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PEDIATRICS Vol. 107 No. 1 January 2001, pp. 54-60

Peer, Parent, and Media Influences on the Development of Weight Concerns and Frequent Dieting Among Preadolescent and Adolescent Girls and Boys

Received Nov 4, 1999; accepted May 23, 2000.

Alison E. Field*, Carlos A. Camargo Jr*, Dagger , C. Barr Taylor§, Catherine S. Berkey*, parallel , Susan B. Roberts, and Graham A. Colditz*, #

From the * Channing Laboratory, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts; Dagger  Department of Emergency Medicine, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts; § Department of Psychiatry and Behavioral Science, Stanford Medical School, Stanford, California; parallel  Department of Health Policy and Management, Harvard School of Public Health, Boston, Massachusetts;  Energy Metabolism Laboratory, Jean Mayer US Department of Agriculture Human Nutrition Research Center on Aging, Tufts University, Boston, Massachusetts; and the # Department of Epidemiology, Harvard School of Public Health, Boston, Massachusetts.

Objective.  To assess prospectively the influence of peers, parents, and the media on the development of weight concerns and frequent dieting.

Design.  Prospective cohort study.

Setting.  Questionnaires mailed annually to participants throughout the United States.

Participants.  One-year follow-up of 6770 girls and 5287 boys who completed questionnaires in 1996 and 1997 and were between 9 and 14 years of age in 1996.

Main Outcome Measure.  Onset of high levels of concern with weight and dieting frequently to control weight.

Results.  During 1 year of follow-up, 6% of girls and 2% of boys became highly concerned with weight and 2% of girls and 1% of boys became constant dieters. Peer influence was negligible. Independent of age and body mass index, both girls (odds ratio [OR]): 1.9; 95% confidence interval [CI]: 1.1-3.1) and boys (OR: 2.7; 95% CI: 1.1-6.4) who were making a lot of effort to look like same-sex figures in the media were more likely than their peers to become very concerned with their weight. Moreover, both girls (OR: 2.3; 95% CI: 1.1-5.0) and boys (OR: 2.6; 95% CI: 1.1-6.0) who reported that their thinness/lack of fat was important to their father were more likely than their peers to become constant dieters.

Conclusions.  Our results suggest that parents and the media influence the development of weight concerns and weight control practices among preadolescents and adolescents. However, there are gender differences in the relative importance of these influences.  Key words:  dieting, adolescents, parents, peers, media.




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