What are you losing it for? Weight suppression motivations in undergraduates

Abstract

Purpose

Accumulating evidence suggests weight suppression (WS) is related to disordered eating and eating disorder (ED) risk in non-clinical samples; however, research to-date has not examined the intentionality of, or motivations for, WS. The purpose of this study was to: (1) qualitatively assess WS motivation in undergraduates, and (2) explore differences in body image and eating behaviors across motivation categories.

Methods

In the first study, responses from 192 undergraduates were evaluated using inductive content analysis; four primary motivation categories emerged: appearance, functional, sports/military, and unintentional. In a second study, 1033 undergraduates indicated their primary WS motivation, if applicable, and completed body image and eating behavior measures. Separate analyses were run by gender; covariates included current body mass index (BMI) and WS.

Results

Differences in body image and eating behaviors emerged across motivation categories for both men (p < 0.001) and women (p < 0.001). Appearance-motivated WS in men, and appearance and sports/military-motivated WS in women, were related to greater body dissatisfaction, restraint, thin-ideal internalization, and ED risk. Undergraduates with intentional WS demonstrated higher body dissatisfaction and eating pathology than undergraduates with unintentional or no WS (all ps < 0.05).

Conclusions

Assessing weight history and WS motivations could be a brief, low-cost intervention to improve identification of undergraduates at greatest risk for EDs. This information could be integrated into campus marketing campaigns promoting wellness.

Level of evidence

Cross-sectional descriptive study, Level V.

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References

  1. 1.

    Gorrell S, Reilly EE, Schaumberg K et al (2018) Weight suppression and its relation to eating disorder and weight outcomes: A narrative review. Eat Disord 1–30. https://doi.org/10.1080/10640266.2018.1499297

  2. 2.

    Camps SG, Verhoef SP, Westerterp KR (2013) Weight loss, weight maintenance, and adaptive thermogenesis. Am J Clin Nutr 97:990–994. https://doi.org/10.3945/ajcn.112.050310

    CAS  Article  PubMed  Google Scholar 

  3. 3.

    Lowe MR, Piers AD, Benson L (2018) Weight suppression in eating disorders: a research and conceptual update. Curr Psychiatry Rep 20:80. https://doi.org/10.1007/s11920-018-0955-2

    Article  PubMed  Google Scholar 

  4. 4.

    Lebow J, Sim L (2017) Anorexia nervosa with a history of obesity or overweight. In: Anderson LK, Murray SB, Kaye WH (eds) Clinical handbook of complex and atypical eating disorders. Oxford University Press, New York, pp 169–188

    Google Scholar 

  5. 5.

    Sim LA, Lebow J, Billings M (2013) Eating disorders in adolescents with a history of obesity. Pediatrics 132:e1026–e1030. https://doi.org/10.1542/peds.2012-3940

    Article  PubMed  Google Scholar 

  6. 6.

    Welch E, Ghaderi A, Swenne I (2015) A comparison of clinical characteristics between adolescent males and females with eating disorders. BMC Psychiatry 15:45. https://doi.org/10.1186/s12888-015-0419-8

    Article  PubMed  PubMed Central  Google Scholar 

  7. 7.

    Vo M, Lau J, Rubinstein M (2016) Eating disorders in adolescent and young adult males: presenting characteristics. J Adolesc Heal 59:397–400. https://doi.org/10.1016/j.jadohealth.2016.04.005

    Article  Google Scholar 

  8. 8.

    Van Son GE, van der Meer PAM, Van Furth EF (2013) Correlates and associations between weight suppression and binge eating symptomatology in a population-based sample. Eat Behav 14:102–106. https://doi.org/10.1016/j.eatbeh.2012.11.003

    Article  PubMed  Google Scholar 

  9. 9.

    Mitchell KS, Neale MC, Bulik CM et al (2011) An investigation of weight suppression in a population-based sample of female twins. Int J Eat Disord 44:44–49. https://doi.org/10.1002/eat.20780

    Article  PubMed  PubMed Central  Google Scholar 

  10. 10.

