A prospective study of pediatric loss of control eating and psychological outcomes.

Abstract

Loss of control (LOC) eating in youth is associated cross-sectionally with eating-related and psychosocial distress, and is predictive of excessive weight gain. However, few longitudinal studies have examined the psychological impact and persistence of pediatric LOC eating. We administered the Eating Disorder Examination (EDE) and self-reported measures of depressive and anxiety symptoms to 195 boys and girls (M = 10.4, SD = 1.5 y) at baseline and again 4.7 (SD = 1.2) y later to 118 of these youth. Missing data were imputed. Baseline report of LOC was associated with the development of partial or full-syndrome binge eating disorder (p=.03), even after accounting for the contribution of sex, race, baseline characteristics (age, disordered eating attitudes and mood symptoms), body mass index growth between baseline and follow-up, and years in study. Half (52.2%, CI=1.15–6.22) of children who endorsed experiencing LOC at baseline reported persistence of LOC at follow-up (p=.02). Compared to children who never reported LOC eating or reported LOC only at baseline, those with persistent LOC experienced significantly greater increases in disordered eating attitudes (ps<.001) and depressive symptoms (p=.027) over time. These data suggest that LOC eating in children is a problematic behavior that frequently persists into adolescence and that persistent LOC eating is associated with worsening of emotional distress.

Pediatric Loss of Control Eating and High-Sensitivity C-Reactive Protein Concentrations

“…In addition, LOC eating was assessed at one time point only. Approximately 30%-50% of youth report persistent LOC eating over time, 67,68 thus it is unknown if the significant effects were driven by youth with persistent LOC eating. Moreover, although hsCRP has been shown to be a clinically useful marker of low-grade chronic inflammation, 1 other markers of inflammation, such as proinflammatory and antiinflammatory cytokines, were not examined.…”

The role of anxiety in binge eating behavior: a critical examination of theory and empirical literature

“…For example, in a longitudinal study, baseline BEB predicted anxiety, although not depression, approximately five years later, according to a model that controlled for baseline anxiety and covariates. 92 Some genetic data have supported that individuals with BEB are at an increased risk for symptoms of anxiety, independent of BMI. 93 Anxiety as a risk factor for binge eating Anxiety has been noted as a risk factor for a variety of disordered eating patterns, including binge eating, 94 due to its frequent onset prior to maladaptive eating behaviors.…”

Selbstregulation bei Essstörungen und Adipositas – Implikationen für die Behandlung

“…Die BES stellt mit von Erwachsenen berichteten Lebenszeitprävalenzen von bis zu 6,6% die häufigste Essstörung dar und geht mit verminderter Lebensqualität, erhöhter allgemeiner Psychopathologie und komorbiden affektiven Angst-und Impulskontrollstörungen einher [Grucza et al, 2007;Hudson et al, 2007]. Neuere Studien konnten zudem zeigen, dass die BES bereits im Kindesalter bei 6-bis 13-Jährigen auftritt [Tanofsky-Kraff et al, 2011].…”