Adolescent leisure-time physical activity and eating disorders: a longitudinal population-based twin study.

Nadja Anis, Anna Keski-Rahkonen, Sara Kaartinen, Yasmina Silén, Jaakko Kaprio, Sari Aaltonen
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Abstract

Purpose: High levels of physical activity have been documented in eating disorder patients. Our aim was to examine whether adolescent leisure-time physical activity is prospectively associated with eating disorders in adolescence and young adulthood.

Methods: Finnish twins born in 1983-1987 reported their physical activity frequency at ages 12, 14, and 17. A subsample of participants underwent structured, retrospective interviews for eating disorders at the mean age of 22.4 years. Associations between female twins' physical activity and future eating disorders (571-683 twins/wave) were investigated with the Cox proportional hazards model. To illustrate the physical activity similarity of the co-twins in a twin pair, we used cross-tabulation of eating disorder-discordant twin pairs (13-24 pairs/wave).

Results: After adjusting for several covariates, we found no statistically significant longitudinal association between physical activity and eating disorders. This applied when all eating disorders were combined but also when assessed separately as restrictive and non-restrictive eating disorders. Co-twins' physical activity in adolescence tended to be similar irrespective of their future eating disorder, supporting the results of the regression analysis.

Conclusion: We observed no evidence of adolescent physical activity frequency being prospectively associated with eating disorders in female twins. Further longitudinal studies with larger sample sizes and more detailed physical activity data are needed.

Level of evidence: III, evidence obtained from cohort or case-control analytic studies.

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青少年业余体育活动与饮食失调:一项基于人群的双胞胎纵向研究。
目的:有资料显示,饮食失调症患者的体育活动水平较高。我们的目的是研究青少年闲暇时间的体力活动是否与青少年期和青年期的饮食失调有前瞻性关联:方法:1983-1987 年出生的芬兰双胞胎报告了他们在 12、14 和 17 岁时的体育活动频率。在平均年龄为 22.4 岁时,参与者中的一部分人接受了有关饮食失调的结构化回顾性访谈。研究采用 Cox 比例危险模型对女性双胞胎(571-683 对/波)的体育锻炼与未来饮食失调之间的关系进行了调查。为了说明一对双胞胎中同卵双胞胎的体育活动相似性,我们对饮食失调不一致的双胞胎(13-24 对/波)进行了交叉分析:结果:在对几个协变量进行调整后,我们发现体力活动与饮食失调之间没有统计学意义上的纵向联系。这不仅适用于所有饮食失调,也适用于限制性和非限制性饮食失调。同卵双胞胎无论将来是否患有饮食失调症,其青春期的体力活动都趋于相似,这支持了回归分析的结果:我们没有观察到证据表明女性双胞胎青春期的体育锻炼频率与饮食失调有关。证据等级:III级,从队列研究和个案研究中获得的证据:III,证据来自队列或病例对照分析研究。
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来源期刊
CiteScore
6.50
自引率
10.30%
发文量
170
审稿时长
>12 weeks
期刊介绍: Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity is a scientific journal whose main purpose is to create an international forum devoted to the several sectors of eating disorders and obesity and the significant relations between them. The journal publishes basic research, clinical and theoretical articles on eating disorders and weight-related problems: anorexia nervosa, bulimia nervosa, subthreshold eating disorders, obesity, atypical patterns of eating behaviour and body weight regulation in clinical and non-clinical populations.
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