Eating and Weight Concerns in Eating Disorders

2010 ◽  
pp. 205-222
Author(s):  
Alison E. Field ◽  
Nicole Kitos
Keyword(s):  
Risk Factors ◽  
Eating Disorders ◽  
Disordered Eating ◽  
Psychological Factors ◽  
Eating Behaviors ◽  
Body Image Dissatisfaction ◽  
Weight Concerns ◽  
Disordered Eating Behaviors ◽  
Weight And Shape Concerns ◽  
Over Time

Weight and shape concerns are one of the hallmark symptoms of anorexia nervosa and bulimia nervosa, but the development of these concerns, their stability over time, and the mechanisms by which they promote the development of body image dissatisfaction and eating disorders remains unclear. Sociocultural, familial, and psychological factors are believed to be related to the development of weight and shape concerns and dissatisfaction, which in turn are thought to promote disordered eating behaviors, such as purging. In this chapter we discuss many of the risk factors for developing weight and shape concerns, as well as their consequences.

scholarly journals Impact of Strategies for Preventing Obesity and Risk Factors for Eating Disorders Among Adolescents: A Systematic Review

2020 ◽  
Author(s):  
Ana Carolina Leme ◽  
Jess Haines ◽  
Lisa Tang ◽  
Karin Dunker ◽  
Sonia Tucunduva Philippi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Eating Disorders ◽  
Energy Balance ◽  
Disordered Eating ◽  
Weight Status ◽  
Eating Behaviors ◽  
Disordered Eating Behaviors ◽  
Shared Risk ◽  
Over Time

An effective behavior changes program is the first-line of prevention for youth obesity. However, effectiveness in prevention of adolescent obesity requires several approaches, with special attention paid to disordered eating behaviors and psychological support among other environmental factors. The aim of this systematic review was to compare the impact of two types of obesity prevention programs, inclusive of behavior change components on weight outcomes. Energy-balance studies were aimed at reducing calories from high-energy sources and increasing PA levels, while “shared risk factors for obesity and eating disorders” focused on reducing disordered eating behaviors to promote a positive relationship with food and eating. A systematic search of ProQuest, PubMed, PsycInfo, SciELO, and Web of Science identified 8825 articles. Twenty were considered “energy-balance” and fifteen “shared-risk factors for obesity and eating disorders”. Overall, energy-balance studies were unable to support a maintenance weight status, diet, and PA over time. Shared risk factors programs also did not result in significant differences in weight status over time. However, the majority of shared risk factors studies demonstrated reduced body dissatisfaction, dieting, and weight-control behaviors. More research is needed to examine how a shared risk factor approach can address both obesity and eating disorder.

scholarly journals Impact of Strategies for Preventing Obesity and Risk Factors for Eating Disorders among Adolescents: A Systematic Review

Nutrients ◽  
2020 ◽  
Vol 12 (10) ◽  
pp. 3134
Author(s):  
Ana Carolina B. Leme ◽  
Jess Haines ◽  
Lisa Tang ◽  
Karin L. L. Dunker ◽  
Sonia T. Philippi ◽  
...  
Keyword(s):  
Risk Factors ◽  
Systematic Review ◽  
Eating Disorders ◽  
Energy Balance ◽  
Behavior Change ◽  
Disordered Eating ◽  
Weight Status ◽  
Eating Behaviors ◽  
Disordered Eating Behaviors ◽  
Shared Risk

An effective behavior change program is the first line of prevention for youth obesity. However, effectiveness in prevention of adolescent obesity requires several approaches, with special attention paid to disordered eating behaviors and psychological support, among other environmental factors. The aim of this systematic review is to compare the impact of two types of obesity prevention programs, inclusive of behavior change components, on weight outcomes. “Energy-balance” studies are aimed at reducing calories from high-energy sources and increasing physical activity (PA) levels, while “shared risk factors for obesity and eating disorders” focus on reducing disordered eating behaviors to promote a positive food and eating relationship. A systematic search of ProQuest, PubMed, PsycInfo, SciELO, and Web of Science identified 8825 articles. Thirty-five studies were included in the review, of which 20 regarded “energy-balance” and 15 “shared risk factors for obesity and eating disorders”. “Energy-balance” studies were unable to support maintenance weight status, diet, and PA. “Shared risk factors for obesity and eating disorders” programs also did not result in significant differences in weight status over time. However, the majority of “shared risk factors for obesity and eating disorders” studies demonstrated reduced body dissatisfaction, dieting, and weight-control behaviors. Research is needed to examine how a shared risk factor approach can address both obesity and eating disorders.

