Disordered eating behaviours and food insecurity: A qualitative study about children with obesity in low-income households

Tester, June M.; Lang, Tess C.; Laraia, Barbara A.

doi:10.1016/j.orcp.2015.11.007

Cited by 51 publications

(44 citation statements)

References 18 publications

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“…Additionally, it is possible that in response to changes in food insecurity, mothers may model unhealthy eating behaviors that evoke unhealthy child eating behaviors (eg, binge eating), which in turn evoke more restrictive and less responsive feeding. 53 Longitudinal research that includes mother- Our results are also informative for both clinicians and policy makers. Primary care physicians might screen not only for overall level of food insecurity, but also for changes, in order to assess mother's own health attitudes and behaviors, as they appear to be indirectly tied to her capacity to effectively respond to her child.…”

Section: Indirect Effectsmentioning

confidence: 88%

Hunger in the household: Food insecurity and associations with maternal eating and toddler feeding

2020

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Summary Background Research is needed to identify how food insecurity affects maternal eating behavior and child feeding practices, factors that may pose intergenerational risks for obesity. Objectives This longitudinal study investigated whether maternal restrained eating mediated the association between household food insecurity and feeding practices. Methods Participants included 277 WIC‐eligible mothers (69% below the poverty line, 70% African American) and their toddlers (Mage = 20.11 months, SD = 5.50) participating in a childhood obesity prevention trial. Maternal reports of household food insecurity, restrained eating, and child feeding practices (restrictive and responsive) were collected at baseline, 6 and 12 months and analyzed using multilevel mediation. Results Forty percent of mothers reported some degree of household food insecurity over 12 months. Within‐person analyses showed that relative increases in household food insecurity were indirectly related to increases in restrictive and decreases in responsive child feeding practices, mediated through increases in mothers' own restrained eating. Conclusions Relative change in household food insecurity (rather than overall severity) appears to have indirect effects on toddler feeding practices, through mothers' own eating. Stable household food security without transient food insecurity may improve health and wellbeing for both mothers and children.

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Section: Indirect Effectsmentioning

confidence: 88%

Hunger in the household: Food insecurity and associations with maternal eating and toddler feeding

2020

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“…Volunteers who were deemed physically and mentally healthy at baseline developed intense preoccupation with food during the semi-starvation phase, and binge-eating behaviors emerged as more food was made available during the rehabilitation phase [ 37 ]. In line with these findings and the feast-or-famine cycle that many food-insecure individuals experience, qualitative research in low-income samples has highlighted patterns of food restriction and binge eating corresponding to fluctuations in food availability [ 38 – 40 ]. Food-insecure participants have described feeling immense excitement accompanying the influx of food after receiving a paycheck or SNAP benefits, particularly for favorite foods, as well as feeling out-of-control during overeating episodes [ 39 ], hence characterizing such episodes as binge-eating episodes [ 41 ].…”

Section: Fluctuations In Food Availability: a Potential Eating Disordmentioning

confidence: 98%

Food Insecurity and Eating Disorders: a Review of Emerging Evidence

Hazzard

Loth

Hooper

et al. 2020

Curr Psychiatry Rep

135

108

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Purpose of Review This review summarizes emerging evidence for the relationship between food insecurity and eating disorder (ED) pathology, outlines priorities for future research in this area, and comments on considerations for clinical and public health practice. Recent Findings Among adults, food insecurity is cross-sectionally associated with higher levels of overall ED pathology, binge eating, compensatory behaviors, binge-eating disorder, and bulimia nervosa. Evidence for similar relationships among adolescents has been less robust; however, compared to studies of adults, there have been substantially fewer studies conducted in adolescents to date. Summary Emerging evidence consistently indicates that food insecurity is cross-sectionally associated with bulimic-spectrum ED pathology among adults. Findings emphasize the need for ED research to include marginalized populations who have historically been overlooked in the ED field. Much more research is needed to better understand the relationship between food insecurity and ED pathology and to determine effective ways to intervene.

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“…Children with overweight/obesity are more likely to engage in binge eating than their nonoverweight peers (Tanofsky‐Kraff et al, ), although the temporal nature of this relationship remains unclear. Finally, exposure to stressful life events, including food insecurity, has been linked to binge eating (Loth, van den Berg, Eisenberg, & Neumark‐Sztainer, ; Tester, Lang, & Laraia, ).…”

Section: Introductionmentioning

confidence: 99%

Differences in risk factors for binge eating by socioeconomic status in a community‐based sample of adolescents: Findings from Project EAT

West

Goldschmidt

Mason

et al. 2019

Intl J Eating Disorders

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Objective: Binge eating is prevalent across socioeconomic status (SES) groups, but it is unclear whether risk factors for binge eating vary by SES. This study examined the prevalence of several risk factors for binge eating by SES and SES as a potential moderator of these risk factors.Method: Participants included 2,179 individuals involved in Project EAT during early/middle adolescence (EAT-I) and 5 years later during late adolescence/emerging adulthood (EAT-II). Risk ratios were computed using modified Poisson regression of incident EAT-II binge eating on EAT-I risk factors among participants of high and low SES. Interactions between each risk factor and SES were tested.Results: Among higher SES adolescents, overweight/obesity (RR = 3.2; 95% CI: 1.8, 5.7), body dissatisfaction (RR = 2.6; 95% confidence intervals (CI): 1.2, 5.5), dieting (RR = 4.0; 95% CI: 2.0, 8.2), and family weight-teasing (RR = 2.3; 95% CI: 1.3, 4.3) predicted increased risk for binge eating. Among adolescents from low-SES backgrounds, overweight/obesity (RR = 1.5; 95% CI: 0.9, 2.5), dieting (RR = 2.2; 95% CI: 1.2, 3.9), and food insecurity (RR = 1.4; 95% CI: 0.7, 2.7) predicted increased risk for binge eating.Moderator analyses revealed that overweight/obesity, body dissatisfaction, dieting, and family weight-teasing were stronger risk factors in the high-SES group than the low-SES group; interactions with food insecurity could not be examined given the low prevalence of food insecurity in the high-SES group.Discussion: Risk factors for binge eating may vary by SES, suggesting the potential utility of modifying intervention and prevention methods based on SES. In particular, the role of food insecurity must be addressed. K E Y W O R D Sadolescent, child, eating/psychology, obesity/psychology, risk factors, socioeconomic factors

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Disordered eating behaviours and food insecurity: A qualitative study about children with obesity in low-income households

Cited by 51 publications

References 18 publications

Hunger in the household: Food insecurity and associations with maternal eating and toddler feeding

Hunger in the household: Food insecurity and associations with maternal eating and toddler feeding

Food Insecurity and Eating Disorders: a Review of Emerging Evidence

Differences in risk factors for binge eating by socioeconomic status in a community‐based sample of adolescents: Findings from Project EAT

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