Environmental factors associated with disordered weight-control behaviours among youth: a systematic review

UMMS Affiliation

Department of Medicine, Division of Preventive and Behavioral Medicine

Publication Date


Document Type



Behavior and Behavior Mechanisms | Community Health | Community Health and Preventive Medicine | Pediatrics | Public Health | Public Health Education and Promotion


OBJECTIVE: Environmental factors may be very important in the development of disordered weight-control behaviours (DWCB) among youth, yet no study to date has conducted a review that synthesizes these findings. The purpose of the present study was to systematically review existing literature on environmental influences on DWCB among youth and to identify conceptual and methodological gaps in the literature.

DESIGN: Systematic review.

SETTING: Studies were identified through a systematic search using PubMed, PsycINFO, Google Scholar and secondary references. Inclusion criteria included observational studies published in peer-reviewed journals from 1994 to 2012 that examined environmental exposure(s) associated with DWCB among youth.

SUBJECTS: Ninety-three studies, the majority of which utilized a cross-sectional design (75 %; n 70), were identified. Longitudinal studies' follow-up time ranged from 8 months to 10 years.

RESULTS: Parental, peer and media influences have been extensively studied as factors associated with DWCB among youth. Fewer studies have examined behavioural settings (i.e. homes, schools, neighbourhoods) or sectors of influence other than the media on DWCB. No studies utilized multilevel methods to parse out environmental influences on DWCB. Most studies (69 %, n 64) did not explicitly utilize a theory or model to guide the research.

CONCLUSIONS: Findings indicate that exploring a wider range of environmental influences on DWCB, specifically behavioural settings and sectors of influence, using diverse study samples and multilevel methodology is needed to advance the field and to inform the design of comprehensive prevention programmes that target DWCB and other weight-related behaviours.


Environment, Disordered weight control, Youth

DOI of Published Version



Wang ML, Peterson KE, McCormick MC, Austin SB. Environmental factors associated with disordered weight-control behaviours among youth: a systematic review. Public Health Nutr. 2013 Jun 19:1-14. doi:10.1017/S1368980013001407. Link to article on publisher's site

Journal/Book/Conference Title

Public health nutrition

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Link to Article in PubMed

PubMed ID