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Current Diabetes Reports
Published in: Current Diabetes Reports 10/2015

01-10-2015 | Obesity (J McCaffery, Section Editor)

Overlap in Eating Disorders and Obesity in Adolescence

Authors: Diana Rancourt, Mary Beth McCullough

Published in: Current Diabetes Reports | Issue 10/2015

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Abstract

While eating disorders and obesity have traditionally been conceptualized as separate conditions, recent research suggests important overlap in several areas including etiology, comorbidity, risk factors, and prevention approaches. Examining the commonality among these conditions is particularly important as adolescents who present with both eating disorder symptomology and obesity demonstrate poorer outcomes within weight control treatments and are at greater risk for future development of full threshold eating disorders and additional weight gain. The purpose of this paper is to review the research examining the overlap in prevalence rates for eating disorders and obesity in adolescents, as well as shared etiology, risk factors, and psychiatric and medical comorbidities. Current preventive and treatment approaches also will be discussed, while highlighting the need for more integrated assessment, prevention, and treatment efforts that focus on maladaptive eating and activity patterns shared by both eating disorders and obesity.
Literature
1.
Daniels DS, Hassink SG, & the Committee on Nutrition. The role of the pediatrician in primary prevention of obesity. Pediatrics. [epub ahead of print 29 June 2015].
2.
Rosen DS, The Committee on Adolescence. Identification and management of eating disorders in children and adolescents. Pediatrics. 2010;126:1240–53.CrossRefPubMed
3.
Ozier AD, Henry BW, The American Dietetic Association. Position of the American Dietetic Association: nutrition intervention in the treatment of eating disorders. J Am Diet Assoc. 2011;111:1236–41.CrossRefPubMed
4.
Society for Adolescent Health and Medicine, Golden NH, Katzman DK, et al. Position paper of the Society for Adolescent Health and Medicine: medical management of restrictive eating disorders in adolescents and young adults. JAH. 2015;56:121–5.
5.
American Psychiatric Association (APA). Diagnostic and statistical manual of mental disorders. 5th ed. Arlington: American Psychiatric Association; 2003.
6.
Machado PP, Gonçalves S, Hoek HW. DSM-5 reduces the proportion of EDNOS cases: evidence from community samples. Int J Eat Disord. 2013;46:60–5.CrossRefPubMed
7.
Orstein RM, Rosen DS, Mammel KA. Distribution of eating disorders in children and adolescents using the proposed DSM-5 criteria for feeding and eating disorders. J Adolesc Health. 2013;53(2):303–5.CrossRef
8.
Barlow SE. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007;120:S164–92.CrossRefPubMed
9.
Ogden CL, Carroll MD, Kit BK, et al. Prevalence of childhood and adult obesity in the United States, 2011-2012. JAMA. 2014;311(8):806–14.CrossRefPubMed
10.
Allen KL, Byrne SM, Oddy WH, et al. DSM-IV-TR and DSM-5 eating disorders in adolescents: prevalence, stability, and psychosocial correlates in a population-based sample of male and female adolescents. J Abnorm Psychol. 2013;122(3):720–32.CrossRefPubMed
11.
Smink FR, van Hoeke D, Oldehinkel AJ, et al. Prevalence and severity of DSM-5 eating disorders in a community cohort of adolescents. Int J Eat Disord. 2014;47(6):610–9.CrossRefPubMed
12.
Stice E, Marti CN, Rohde P. Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. J Abnorm Psychol. 2013;122(2):445–57.PubMedCentralCrossRefPubMed
13.•
Flament ME, Henderson K, Buchholz A, et al. Weight status and DSM-5 diagnoses of eating disorders in adolescents from the community. J Am Acad Child Adolesc Psychiatry. 2015;54(5):403–11. This study documents prevalence of weight and eating disorders in a community sample of adolescents, psychosocial correlates of thinness, overweight, and obesity, and full- and sub-threshold eating disorders.
14.•
Lebow JL, Sim LA, Kransdorf LN. Prevalence of a history of overweight and obesity in adolescents with restrictive eating disorders. J Adolesc Health. 2015;56:19–24. This study examines the overlap between overweight or obesity and restrictive eating disorders in a clinical sample of adolescents and young adults using a retrospective cohort design.CrossRefPubMed
15.
