Skip to main content

Advertisement

SpringerLink
Log in

Age and Body Satisfaction Predict Diet Adherence in Adolescents with Inflammatory Bowel Disease

  • Published:
Journal of Clinical Psychology in Medical Settings Aims and scope Submit manuscript

Abstract

The aim of the current study was to determine whether age and body satisfaction predict dietary adherence in adolescents with Inflammatory Bowel Disease (IBD), and whether older females are less adherent than younger males and females. Forty-four participants aged 10–21 with IBD were recruited. Participants provided informed consent and demographics. Body satisfaction was measured by a questionnaire and a task in which participants selected their current and ideal body image out of silhouettes depicting bodies ranging from underweight to obese. Adherence was measured by marking a 100 mm visual analog scale, the 1-week completion of a dietary log, and a questionnaire evaluating coping strategies used for overcoming obstacles to dietary adherence. Age was related to dietary adherence, with younger children being more likely to adhere. Participants more satisfied with their body reported better dietary adherence. Findings remained consistent across multiple measures of body satisfaction and adherence. Healthcare providers and parents should be informed of these findings in order to improve adherence.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Similar content being viewed by others

References

  • Abbott, J., Conway, S., Etherington, C., Fitzjohn, J., Gee, L., Morton, A., et al. (2000). Perceived body image and eating behavior in young adults with cystic fibrosis and their healthy peers. Journal of Behavioral Medicine, 23, 501–517. doi:10.1023/A:1005532602084.

    Article  PubMed  Google Scholar 

  • Aiken, L. S., & West, S. G. (1991). Multiple regression: Testing and interpreting interactions. CA: Sage Publications Inc.

    Google Scholar 

  • Antisdel, J. E., & Chrisler, J. C. (2000). Comparison of eating attitudes and behaviors among adolescent and young women with type 1 diabetes mellitus and phenylketonuria. Developmental and Behavioral Pediatrics, 21, 81–86. doi:10.1097/00004703-200004000-00001.

    Article  Google Scholar 

  • Booth, I. W. (1991). The nutritional consequences of gastrointestinal disease in adolescence. Acta Paediatrica Scandinavica, 373, 91–102. doi:10.1111/j.1651-2227.1991.tb18156.x. Supplement.

    Article  Google Scholar 

  • Casati, J., Toner, B. B., de Rooy, E., Drossman, D. D., & Maunder, R. G. (2000). Concerns of patients with inflammatory bowel disease. Digestive Diseases and Sciences, 45, 26–31. doi:10.1023/A:1005492806777.

    Article  PubMed  Google Scholar 

  • Crohn’s and Colitis Foundation of America. (2005). Living with Crohn’s disease. [Brochure]. NY: Author.

  • De Rooy, E. C., Toner, B. B., Maunder, R. G., Greenberg, G. R., Baron, D., Steinhart, H., et al. (2001). Concerns of patients with inflammatory bowel disease: Results from a clinical population. The American Journal of Gastroenterology, 96, 1816–1821.

    Article  PubMed  Google Scholar 

  • Dunker, M. S., Stiggelbout, A. M., van Hogenzand, R. A., Ringers, J., Griffioen, G., & Bemelman, W. A. (1998). Cosmesis and body image after laparoscopic-assisted and open ileocolic resection for Crohn’s disease. Surgical Endoscopy, 12, 1334–1340. doi:10.1007/s004649900851.

    Article  PubMed  Google Scholar 

  • Escher, J. C., & Taminiau, J. A. J. M. (2001). Treatment of inflammatory bowel disease in childhood. Scandinavian Journal of Gastroenterology, 36(Suppl. 234), 48–50. doi:10.1080/003655201753265109.

    Article  Google Scholar 

  • Joyce, T. A. (2002). Body image and treatment adherence in adolescents and young adults with cancer (Doctoral dissertation, Texas A & M University, 2002). Dissertation Abstracts International 62(7-B), 3380.

