Questionnaire-based problematic relationship to eating and food is associated with 25 year body mass index trajectories during midlife: The Coronary Artery Risk Development In Young Adults (CARDIA) Study

Cynthia Yoon, David R. Jacobs, Daniel A. Duprez, Gareth Dutton, Cora E. Lewis, Dianne Neumark-Sztainer, Lyn M. Steffen, Delia S. West, Susan M. Mason

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

Objective: Problematic eating behaviors and attitudes are of public health concern. Questionnaire-based assessment of these behaviors is important for large-scale research on eating behaviors. The questionnaire on eating and weight patterns-revised (QEWP-R) measures potential problematic behaviors and attitudes toward food (including anxieties, compensatory actions, overeating and loss of control, dieting, and shape concerns) that in aggregate may indicate diagnosable eating disorders. An important question regards the prevalence of these issues and their longitudinal associations with body mass index (BMI) in generally healthy middle aged adults. Method: Based on eight constructs measured on QEWP-R, we created a new problematic relationship to eating and food (PREF) scale by assigning a point for each construct endorsed. Analyses were conducted in 3,892 black and white men and women participating in the community-based Coronary Artery Risk Development in Young Adults (CARDIA) Study. The QEWP-R was administered in CARDIA year 10, when participants were aged 27–41 years. We used linear regression to model the relationship of individual constructs and the PREF scale to BMI over CARDIA follow-up. Results: Fifty-five percent of participants had 1–5 points and 4% had 6–8 points on the PREF scale. Each separate construct was positively associated with BMI, except concern about weight and shape. Adjusting for age, race, sex, education, and study center, mean BMI at CARDIA year 10, the time of PREF assessment, was approximately 1.0–2.5 kg/m2 higher per PREF category. Conclusion: In middle age, problematic behaviors and attitudes toward food were common and associated with higher BMI.

Original languageEnglish (US)
Pages (from-to)10-17
Number of pages8
JournalInternational Journal of Eating Disorders
Volume51
Issue number1
DOIs
StatePublished - Jan 1 2018

Fingerprint

Young Adult
Coronary Vessels
Body Mass Index
Eating
Food
Weights and Measures
Feeding Behavior
Hyperphagia
Sex Education
Surveys and Questionnaires
Linear Models
Anxiety
Public Health
Research

Keywords

  • body mass index
  • cohort studies
  • eating
  • middle aged
  • surveys and questionnaires

PubMed: MeSH publication types

  • Journal Article

Cite this

@article{03cd449cc6fd4c60a209b57158cee60e,
title = "Questionnaire-based problematic relationship to eating and food is associated with 25 year body mass index trajectories during midlife: The Coronary Artery Risk Development In Young Adults (CARDIA) Study",
abstract = "Objective: Problematic eating behaviors and attitudes are of public health concern. Questionnaire-based assessment of these behaviors is important for large-scale research on eating behaviors. The questionnaire on eating and weight patterns-revised (QEWP-R) measures potential problematic behaviors and attitudes toward food (including anxieties, compensatory actions, overeating and loss of control, dieting, and shape concerns) that in aggregate may indicate diagnosable eating disorders. An important question regards the prevalence of these issues and their longitudinal associations with body mass index (BMI) in generally healthy middle aged adults. Method: Based on eight constructs measured on QEWP-R, we created a new problematic relationship to eating and food (PREF) scale by assigning a point for each construct endorsed. Analyses were conducted in 3,892 black and white men and women participating in the community-based Coronary Artery Risk Development in Young Adults (CARDIA) Study. The QEWP-R was administered in CARDIA year 10, when participants were aged 27–41 years. We used linear regression to model the relationship of individual constructs and the PREF scale to BMI over CARDIA follow-up. Results: Fifty-five percent of participants had 1–5 points and 4{\%} had 6–8 points on the PREF scale. Each separate construct was positively associated with BMI, except concern about weight and shape. Adjusting for age, race, sex, education, and study center, mean BMI at CARDIA year 10, the time of PREF assessment, was approximately 1.0–2.5 kg/m2 higher per PREF category. Conclusion: In middle age, problematic behaviors and attitudes toward food were common and associated with higher BMI.",
keywords = "body mass index, cohort studies, eating, middle aged, surveys and questionnaires",
author = "Cynthia Yoon and Jacobs, {David R.} and Duprez, {Daniel A.} and Gareth Dutton and Lewis, {Cora E.} and Dianne Neumark-Sztainer and Steffen, {Lyn M.} and West, {Delia S.} and Mason, {Susan M.}",
year = "2018",
month = "1",
day = "1",
doi = "10.1002/eat.22813",
language = "English (US)",
volume = "51",
pages = "10--17",
journal = "International Journal of Eating Disorders",
issn = "0276-3478",
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TY - JOUR