    Keel PK, Heatherton TF (2010) Weight suppression predicts maintenance and onset of bulimic syndromes at 10-year follow-up. J Abnorm Psychol 119:268–275. https://doi.org/10.1037/a0019190

    Article  PubMed  PubMed Central  Google Scholar 

  11. 11.

    Bodell LP, Brown TA, Keel PK (2017) Weight suppression predicts bulimic symptoms at 20-year follow-up: the mediating role of drive for thinness. J Abnorm Psychol 126:32–37. https://doi.org/10.1037/abn0000217

    Article  PubMed  Google Scholar 

  12. 12.

    Schaumberg K, Anderson LM, Reilly EE et al (2016) Considering alternative calculations of weight suppression. Eat Behav 20:57–63. https://doi.org/10.1016/j.eatbeh.2015.11.003

    Article  PubMed  Google Scholar 

  13. 13.

    Burnette CB, Simpson CC, Mazzeo SE (2017) Exploring gender differences in the link between weight suppression and eating pathology. Eat Behav 27:17–22. https://doi.org/10.1016/j.eatbeh.2017.10.001

    Article  PubMed  Google Scholar 

  14. 14.

    Burnette CB, Simpson CC, Mazzeo SE (2018) Relation of BMI and weight suppression to eating pathology in undergraduates. Eat Behav 30:16–21. https://doi.org/10.1016/j.eatbeh.2018.05.003

    Article  PubMed  Google Scholar 

  15. 15.

    DiBartolo PM, Lin L, Montoya S et al (2007) Are there “healthy” and “unhealthy" reasons for exercise? Examining individual differences in exercise motivations using the Function of Exercise Scale. J Clin Sport Psychol 1:93–120. https://doi.org/10.1123/jcsp.1.2.93

    Article  Google Scholar 

  16. 16.

    Tylka TL, Homan KJ (2015) Exercise motives and positive body image in physically active college women and men: Exploring an expanded acceptance model of intuitive eating. Body Image 15:90–97. https://doi.org/10.1016/j.bodyim.2015.07.003

    Article  PubMed  Google Scholar 

  17. 17.

    Vartanian LR, Wharton CM, Green EB (2012) Appearance vs. health motives for exercise and for weight loss. Psychol Sport Exerc 13:251–256. https://doi.org/10.1016/j.psychsport.2011.12.005

    Article  Google Scholar 

  18. 18.

    LaRose JG, Leahey TM, Hill JO, Wing RR (2013) Differences in motivations and weight loss behaviors in young adults and older adults in the national weight control registry. Obesity 21:449–453. https://doi.org/10.1002/oby.20053

    Article  PubMed  Google Scholar 

  19. 19.

    Cheskin LJ, Donze LF (2001) Appearance vs health as motivators for weight loss. JAMA 286:2160. https://doi.org/10.1001/jama.286.17.2160-JMS1107-4-1

    CAS  Article  PubMed  Google Scholar 

  20. 20.

    Levy AS, Heaton AW (1993) Weight control practices of US adults trying to lose weight. Ann Intern Med 119:661. https://doi.org/10.7326/0003-4819-119-7_Part_2-199310011-00007

    CAS  Article  PubMed  Google Scholar 

  21. 21.

    Putterman E, Linden W (2004) Appearance versus health: does the reason for dieting affect dieting behavior? J Behav Med 27:185–204. https://doi.org/10.1023/B:JOBM.0000019851.37389.a7

    Article  PubMed  Google Scholar 

  22. 22.

    Wharton CM, Adams T, Hampl JS (2008) Weight loss practices and body weight perceptions among US college students. J Am Coll Heal 56:579–584. https://doi.org/10.3200/JACH.56.5.579-584

    Article  Google Scholar 

  23. 23.

    Ackard DM, Croll JK, Kearney-Cooke A (2002) Dieting frequency among college females: association with disordered eating, body image, and related psychological problems. J Psychosom Res 52:129–136. https://doi.org/10.1016/S0022-3999(01)00269-0

    Article  PubMed  Google Scholar 

  24. 24.