  • Kane, S. V. (2006). Systematic review: Adherence issues in the treatment of ulcerative colitis. Alimentary Pharmacology and Therapeutics, 23, 577–585. doi:10.1111/j.1365-2036.2006.02809.x.

    Article  PubMed  Google Scholar 

  • Kelsay, K., Hazel, N. A., & Wamboldt, M. Z. (2005). Predictors of body dissatisfaction in boys and girls with asthma. Journal of Pediatric Psychology, 30, 522–531. doi:10.1093/jpepsy/jsi077.

    Article  PubMed  Google Scholar 

  • Kraemer, H. C., Kazdin, A. E., Offord, D. R., Kessler, R. C., Jensen, P. S., & Kupfer, D. J. (1999). Measuring the potency of risk factors for clinical or policy significance. Psychological Methods, 4, 257–271. doi:10.1037/1082-989X.4.3.257.

    Article  Google Scholar 

  • La Greca, A. M., & Bearman, K. J. (2003). Adherence to pediatric treatment regimens. In M. C. Roberts (Ed.), Handbook of pediatric psychology. NY: The Guilford Press.

    Google Scholar 

  • Lokken, K., Ferraro, F. R., Kirchner, T., & Bowling, M. (2003). Gender differences in body size dissatisfaction among individuals with low, medium, or high levels of body focus. The Journal of General Psychology, 130, 305–310.

    Article  PubMed  Google Scholar 

  • López-Sanromán, A., & Bermejo, F. (2006). Review article: How to control and improve adherence to therapy in inflammatory bowel disease. Alimentary Pharmacology and Therapeutics, 24(Suppl 3), 45–49. doi:10.1111/j.1365-2036.2006.03060.x.

    Article  PubMed  Google Scholar 

  • MacDermott, R. P. (2007). Treatment of irritable bowel syndrome in outpatients with inflammatory bowel disease using a food and beverage intolerance, food and beverage avoidance diet. Inflammatory Bowel Diseases, 13, 91–96. doi:10.1002/ibd.20048.

    Article  PubMed  Google Scholar 

  • Mackner, L. M., McGrath, A. M., & Stark, L. J. (2001). Dietary recommendations to prevent and manage chronic pediatric health conditions: Adherence, interventions, and future directions. Developmental and Behavioral Pediatrics, 22, 130–143.

    Google Scholar 

  • Manne, S. L. (1998). Treatment adherence and compliance. In R. T. Ammerman & J. V. Campo (Eds.), Handbook of pediatric psychology and psychiatry: Disease, injury, illness(Vol. II). Boston: Allyn & Bacon.

    Google Scholar 

  • National Center for Health Statistics and National Center for Chronic Disease Prevention and Health Promotion. (2000a). CDC Growth Charts: United States: Body-mass-index-for-age percentiles: Boys, 2- to 20-years-old. Atlanta: Center for Disease Control.

  • National Center for Health Statistics and National Center for Chronic Disease Prevention and Health Promotion. (2000b). CDC Growth Charts: United States: Body-mass-index-for-age percentiles: Girls, 2- to 20-years-old. Atlanta: Center for Disease Control.

  • Pharres, V., Steinberg, A. R., & Thompson, J. K. (2004). Gender differences in peer and parental influences: Body image disturbance, self-worth and psychological functioning in pre-adolescent children. Journal of Youth and Adolescence, 33, 421–429. doi:10.1023/B:JOYO.0000037634.18749.20.

    Article  Google Scholar 

  • Pope, H. G., Phillips, K. A., & Olivardia, R. (2000). The Adonis Complex. New York: The Free Press.

    Google Scholar 

  • Powers, P. S. (1997). Management of patients with comorbid medical conditions. In D. M. Garner & P. E. Garfinkel (Eds.), Handbook of treatment for eating disorder (2nd ed.). NY: The Guilford Press.

    Google Scholar 

  • Rapoff, M. A. (1999). Adherence to pediatric medical regimens. New York: Kluwer Academic/ Plenum Publishers.

