Eating disorder pathology among overweight treatment-seeking youth: Clinical correlates and cross-sectional risk modeling

Eddy, Kamryn T.; Tanofsky‐Kraff, Marian; Thompson‐Brenner, Heather; Herzog, David B.; Brown, Timothy A.; Ludwig, David S.

doi:10.1016/j.brat.2007.03.017

Cited by 110 publications

(105 citation statements)

References 53 publications

(64 reference statements)

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“…Since emotional eating is related to less healthy dietary intake, it has been longitudinally linked to weight gain and obesity, especially in females (102,103) . Although no significant relationship was observed in a small number of studies (104) , other studies identified a significant percentage of emotional eating in overweight children (81,85,105,106) . Braet et al (105) showed that in a large sample of children and adolescents 10·5 % of overweight children reported high scores of emotional eating.…”

Section: Nutrition Research Reviewsmentioning

confidence: 89%

The role of emotion regulation in childhood obesity: implications for prevention and treatment

et al. 2016

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Stress and negative emotions pose a major threat to public health, by increasing the risk of obesity. Since the management process for emotions (emotion regulation; ER) is developed in childhood, we present a novel conceptual framework model for the role of ER in the prevention and treatment of childhood obesity. A narrative review of the literature by electronic database search (MEDLINE, Web of Knowledge and Scopus) was conducted of observational and interventional/experimental literature on ER and obesity and the underlying concepts. We also present an overview of ER intervention techniques. Our model indicates that childhood ER is a link between stress and obesity. Stress along with ineffective ER leads to abnormal cortisol patterns, emotional eating, sedentary lifestyle, reduction of physical activity, and sleep problems. Simultaneously, a healthy lifestyle could show benefits on ER and in developing adaptive ER strategies. In the development of obesity and ER, parents also play a role. By contrast, effective ER skills decrease obesity-related unhealthy behaviour and enhance protective factors, which boost health. The literature contains some observational studies of children but very few intervention studies, most of which are pilot or on-going studies. In conclusion, encouraging effective ER could be a useful new approach for combating and treating childhood obesity. Future ER intervention studies are needed to confirm the validity of this model in children.

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Section: Nutrition Research Reviewsmentioning

confidence: 89%

The role of emotion regulation in childhood obesity: implications for prevention and treatment

et al. 2016

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“…112 Studies that included obese subjects seeking weight treatment have shown rates from 8% to 18%. [113][114][115] None of these studies examined the association between degree of obesity and prevalence of disordered eating. However, among youth with disordered eating, severe obesity appears to be more common, with one study of 678 teens enrolled in a large T2DM treatment trial finding that 67% of those with clinical bingeeating symptoms had severe obesity (BMI ≥99th percentile) compared with 38% of those with no overeating symptoms.…”

Section: Disordered Eatingmentioning

confidence: 99%

Severe Obesity in Children and Adolescents: Identification, Associated Health Risks, and Treatment Approaches

Kelly¹,

Barlow

Rao³

et al. 2013

Circulation

858

804

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espite recent data suggesting that the rate of increase of obesity among children and adolescents has slowed and overall prevalence has possibly begun to plateau, 1,2 a worrisome trend has emerged in the form of severe pediatric obesity. As the fastest-growing subcategory of obesity in children and adolescents, 1,3,4 severe obesity afflicts between 4% and 6% of all youth in the United States 3-7 and has both immediate and long-term health consequences. Recent data further Abstract-Severe obesity afflicts between 4% and 6% of all youth in the United States, and the prevalence is increasing.Despite the serious immediate and long-term cardiovascular, metabolic, and other health consequences of severe pediatric obesity, current treatments are limited in effectiveness and lack widespread availability. Lifestyle modification/behaviorbased treatment interventions in youth with severe obesity have demonstrated modest improvement in body mass index status, but participants have generally remained severely obese and often regained weight after the conclusion of the treatment programs. The role of medical management is minimal, because only 1 medication is currently approved for the treatment of obesity in adolescents. Bariatric surgery has generally been effective in reducing body mass index and improving cardiovascular and metabolic risk factors; however, reports of long-term outcomes are few, many youth with severe obesity do not qualify for surgery, and access is limited by lack of insurance coverage. To begin to address these challenges, the purposes of this scientific statement are to (1) provide justification for and recommend a standardized definition of severe obesity in children and adolescents; (2) raise awareness of this serious and growing problem by summarizing the current literature in this area in terms of the epidemiology and trends, associated health risks (immediate and long-term), and challenges and shortcomings of currently available treatment options; and (3) highlight areas in need of future research. Innovative behavior-based treatment, minimally invasive procedures, and medications currently under development all need to be evaluated for their efficacy and safety in this group of patients with high medical and psychosocial risks. (Circulation. 2013;128:1689-1712.)