Cognitive Mapping: Its Use as an Assessment Tool for Disordered Eating

1999 ◽  
Vol 8 (2) ◽  
pp. 63-72
Author(s):  
Kristin L. Wiginton ◽  
Deborah Rhea
Keyword(s):  
Eating Disorders ◽  
Disordered Eating ◽  
Eating Behaviors ◽  
Cognitive Mapping ◽  
Female Athletes ◽  
Assessment Tool ◽  
Mental Representations ◽  
Disordered Eating Behaviors ◽  
Preventive Practices ◽  
The Impact

The incidence of eating disorders among female athletes continues to increase, presenting intervention challenges to athletic trainers. Additionally, a number of female athletes have disordered eating behaviors that do not yet constitute an eating disorder diagnosis, but have similar characteristics to those athletes diagonised with eating disorders. However, each athlete exhibits individual mental representations of disordered eating and the impact of those representations on important aspects of her life. The athletic trainer has the potential to offer comprehensive preventive education when all aspects of the athlete’s own understanding of disordered eating are assessed. Cognitive mapping is an assessment technique that can be used in addition to other preventive practices and can be useful in determining an athlete’s current mental representations of disordered eating.

Clinical features in insulin-treated diabetes with comorbid diabulimia, disordered eating behaviors and eating disorders

2016 ◽  
Vol 33 (S1) ◽  
pp. S81-S81
Author(s):  
V. Deiana ◽  
E. Diana ◽  
F. Pinna ◽  
M.G. Atzeni ◽  
F. Medda ◽  
...  
Keyword(s):  
Eating Disorders ◽  
Disordered Eating ◽  
Clinical Features ◽  
Eating Behaviors ◽  
Blood Glucose Control ◽  
Diabetic Patients ◽  
Disordered Eating Behaviors ◽  
Dsm 5 ◽  
Combining Data ◽  
Diet Pills

Adherence to self-management and medication regimens is required to achieve blood glucose control in diabetic patients. Therefore, diabulimia, the deliberate insulin restriction/omission to lose weight, and other disordered eating behaviors (DEBs) or eating disorders (EDs), place these patients at risk of complications.We aimed to establish the frequency of diabulimia, DEBs and EDs among patients with type 1 and 2 diabetes (T1DM and T2DM) and their association with other clinical features.A total of 211 insulin-treated diabetic patients (13–55 years old) answered the Diabetes Eating Problem Survey-Revised (DEPS-R), a diabetes-specific screening tool for DEBs, and the Eating Disorders Inventory-3 (EDI-3). SCID-I modified according to DSM-5 criteria was used to diagnose EDs.At the DEPS-R, 20.8% of the sample scored above the cutoff, more frequently females (P = 0.005), patients with T1DM (P = 0.045), with a diagnosis of ED (P < 0.001), positive to the EDI-3 (P ≤ 0.001), with physical comorbidities (P = 0.003), with HbA1c > 7% (P = 0.020). Combining data from the interview with the results at the DEPS-R, 60.2% of the sample presented diabulimia. Dividing the sample by gender, we found that diabulimic females more frequently used diet pills (P = 0.006), had significantly higher HbA1c (P = 0.019) and STAI-Y1 scores (P = 0.004). Other DEBs comprised dietary restraint (51.8% of the sample), binge eating (42.2%), vomiting (6.2%), diet pills (7.1%) or laxatives (1.9%) or diuretics use (4.3%). Overall, 21.8% of the sample, mostly females (P < 0.001) met criteria for at least one DSM-5 diagnosis of ED.Diabetic patients, especially women, should be carefully monitored for the presence of diabulimia, BEDs and EDs.Disclosure of interestThe authors have not supplied their declaration of competing interest.

scholarly journals Relationship between Peer Pressure and Risk of Eating Disorders among Adolescents in Jordan

2018 ◽  
Vol 2018 ◽  
pp. 1-8 ◽  
Author(s):  
Nihaya A. Al-sheyab ◽  
Tamer Gharaibeh ◽  
Khalid Kheirallah
Keyword(s):  
Eating Disorders ◽  
Disordered Eating ◽  
Peer Influence ◽  
Eating Behaviors ◽  
Peer Pressure ◽  
Sampling Technique ◽  
Cluster Sampling ◽  
Online Questionnaire ◽  
Cross Sectional ◽  
Disordered Eating Behaviors