    Google Scholar 

  • Schlundt, D. G., Rea, M., Hodge, M., Flannery, M. E., Kline, S., Meek, J., et al. (1996). Assessing and overcoming situational obstacles to dietary adherence in adolescents with IDDM. The Journal of Adolescent Health, 19, 282–288. doi:10.1016/1054-139X(95)00197-Z.

    Article  PubMed  Google Scholar 

  • Stark, L. J. (2000). Adherence to diet in chronic conditions: The example of cystic fibrosis. In D. Drotar (Ed.), Promoting adherence to medical treatment in chronic childhood illness: Concepts, methods, and interventions. Mahwah, NJ: Lawrence Erlbaum.

    Google Scholar 

  • Veron-Guidry, S., & Williamson, D. A. (1996). Development of a body image assessment procedure for children and preadolescents. The International Journal of Eating Disorders, 20, 287–293. doi:10.1002/(SICI)1098-108X(199611)20:3<287::AID-EAT8>3.0.CO;2-K.

  • Walters, S. (2001). Sex differences in weight perception and nutritional behaviour in adults with cystic fibrosis. Journal of Human Nutrition and Dietetics, 14, 83–91. doi:10.1046/j.1365-277X.2001.00274.x.

    Article  PubMed  Google Scholar 

  • Waters, B. M., Jensen, L., & Fedorak, R. N. (2005). Effects of formal education for patients with inflammatory bowel disease: A randomized controlled trial. Canadian Journal of Gastroenterology, 19, 235–244.

    PubMed  Google Scholar 

  • Wild, G. E., Drozdowski, L., & Tartaglia, C. (2007). Nutritional modulation of the inflammatory response in inflammatory bowel disease—from the molecular, to the integrative, to the clinical. World Journal of Gastroenterology, 13, 1–7.

    PubMed  Google Scholar 

  • Williamson, D. A., Davis, C. J., Bennett, S. M., Gorecrny, A. J., & Gleaves, D. H. (1989). Development of a simple procedure for body image assessment. Behavioral Assessment, 11, 433–446.

    Google Scholar 

  • Woolner, J. T., Parker, T. J., Kirby, G. A., & Hunter, J. O. (1998). The development and evaluation of a diet for maintaining remission in Crohn’s disease. Journal of Human Nutrition and Dietetics, 11, 1–11. doi:10.1046/j.1365-277X.1998.00075.x.

    Article  Google Scholar 

Download references

Acknowledgments

This study was supported by a Georgia State University dissertation grant awarded to the first author under the direction of the second. This study was presented at the annual meeting of the Society for Behavioral Medicine, 2007. The authors thank Don Bearden, Kara Leffingwell, and Latrice Lewis, for their assistance with the data collection process.

Author information

Authors and Affiliations

  1. Department of Psychiatry and Health Behavior, Medical College of Georgia, Augusta, GA, USA

    Christina H. Vlahou

  2. Department of Psychology, Georgia State University, Atlanta, GA, USA

    Christina H. Vlahou, Lindsey L. Cohen & Amanda M. Woods

  3. Children’s Center for Digestive Health Care, LLC., Atlanta, GA, USA

    Jeffrey D. Lewis

  4. Division of Gastroenterology, Emory Children’s Center, Emory University School of Medicine, Atlanta, GA, USA

    Benjamin D. Gold

Authors
  1. Christina H. Vlahou
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Lindsey L. Cohen
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Amanda M. Woods
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Jeffrey D. Lewis
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Benjamin D. Gold
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Lindsey L. Cohen.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vlahou, C.H., Cohen, L.L., Woods, A.M. et al. Age and Body Satisfaction Predict Diet Adherence in Adolescents with Inflammatory Bowel Disease. J Clin Psychol Med Settings 15, 278–286 (2008). https://doi.org/10.1007/s10880-008-9125-8

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10880-008-9125-8

Keywords

Search

Navigation