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Weight-based victimization, eating behaviors, and weight-related health in Sexual and Gender Minority Adolescents.
Appetite. 2019 10 01; 141:104321.A

Abstract

Weight-based victimization (WBV) is a common form of bullying associated with maladaptive eating, and poor weight-related health. Although sexual and gender minority (SGM) youth experience a number of eating and weight-related health disparities, the link between WBV and these outcomes has not been investigated in this vulnerable population. Data came from the LGBTQ Teen Study, a national survey of SGM adolescents. Participants provided data to assess body mass index (BMI), WBV, sexual identity, gender identity, dieting, binge eating, eating to cope with stress, weight control behaviors, exercise, and stress (N = 9679). The sample was 66% White, with a mean age of 15.6 years; 58.5% had healthy weight, and 37.2% had overweight or obesity. Over half of participants reported WBV from family members and peers. WBV from family members was associated with maladaptive eating (i.e., binge-eating, unhealthy weight-control behaviors), dieting, and poor weight-related health (i.e., stress, exercise avoidance, less physical activity and poorer sleep); relationships remained significant after accounting for participants' age, BMI percentile for age and sex, race, gender identity, and sexual identity. Higher frequency of WBV at school, but not history of peer weight-based victimization, was associated with more maladaptive eating, dieting, and poorer weight-related health on all outcomes except physical activity. This is the first large-scale study that examined links between WBV, maladaptive eating behaviors, and weight-related health in SGM adolescents. These results suggest the need for increased awareness that WBV may play a role in maladaptive eating, and weight-related health of SGM youth, and may contribute to both elevated levels of eating disorders and obesity in this population.

Authors+Show Affiliations

Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford, CT, USA; Department of Psychological Sciences, Kent State University, Kent, OH, USA. Electronic address: mhimmels@kent.edu.Rudd Center for Food Policy & Obesity, University of Connecticut, Hartford, CT, USA; Department of Human Development and Family Sciences, University of Connecticut, Storrs, CT, USA.Department of Human Development and Family Sciences, University of Connecticut, Storrs, CT, USA.

Pub Type(s)

Journal Article
Research Support, N.I.H., Extramural
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

31202917

Citation

Himmelstein, Mary S., et al. "Weight-based Victimization, Eating Behaviors, and Weight-related Health in Sexual and Gender Minority Adolescents." Appetite, vol. 141, 2019, p. 104321.
Himmelstein MS, Puhl RM, Watson RJ. Weight-based victimization, eating behaviors, and weight-related health in Sexual and Gender Minority Adolescents. Appetite. 2019;141:104321.
Himmelstein, M. S., Puhl, R. M., & Watson, R. J. (2019). Weight-based victimization, eating behaviors, and weight-related health in Sexual and Gender Minority Adolescents. Appetite, 141, 104321. https://doi.org/10.1016/j.appet.2019.104321
Himmelstein MS, Puhl RM, Watson RJ. Weight-based Victimization, Eating Behaviors, and Weight-related Health in Sexual and Gender Minority Adolescents. Appetite. 2019 10 1;141:104321. PubMed PMID: 31202917.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Weight-based victimization, eating behaviors, and weight-related health in Sexual and Gender Minority Adolescents. AU - Himmelstein,Mary S, AU - Puhl,Rebecca M, AU - Watson,Ryan J, Y1 - 2019/06/13/ PY - 2019/05/01/received PY - 2019/06/12/revised PY - 2019/06/12/accepted PY - 2019/6/17/pubmed PY - 2020/9/1/medline PY - 2019/6/17/entrez KW - Binge eating KW - Dieting KW - Gender identity KW - Sexual identity KW - Weight-based victimization KW - Youth SP - 104321 EP - 104321 JF - Appetite JO - Appetite VL - 141 N2 - Weight-based victimization (WBV) is a common form of bullying associated with maladaptive eating, and poor weight-related health. Although sexual and gender minority (SGM) youth experience a number of eating and weight-related health disparities, the link between WBV and these outcomes has not been investigated in this vulnerable population. Data came from the LGBTQ Teen Study, a national survey of SGM adolescents. Participants provided data to assess body mass index (BMI), WBV, sexual identity, gender identity, dieting, binge eating, eating to cope with stress, weight control behaviors, exercise, and stress (N = 9679). The sample was 66% White, with a mean age of 15.6 years; 58.5% had healthy weight, and 37.2% had overweight or obesity. Over half of participants reported WBV from family members and peers. WBV from family members was associated with maladaptive eating (i.e., binge-eating, unhealthy weight-control behaviors), dieting, and poor weight-related health (i.e., stress, exercise avoidance, less physical activity and poorer sleep); relationships remained significant after accounting for participants' age, BMI percentile for age and sex, race, gender identity, and sexual identity. Higher frequency of WBV at school, but not history of peer weight-based victimization, was associated with more maladaptive eating, dieting, and poorer weight-related health on all outcomes except physical activity. This is the first large-scale study that examined links between WBV, maladaptive eating behaviors, and weight-related health in SGM adolescents. These results suggest the need for increased awareness that WBV may play a role in maladaptive eating, and weight-related health of SGM youth, and may contribute to both elevated levels of eating disorders and obesity in this population. SN - 1095-8304 UR - https://www.unboundmedicine.com/medline/citation/31202917/Weight_based_victimization_eating_behaviors_and_weight_related_health_in_Sexual_and_Gender_Minority_Adolescents_ DB - PRIME DP - Unbound Medicine ER -