Age and body satisfaction predict diet adherence in adolescents with Inflammatory Bowel Disease

J Clin Psychol Med Settings. 2008 Dec;15(4):278-86. doi: 10.1007/s10880-008-9125-8. Epub 2008 Aug 21.

Abstract

The aim of the current study was to determine whether age and body satisfaction predict dietary adherence in adolescents with Inflammatory Bowel Disease (IBD), and whether older females are less adherent than younger males and females. Forty-four participants aged 10-21 with IBD were recruited. Participants provided informed consent and demographics. Body satisfaction was measured by a questionnaire and a task in which participants selected their current and ideal body image out of silhouettes depicting bodies ranging from underweight to obese. Adherence was measured by marking a 100 mm visual analog scale, the 1-week completion of a dietary log, and a questionnaire evaluating coping strategies used for overcoming obstacles to dietary adherence. Age was related to dietary adherence, with younger children being more likely to adhere. Participants more satisfied with their body reported better dietary adherence. Findings remained consistent across multiple measures of body satisfaction and adherence. Healthcare providers and parents should be informed of these findings in order to improve adherence.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adaptation, Psychological
  • Adolescent
  • Adolescent Behavior / psychology*
  • Adult
  • Age Factors
  • Attitude to Health
  • Body Image*
  • Child
  • Diet Records
  • Female
  • Humans
  • Inflammatory Bowel Diseases / diet therapy*
  • Inflammatory Bowel Diseases / psychology*
  • Male
  • Patient Compliance / psychology*
  • Patient Compliance / statistics & numerical data
  • Personal Satisfaction*
  • Predictive Value of Tests
  • Psychology, Adolescent
  • Sex Factors
  • Surveys and Questionnaires
  • Young Adult