    Benau EM, Plumhoff J, Timko CA (2018) Women’s dieting goals (weight loss, weight maintenance, or not dieting) predict exercise motivation, goals, and engagement in undergraduate women: a self-determination theory framework. Int J Sport Exerc Psychol 1–15. https://doi.org/10.1080/1612197X.2017.1421683

  25. 25.

    Harring HA, Montgomery K, Hardin J (2010) Perceptions of body weight, weight management strategies, and depressive symptoms among college students. J Am Coll Heal 59:43–50. https://doi.org/10.1080/07448481.2010.483705

    Article  Google Scholar 

  26. 26.

    Neighbors LA, Sobal J (2007) Prevalence and magnitude of body weight and shape dissatisfaction among university students. Eat Behav 8:429–439. https://doi.org/10.1016/j.eatbeh.2007.03.003

    Article  PubMed  PubMed Central  Google Scholar 

  27. 27.

    Tantleff-Dunn S, Barnes RD, LaRose JG (2011) It’s not just a “woman thing”: the current state of normative discontent. Eat Disord 19:392–402. https://doi.org/10.1080/10640266.2011.609088

    Article  PubMed  PubMed Central  Google Scholar 

  28. 28.

    Rodgers RF, Melioli T (2016) The relationship between body image concerns, eating disorders and Internet use, part I: a review of empirical support. Adolesc Res Rev 1:95–119. https://doi.org/10.1007/s40894-015-0016-6

    Article  Google Scholar 

  29. 29.

    Smith A, Anderson M (2018) Social media use in 2018. Pew Research Center. http://www.pewinternet.org/2018/03/01/social-media-use-in-2018/. Accessed 1 Mar 2018

  30. 30.

    Holland G, Tiggemann M (2016) A systematic review of the impact of the use of social networking sites on body image and disordered eating outcomes. Body Image 17:100–110. https://doi.org/10.1016/j.bodyim.2016.02.008

    Article  PubMed  Google Scholar 

  31. 31.

    Delinsky SS, Wilson GT (2008) Weight gain, dietary restraint, and disordered eating in the freshman year of college. Eat Behav 9:82–90. https://doi.org/10.1016/j.eatbeh.2007.06.001

    Article  PubMed  Google Scholar 

  32. 32.

    Vella-Zarb RA, Elgar FJ (2009) The ‘Freshman 5’: a meta-analysis of weight gain in the freshman year of college. J Am Coll Heal 58:161–166. https://doi.org/10.1080/07448480903221392

    Article  Google Scholar 

  33. 33.

    Smith-Jackson T, Reel JJ (2012) Freshmen women and the “Freshman 15”: perspectives on prevalence and causes of college weight gain. J Am Coll Heal 60:14–20. https://doi.org/10.1080/07448481.2011.555931

    Article  Google Scholar 

  34. 34.

    Graham MA, Jones AL (2002) Freshman 15: valid theory or harmful myth? J Am Coll Heal 50:171–173. https://doi.org/10.1080/07448480209596023

    Article  Google Scholar 

  35. 35.

    Lipson SK, Sonneville KR (2017) Eating disorder symptoms among undergraduate and graduate students at 12 U.S. colleges and universities. Eat Behav 24:81–88. https://doi.org/10.1016/j.eatbeh.2016.12.003

    CAS  Article  PubMed  Google Scholar 

  36. 36.

    Lipson SK, Jones JM, Taylor CB et al (2017) Understanding and promoting treatment-seeking for eating disorders and body image concerns on college campuses through online screening, prevention and intervention. Eat Behav 25:68–73. https://doi.org/10.1016/j.eatbeh.2016.03.020

    Article  PubMed  Google Scholar 

  37. 37.

    Stice E, Marti CN, Rohde P (2013) Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. J Abnorm Psychol 122:445–457. https://doi.org/10.1037/a0030679

    Article  PubMed  Google Scholar 

  38. 38.

    Thompson JK, Stice E (2001) Thin-ideal internalization: mounting evidence for a new risk factor for body-image disturbance and eating pathology. Curr Dir Psychol Sci 10:181–183. https://doi.org/10.1111/1467-8721.00144

    Article  Google Scholar 

  39. 39.

