Childhood Eating and Feeding Disturbances

Hilbert, Anja

doi:10.3390/nu12040972

Cited by 5 publications

(4 citation statements)

References 20 publications

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“…According to the Diagnostic and Statistical Manual of Mental Disorders Fifth Edition, specific EDs include anorexia nervosa, bulimia nervosa (BN) and binge eating (BE) [24]. Although the prevalence of EDs varies according to study populations and the criteria used to define them [25], they are of great concern given their serious health consequences that may lead to significant impairments in health, psychosocial functioning, and quality of life [26]. The onset of EDs is usually during adolescence, with the highest prevalence in girls, but EDs may be present in children as young as 5 to 12 years [27].…”

Section: Eating Disordersmentioning

confidence: 99%

Obesity and Eating Disorders in Children and Adolescents: The Bidirectional Link

et al. 2021

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Obesity, eating disorders and unhealthy dieting practices among children and adolescents are alarming health concerns due to their high prevalence and adverse effects on physical and psychosocial health. We present the evidence that eating disorders and obesity can be managed or prevented using the same interventions in the pediatric age. In the presence of obesity in the pediatric age, disordered eating behaviors are highly prevalent, increasing the risk of developing eating disorders. The most frequently observed in subjects with obesity are bulimia nervosa and binge-eating disorders, both of which are characterized by abnormal eating or weight-control behaviors. Various are the mechanisms overlying the interaction including environmental and individual ones, and different are the approaches to reduce the consequences. Evidence-based treatments for obesity and eating disorders in childhood include as first line approaches weight loss with nutritional management and lifestyle modification via behavioral psychotherapy, as well as treatment of psychiatric comorbidities if those are not a consequence of the eating disorder. Drugs and bariatric surgery need to be used in extreme cases. Future research is necessary for early detection of risk factors for prevention, more precise elucidation of the mechanisms that underpin these problems and, finally, in the cases requiring therapeutic intervention, to provide tailored and timely treatment. Collective efforts between the fields are crucial for reducing the factors of health disparity and improving public health.

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Section: Eating Disordersmentioning

confidence: 99%

Obesity and Eating Disorders in Children and Adolescents: The Bidirectional Link

et al. 2021

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“…In addition to the sex differentiation profile, the purpose of this paper is to take a step towards the discrimination of the indicators of vulnerability to BEDs for the purposes of a psychopathology. As a recent study demonstrates [1], following weight-loss diets is significantly associated with a greater presence of social and behavioural issues, as well as emotional symptoms. From an analytic epidemiological point of view, it is very relevant to point out that negative feelings and attitudes towards body image are significantly associated with a greater presence of social and behavioural issues, as well as emotional symptoms.…”

Section: Discussionmentioning

confidence: 97%

“…The relevance of detecting early risk factors to help clarify the origin and continuation of behavioural eating disorders (BED) is key for the early diagnosis and implementation of effective intervention strategies. Furthermore, this clinical situation is more of a priority in the younger population due to the lack of empiric evidence [1]. BED alteration patterns have been associated to risk practices (weight-loss dieting) due to body image [2], cognitive and emotional dysfunctional behaviour [3], or excess of physical exercise [4], amongst others.…”

Section: Introductionmentioning

confidence: 99%

Psychopathological Risk Factors Associated with Body Image, Body Dissatisfaction and Weight-Loss Dieting in School-Age Adolescents

et al. 2021

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Determining the comorbidity patterns leading to suffering behavioural eating disorders (BED) that are identifiable in the early stages of life, can help prevent their becoming chronic, as well as preventing the consequences deriving from the cost and effectiveness of intervention programs. The paper focuses mainly on analysing the association between behavioural/emotional risk factors and body image, body satisfaction and diet in school children, as well as confirming whether there are differences based on sex. Several questionnaires (Strengths and Difficulties Questionnaire and several items of Health Behaviour in School-age Children) including these variables were distributed and completed by the 647 adolescents (16 year olds on average) who took part in the research project. The findings confirmed a differentiated risk profile in adolescent girls in that they had greater prevalence of emotional symptoms as a general psychopathological trait, although this was offset with their prosocial behaviour. Additionally, the findings also allowed us to conclude that the factors that predict vulnerability to BEDs are sex, the presence of emotional symptoms and social and behavioural issues. At the end of this paper, we discuss some implications and consequences that should be taken into account for future work.

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“…Although typically onset of AN is in adolescence [2], studies in this age group are relatively rare. Even though its prevalence rate is growing, it is still underdiagnosed [3]. Onset of AN often overlaps with increased vulnerability due to peers´ and social pressure, but also physical transmission from safe childhood into demanding adulthood.…”

Section: Introductionmentioning

confidence: 99%

Systematic Review of fMRI Studies with Visual Food Stimuli in Anorexia Nervosa

et al. 2021

austinjnutrmetab

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Anorexia Nervosa (AN) is a disease with increasing prevalence and relatively high mortality that usually begins in adolescence. Patients with AN avoid food intake and may react specifically toward food images. We present a systematic review of fMRI studies with visual food stimulation in AN, based on a search through PubMed database under the recommendations of the PRISMA guidelines. After applying dates 2004.01.01-2021.01.01, we screened 319 papers and included 27 experimental designs, with only 7 studies focusing on adolescents. Adolescents with AN showed increased activity in the medial prefrontal cortex, the inferior frontal gyrus, the insula, the hippocampus, the fusiform gyrus, the parahippocampal gyrus and the cuneus when watching food images. Adult participants with AN revealed enhanced brain activity due to visual food stimuli in the fusiform gyrus, the inferior frontal gyrus, the lingual gyrus, the medial prefrontal cortex, the right dorsolateral prefrontal cortex, the right angular gyrus. There was deactivation detected in the parahippocampal gyrus, compared to healthy participants. We have found contrary reports according increased/decreased activation of the insula, the amygdala, the hippocampus, the hypothalamus, the anterior cingulate cortex, the thalamus, the orbitofrontal cortex in adults with AN. Although AN typically develops in adolescence, there is still very little fMRI research in this age group. Careful creation of a homogeneous group of study participants is an important factor determining the reliability and unequivocalness of the experiment. Only a detailed description of participants´ characteristics that may affect the results allows solid comparison of different studies´ findings.

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Childhood Eating and Feeding Disturbances

Cited by 5 publications

References 20 publications

Obesity and Eating Disorders in Children and Adolescents: The Bidirectional Link

Obesity and Eating Disorders in Children and Adolescents: The Bidirectional Link

Psychopathological Risk Factors Associated with Body Image, Body Dissatisfaction and Weight-Loss Dieting in School-Age Adolescents

Systematic Review of fMRI Studies with Visual Food Stimuli in Anorexia Nervosa

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