Covariations of eating behaviors with other health-related behaviors among adolescents

Dianne Neumark-Sztainer, Mary Story, Elanah Toporoff, John H. Himes, Michael D. Resnick, Robert W M Blum

Research output: Contribution to journalArticle

78 Citations (Scopus)

Abstract

Purpose: The study objectives are: (1) to examine and compare patterns of covariation of a wide range of health behaviors among adolescent boys and girls; (2) to determine whether eating behaviors are part of a larger construct of health-related behaviors and to identify the behaviors with which they share underlying similarities; and (3) to determine whether youth engaging in other health-compromising behaviors are at risk for unhealthy eating. Methods: Data were analyzed from the Minnesota Adolescent Health Survey, a classroom-administered questionnaire, completed by 36,284 adolescents, in grades 7-12 from 1986-87. Results: Among boys, factor analysis revealed five factors: (1) risk-taking behaviors, (2) school- related behaviors, (3) 'quietly' disturbed behaviors (e.g., frequent dieting, self-induced vomiting, suicide attempts), (4) health-promoting behaviors; and (5) exercise. Eating behaviors loaded on the construct of health-promoting behaviors with brushing teeth and seat belt use. Among girls, four similar factors emerged; however, exercise loaded on the construct of health- promoting behaviors. Therefore, eating behaviors loaded with brushing teeth, seat belt use, and exercise among girls. Logistic regression analyses, controlling for sociodemographic and personal variables, revealed that boys and girls engaging in health-promoting behaviors were less likely to have unhealthy eating behaviors, while those engaging in quietly disturbed behaviors, risk-taking behaviors, and problematic school behaviors were more likely to have unhealthy eating behaviors. Conclusions: Eating behaviors appear to be part of a health-promoting behavioral construct and should not be viewed in isolation from other behaviors. Although eating behaviors do not appear to be part of the 'problem behavior syndrome,' youth engaging in a wide range of health-compromising behaviors are at risk for unhealthy eating; emphasizing the need to target high-risk youth with health promotion programs.

Original languageEnglish (US)
Pages (from-to)450-458
Number of pages9
JournalJournal of Adolescent Health
Volume20
Issue number6
DOIs
StatePublished - Jan 1 1997

Fingerprint

Adolescent Behavior
Feeding Behavior
Health
Risk-Taking
Seat Belts
Exercise
Tooth
Eating
Health Behavior
Health Surveys
Health Promotion
Suicide
Statistical Factor Analysis
Vomiting

Keywords

  • Adolescent health
  • Covariation
  • Dieting
  • Health-compromising behaviors
  • Nutrition
  • Risk-taking behavior
  • Youth

Cite this

Covariations of eating behaviors with other health-related behaviors among adolescents. / Neumark-Sztainer, Dianne; Story, Mary; Toporoff, Elanah; Himes, John H.; Resnick, Michael D.; Blum, Robert W M.

In: Journal of Adolescent Health, Vol. 20, No. 6, 01.01.1997, p. 450-458.

Research output: Contribution to journalArticle

Neumark-Sztainer, Dianne ; Story, Mary ; Toporoff, Elanah ; Himes, John H. ; Resnick, Michael D. ; Blum, Robert W M. / Covariations of eating behaviors with other health-related behaviors among adolescents. In: Journal of Adolescent Health. 1997 ; Vol. 20, No. 6. pp. 450-458.
@article{51aa0d237c324381b0dd8b80b6edaf8b,
title = "Covariations of eating behaviors with other health-related behaviors among adolescents",
abstract = "Purpose: The study objectives are: (1) to examine and compare patterns of covariation of a wide range of health behaviors among adolescent boys and girls; (2) to determine whether eating behaviors are part of a larger construct of health-related behaviors and to identify the behaviors with which they share underlying similarities; and (3) to determine whether youth engaging in other health-compromising behaviors are at risk for unhealthy eating. Methods: Data were analyzed from the Minnesota Adolescent Health Survey, a classroom-administered questionnaire, completed by 36,284 adolescents, in grades 7-12 from 1986-87. Results: Among boys, factor analysis revealed five factors: (1) risk-taking behaviors, (2) school- related behaviors, (3) 'quietly' disturbed behaviors (e.g., frequent dieting, self-induced vomiting, suicide attempts), (4) health-promoting behaviors; and (5) exercise. Eating behaviors loaded on the construct of health-promoting behaviors with brushing teeth and seat belt use. Among girls, four similar factors emerged; however, exercise loaded on the construct of health- promoting behaviors. Therefore, eating behaviors loaded with brushing teeth, seat belt use, and exercise among girls. Logistic regression analyses, controlling for sociodemographic and personal variables, revealed that boys and girls engaging in health-promoting behaviors were less likely to have unhealthy eating behaviors, while those engaging in quietly disturbed behaviors, risk-taking behaviors, and problematic school behaviors were more likely to have unhealthy eating behaviors. Conclusions: Eating behaviors appear to be part of a health-promoting behavioral construct and should not be viewed in isolation from other behaviors. Although eating behaviors do not appear to be part of the 'problem behavior syndrome,' youth engaging in a wide range of health-compromising behaviors are at risk for unhealthy eating; emphasizing the need to target high-risk youth with health promotion programs.",
keywords = "Adolescent health, Covariation, Dieting, Health-compromising behaviors, Nutrition, Risk-taking behavior, Youth",
author = "Dianne Neumark-Sztainer and Mary Story and Elanah Toporoff and Himes, {John H.} and Resnick, {Michael D.} and Blum, {Robert W M}",
year = "1997",
month = "1",
day = "1",
doi = "10.1016/S1054-139X(96)00279-0",
language = "English (US)",
volume = "20",
pages = "450--458",
journal = "Journal of Adolescent Health",
issn = "1054-139X",
publisher = "Elsevier USA",
number = "6",

