{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T17:48:50Z","timestamp":1785433730301,"version":"3.56.0"},"reference-count":47,"publisher":"MDPI AG","issue":"17","license":[{"start":{"date-parts":[[2020,8,19]],"date-time":"2020-08-19T00:00:00Z","timestamp":1597795200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100004442","name":"Narodowym Centrum Nauki","doi-asserted-by":"publisher","award":["2017\/25\/N\/HS6\/00004"],"award-info":[{"award-number":["2017\/25\/N\/HS6\/00004"]}],"id":[{"id":"10.13039\/501100004442","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>The purpose of the present study was to provide an empirical verification of the Circle of Discontent with an assessment of its relationship to restrained and uncontrolled eating among children and adolescents. This study examined whether our results confirm a new hypothesized model. The total sample comprised 282 children and adolescents (148 girls and 134 boys; 141 participants with normal body weight and 141 with obesity). The mean age was 12.23 years (SD = 2.80), and the average BMI (body mass index) was 23.29 kg\/m2 (SD = 6.27). The following were used: Positive and Negative Affect Scale for Children, Children\u2019s Body Image Scale, Figure Rating Scale, Three-Factor Eating Questionnaire and Eating Disorders in Youth. The obtained values of the model fit indices proved the goodness of fit. Our findings show that obesity accompanies body dissatisfaction and uncontrolled and restrictive eating. Moreover, the higher the level of restrictive eating, the lower the level of uncontrolled eating. The relationships between body dissatisfaction, negative affect and restrictive eating, as well as that between uncontrolled eating and high-energy consumption, are significant and positive. Other relationships are non-significant. The above-mentioned relationships established in the Circle of Discontent, as well as relationships of restrained and uncontrolled eating with variables described in the circle, were confirmed. Based on our results, preventive strategies and psychological interventions can be created and may include changes in body image, eating behaviors and emotional functioning.<\/jats:p>","DOI":"10.3390\/ijerph17176028","type":"journal-article","created":{"date-parts":[[2020,8,19]],"date-time":"2020-08-19T09:22:31Z","timestamp":1597828951000},"page":"6028","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":8,"title":["The Homeostatic Theory of Obesity: An Empirical Verification of the Circle of Discontent with an Assessment of Its Relationship to Restrained and Uncontrolled Eating among Children and Adolescents"],"prefix":"10.3390","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1707-0000","authenticated-orcid":false,"given":"Kamila","family":"Czepczor-Bernat","sequence":"first","affiliation":[{"name":"Faculty of Psychology in Katowice, SWPS University of Social Sciences and Humanities, 40-326 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5178-371X","authenticated-orcid":false,"given":"Anna","family":"Brytek-Matera","sequence":"additional","affiliation":[{"name":"Institute of Psychology, University of Wroclaw, 50-527 Wroclaw, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pawe\u0142","family":"Matusik","sequence":"additional","affiliation":[{"name":"School of Medicine in Katowice, Department of Pediatrics and Pediatric Endocrinology, Medical University of Silesia, 40-752 Katowice, Poland"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1968","published-online":{"date-parts":[[2020,8,19]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"187","DOI":"10.4103\/2249-4863.154628","article-title":"Childhood obesity: Causes and consequences","volume":"4","author":"Sahoo","year":"2015","journal-title":"J. Fam. Med. Prim. Care"},{"key":"ref_2","unstructured":"World Health Organization 2020 (2020, June 03). Obesity and Overweight. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight."},{"key":"ref_3","first-page":"641","article-title":"The prevalence of overweight and obesity among polish school-aged children and adolescents","volume":"70","author":"Grajda","year":"2016","journal-title":"Przegl. Epidemiol."},{"key":"ref_4","unstructured":"World Health Organization (2020, June 03). Reducing Childhood Obesity in Poland by Effective Policies. Available online: http:\/\/www.euro.who.int\/__data\/assets\/pdf_file\/0011\/350030\/Reducing-childhood-obesity-in-Poland_final_WEB.pdf?ua=1."