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“…27,28 Previous studies examining treatmentseeking samples of overweight youth (ie, those participating in weight loss programs) have used only a few survey items to assess the presence/history of weight-related teasing 29 or relied on brief scales such as the Perception of Teasing Scale 30 as well as other scales. [31][32][33][34][35] The Perception of Teasing Scale includes 6 items to assess general experiences of weight-based teasing but provides no examination of the frequency or different forms of WBV experienced (verbal, relational, cyberbullying, or physical aggression) or perpetrators (friends or family members). A more comprehensive assessment of weight-specific victimization is necessary to obtain an accurate knowledge of the specific challenges facing these youth and has important practical implications for identifying factors that can be addressed in interventions to reduce WBV and to increase awareness of this form of bullying among treatment providers, school personnel, and program staff.…”

mentioning

confidence: 99%

Weight-Based Victimization: Bullying Experiences of Weight Loss Treatment–Seeking Youth

2013

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WHAT'S KNOWN ON THIS SUBJECT: Studies have linked bullying with BMI, with overweight and obese youth vulnerable to bullying and its negative psychological and health consequences. However, there has been little comprehensive assessment of weight-based victimization, especially in weight loss treatment-seeking samples of youth.WHAT THIS STUDY ADDS: WBV is prevalent in treatment-seeking youth, who report victimization from peers (92%), friends (70%), parents (37%), and teachers (27%). Providers should discuss WBV in their assessment and treatment of pediatric patients who are overweight or obese.abstract OBJECTIVE: Few studies have comprehensively examined weight-based victimization (WBV) in youth, despite its serious consequences for their psychosocial and physical health. Given that obese and treatmentseeking youth may be highly vulnerable to WBV and its negative consequences, the current study provides a comprehensive assessment of WBV in a weight loss treatment-seeking sample.METHODS: Adolescents (aged 14-18 years; N = 361) enrolled in 2 national weight loss camps were surveyed. An in-depth assessment of WBV was conducted by using an online survey, in which participants indicated the duration, typical locations, frequent perpetrators, and forms of WBV they had experienced. RESULTS:Findings indicate that 64% of the study participants reported WBV at school, and the risk of WBV increased with body weight. Most participants reported WBV enduring for 1 year (78%), and 36% were teased/bullied for 5 years. Peers (92%) and friends (70%) were the most commonly reported perpetrators, followed by adult perpetrators, including physical education teachers/sport coaches (42%), parents (37%), and teachers (27%). WBV was most frequently reported in the form of verbal teasing (75%-88%), relational victimization (74%-82%), cyberbullying (59%-61%), and physical aggression (33%-61%). WBV was commonly experienced in multiple locations at school.CONCLUSIONS: WBV is a prevalent experience for weight loss treatmentseeking youth, even when they are no longer overweight. Given the frequent reports of WBV from adult perpetrators in addition to peers, treatment providers and school personnel can play an important role in identifying and supporting youth who may be at risk for pervasive teasing and bullying. Pediatrics 2013;131:e1-e9 AUTHORS:

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Eating disorder pathology among overweight treatment-seeking youth: Clinical correlates and cross-sectional risk modeling

Cited by 110 publications

References 53 publications

The role of emotion regulation in childhood obesity: implications for prevention and treatment

The role of emotion regulation in childhood obesity: implications for prevention and treatment

Severe Obesity in Children and Adolescents: Identification, Associated Health Risks, and Treatment Approaches

Weight-Based Victimization: Bullying Experiences of Weight Loss Treatment–Seeking Youth

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