Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Paper
  • Published:

Dietary restraint in normal weight and overweight children. A cross-sectional study

Abstract

OBJECTIVE: This study investigated the degree to which actual fatness and negative self-esteem might be linked to dietary restraint in childhood.

METHOD: Subjects were 426 boys and 319 girls, aged 10.6 y (±1 y). Forty-nine children were overweight (>30%) and 149 subjects were in the category ‘moderately overweight’ (10–30% overweight). Measures of self-esteem and dietary restraint were used in the analyses.

RESULTS: Dietary restraint was observable in all weight groups and significantly more in girls. Boys and girls with an existing fatness problem showed more dietary restraint. Weight status, not self-esteem, turned out to be the best predictor of dietary restraint.

DISCUSSION: Because there were good reasons to expect side-effects of the observed dietary restraint in obese children in the long term, valuable alternatives like changes in the life-style and interventions that enhance body image and self-esteem were recommended.

This is a preview of subscription content, access via your institution

Access options

Buy this article

Prices may be subject to local taxes which are calculated during checkout

Figure 1

Similar content being viewed by others

References

  1. Hill AJ, Draper E, Stack J . A weight on children's minds: body shape dissatisfaction at 9-years old Int J Obes 1994 18: 383–389.

    CAS  Google Scholar 

  2. Hill AJ, Bhatti R . Body shape perception and dieting in preadolescent British Asian girls: links with eating disorders Int J Eating Disorders 1995 17: 175–183.

    Article  CAS  Google Scholar 

  3. Van Strien T, Frijters JER, van Staveren WA, Defares PB, Deurenberg P . The predictive validity of the Dutch Restrained Eating Scale Int J Eating Disorders 1986 5: 747–755.

    Article  Google Scholar 

  4. Hill AJ, Robinson A . Dieting concerns have a functional effect on the behaviour of nine-year-old girls Br J Clin Psychol 1991 30: 265–267.

    Article  Google Scholar 

  5. Thelen MH, Powell AL, Lawrence C, Kuhnert ME . Eating and body image concerns among children J Clin Child Psychol 1992 21: 41–46.

    Article  Google Scholar 

  6. Herman CP, Polivy J . Dietary restraint. In Stunkard AJ (ed). Obesity. WB Saunders: Philadelphia, 1980, pp 208–225.

  7. Patton GC, Johnson-Sabine E, Wood K, Mann AH, Wakeling A . Abnormal eating attitudes in London schoolgirls—a prospective epidemiological study: outcome at 12-month follow-up Psychol Med 1990 20: 383–394.

    Article  CAS  Google Scholar 

  8. Patton GC, Selzer R, Coffey C, Carlin JB, Wolfe R . Onset of adolescent eating disorders: population based cohort study over 3 years Br Med J 1999 318: 765–768.

    Article  CAS  Google Scholar 

  9. Carter JC, Stewart DA, Dunn VJ, Fairburn CG . Primary prevention of eating disorders: might it do more harm than good? Int J Eating Disorders 1997 22: 167–172.

    Article  CAS  Google Scholar 

  10. Fairburn CG, Welch SL, Doll HA, Davies B, O'Connor ME . Risk factors for bulimia nervosa: a community-based case-control study Arch Gen Psychiat 1997 54: 509–517.

    Article  CAS  Google Scholar 

  11. Fairburn CG, Doll HA, Welch SL, Hay PhJ, Davies BA, O'Connor ME . Risk factors for binge eating disorder. A community-based case-control study Arch Gen Psychiat 1998 55: 425–432.

    Article  CAS  Google Scholar 

  12. Garner DM, Wooley SC . Confronting failure of behavioral and dietary treatments for obesity Clin Psychol Rev 1991 11: 729–780.

    Article  Google Scholar 

  13. Schreiber GB, Robins M, Striegel-Moore R, Obarzanek E, Morrison JA, Wright DJ . Weight modification efforts reported by black and white preadolescent girls: National Heart, Lung, and Blood Institute Growth and Health Study Pediatrics 1996 98: 63–70.