}

TY - JOUR

T1 - Covariations of eating behaviors with other health-related behaviors among adolescents

AU - Neumark-Sztainer, Dianne

AU - Story, Mary

AU - Toporoff, Elanah

AU - Himes, John H.

AU - Resnick, Michael D.

AU - Blum, Robert W M

PY - 1997/1/1

Y1 - 1997/1/1

N2 - Purpose: The study objectives are: (1) to examine and compare patterns of covariation of a wide range of health behaviors among adolescent boys and girls; (2) to determine whether eating behaviors are part of a larger construct of health-related behaviors and to identify the behaviors with which they share underlying similarities; and (3) to determine whether youth engaging in other health-compromising behaviors are at risk for unhealthy eating. Methods: Data were analyzed from the Minnesota Adolescent Health Survey, a classroom-administered questionnaire, completed by 36,284 adolescents, in grades 7-12 from 1986-87. Results: Among boys, factor analysis revealed five factors: (1) risk-taking behaviors, (2) school- related behaviors, (3) 'quietly' disturbed behaviors (e.g., frequent dieting, self-induced vomiting, suicide attempts), (4) health-promoting behaviors; and (5) exercise. Eating behaviors loaded on the construct of health-promoting behaviors with brushing teeth and seat belt use. Among girls, four similar factors emerged; however, exercise loaded on the construct of health- promoting behaviors. Therefore, eating behaviors loaded with brushing teeth, seat belt use, and exercise among girls. Logistic regression analyses, controlling for sociodemographic and personal variables, revealed that boys and girls engaging in health-promoting behaviors were less likely to have unhealthy eating behaviors, while those engaging in quietly disturbed behaviors, risk-taking behaviors, and problematic school behaviors were more likely to have unhealthy eating behaviors. Conclusions: Eating behaviors appear to be part of a health-promoting behavioral construct and should not be viewed in isolation from other behaviors. Although eating behaviors do not appear to be part of the 'problem behavior syndrome,' youth engaging in a wide range of health-compromising behaviors are at risk for unhealthy eating; emphasizing the need to target high-risk youth with health promotion programs.

AB - Purpose: The study objectives are: (1) to examine and compare patterns of covariation of a wide range of health behaviors among adolescent boys and girls; (2) to determine whether eating behaviors are part of a larger construct of health-related behaviors and to identify the behaviors with which they share underlying similarities; and (3) to determine whether youth engaging in other health-compromising behaviors are at risk for unhealthy eating. Methods: Data were analyzed from the Minnesota Adolescent Health Survey, a classroom-administered questionnaire, completed by 36,284 adolescents, in grades 7-12 from 1986-87. Results: Among boys, factor analysis revealed five factors: (1) risk-taking behaviors, (2) school- related behaviors, (3) 'quietly' disturbed behaviors (e.g., frequent dieting, self-induced vomiting, suicide attempts), (4) health-promoting behaviors; and (5) exercise. Eating behaviors loaded on the construct of health-promoting behaviors with brushing teeth and seat belt use. Among girls, four similar factors emerged; however, exercise loaded on the construct of health- promoting behaviors. Therefore, eating behaviors loaded with brushing teeth, seat belt use, and exercise among girls. Logistic regression analyses, controlling for sociodemographic and personal variables, revealed that boys and girls engaging in health-promoting behaviors were less likely to have unhealthy eating behaviors, while those engaging in quietly disturbed behaviors, risk-taking behaviors, and problematic school behaviors were more likely to have unhealthy eating behaviors. Conclusions: Eating behaviors appear to be part of a health-promoting behavioral construct and should not be viewed in isolation from other behaviors. Although eating behaviors do not appear to be part of the 'problem behavior syndrome,' youth engaging in a wide range of health-compromising behaviors are at risk for unhealthy eating; emphasizing the need to target high-risk youth with health promotion programs.

KW - Adolescent health

KW - Covariation

KW - Dieting

KW - Health-compromising behaviors

KW - Nutrition

KW - Risk-taking behavior

KW - Youth

UR - http://www.scopus.com/inward/record.url?scp=0030952772&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0030952772&partnerID=8YFLogxK

U2 - 10.1016/S1054-139X(96)00279-0

DO - 10.1016/S1054-139X(96)00279-0

M3 - Article

C2 - 9178082

AN - SCOPUS:0030952772

VL - 20

SP - 450

EP - 458

JO - Journal of Adolescent Health

JF - Journal of Adolescent Health

SN - 1054-139X

IS - 6

ER -