    Schaefer LM, Burke NL, Thompson JK et al (2015) Development and validation of the Sociocultural Attitudes Towards Appearance Questionnaire-4 (SATAQ-4). Psychol Assess 27:54–67. https://doi.org/10.1037/a0037917

    Article  PubMed  Google Scholar 

  40. 40.

    Stice E, Shaw HE (2002) Role of body dissatisfaction in the onset and maintenance of eating pathology. J Psychosom Res 53:985–993. https://doi.org/10.1016/S0022-3999(02)00488-9

    Article  PubMed  PubMed Central  Google Scholar 

  41. 41.

    Fairburn CG, Beglin SJ (2008) Eating Disorder Examination Questionnaire (EDE-Q 6.0). In: Fairburn CG (ed) Cognitive behavior therapy and eating disorders. Guilford Press, New York, pp 309–313

    Google Scholar 

  42. 42.

    Harris PA, Taylor R, Thielke R et al (2009) Research electronic data capture (REDCap)—a metadata-driven methodology and workflow process for providing translational research informatics support. J Biomed Inform 42:377–381. https://doi.org/10.1016/j.jbi.2008.08.010

    Article  Google Scholar 

  43. 43.

    Elo S, Kyngäs H (2008) The qualitative content analysis process. J Adv Nurs 62:107–115. https://doi.org/10.1111/j.1365-2648.2007.04569.x

    Article  PubMed  Google Scholar 

  44. 44.

    Tylka TL, Wood-Barcalow NL (2015) The Body Appreciation Scale-2: item refinement and psychometric evaluation. Body Image 12:53–67. https://doi.org/10.1016/j.bodyim.2014.09.006

    Article  PubMed  Google Scholar 

  45. 45.

    Tylka TL, Calogero RM, Daníelsdóttir S (2015) Is intuitive eating the same as flexible dietary control? Their links to each other and well-being could provide an answer. Appetite 95:166–175. https://doi.org/10.1016/j.appet.2015.07.004

    Article  PubMed  Google Scholar 

  46. 46.

    Túry F, Güleç H, Kohls E (2010) Assessment methods for eating disorders and body image disorders. J Psychosom Res 69:601–611. https://doi.org/10.1016/J.JPSYCHORES.2009.05.012

    Article  PubMed  Google Scholar 

  47. 47.

    Mond JM, Hay PJ, Rodgers B et al (2004) Validity of the Eating Disorder Examination Questionnaire (EDE-Q) in screening for eating disorders in community samples. Behav Res Ther 42:551–567. https://doi.org/10.1016/S0005-7967(03)00161-X

    CAS  Article  PubMed  Google Scholar 

  48. 48.

    Luce KH, Crowther JH, Pole M (2008) Eating Disorder Examination Questionnaire (EDE-Q): norms for undergraduate women. Int J Eat Disord 41:273–276. https://doi.org/10.1002/eat.20504

    Article  PubMed  Google Scholar 

  49. 49.

    Barnes J, Prescott T, Muncer S (2012) Confirmatory factor analysis for the Eating Disorder Examination Questionnaire: Evidence supporting a three-factor model. Eat Behav 13:379–381. https://doi.org/10.1016/j.eatbeh.2012.05.001

    Article  PubMed  Google Scholar 

  50. 50.

    Peterson CB, Crosby RD, Wonderlich SA et al (2007) Psychometric properties of the Eating Disorder Examination-Questionnaire: Factor structure and internal consistency. Int J Eat Disord 40:386–389. https://doi.org/10.1002/eat.20373

    Article  PubMed  Google Scholar 

  51. 51.

    Schaefer LM, Thompson JK (2014) The development and validation of the Physical Appearance Comparison Scale-Revised (PACS-R). Eat Behav 15:209–217. https://doi.org/10.1016/j.eatbeh.2014.01.001

    Article  PubMed  Google Scholar 

  52. 52.

