Adolescent girls who are depressed
or try radical dieting like vomiting are more likely to
become obese than those who eat high-fat foods or sometimes
gorge themselves, a four-year study suggests.
Researchers said harsh
weight-control methods including skipping meals
and using laxatives can promote weight gain more
than weight loss.
"A lot of these behaviors
that adolescent girls are turning to are not effective
in controlling obesity," said Eric Stice, research professor
of psychology at the University of Texas at Austin.
One expert not involved
in the study said the results were not surprising.
"We know that rigid dieting
actually leads to one overeating or a change in metabolism,"
said Lisa Dorfman, a dietitian and psychotherapist who
is a spokeswoman for the American Dietetic Association.
"Your body slows down because it doesn't know when the
next normal meal will come. Having a piece of cake is
healthier than dieting for a week and having a (whole)
cake."
The study, which looked
at 496 Austin-area girls ages 11 to 15, was published
in the April issue of the American Psychological Association's
Journal of Consulting and Clinical Psychology.
Stice said that the message
from the study is that young girls need to watch how many
calories they eat and get exercise. "Don't swallow more
calories than you need," he said.
While the study found that
eating high-fat foods, binge-eating or infrequent exercise
did not predict future obesity, Stice said that such effects
are hard to measure accurately because youngsters may
be reluctant to report eating high-fat foods and being
sedentary.
The study found that another
predictor of obesity was whether the girls' parents were
obese a connection that Stice said can be explained
not only by genetics, but by environmental factors such
as what's in the refrigerator.
As for the depression connection,
while people who are depressed may overeat for comfort
or distraction, the study said that it is also possible
that a lack of the happy chemical serotonin a condition
often seen in depression also leads people to eat
lots of carbohydrate-rich foods.
Candace Ayars of the Center
for Health Research and Rural Advocacy at Geisinger Health
Systems in Danville, Pa., said that it is important to
remember that there are many other factors that could
also lead to obesity.
"I wouldn't want people
to think if they can't detect depression or eating disorders
that they wouldn't become obese," Ayars said. "There are
lots of explanations as to why we are obese that have
nothing to do with depression or eating disorders."