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Titolo:
Population-based prevention of eating disorders: An application of the Rose prevention model
Autore:
Austin, SB;
Indirizzi:
Harvard Univ, Childrens Hosp, Sch Med, Div Adolescent Med, Boston, MA 02115 USA Harvard Univ Boston MA USA 02115 Div Adolescent Med, Boston, MA 02115 USA
Titolo Testata:
PREVENTIVE MEDICINE
fascicolo: 3, volume: 32, anno: 2001,
pagine: 268 - 283
SICI:
0091-7435(200103)32:3<268:PPOEDA>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
ADOLESCENT GIRLS; WEIGHT-LOSS; DIETARY RESTRAINT; BULIMIA-NERVOSA; RISK-FACTORS; ANOREXIA-NERVOSA; CALORIC-INTAKE; BINGE EATERS; BODY-WEIGHT; FOLLOW-UP;
Keywords:
anorexia nervosa; bulimia nervosa; dieting; eating disorders; eating pathology; prevention;
Tipo documento:
Review
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
109
Recensione:
Indirizzi per estratti:
Indirizzo: Austin, SB Harvard Univ, Childrens Hosp, Sch Med, Div Adolescent Med, 300 Longwood Ave,JB-335, Boston, MA 02115 USA Harvard Univ 300 Longwood Ave,JB-335 Boston MA USA 02115 15 USA
Citazione:
S.B. Austin, "Population-based prevention of eating disorders: An application of the Rose prevention model", PREV MED, 32(3), 2001, pp. 268-283

Abstract

Background. Several decades of concerted research on eating disorders havegenerated a broad range of proposed causal influences, but much of this etiologic research does not elucidate practical avenues for preventive interventions. Translating etiologic theory into community health interventions depends on the identification of key leverage points, factors that are amenable to public health intervention and provide an opportunity to maximize impact on the outcome of interest. Population-based preventive strategies, elaborated by epidemiologist Geoffrey Rose, can maximize the impact of publichealth interventions. In the case of eating disorders, Rose's model is instructive: Dieting stands out as risk behavior that may both fit Rose's model well and be a key leverage point for preventive intervention. Methods. Grounded in Rose's work, this article lodges a theoretical argument for the population-based prevention of eating disorders. In the introductory section, existing research on the epidemiology of dieting is reviewed,showing that it is extremely common among adolescent girls and women and that the behavior has been implicated as a causal factor for disordered eating. Next, new evidence is offered to build a case for how a population-widereduction in dieting may be an effective strategy for prevention of eatingpathology. Finally Rose's prevention framework is used to introduce a unique and provocative perspective on the prevention of eating disorders. Results. Dieting is a normative behavior in our culture with psychologicaland physiological effects in the causal chain leading to eating pathology This behavior may represent an ideal target for population-based prevention. Conclusions. Theoretical and empirical evidence suggests that a population-wide reduction in dieting may be a justifiable and effective strategy for prevention of eating pathology (C) 2001 American Health Foundation and Academic Press.

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Documento generato il 04/04/20 alle ore 12:17:20