    Lavender JM, De Young KP, Anderson DA (2010) Eating Disorder Examination Questionnaire (EDE-Q): norms for undergraduate men. Eat Behav 11:119–121. https://doi.org/10.1016/j.eatbeh.2009.09.005

    Article  PubMed  Google Scholar 

  53. 53.

    Podsakoff PM, MacKenzie SB, Podsakoff NP (2012) Sources of method bias in social science research and recommendations on how to control it. Annu Rev Psychol 63:539–569. https://doi.org/10.1146/annurev-psych-120710-100452

    Article  PubMed  Google Scholar 

  54. 54.

    Faul F, Erdfelder E, Buchner A, Lang A-G (2009) Statistical power analyses using G*Power 3.1: tests for correlation and regression analyses. Behav Res Methods 41:1149–1160. https://doi.org/10.3758/BRM.41.4.1149

    Article  Google Scholar 

  55. 55.

    Schlomer GL, Bauman S, Card NA (2010) Best practices for missing data management in counseling psychology. J Couns Psychol 57:1–10. https://doi.org/10.1037/a0018082

    Article  PubMed  Google Scholar 

  56. 56.

    Meyers LS, Gamst G, Guarino AJ (2016) Applied multivariate research: design and interpretation, 3rd edn. Sage Publications Inc., Thousand Oaks

    Google Scholar 

  57. 57.

    Cohen J (1969) Statistical power analysis for the behavioral sciences. Academic Press, New York

    Google Scholar 

  58. 58.

    Greenwood S, Perrin A, Duggan M (2016) Social media update 2016

  59. 59.

    Gonçalves SF, Gomes AR (2012) Exercising for weight and shape reasons vs. health control reasons: the impact on eating disturbance and psychological functioning. Eat Behav 13:127–130. https://doi.org/10.1016/j.eatbeh.2011.11.011

    Article  PubMed  Google Scholar 

  60. 60.

    Holland G, Tiggemann M (2016) “Strong beats skinny every time”: disordered eating and compulsive exercise in women who post fitspiration on Instagram. Int J Eat Disord. https://doi.org/10.1002/eat.22559

    Article  PubMed  Google Scholar 

  61. 61.

    Robinson L, Prichard I, Nikolaidis A et al (2017) Idealised media images: the effect of fitspiration imagery on body satisfaction and exercise behaviour. Body Image 22:65–71. https://doi.org/10.1016/j.bodyim.2017.06.001

    Article  PubMed  Google Scholar 

  62. 62.

    Simpson CC, Mazzeo SE (2016) Skinny is not enough: a content analysis of fitspiration on Pinterest. Health Commun 1–8. https://doi.org/10.1080/10410236.2016.1140273

  63. 63.

    Fardouly J, Willburger BK, Vartanian LR (2017) Instagram use and young women’s body image concerns and self-objectification: Testing mediational pathways. New Media Soc 146144481769449. https://doi.org/10.1177/1461444817694499

    Article  Google Scholar 

  64. 64.

    Sonneville KR, Lipson SK (2018) Disparities in eating disorder diagnosis and treatment according to weight status, race/ethnicity, socioeconomic background, and sex among college students. Int J Eat Disord. https://doi.org/10.1002/eat.22846

    Article  PubMed  Google Scholar 

  65. 65.

    Neumark-Sztainer DR, Wall MM, Haines JI et al (2007) Shared risk and protective factors for overweight and disordered eating in adolescents. Am J Prev Med 33:359–369. https://doi.org/10.1016/j.amepre.2007.07.031

    Article  PubMed  Google Scholar 

  66. 66.

    Neumark-Sztainer DR (2015) Higher weight status and restrictive eating disorders: an overlooked concern. J Adolesc Heal 56:1–2. https://doi.org/10.1016/j.jadohealth.2014.10.261

    Article  Google Scholar 

  67. 67.

    Peebles R, Hardy KK, Wilson JL, Lock JD (2010) Are diagnostic criteria for eating disorders markers of medical severity? Pediatrics 125:1193–1201. https://doi.org/10.1542/peds.2008-1777

    Article  Google Scholar 

  68. 68.

