Weight-based teasing (WBT) is commonly reported among youth and is associated with disinhibited and disordered eating. Specifically, youth who experience WBT may engage in disordered eating behaviors to cope with the resultant negative affect. Therefore, we examined associations between WBT and disordered eating behaviors among youth and assessed whether negative affect mediated these relationships. Two hundred one non-treatment seeking youth (8-17y) completed questionnaires assessing WBT, disinhibited eating, depression, and anxiety. Disordered eating and loss-of-control (LOC) eating were assessed via semi-structured interview. Analyses of covariance were conducted to examine relationships between WBT and eating-related variables, and bootstrapping mediation models were used to evaluate negative affect (a composite of depressive and anxiety symptoms) as a mediator of these associations. All models were adjusted for sex, race, age, and adiposity. Among 201 participants (13.1 ± 2.8y; 54.2% female; 30.3% Black; 32.8% with overweight/obesity), WBT was associated with emotional eating, eating in the absence of hunger, and disordered eating attitudes and behaviors (ps ≤ 0.02). These associations were all mediated by negative affect. WBT was also associated with a threefold greater likelihood of reporting a recent LOC eating episode (p = .049). Among boys and girls across weight strata, WBT was associated with multiple aspects of disordered eating and these relationships were mediated by negative affect. Longitudinal studies are needed to clarify the directionality of these associations and to identify subgroups of youth that may be particularly vulnerable to WBT and its sequelae.

基于体重的戏easing（WBT）在年轻人中普遍报道，并且与饮食禁忌和饮食失调有关。具体而言，经历WBT的年轻人可能会采取饮食失调的行为来应对由此产生的负面影响。因此，我们检查了WBT与青少年饮食失调行为之间的关联，并评估了负面影响是否介导了这些关系。211位未接受治疗的青年（8-17岁）完成了问卷调查，评估了WBT，禁忌饮食，抑郁和焦虑。通过半结构化访谈评估了饮食失调和失控饮食。进行协方差分析以检查WBT和饮食相关变量之间的关系，和自举中介模型被用来评估负面影响（抑郁和焦虑症状的综合）作为这些关联的中介。所有模型都针对性别，种族，年龄和肥胖进行了调整。在201名参与者中（13.1±2.8y;女性54.2％;黑人30.3％;超重/肥胖症的32.8％），WBT与情绪饮食，没有饥饿的饮食以及饮食态度和行为失调有关（p s≤0.02）。这些联系都是由负面影响介导的。WBT还与报告最近一次LOC饮食发作的可能性增加了三倍相关（p  = .049）。在各个体重阶层的男孩和女孩中，WBT与饮食失调的多个方面相关，并且这些关系是由负面影响介导的。需要进行纵向研究来阐明这些协会的方向性，并确定可能特别容易受到WBT及其后遗症影响的青年亚组。