; 11: 833–44.
Palmeira AL, Branco TL, Martins SC, et al. Change in body image and psychological well-being during behavioral obesity treatment: associations with weight loss and maintenance. Body Image 2010; 7: 187–93.
Mazzeo SE, Aggen SH, Anderson C, et al. Investigating the structure of the eating inventory Three- Factor Eating Questionnaire): a confirmatory approach. Int J Eat Disord 2003; 34: 255–64.
Stice E, Telch CF, Rizvi SL. Development and validation of the eating disorder diagnostic scale: a brief selfreport measure of anorexia, bulimia, and binge-eating disorder. Psychol Assess 2000; 12: 123–31.
Gormally J, Black S, Daston S, et al. The assessment of binge eating severity among obese persons. Addict Behav 1982; 7: 47–55.
Garner DM. Eating Disorders Inventory-2: Professional Manual. Odessa, FL, Psychological Assessment Resources, 1991.
Watson D, Clark LA, Tellegen A. Development and validation of brief measures of positive and negative affect: The PANAS scales. J Pers Soc Psychol 1988; 54: 1063–70.
Crawford JR, Henry JD. The positive and negative affect schedule (PANAS): construct validity, measurement properties and normative data in a large nonclinical sample. Br J Clin Psychol 2004; 43: 245–65.
Radloff LS. The use of the center for epidemiologic studies depression scale in adolescents and young adults. J Youth Adolesc 1991; 20: 149–66.
Radloff LS. The CES-D: a self-report depression scale for research in the general population. Appl Psychol Meas 1977; 1: 385–401.
Vickers KS, Patten CA, Bronars C, et al. Binge drinking in female college students: the association of physical activity, weight concern, and depressive symptoms. J Am Coll Health 2004; 53: 133–40.
Harrell ZAT, Fredrickson BL, Pomerleau CS, et al. The role of trait self-objectification in smoking among college women. Sex Roles 2006; 54: 735–43.
Alix Timko C, Perone J, Crossfield A. Are you currently on a diet? What respondents mean when they say “yes”. Eat Disord 2006; 14: 157–66.
Atlantis E, Ball K. Association between weight perception and psychological distress. Int J Obes (Lond) 2008; 32: 715–21.
Jansen W, van de Looij-Jansen PM., de Wilde EJ, et al. Feeling fat rather than being fat may be associated with psychological well-being in young Dutch adolescents. J Adolesc Health 2008; 42: 128–36.
Stunkard AJ, Albaum JM. The accuracy of self-reported weights. Am J Clin Nutr 1981; 34: 1593–9.
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Hayes, S., Napolitano, M.A. Examination of weight control practices in a non-clinical sample of college women. Eat Weight Disord 17, e157–e163 (2012). https://doi.org/10.1007/BF03325342
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DOI: https://doi.org/10.1007/BF03325342