Journal
OBESITY
Volume 29, Issue 12, Pages 2126-2133Publisher
WILEY
DOI: 10.1002/oby.23285
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Funding
- Eunice Kennedy Shriver National Institute of Child Health and Human Development [R01HD073568] Funding Source: Medline
- NHLBI NIH HHS [R56HL141878] Funding Source: Medline
- NIA NIH HHS [R56AG059677, R01AG059677] Funding Source: Medline
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The study found that the drive for thinness in adolescence can persist into adulthood and predict reward-based compulsive eating behavior and higher weight status in adults. Adolescent drive for thinness has long-term effects on adult eating behaviors, while reward-based eating drive is not related to adult weight status.
Objective In youth, a preoccupation with weight and the desire to be thinner, or drive for thinness, might persist into adulthood and predict reward-based compulsive eating and greater weight status. Methods A total of 623 women were enrolled from a prospective cohort study starting at 10 years old and assessed up to 20 years later. Drive for thinness was measured five times during adolescence. In adulthood (mean age = 39.5), drive for thinness, reward-based eating drive, and BMI were measured. Results Structural equation modeling found cumulative adolescent drive for thinness predicted higher scores for both adult drive for thinness and reward-based eating drive. Youth drive for thinness was not directly associated with adult BMI but rather indirectly through adult drive for thinness. Reward-based eating drive was not associated with adult BMI. Conclusions Drive for thinness during the critical developmental years may exert long-term effects on adulthood eating behaviors tied to greater weight gain, potentially reflecting an important early target of intervention.
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