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Using a population\u2010based sample, we compared eating problems\u2014and how they associate with a range of personal characteristics and genetic factors\u2014among adolescents before (June 2017\u2013April 2020) versus during (April 2020\u2013December 2022) the pandemic.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Based on a preregistered analysis plan, we used cross\u2010sectional data collected from 22,706 14\u201316\u2010year\u2010olds over 6\u2009years (55% during the pandemic) in the Norwegian Mother, Father, and Child Cohort. We used measurement invariance analyses to compare the level of eating restraint and body concern before and during the pandemic, and multi\u2010group structural equation models to estimate pre\u2010pandemic and pandemic patterns of associations.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Pandemic responders generally reported more eating problems than pre\u2010pandemic responders, specifically on dieting and body dissatisfaction. However, after adjusting for a general linear increase in eating problems across all 6\u2009years of data collection, the pandemic itself seems to be associated with more eating problems only among girls, reporting more eating restraints (mean\u0394\u2009=\u20090.14 [CI: 0.07, 0.20]) and body concern (mean\u0394\u2009=\u20090.17 [CI: 0.11, 0.23]). Associations between eating problems and a range of other characteristics did not differ across the pandemic and pre\u2010pandemic groups.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>There was a general increase in eating problems among 14\u201316\u2010year\u2010olds\u00a0over time. Adjusting for this trend, the pandemic seems to exacerbate problems among girls. Although the mechanisms are unclear, our results point to factors susceptible to change that could have been intensified during the pandemic (e.g., screen time, mental distress). Our results highlight the importance of recognizing sex\u2010specific differences in eating problems.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24314","type":"journal-article","created":{"date-parts":[[2024,10,30]],"date-time":"2024-10-30T12:52:53Z","timestamp":1730292773000},"page":"193-205","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Eating Problems Among Adolescent Boys and Girls Before and During the Covid\u201019 Pandemic"],"prefix":"10.1002","volume":"58","author":[{"ORCID":"https:\/\/orcid.org\/0009-0004-4546-9037","authenticated-orcid":false,"given":"Johanne H.","family":"Pettersen","sequence":"first","affiliation":[{"name":"Department of Psychology University of Oslo  Oslo Norway"},{"name":"PsychGen Center for Genetic Epidemiology and Mental Health Norwegian Institute of Public Health  Oslo Norway"},{"name":"Department of Child Health and Development Norwegian Institute of Public Health  Oslo 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