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Nutrients 2018, 10(12), 1869; https://doi.org/10.3390/nu10121869

Perceived Family Functioning in Relation to Energy Intake in Adolescent Girls with Loss of Control Eating

1
Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), DHHS, 10 Center Drive, Bethesda, MD 20892-1103, USA
2
Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USUHS), 4301 Jones Bridge Road, Bethesda, MD 20814, USA
3
Department of Psychology, Fordham University, 411 East Fordham Road, Bronx, NY 10458, USA
4
Department of Human Development and Family Studies, Colorado State University, 303 Behavioral Sciences Building, 1570 Campus Delivery, Fort Collins, CO 80523, USA, [email protected]
5
Nutrition Department, Clinical Center, NIH, DHHS, 10 Center Drive, Bethesda, MD 20892, USA
*
Author to whom correspondence should be addressed.
Received: 1 November 2018 / Revised: 26 November 2018 / Accepted: 27 November 2018 / Published: 2 December 2018
(This article belongs to the Special Issue Eating Disorders and Obesity: The Challenge for Our Times)
Full-Text   |   PDF [259 KB, uploaded 2 December 2018]

Abstract

Family functioning is hypothesized to influence the development, maintenance, and treatment of obesity and eating disorders. However, there are limited data examining family functioning in relation to energy intake in the laboratory among youth at high-risk for eating disorders and excess weight gain. Therefore, we examined the relationship between perceived family functioning and energy intake during a laboratory test meal designed to model a binge episode. We performed hierarchical multiple regression analyses among 108 adolescent girls in an excess weight gain prevention trial. Participants were at high-risk for eating disorders and excess weight gain due to reports of loss of control eating (LOC) and high body mass index (BMI). Participants completed the Family Adaptability and Cohesion Scale III to assess family adaptability and cohesion. Following an overnight fast, girls consumed lunch from a laboratory test meal. Poorer family adaptability, but not cohesion, was associated with lower percentage of total energy intake from protein and greater percentage of total energy intake from carbohydrates. Neither adaptability nor cohesion were significantly associated with total intake. We conclude that among girls with LOC eating and high BMI, poor reported family adaptability is associated with greater consumption of obesity-promoting macronutrients during binge episodes. Directionality and temporality of this association between unhealthy consumption and family rigidity requires further study. View Full-Text
Keywords: loss of control eating; obesity; BMI; adolescent; females; family functioning; energy intake loss of control eating; obesity; BMI; adolescent; females; family functioning; energy intake
This is an open access article distributed under the Creative Commons Attribution License which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited (CC BY 4.0).
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Jaramillo, M.; Burke, N.L.; Shomaker, L.B.; Brady, S.M.; Kozlosky, M.; Yanovski, J.A.; Tanofsky-Kraff, M. Perceived Family Functioning in Relation to Energy Intake in Adolescent Girls with Loss of Control Eating. Nutrients 2018, 10, 1869.

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