Objective: To estimate the prevalence of various weight-loss practices
in U.S. adolescents and adults. Design: The Youth Risk Behavior Surve
y, a self-administered survey of a random sample of high school studen
ts in 1990 and the Behavioral Risk Factor Surveillance System, a rando
m-digit dial survey in 1989. Setting: Thirty-eight states and the Dist
rict of Columbia. Participants: High school students (n = 11 467) and
adults 18 years and older (n = 60 861). Results: Among high school stu
dents, 44% of female students and 15% of male students reported that t
hey were trying to lose weight. An additional 26% of female students a
nd 15% of male students reported that they were trying to keep from ga
ining more weight. Students reported that they had used the following
weight control methods in the 7 days preceding the survey: exercise (5
1% of female students and 30% of male students); skipping meals (49% a
nd 18%, respectively); taking diet pills (4% and 2%, respectively); an
d vomiting (3% and 1%, respectively). Among adults, 38% of women and 2
4% of men reported that they were trying to lose weight, whereas 28% o
f each sex reported that they were trying to maintain their weight. Co
nclusions: Attempts to lose or maintain weight are very prevalent amon
g both adolescents and adults, especially among females.