    Strother E, Lemberg R, Stanford SC, Turberville D (2012) Eating disorders in men: underdiagnosed, undertreated, and misunderstood. Eat Disord 20:346–355. https://doi.org/10.1080/10640266.2012.715512

    Article  PubMed  PubMed Central  Google Scholar 

  69. 69.

    Lebow J, Sim LA, Kransdorf LN (2015) Prevalence of a history of overweight and obesity in adolescents with restrictive eating disorders. J Adolesc Heal 56:19–24. https://doi.org/10.1016/j.jadohealth.2014.06.005

    Article  Google Scholar 

  70. 70.

    Carlat DJ, Camargo CA, Herzog DB (1997) Eating disorders in males: a report on 135 patients. Am J Psychiatry 154:1127–1132. https://doi.org/10.1176/ajp.154.8.1127

    CAS  Article  PubMed  Google Scholar 

  71. 71.

    Muise AM, Stein DG, Arbess G (2003) Eating disorders in adolescent boys: a review of the adolescent and young adult literature. J Adolesc Heal 33:427–435. https://doi.org/10.1016/S1054-139X(03)00060-0

    Article  Google Scholar 

  72. 72.

    Räisänen U, Hunt K (2014) The role of gendered constructions of eating disorders in delayed help-seeking in men: a qualitative interview study. BMJ Open 4:e004342. https://doi.org/10.1136/bmjopen-2013-004342

    Article  PubMed  PubMed Central  Google Scholar 

  73. 73.

    Kong P, Harris LM (2015) The sporting body: body image and eating disorder symptomatology among female athletes from leanness focused and nonleanness focused sports. J Psychol 149:141–160. https://doi.org/10.1080/00223980.2013.846291

    Article  PubMed  Google Scholar 

  74. 74.

    Warner C, Warner C, Matuszak T et al (2007) Disordered eating in entry-level military personnel. Mil Med 172:147–151. https://doi.org/10.7205/MILMED.172.2.147

    Article  PubMed  Google Scholar 

  75. 75.

    Quick VM, Byrd-Bredbenner C, Shoff S et al (2015) Concordance of self-report and measured height and weight of college students. J Nutr Educ Behav 47:94–98. https://doi.org/10.1016/j.jneb.2014.08.012

    Article  PubMed  Google Scholar 

  76. 76.

    Bodell LP, Keel PK (2015) Weight suppression in bulimia nervosa: associations with biology and behavior. J Abnorm Psychol 124:994–1002. https://doi.org/10.1037/abn0000077

    Article  PubMed  PubMed Central  Google Scholar 

  77. 77.

    Tan CC, Chow CM (2014) Stress and emotional eating: The mediating role of eating dysregulation. Pers Individ Dif 66:1–4. https://doi.org/10.1016/J.PAID.2014.02.033

    Article  Google Scholar 

  78. 78.

    Stice E (2002) Risk and maintenance factors for eating pathology: a meta-analytic review. Psychol Bull 128:825–848. https://doi.org/10.1037/0033-2909.128.5.825

    Article  PubMed  Google Scholar 

  79. 79.

    Pearson CM, Miller J, Ackard DM et al (2017) Stability and change in patterns of eating disorder symptoms from adolescence to young adulthood. Int J Eat Disord 50:748–757. https://doi.org/10.1002/eat.22692

    Article  PubMed  PubMed Central  Google Scholar 

  80. 80.

    Juarascio A, Lantz EL, Muratore AF, Lowe MR (2017) Addressing weight suppression to improve treatment outcome for bulimia nervosa. Cogn Behav Pract. https://doi.org/10.1016/J.CBPRA.2017.09.004

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to C. Blair Burnette.

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Both phases of the project were approved by the institutional review board (IRB) at the university where the research was conducted. All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Burnette, C.B., Davies, A.E., Boutté, R.L. et al. What are you losing it for? Weight suppression motivations in undergraduates. Eat Weight Disord 25, 497–508 (2020). https://doi.org/10.1007/s40519-018-00635-y

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Keywords

  • Weight suppression
  • Undergraduates
  • Body image
  • Disordered eating