The four undergraduate years. Changes in weight, eating attitudes, and depression

•During university, men gained 4.1 kg and women gained 3.2 kg on average.•Women who gained weight did not differ initially from women who maintained weight.•Weight gain increased body dissatisfaction and negative eating attitudes for women.•Weight loss decreased negative eating attitudes for women.•Weight gain did not change body dissatisfaction or negative eating attitudes for men.

Weight, eating attitudes, and depression were assessed in male and female students over the 4 years of university attendance, and the relation of weight changes to eating attitudes and depression was explored using self-report measures (Restraint Scale, EDI, CES-D) collected at six time points during the university years. Results showed that, in general, weight increased between year one and year four of university attendance for both men and women, with men gaining an average of 4.1 kg and women gaining an average of 3.2 kg. Weight gain was associated with increased body dissatisfaction and negative eating attitudes among women, whereas weight loss was associated with decreased negative eating attitudes. Well-being and eating attitudes of men who gained weight did not differ, either initially or at year four, from those of men who remained weight stable, whereas men who lost weight reported higher negative eating attitudes both initially and at year four. Weight gain, therefore, appears to be associated with negative outcomes, including greater preoccupation with eating and weight, for women, but not for men, while weight loss improves the attitudes only of women.