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Body image dissatisfaction and the adrenarchal transition

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dc.contributor.authorHughes, E.K.
dc.contributor.authorMundy, L.K.
dc.contributor.authorRomaniuk, H.
dc.contributor.authorSawyer, S.M.
dc.contributor.authorWake, M.
dc.contributor.authorWilliams, J.
dc.contributor.authorOlds, T.
dc.contributor.authorAllen, N.B.
dc.contributor.authorPatton, G.C.
dc.date.issued2018
dc.description.abstractBackground: Puberty marks a transition in risk for body image disturbance and disordered eating. Yet few studies have examined these symptoms across puberty and none have examined links with adrenarche, the earliest phase in the pubertal hormonal cascade. Method: Levels of adrenal androgens (dehydroepiandrosterone,dehydroepiandrosterone sulphate,and testosterone) were measured in a population-based study of 8-to 9-year-old children (516 males and 621 females). Body dissatisfaction was measured using the Kids’ Eating Disorder Scale Silhouettes. Covariates included body mass index,age,and socioeconomic status. Results:There were significant associations between adrenal androgen levels and greater body dissatisfaction in both males and females. Specifically, females with more advanced levels of dehydroepiandros-terone and testosterone relative to peers, and males with more advanced levels of testosterone relative to peers,reported greater body dissatisfaction. However,after adjusting for covariates, hormones levels were no longer associated with body dissatisfaction, and only higher body mass index had a clear association with body dissatisfaction. Conclusions:The adrenarchal transition brings a heightened risk for body dissatisfaction. Whether this arises from the neuroendocrine effects of adrenal androgens or as a reaction to the greater body mass that accompanies adrenarche requires further exploration.
dc.identifier.citationJournal of Adolescent Health, 2018; 63(5):621-627
dc.identifier.doi10.1016/j.jadohealth.2018.05.025
dc.identifier.issn1054-139X
dc.identifier.issn1879-1972
dc.identifier.urihttps://hdl.handle.net/11541.2/134879
dc.language.isoen
dc.publisherElsevier
dc.relation.fundingNHMRC 1010018
dc.relation.fundingNHMRC 1046518 Senior Research Fellowship
dc.relation.fundingNHMRC 1019887 Senior Principal Research Fellowship
dc.relation.fundingVictorian Government
dc.relation.fundingBaker Foundation
dc.relation.fundingInvergowrie Foundation
dc.rightsCopyright 2018 Society for Adolescent Health and Medicine
dc.source.urihttps://doi.org/10.1016/j.jadohealth.2018.05.025
dc.subjectadrenarche
dc.subjectpuberty
dc.subjecthormones
dc.subjectbody image
dc.subjectbody mass index
dc.subjectCATS study
dc.titleBody image dissatisfaction and the adrenarchal transition
dc.typeJournal article
pubs.publication-statusPublished
ror.mmsid9916239410501831

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