T1 - Questionnaire-based problematic relationship to eating and food is associated with 25 year body mass index trajectories during midlife

T2 - The Coronary Artery Risk Development In Young Adults (CARDIA) Study

AU - Yoon, Cynthia

AU - Jacobs, David R.

AU - Duprez, Daniel A.

AU - Dutton, Gareth

AU - Lewis, Cora E.

AU - Neumark-Sztainer, Dianne

AU - Steffen, Lyn M.

AU - West, Delia S.

AU - Mason, Susan M.

PY - 2018/1/1

Y1 - 2018/1/1

N2 - Objective: Problematic eating behaviors and attitudes are of public health concern. Questionnaire-based assessment of these behaviors is important for large-scale research on eating behaviors. The questionnaire on eating and weight patterns-revised (QEWP-R) measures potential problematic behaviors and attitudes toward food (including anxieties, compensatory actions, overeating and loss of control, dieting, and shape concerns) that in aggregate may indicate diagnosable eating disorders. An important question regards the prevalence of these issues and their longitudinal associations with body mass index (BMI) in generally healthy middle aged adults. Method: Based on eight constructs measured on QEWP-R, we created a new problematic relationship to eating and food (PREF) scale by assigning a point for each construct endorsed. Analyses were conducted in 3,892 black and white men and women participating in the community-based Coronary Artery Risk Development in Young Adults (CARDIA) Study. The QEWP-R was administered in CARDIA year 10, when participants were aged 27–41 years. We used linear regression to model the relationship of individual constructs and the PREF scale to BMI over CARDIA follow-up. Results: Fifty-five percent of participants had 1–5 points and 4% had 6–8 points on the PREF scale. Each separate construct was positively associated with BMI, except concern about weight and shape. Adjusting for age, race, sex, education, and study center, mean BMI at CARDIA year 10, the time of PREF assessment, was approximately 1.0–2.5 kg/m2 higher per PREF category. Conclusion: In middle age, problematic behaviors and attitudes toward food were common and associated with higher BMI.

AB - Objective: Problematic eating behaviors and attitudes are of public health concern. Questionnaire-based assessment of these behaviors is important for large-scale research on eating behaviors. The questionnaire on eating and weight patterns-revised (QEWP-R) measures potential problematic behaviors and attitudes toward food (including anxieties, compensatory actions, overeating and loss of control, dieting, and shape concerns) that in aggregate may indicate diagnosable eating disorders. An important question regards the prevalence of these issues and their longitudinal associations with body mass index (BMI) in generally healthy middle aged adults. Method: Based on eight constructs measured on QEWP-R, we created a new problematic relationship to eating and food (PREF) scale by assigning a point for each construct endorsed. Analyses were conducted in 3,892 black and white men and women participating in the community-based Coronary Artery Risk Development in Young Adults (CARDIA) Study. The QEWP-R was administered in CARDIA year 10, when participants were aged 27–41 years. We used linear regression to model the relationship of individual constructs and the PREF scale to BMI over CARDIA follow-up. Results: Fifty-five percent of participants had 1–5 points and 4% had 6–8 points on the PREF scale. Each separate construct was positively associated with BMI, except concern about weight and shape. Adjusting for age, race, sex, education, and study center, mean BMI at CARDIA year 10, the time of PREF assessment, was approximately 1.0–2.5 kg/m2 higher per PREF category. Conclusion: In middle age, problematic behaviors and attitudes toward food were common and associated with higher BMI.

KW - body mass index

KW - cohort studies

KW - eating

KW - middle aged

KW - surveys and questionnaires

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