Permanent change of station moves and disordered-eating attitudes and behaviors in prevention-seeking adolescent military-dependents,Eating Behaviors

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Permanent change of station moves and disordered-eating attitudes and behaviors in prevention-seeking adolescent military-dependents
Eating Behaviors ( IF 2.936 ) Pub Date : 2020-12-26 , DOI: 10.1016/j.eatbeh.2020.101470
M K Higgins Neyland ₁ , Lisa M Shank ₂ , Jason M Lavender ₁ , Alexander Rice ₃ , Rachel Schindler ₃ , Kathrin Hennigan ₃ , Senait Solomon ₄ , Phillip Kroke ₅ , Natasha A Schvey ₆ , Tracy Sbrocco ₅ , Denise E Wilfley ₇ , Sarah Jorgensen ₈ , Jack A Yanovski ₉ , Cara H Olsen ₁₀ , Mark Haigney ₁₁ , David A Klein ₁₂ , Jeffrey Quinlan ₁₃ , Marian Tanofsky-Kraff ₁₄

Affiliation

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.
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.
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.
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.
Department of Medical and Clinical Psychology, 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.
Washington University School of Medicine, 660 S. Euclid Ave., St. Louis, MO 63110, USA.
Department of Family Medicine, Fort Belvoir Community Hospital, 9300 DeWitt Loop Fort Belvoir, VA 22060, 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.
Preventative Medicine and Biometrics Department, USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
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.
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.
Department of Family Medicine, USU, 4301 Jones Bridge Road, Bethesda, MD 20814, USA.
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.

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.

中文翻译：

寻求预防的青少年军人家属的站位移动和饮食失调的态度和行为的永久性变化

客观的

与平民同龄人相比，依赖军队的青年似乎更容易出现饮食失调的风险。驻地移动（PCS-移动）的永久性改变，通常每 2-3 年发生一次，通常由青少年军人家属经历。然而，尚未探索该人群中 PCS 移动与饮食失调之间的联系。我们假设 PCS 运动引起的压力可能导致饮食失调的发展和/或恶化。

方法

149 名超重或肥胖的青少年军人家属（59.7% 女性；46.3% 非西班牙裔白人；14.4±1.5 岁；BMI- z：1.9±0.4）在开始成年期肥胖和暴饮暴食之前完成了测量。由于 BMI 百分位数≥85 和失控 (LOC) 进食和/或焦虑症状升高而有两种疾病风险的青少年的饮食失调预防试验。通过半结构化访谈评估无序饮食态度和LOC饮食，并自我报告情绪饮食。调整相关协变量，多元线性回归检查了 PCS 移动频率与无序饮食态度和不抑制饮食行为的独特关联。