Eddy KT, Tanofsky-Kraff M, Thompson-Brenner H, et al. Eating disorder pathology among overweight treatment-seeking youth: clinical correlates and cross-sectional risk modeling. Behav Res Ther. 2007;45:2360–71.CrossRefPubMed
16.
Sim LA, Lebow J, Billings M. Eating disorders in adolescents with a history of obesity. Pediatrics. 2013;132(4):1026–30.CrossRef
17.••
Loth K, Wall M, Larson N, et al. Disordered eating and psychological well-being in overweight and nonoverweight adolescents: secular trends from 1999–2010. Int J Eat Disord. 2015;48(3):323–7. This cross-sectional study describes the prevalence of disordered eating behaviors among both overweight and healthy weight adolescent boys and girls over the last decade.CrossRefPubMed
18.
Russo J, Brennan L, Walkley J, et al. Psychosocial predictors of eating disorder risk in overweight and obese treatment-seeking adolescents. Behav Chang. 2011;28(3):111–27.CrossRef
19.•
Cecil J, Dalton M, Finlayson G, et al. Obesity and eating behavior in children and adolescents: contributions of common gene polymorphisms. Int Rev Psychiatry. 2012;24(3):200–10. This paper provides an overview of common gene variants associated with obesity and eating behavior among children and adolescents.
20.
Mazzeo S, Landt M, van Furth E, et al. Genetics of eating disorders. In: Wonderlich S, Mitchell J, de Zwaan M, Steiger H, editors. Annual review of eating disorders part 2. Oxford: Radcliffe; 2006. p. 17–33.
21.
Bulik CM, Sullivan PF, Kendler KS. Genetic and environmental contributions to obesity and binge eating. Int J Eat Disord. 2003;33:293–8.CrossRefPubMed
22.
Jonassaint CR, Szatkiewicz JP, Bulik CM, et al. Specific common variants of the obesity-associated FTO gene are not associated with psychological and behavioral eating disorder phenotypes. Am J Med Genet B Neuropsychiatr Genet. 2011;156B:454–61.PubMedCentralCrossRefPubMed
23.
Müller TD, Greene BH, Bellodi L, et al. Fat mass and obesity-associated gene (FTO) in eating disorders: Evidence for association with rs9939609 obesity risk allele with bulimia nervosa and anorexia nervosa. Obes Facts. 2012;5:408–19.CrossRefPubMed
24.
25.•
Avena NM, Bocarsly ME. Dysregulation of brain reward systems in eating disorders: neurochemical information from animal models of binge-eating, bulimia nervosa and anorexia nervosa. Neuropharmacology. 2012;63(1):87–96. This review discusses evidence of reward-related brain dysfunctions relevant to eating disorders and derived from animal models.PubMedCentralCrossRefPubMed
26.
27.
de Krom M, Bauer F, Collier D, et al. Genetic variation and effects on human eating behavior. Annu Rev Nutr. 2009;29:283–304.CrossRefPubMed
28.
Haines J, Neumark-Sztainer D. Prevention of obesity and eating disorders: a consideration of shared risk factors. Health Educ Res. 2006;21(6):770–82.CrossRefPubMed
29.••
Haines J, Kleinman K, Rifas-Shiman SL, et al. Examination of shared risk and protective factors for overweight and disordered eating among adolescents. Arch Pediatr Adolesc Med. 2010;164(4):336–43. This study examines shared psychosocial risk and protective factors for overweight and disordered eating among adolescents.PubMedCentralCrossRefPubMed
30.
Krug I, Villarejo C, Jimenez-Murcia S, et al. Eating-related environmental factors in underweight eating disorders and obesity: are there common vulnerabilities during childhood and early adolescence? Eur Eat Disord Rev. 2013;21:202–8.CrossRefPubMed
31.
Neumark-Sztainer DR, Wall MM, Haines J. Shared risk and protective factors for overweight and disordered eating in adolescents. Am J Prev Med. 2007;33:359–69.CrossRefPubMed
32.
Austin SB, Haines J, Veugelers PJ. Body satisfaction and body weight: gender differences and sociodemographic determinants. BMC Public Health. 2009;313:9.
33.
