Body Image 11 (2014) 167–170
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Body Image
journal homepage: www.elsevier.com/locate/bodyimage
Brief research report
Does short-term fasting promote changes in state body image?
Katherine Schaumberg
∗
, Drew A. Anderson
1
Department of Psychology, University at Albany – State University of New York, Albany, NY, United States
article info
Article history:
Received 4 September 2013
Received in revised form 2 January 2014
Accepted 27 January 2014
Keywords:
Body image
Fasting
Dietary restraint
College students
abstract
Fasting, or going a significant amount of time without food, is a predictor of eating pathology in at-risk
samples. The current study examined whether acute changes in body image occur after an episode of fas-
ting in college students. Furthermore, it evaluated whether individual difference variables might inform
the relationship between fasting and shifts in body image. Participants (N = 186) included male (44.7%)
and female college students who completed the Body Image States Scale (BISS) and other eating-related
measures before a 24-h fast. Participants completed the BISS again after fasting. While no overall changes
in BISS scores emerged during the study, some individuals evidenced body image improvement. Baseline
levels of disinhibition and self-reported fasting at least once per week uniquely predicted improvement
in body image. Individual difference variables may play a role in how fasting could be reinforced by shifts
in body image.
© 2014 Elsevier Ltd. All rights reserved.
Introduction
Dieting behaviors are common in Western culture. One way
in which individuals may restrict their caloric intake is through
skipping meals or fasting. One recent study found that over half of
college students endorsed skipping meals in order to induce weight
loss, and 23% endorsed fasting for weight loss (Kelly-Weeder, 2011).
Fasting may enhance eating disorder risk for vulnerable individuals.
For example, a study by Stice, Davis, Miller, and Marti (2008) found
that the incidence of fasting in middle school girls was a stronger
predictor of eating pathology onset than scores on dietary restraint
scales. Biologically, acute dietary restraint depletes tryptophan, a
precursor to serotonin, and subsequently increases the likelihood of
binge eating to restore tryptophan levels (Kaye, Gendall, & Strober,
1998). Thus, fasting may physiologically promote pathological eat-
ing patterns.
Fasting can be distinguished from dietary restraint in that
restraint refers to the cognitive effort to reduce caloric intake (Lowe,
Whitlow, & Bellowar, 1991), which may or may not result in a
negative energy balance. Fasting is the behavioral act of not eat-
ing for a period of time, and individuals who report high levels of
dietary restraint may engage in fasting as a caloric restriction strat-
egy. However, a number of motivations may precipitate fasting, and
∗
Corresponding author at: Department of Psychology, University at Albany, 1400
Washington Avenue, Social Sciences 399, Albany, NY 12222, United States.
E-mail addresses: Katherine.schaumberg@gmail.com,
kschaumberg1@gmail.com (K. Schaumberg), Drewa@albany.edu (D.A. Anderson).
1
Tel.: +1 518 442 4835.
fasting is not always utilized for weight control. For instance, many
religions include intermittent fasting as a spiritual practice.
The transdiagnostic cognitive behavioral model of eating disor-
ders posits that individuals engage in dieting as a result of shape
and weight concerns (Fairburn, 2008). Thus, this model implies that
individuals hold the expectation that dieting behaviors will reduce
such concerns. To date, no studies have yet examined how body
image might change in individuals after a short-term fast. Individ-
uals who seek to lose weight by fasting may experience a feeling
that one’s body shape has shifted over a relatively short period of
time, and it is possible that immediate improvements in one’s body
image after acute caloric restriction could reinforce problematic
behaviors such as meal skipping and fasting.
Body image appears to have state as well as trait properties,
and fluctuates over relatively short periods of time (Cash, Fleming,
Alindogan, Steadman, & Whitehead, 2002; Melnyk, Cash, & Janda,
2004). Many factors may induce changes in state body image,
including social comparison and physiological changes that occur
after eating (Espeset, Gulliksen, Nordbo, Skarderud, & Holte, 2012;
Salk & Engeln-Maddox, 2012; van den Berg & Thompson, 2007). One
study, for example, found that individuals with anorexia nervosa
reported eating food as a trigger for body image changes (Espeset
et al., 2012). Over time, individuals may pair eating with feelings
of fullness and body dissatisfaction. In such instances, fasting could
prevent negative self-evaluations that may occur after eating. Addi-
tionally, individuals who report high levels of disinhibition may
utilize fasting as a body image management strategy after experi-
encing a period of overeating.
Individual difference variables may also inform the relation-
ship between fasting and change in body image. For instance,
research suggests that individuals with eating disorders display a
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http://dx.doi.org/10.1016/j.bodyim.2014.01.005