},{"key":"ref_5","doi-asserted-by":"crossref","first-page":"2055102915590692","DOI":"10.1177\/2055102915590692","article-title":"Homeostatic theory of obesity","volume":"2","author":"Marks","year":"2015","journal-title":"Health Psychol. Open"},{"key":"ref_6","doi-asserted-by":"crossref","first-page":"180","DOI":"10.1016\/j.appet.2014.06.013","article-title":"Inhibitory control effects in adolescent binge eating and consumption of sugar-sweetened beverages and snacks","volume":"81","author":"Ames","year":"2014","journal-title":"Appetite"},{"key":"ref_7","doi-asserted-by":"crossref","unstructured":"Czepczor-Bernat, K., and Brytek-Matera, A. (2019). Children\u2019s and mothers\u2019 perspectives of problematic eating behaviours in young children and adolescents: An exploratory study. Int. J. Environ. Res. Public Health, 16.","DOI":"10.3390\/ijerph16152692"},{"key":"ref_8","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1080\/10640266.2018.1499335","article-title":"Body dissatisfaction and disordered eating symptoms in Finnish preadolescents","volume":"27","author":"Figueiredo","year":"2019","journal-title":"Eat. Disord."},{"key":"ref_9","doi-asserted-by":"crossref","first-page":"352","DOI":"10.1017\/S1368980013003546","article-title":"The association of binge eating and neighbourhood fast-food restaurant availability on diet and weight status","volume":"18","author":"Ledoux","year":"2015","journal-title":"Public Health Nutr."},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1016\/j.jped.2017.05.005","article-title":"Body image dissatisfaction and dietary patterns according to nutritional status in adolescents","volume":"94","author":"Fiaccone","year":"2018","journal-title":"J. Pediatr. (Rio J.)"},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"1664","DOI":"10.1007\/s10964-015-0356-3","article-title":"Trajectories of body dissatisfaction and dietary restriction in early adolescent girls: A latent class growth analysis","volume":"45","author":"Rodgers","year":"2016","journal-title":"J. Youth Adolesc."},{"key":"ref_12","doi-asserted-by":"crossref","unstructured":"Agras, W.S., and Robinson, A. (2018). The Oxford Handbook of Eating Disorders, Oxford Univesity Press. [2nd ed.].","DOI":"10.1093\/oxfordhb\/9780190620998.001.0001"},{"key":"ref_13","doi-asserted-by":"crossref","first-page":"636","DOI":"10.1016\/j.appet.2017.10.024","article-title":"Uncontrolled eating in adolescents: The role of impulsivity and automatic approach bias for food","volume":"120","author":"Booth","year":"2018","journal-title":"Appetite"},{"key":"ref_14","unstructured":"Instytut \u201cPomnik-Centrum Zdrowia Dziecka\u201d (2020, June 03). Siatki centylowe dzieci i m\u0142odzie\u017cy w wieku 3\u201318 lat [Centile Grids of Children and Adolescents Aged 3\u201318 Years]. Available online: http:\/\/www.czd.pl\/index.php?option=com_content&view=article&id=1717&Itemid=538."},{"key":"ref_15","unstructured":"WHO (2020, June 03). AnthroPlus Software. Available online: https:\/\/www.who.int\/growthref\/tools\/en\/."},{"key":"ref_16","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1037\/1040-3590.11.3.326","article-title":"A measure of positive and negative affect for children: Scale development and preliminary validation","volume":"11","author":"Laurent","year":"1999","journal-title":"Psychol. Assess."},{"key":"ref_17","doi-asserted-by":"crossref","first-page":"598","DOI":"10.1007\/s10862-019-09720-7","article-title":"Measuring positive and negative affect in a school-based sample: A polish version of the PANAS-C","volume":"41","author":"Finogenow","year":"2019","journal-title":"J. Psychopathol. Behav. Assess."},{"key":"ref_18","doi-asserted-by":"crossref","first-page":"843","DOI":"10.1097\/00004583-199307000-00021","article-title":"The Kids\u2019 Eating Disorders Survey (KEDS): A study of middle school students","volume":"32","author":"Childress","year":"1993","journal-title":"J. Am. Acad. Child. Adolesc. Psychiatry"},{"key":"ref_19","first-page":"115","article-title":"Use of the Danish Adoption Register for the study of obesity and thinness","volume":"60","author":"Stunkard","year":"1983","journal-title":"Res. Publ. Assoc. Res. Nerv. Ment. Dis."