Stice E, Presnell K, Shaw H, et al. Psychological and behavioral risk factors for obesity onset in adolescent girls: a prospective study. J Consult Clin Psychol. 2005;73(2):195–202.CrossRefPubMed
34.
Eichen DM, Connor BT, Daly BP, et al. Weight perception, substance use and disordered eating behaviors: comparing normal weight and overweight high-school students. J Youth Adolesc. 2012;41(1):1–13.CrossRefPubMed
35.
Puder JJ, Munsch S. Psychological correlates of childhood obesity. Int J Obes. 2010;34:S37–43.CrossRef
36.
Wu M, Brockmeyer T, Hartmann M, et al. Set shifting ability across the spectrum of eating disorders and in overweight and obesity: a systematic review and meta-analysis. Psychol Med. 2014;44:3365–85.CrossRefPubMed
37.
Tanofsky-Kraff M, Shomaker LB, Olsen C, et al. A prospective study of pediatric loss of control eating and psychological outcomes. J Abnorm Psychol. 2011;120(1):108–18.PubMedCentralCrossRefPubMed
38.
Goldschmidt AB, Aspen VP, Sinton MM, et al. Disordered eating attitudes and behaviors in overweight youth. Obesity (Silver Spring). 2008;16(2):257–64.CrossRef
39.
Goossens L, Braet C, Vlierberghe L, et al. Loss of control over eating in overweight youngsters: the role of anxiety, depression and emotional eating. Eur Eat Disord Rev. 2009;17:68–78.CrossRefPubMed
40.
Van Wijnen LG, Boluijt PR, Hoeven-Mulder HB, et al. Weight status, psychological health, suicidal thoughts, and suicide attempts in Dutch adolescents: results from the 2003 E-MOVO project. Obesity (Silver Spring). 2010;18(5):1059–61.CrossRef
41.••
Swanson SA, Crow S, Le Grange D, et al. Prevalence and correlates of eating disorders in adolescents. Arch Gen Psychiatry. 2011;68(7):714–23. This population-based survey describes the prevalence and psychological correlates of full- and subthreshold eating disorders among adolescents.CrossRefPubMed
42.
Daniels SR. Complications of obesity in children and adolescents. Int J Obes. 2009;33:S60–5.CrossRef
43.
Walders-Abramson N, Nadeau KJ, Kelsey MM, et al. Psychological functioning in adolescents with obesity co-morbidities. Child Obes. 2013;9(4):319–25.PubMedCentralPubMed
44.
Peterson CM, Fischer S, Young-Hyman D. Topical review: a comprehensive risk model for disordered eating in youth with type 1 diabetes. J Pediatr Psychol. 2015;40(4):385–90.CrossRefPubMed
45.
Prodam F, Monzani A, Ricotti R, et al. Systematic review of ghrelin response to food intake in pediatric age, from neonates to adolescents. J Clin Endocrinol Metab. 2014;99(5):1556–68.CrossRefPubMed
46.
Verbeeten KC, Elks CE, Daneman D, et al. Association between childhood obesity and subsequent Type 1 diabetes: a systematic review and meta-analysis. Diabet Med. 2011;28(1):10–8.CrossRefPubMed
47.
Tanofksy-Kraff M, Shomaker LB, Stern EA, et al. Children’s binge eating and development of metabolic syndrome. Int J Obes. 2012;36:956–62.CrossRef
48.
Gortmaker SL, Peterson K, Wiecha J, et al. Reducing obesity via a school-based interdisciplinary intervention among youth: Planet Health. Arch Pediatr Adolesc Med. 1999;153(4):409–18.CrossRefPubMed
49.
Austin SB, Field AE, Wiecha J, et al. The impact of a school-based obesity prevention trial on disordered weight control behaviors in early adolescent girls. Arch Pediatr Adolesc Med. 2005;159(3):225–30.CrossRefPubMed
50.
Austin SB, Kim J, Wiecha J. School-based overweight preventive intervention lowers incidence of disordered weight-control behaviors in early adolescent girls. Arch Pediatr Adolesc Med. 2007;161(9):865–9.CrossRefPubMed
51.
Wilksch SM, Wade TD. Life Smart: a pilot study of a school-based program to reduce the risk of both eating disorders and obesity in young adolescent girls and boys. J Pediatr Psychol. 2013;38(9):1021–9.CrossRefPubMed
52.
