Overweight, Weight Concerns, and Bulimic Behaviors Among Girls and Boys

Channing Laboratory, Department of Medicine, Harvard Medical School, Boston, USA.
Journal of the American Academy of Child & Adolescent Psychiatry (Impact Factor: 7.26). 06/1999; 38(6):754-60. DOI: 10.1097/00004583-199906000-00024
Source: PubMed


To assess the prevalence rates and correlates of overweight, concern with weight, and bulimic behaviors.
A survey was completed by a population-based sample of 16,114 boys and girls aged 9 to 14 years.
Although fewer girls (19%) than boys (26%) were overweight, more girls (25% versus 22%) perceived themselves as overweight (p < .001). The proportion of girls reporting trying to lose weight increased with age (p < .001). The prevalence of binge eating at least monthly increased with age among the girls, but remained stable among the boys. The prevalence of purging was low (< or = 1%) and comparable between genders until age 13. Among the 13- and 14-year-olds, girls were significantly more likely than boys to report using laxatives or vomiting to control weight (p < or = .001). Purging was independently positively associated with stage of pubertal development (girls: odds ratio [OR] = 2.1, 95% confidence interval [CI] 1.6-2.7; boys: OR = 1.5, 95% CI 1.0-2.2) and overweight (girls: OR = 1.9, 95% CI 1.2-3.0; boys: OR = 2.7, 95% CI 1.4-5.1).
Misperception of being overweight and concern with weight were common. Purging was a very rare behavior, but increased with pubertal development. Among the girls, the prevalence increased sharply around the onset of adolescence.

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    • "Based on the recently collected data from four elementary schools and food outlets in a rural county of Alabama, this study analyses the patterns of childhood obesity, assesses community food environments, and examines the interactions between socioeconomic disparities, childhood obesity and food environments . In this research, the prevalence of overweight or obese was higher among boys as compared with girls, consistent with the previous studies (Field et al. 1999; Velde et al. 2007). Overweight or obesity rate among children aged 7–13 was 10% higher than those aged 4–6. "
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    • "At the beginning of cohort enrollment, the GUTS sample consisted of 7,843 boys and 9,039 girls, with 93.3% White and 6.7% of ethnic/racial minority backgrounds. A detailed description of GUTS is available elsewhere (Field et al., 1999). "
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