What young Dutch adults say they do to keep from gaining weight: self-reported prevalence of overeating, compensatory behaviours and specific weight control behaviours.
OBJECTIVE
The aim of this study was to explore the prevalence of and differences in self-reported occasions of overeating (such as at celebrations and other parties), compensatory behaviours and specific weight gain prevention strategies among young Dutch adults according to sociodemographics and overweight status.


METHODS
Cross-sectional data were analysed from Dutch adults aged 20-40 years, recruited from an Internet research panel (n = 857, response rate = 76.6%). Using electronic questionnaires, self-report data were collected on sociodemographics, body mass index (BMI), occasions of overeating, compensatory behaviours, and diet and physical activity used as weight gain prevention strategies. Associations were tested using multiple linear and logistic regression analyses.


RESULTS
Of the participants, 48.6% reported occasions of overeating at least once a week during the 4-week period, 44.6% reported compensating for these occasions and 72.9% reported engaging in dietary and physical activities specifically for weight gain prevention purposes. Only 32.1% of the respondents reported using the recommended combination of diet and physical activity as a weight gain prevention strategy. In addition, results showed that overweight people (BMI > or = 25 kg m-2) and women were more likely to report overeating than people with healthy body weights (odds ratio (OR) = 1.79; 95% confidence interval (CI) 1.32-2.42) and men (OR = 1.50; 95% CI 1.14-1.97). Overweight people, women and people who regularly reported overeating were also significantly more likely to report compensatory behaviours by eating less and to report specific weight gain prevention strategies using diet and physical activity.


CONCLUSIONS
The present study suggests that people experience frequent occasions of overeating and try to compensate for such occasions in different ways. However, the combination of dietary changes and physical activity recommended by experts was seldom reported.
Wammes
B
B
Department of Public Health, Erasmus University Medical Center, Rotterdam, The Netherlands. b.wammes@erasmusmc.nl
French
S
S
Brug
J
J
D000328:Adult; D001294:Attitude to Health; D016001:Confidence Intervals; D003430:Cross-Sectional Studies; D004038:Diet, Reducing; D004435:Eating / Q000502:physiology / Q000523:psychology; D002149:Energy Intake / Q000502:physiology*; D015444:Exercise / Q000502:physiology*; D005260:Female; D006801:Humans; D006963:Hyperphagia / Q000150:complications / Q000517:prevention & control* / Q000523:psychology; D016014:Linear Models; D016015:Logistic Models; D008297:Male; D009426:Netherlands / Q000453:epidemiology; D009765:Obesity / Q000453:epidemiology / Q000517:prevention & control* / Q000523:psychology; D016017:Odds Ratio; D015995:Prevalence; D012650:Self Disclosure; D011795:Surveys and Questionnaires; D015430:Weight Gain