    CAS  PubMed  Google Scholar 

  14. Rolland K, Farnill D, Griffiths RA . Body figure perceptions and eating attitudes among Australian schoolchildren aged 8 to 12 years Int J Eating Disorders 1997 21: 273–278.

    Article  CAS  Google Scholar 

  15. Fairburn CG, Wilson T (eds) . Binge eating: nature, assessment and treatment. Guilford Press: New York, 1993.

  16. Gralen SJ, Levine MP, Smolak L, Murnen SK . Dieting and disordered eating during early and middle adolescence: do the influences remain the same? Int J Eating Disorders 1989 9: 501–512.

    Article  Google Scholar 

  17. Hill AJ, Oliver S, Rogers PJ . Eating in the adult world: the rise of dieting in childhood and adolescence Br J Clin Psychol 1992 31: 95–105.

    Article  Google Scholar 

  18. Lawrence CM, Thelen MH . Body image, dieting and self-concept: their relation in African-American and Caucasian children J Clin Child Psychol 1995 24: 41–48.

    Article  Google Scholar 

  19. Conner M, Martin E, Silverdale N, Grogan S . Dieting in adolescence: an application of the theory of planned behaviour Br J Health Psychol 1996 1: 315–325.

    Article  Google Scholar 

  20. Sands R, Tricker J, Sherman C, Armatas C, Maschette W . Disordered eating patterns, body image, self-esteem, and physical activity in preadolescent school children Int J Eating Disorders 1997 21: 159–166.

    Article  CAS  Google Scholar 

  21. Kaplan KM, Wadden TA . Childhood obesity and self-esteem J Pediatrics 1986 109: 367–370.

    Article  CAS  Google Scholar 

  22. Harter S . Causes, correlates, and the functional role of global self-worth: a life-span perspective. In Kolligian J, Sternberg R (eds). Perceptions of competence and incompetence across the life-span. Yale University Press: New Haven, 1988, pp 67–97.

  23. Harter S . Manual for the self-perception profile for children. University of Denver: Denver, 1985.

  24. Braet C, Mervielde I, Vandereycken W . Psychological aspects of childhood obesity: a controlled study in a clinical and non-clinical sample J Pediatr Psychol 1997 22: 59–71.

    Article  CAS  Google Scholar 

  25. Van Wierlingen JC, Roede MJ . Growth diagrams 1980. Netherlands Third Nation-wide survey Tijdschrift voor Sociale Gezondheidszorg 1985 63: S1–S34.

    Google Scholar 

  26. Van Strien T, Frijters JER, Bergers GPA, Defares PB . Dutch eating behaviour questionnaire for assessment of restrained emotional and external eating behaviour Int J Eating Disorders 1986 5: 295–315.

    Article  Google Scholar 

  27. Kostanski M, Gullone E . Adolescent body image dissatisfaction: relationship with self-esteem, anxiety, and depression controlling for body mass J Child Psychol Psychiat 1998 39: 255–262.

    Article  CAS  Google Scholar 

  28. Whitaker RC, Wright JA, Pepe MS, Seidel KD, Dietz WH . Predicting obesity in young adulthood from childhood and parental obesity New Engl J Med 1997 337: 869–873.

    Article  CAS  Google Scholar 

  29. Attie I, Brooke-Gunn J . Development of eating problems in adolescent girls: a longitudinal study Dev Psychol 1989 25: 70–79.

    Article  Google Scholar 

  30. Epstein LH, Valoski A, Wing RR, McCurely J . Ten-year outcomes of behavioral family-based treatment for childhood obesity Health Psychol 1994 13: 373–383.

    Article  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to C Braet.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Braet, C., Wydhooge, K. Dietary restraint in normal weight and overweight children. A cross-sectional study. Int J Obes 24, 314–318 (2000). https://doi.org/10.1038/sj.ijo.0801129

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1038/sj.ijo.0801129

Keywords

This article is cited by

Search

Quick links