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You are what your friends eat: systematic review of social network analyses of young people's eating behaviours and bodyweight
  1. Adam Fletcher,
  2. Chris Bonell,
  3. Annik Sorhaindo
  1. Department of Social and Environmental Health Research, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, London, UK
  1. Correspondence to Dr Adam Fletcher, Faculty of Public Health and Policy, London School of Hygiene and Tropical Medicine, 15-17 Tavistock Place, London, WC1H 9SH, UK; adam.fletcher{at}lshtm.ac.uk

Abstract

Background This review synthesises evidence regarding associations between young people's social networks and their eating behaviours/bodyweight, and also explores how these vary according to the setting and sample characteristics.

Methods A systematic review of cross-sectional and longitudinal observational studies examining the association between measures of young people's social networks based on sociometric data and eating behaviours (including calorific intake) and/or bodyweight.

Results There is consistent evidence that school friends are significantly similar in terms of their body mass index, and friends with the highest body mass index appear to be most similar. Overweight youth are also less likely to be popular and more likely to be socially isolated at school. Frequency of fast food consumption has also been found to cluster within groups of boys, as have body image concerns, dieting and eating disorders among girls.

Conclusion School friendships may be critical in shaping young people's eating behaviours and bodyweight and/or vice versa, and suggests the potential of social-network-based health promotion interventions in schools. Further longitudinal research is needed to examine the processes via which this clustering occurs, how it varies according to school context, and the effects of non-school networks.

  • Adolescent
  • adolescents CG
  • diet RB
  • eating disorders
  • obesity
  • obesity EPI
  • review
  • social factors IN
  • social networks
  • systematic reviews

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Footnotes

  • Funding This research was funded by the UK Medical Research Council.

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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