},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"185","DOI":"10.1348\/014466502163967","article-title":"Development of the Children\u2019s body image scale","volume":"41","author":"Truby","year":"2002","journal-title":"Br. J. Clin. Psychol."},{"key":"ref_21","first-page":"362","article-title":"Adaptacja polskiej wersji kwestionariusza Three-Factor Eating Questionnaire (TFEQ-13) w\u015br\u00f3d m\u0142odzie\u017cy szkolnej w badaniach populacyjnych","volume":"90","author":"Dzielska","year":"2009","journal-title":"Probl. Hig. Epidemiol."},{"key":"ref_22","unstructured":"Hilbert, A., and van Dyck, Z. (2020, June 03). Eating Disorders in Youth Questionnaire English Version. Available online: http:\/\/ul.qucosa.de\/api\/qucosa%3A14486\/attachment\/ATT-0\/."},{"key":"ref_23","doi-asserted-by":"crossref","unstructured":"American Psychiatric Association (2013). DSM-5: Diagnostic and Statistical Manual of Mental Disorders, American Psychiatric Publishing. [5th ed.].","DOI":"10.1176\/appi.books.9780890425596"},{"key":"ref_24","unstructured":"Byrne, B. (2010). Structural Equation Modeling with AMOS. Basic Concepts, Applications, and Programming, Routledge. [2nd ed.]."},{"key":"ref_25","doi-asserted-by":"crossref","first-page":"730","DOI":"10.1177\/1359105315580214","article-title":"Normal-weight and overweight female adolescents with and without extreme weight-control behaviours: Emotional distress and body image concerns","volume":"20","author":"Pascual","year":"2015","journal-title":"J. Health Psychol."},{"key":"ref_26","doi-asserted-by":"crossref","first-page":"163","DOI":"10.1016\/0306-4603(85)90022-X","article-title":"Binge eating and dietary restraint in obese patients","volume":"10","author":"Marcus","year":"1985","journal-title":"Addict. Behav."},{"key":"ref_27","doi-asserted-by":"crossref","first-page":"153","DOI":"10.1002\/(SICI)1098-108X(199909)26:2<153::AID-EAT4>3.0.CO;2-R","article-title":"Distress and eating: Why do dieters overeat?","volume":"26","author":"Polivy","year":"1999","journal-title":"Int. J. Eat. Disord."},{"key":"ref_28","doi-asserted-by":"crossref","first-page":"171","DOI":"10.1111\/j.1740-8709.2008.00164.x","article-title":"Cognitive restraint, uncontrolled eating and emotional eating: Correlations between parent and adolescent","volume":"5","author":"Romon","year":"2009","journal-title":"Matern. Child. Nutr."},{"key":"ref_29","doi-asserted-by":"crossref","first-page":"119","DOI":"10.1037\/0021-843X.114.1.119","article-title":"Dietary restraint, body dissatisfaction, and psychological distress: A prospective analysis","volume":"114","author":"Johnson","year":"2005","journal-title":"J. Abnorm. Psychol."},{"key":"ref_30","unstructured":"Rossy, L. (2016). The Mindfulness-Based Eating Solution: Proven Strategies to End Overeating, Satisfy Your Hunger, and Savor Your Life, New Harbinger Publications."},{"key":"ref_31","doi-asserted-by":"crossref","first-page":"258","DOI":"10.1016\/j.eatbeh.2006.10.001","article-title":"Children\u2019s descriptions of the foods consumed during loss of control eating episodes","volume":"8","author":"Theim","year":"2007","journal-title":"Eat. Behav."},{"key":"ref_32","doi-asserted-by":"crossref","unstructured":"Emond, J.A., Longacre, M.R., Titus, L.J., Hendricks, K., Drake, K.M., Carroll, J.E., Cleveland, L.P., and Dalton, M.A. (2020). Fast food intake and excess weight gain over a 1-year period among preschool-age children. Pediatr. Obes.","DOI":"10.1111\/ijpo.12602"},{"key":"ref_33","doi-asserted-by":"crossref","first-page":"677","DOI":"10.1002\/oby.20983","article-title":"Chocolate-candy consumption and 3-year weight gain among postmenopausal U.S. women","volume":"23","author":"Greenberg","year":"2015","journal-title":"Obesity (Silver Spring)"},{"key":"ref_34","doi-asserted-by":"crossref","first-page":"104","DOI":"10.1089\/chi.2012.0108","article-title":"A review of snacking patterns among children and adolescents: What are the implications of snacking for weight status?","volume":"9","author":"Larson","year":"2013","journal-title":"Child. Obes."},{"key":"ref_35","doi-asserted-by":"crossref","first-page":"e12623","DOI":"10.1111\/ijpo.12623","article-title":"Added sugar and trans fatty acid intake and sedentary behavior were associated with excess total-body and central adiposity in children and adolescents with congenital heart disease","volume":"15","author":"Honicky","year":"2020","journal-title":"Pediatr. Obes."