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Naturalistic weight reduction efforts predicted weight gain and onset of obesity in adolescent girls

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QUESTION: Are naturalistic dieting (weight control in the natural environment without formal treatment), exercise, radical weight loss efforts, and binge eating associated with growth in relative weight and onset of obesity in adolescent girls?

Design

Prospective cohort study with 4 years of follow up.

Setting

3 high schools in northern California, USA.

Participants

692 girls (mean age 15 y, 45% white) who were grade 9 students. Girls who were pregnant were excluded.

Assessment of risk factors

Dietary restraint, self labelled dieting, exercise for weight loss, incidental exercise (exercise for purposes other than intentional weight control) that might affect adiposity, fasting for weight loss, use of appetite suppressants or laxatives, vomiting for weight control, binge eating, and stage of pubertal development …

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Footnotes

  • Sources of funding: National Institute of Mental Health; National Institute for Child Health and Development; Stanford Center on Adolescence; W. T. Grant Foundation

  • For correspondence: Dr E Stice, Department of Psychology, University of Texas at Austin, 330 Mezes Hall, Austin, TX 78712, USA. Fax +1 512 471 6175.