Background. The prevalence of disordered eating behaviors (DEBs) have increased worldwide. It is estimated that about 31.6% of Jordanian adolescents developed DEB. Engaging in peer groups is a prominent event in which adolescents try to belong to peers as part of exploring their social identity. Purpose. To assess the relationship between risk of eating disorders and peer pressure among adolescents. Methods. A descriptive, correlational, cross-sectional design utilized multistage cluster sampling technique was used to recruit students from 8th to 10th grades from both sexes from schools in northern Jordan. Data were collected from a self-administered, online questionnaire which was given to 738 participants. Results. The difference in overall mean of the Inventory of Peer Influence on Eating Concerns (I-PIEC) between adolescents with disordered eating behaviors and normal eating behaviors states was statistically significant. Scores for interaction peer pressure means were statistically higher for girls than for boys; conversely, likeability mean scores were statistically higher for boys than girls. Conclusions. The current findings suggest that healthcare professionals are encouraged to conduct appropriate school-based primary prevention for disordered eating behaviors.

scholarly journals Childhood life events and disturbed eating behaviors in a population-based cohort in the Netherlands

2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Thomas ◽  
E Diemer ◽  
R Siliquini ◽  
P W Jansen
Keyword(s):  
Eating Disorders ◽  
Early Detection ◽  
Disordered Eating ◽  
Life Events ◽  
Eating Behavior ◽  
Eating Behaviors ◽  
Population Based ◽  
Restrained Eating ◽  
Disordered Eating Behaviors ◽  
Adjusted Model

Abstract Background Adversities such as maltreatment and physical and emotional abuse are recognized risk factors for eating disorders (EDs) in adolescents and adults, but whether such adversities are also associated with eating behaviors in childhood has been less explored. Our aim was to examine whether a wide range of life events can predict emotional overeating and restrained eating in childhood, which are potential precursors of EDs. Methods The study is embedded in Generation R, a prospective population-based cohort. The sample included 4653 children aged 10 years. Emotional overeating was assessed with the Children’s Eating Behavior Questionnaire, and restrained eating with the Dutch Eating Behavior Questionnaire. Mothers reported the occurrence of 24 adverse events in their offspring’s childhood. Regression analyses were conducted, both unadjusted and adjusted for gender, ethnicity, and parental education and psychopathology. Results Unadjusted models showed that a higher number of life events is associated with more emotional overeating and more restrained eating; effect estimates attenuated slightly in the adjusted model, but remained significant (per 1 more life event: B = 0.05, 95%CI 0.02-0.08; B = 0.04, 95%CI 0.02-0.07, respectively). Particularly, participants who experienced at least 3 life events had high levels of emotional overeating and restrained eating (adjusted model: B = 0.20, 95%CI 0.06-0.33; B = 0.21, 95%CI 0.08-0.33, respectively). The specific maltreatment related life events were not significantly associated with eating behaviors, probably due to low prevalence of these events (n = 149). Conclusions This novel, population-based study shows that early life adversities may predict disordered eating behaviors in childhood. The results are in line with clinical studies on life events and EDs. If the studied eating behaviors are indeed precursors of EDs, these results may offer potential for prevention and early intervention to avoid the development of full-blown EDs. Key messages Eating disorders account for more than 2% of the global disease burden, thus representing a major Public Mental Health topic in the EU; more and new measures are required for early detection purposes. Life adversities predict disordered eating behaviors in childhood, which are considered precursors of eating disorders: early detection of this association may avoid development of eating disorders.

A Qualitative Examination of Weight Concerns, Eating and Exercise Behaviors in Recreational Exercisers

2005 ◽  
Vol 14 (1) ◽  
pp. 24-38 ◽  
Author(s):  
Erica Berman ◽  
Mary Jane De Souza ◽  
Gretchen Kerr
Keyword(s):  
Physical Activity ◽  
Body Image ◽  
Disordered Eating ◽  
Eating Behaviors ◽  
Eating Problems ◽  
Weight Concerns ◽  
Psychological Benefits ◽  
Disordered Eating Behaviors ◽  
Exercise Behaviors ◽  
Qualitative Exploration

This study employed the method of qualitative exploration to examine the relationships between body image, exercise and eating behaviors. It also addressed a controversial question in the literature: Do weight and appearance concerns motivate physical activity participation or does participation in physical activity exacerbate weight and appearance concerns? Seven female recreational exercisers (ages 23 to 35) were interviewed about weight and appearance concerns, eating and exercise behaviors. All but one reported past or present disordered eating behaviors. While all of the women cited numerous physical and psychological benefits from physical activity, weight and appearance concerns were important motivators to exercise. For all participants, weight and appearance concerns as well as disordered eating problems led to the adoption of recreational fitness activities and not the reverse.

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