},{"key":"ref_36","doi-asserted-by":"crossref","first-page":"982","DOI":"10.1038\/sj.ijo.0803229","article-title":"Work stress, weight gain and weight loss: Evidence for bidirectional effects of job strain on body mass index in the Whitehall II study","volume":"30","author":"Head","year":"2006","journal-title":"Int. J. Obes. (Lond.)"},{"key":"ref_37","doi-asserted-by":"crossref","first-page":"1507","DOI":"10.1017\/S136898001300133X","article-title":"Adherence to a snacking dietary pattern and soda intake are related to the development of adiposity: A prospective study in school-age children","volume":"17","author":"Shroff","year":"2014","journal-title":"Public Health Nutr."},{"key":"ref_38","doi-asserted-by":"crossref","first-page":"866","DOI":"10.3945\/an.115.009340","article-title":"Snack food, satiety, and weight","volume":"7","author":"Njike","year":"2016","journal-title":"Adv. Nutr."},{"key":"ref_39","doi-asserted-by":"crossref","unstructured":"Zhu, Z., He, Y., Wang, Z., He, X., Zang, J., Guo, C., Jia, X., Ren, Y., Shan, C., and Sun, J. (2020). The associations between sugar-sweetened beverage intake and cardiometabolic risks in Chinese children and adolescents. Pediatr. Obes., e12634.","DOI":"10.1111\/ijpo.12634"},{"key":"ref_40","doi-asserted-by":"crossref","first-page":"e12583","DOI":"10.1111\/ijpo.12583","article-title":"The influence of front-of-pack portion size images on children\u2019s serving and intake of cereal","volume":"15","author":"McGale","year":"2020","journal-title":"Pediatr. Obes."},{"key":"ref_41","doi-asserted-by":"crossref","first-page":"286","DOI":"10.1002\/smi.2788","article-title":"Negative affective stress reactivity: The dampening effect of snacking","volume":"34","author":"Wouters","year":"2018","journal-title":"Stress. Health"},{"key":"ref_42","doi-asserted-by":"crossref","first-page":"555","DOI":"10.1080\/08870446.2017.1380813","article-title":"Affect and between-meal snacking in daily life: The moderating role of gender and age","volume":"33","author":"Wouters","year":"2018","journal-title":"Psychol. Health"},{"key":"ref_43","doi-asserted-by":"crossref","first-page":"13","DOI":"10.1038\/nrendo.2012.199","article-title":"Global obesity: Trends, risk factors and policy implications","volume":"9","author":"Malik","year":"2013","journal-title":"Nat. Rev. Endocrinol."},{"key":"ref_44","unstructured":"Dobbs, R., Sawers, C., Thompson, F., Manyika, J., Woetzel, J., Child, P., McKenna, S., and Spatharo, A. (2020, June 03). Overcoming Obesity: An Initial Economic Analysis. Available online: https:\/\/www.mckinsey.com\/~\/media\/McKinsey\/Business%20Functions\/Economic%20Studies%20TEMP\/Our%20Insights\/How%20the%20world%20could%20better%20fight%20obesity\/MGI_Overcoming_obesity_Full_report.ashx."},{"key":"ref_45","first-page":"267","article-title":"Role of gestational weight gain, gestational diabetes, breastfeeding, and hypertension in mother-to-child obesity transmission","volume":"129","author":"Skrypnik","year":"2019","journal-title":"Pol. Arch. Intern. Med."},{"key":"ref_46","doi-asserted-by":"crossref","first-page":"e14909","DOI":"10.1097\/MD.0000000000014909","article-title":"Influence of endurance and endurance\u2013strength training on mineral status in women with abdominal obesity","volume":"98","author":"Skrypnik","year":"2019","journal-title":"Medicine"},{"key":"ref_47","first-page":"706","article-title":"Effects of endurance and endurance-strength exercise on renal function in abdominally obese women with Renal Hyperfiltration: A prospective randomized trial","volume":"29","author":"Skrypnik","year":"2016","journal-title":"Biomed. Environ. Sci."}],"container-title":["International Journal of Environmental Research and Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/17\/6028\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T10:03:04Z","timestamp":1760176984000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/1660-4601\/17\/17\/6028"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,8,19]]},"references-count":47,"journal-issue":{"issue":"17","published-online":{"date-parts":[[2020,9]]}},"alternative-id":["ijerph17176028"],"URL":"https:\/\/doi.org\/10.3390\/ijerph17176028","relation":{},"ISSN":["1660-4601"],"issn-type":[{"value":"1660-4601","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,8,19]]}}}