Stice E, Marti N, Spoor S, et al. Dissonance and healthy weight eating disorder prevention programs: long term effects from a randomized efficacy trial. J Consult Clin Psychol. 2008;76(2):329–40.PubMedCentralCrossRefPubMed
53.
Stice E, Butryn ML, Rohde P, et al. An effectiveness trial of a new enhanced dissonance eating disorder prevention program among female college students. Behav Res Ther. 2013;51(12):862–71.PubMedCentralCrossRefPubMed
54.
Wilksch SM, Paxton SJ, Byrne SM, et al. Prevention across the spectrum: a randomized controlled trial of three programs to reduce risk factors for both eating disorders and obesity. Psychol Med. 2015;45(9):1811–23.CrossRefPubMed
55.
Neumark-Sztainer DR, Friend SE, Flattum CF, et al. New moves-preventing weight-related problems in adolescent girls a group-randomized study. Am J Prev Med. 2010;39(5):421–32.PubMedCentralCrossRefPubMed
56.
Tanofsky-Kraff M, Shomaker LB, Wilfley DE, et al. Targeted prevention of excess weight gain and eating disorders in high-risk adolescent girls: a randomized controlled trial. Am J Clin Nutr. 2014;100(4):1010–8.CrossRefPubMed
57.
Doyle AC, Goldschmidt A, Huang C, et al. Reduction of overweight and eating disorder symptoms via the internet in adolescents: a randomized controlled trial. J Adolesc Health. 2008;43:172–9.PubMedCentralCrossRefPubMed
58.
Jones M, Taylor Lynch K, Kass AE, et al. Healthy weight regulation and eating disorder prevention in high school students: a universal and targeted Web-based intervention. J Med Internet Res. 2014;27:57.CrossRef
59.
Hilbert A, Pike KM, Goldschmidt AB, et al. Risk factors across the eating disorders. Psychiatry Res. 2010;220:500–6.CrossRef
60.•
Powers PS, Cloak NL. Psychopharmacological treatment of obesity and eating disorders in children and adolescents. Child Adolesc Psychiatr Clin N Am. 2012;21:831–59. This review outlines approved and commonly-used psychopharmacologic approaches to treating eating disorders and obesity among youth.CrossRefPubMed
61.
Hagler R. Orlistat misuse as purging in a patient with binge-eating disorder. Psychosomatics. 2009;50(2):177–8.CrossRef
62.
Fernández-Aranda F, Amor A, Jiménez-Murcia S, et al. Bulimia nervosa and misuse of orlistat: two case reports. Int J Eat Disord. 2001;30(4):458–61.CrossRefPubMed
63.
Steffen KJ, Mitchell JE, le Grange D, et al. A prevalence study and description of alli use by patients with eating disorders. Int J Eat Disord. 2010;43(5):472–9.PubMed
64.
Couturier J, Kimber M, Szatmari P. Efficacy of family-based treatment for adolescents with eating disorders: a systematic review and meta-analysis. Int J Eat Disord. 2013;46(1):3–11.CrossRefPubMed
65.
Janicke DM, Sallinen BJ, Perri MG, et al. Comparison of parent-only vs family-based interventions for overweight children in underserved rural settings. Arch Pediatr Adolesc Med. 2008;162(12):1119–25.PubMedCentralCrossRefPubMed
66.
Kitzman-Ulrich H, Wilson D, St. George S. The integration of a family systems approach for understanding youth obesity, physical activity, and dietary programs. Clin Child Fam Psychol Rev. 2010;13(3):231–53.PubMedCentralCrossRefPubMed
67.
Lock J, La Via MC. Practice parameter for the assessment and treatment of children and adolescents with eating disorders. J Am Acad Child Adolesc Psychiatry. 2015;54(5):412–25.CrossRefPubMed
68.••
Wifley DE, Kolko RP, Kass AE. Cognitive behavioral therapy for weight management and eating disorders in children and adolescents. Child Adolesc Psychiatr Clin N Am. 2011;20(2):271–85. A paper reviewing evidence-based treatments for obesity and eating disorders in youth.CrossRef
69.••
Tanofsky-Kraff M. Psychosocial preventive interventions for obesity and eating disorders in youths. Int Rev Psychiatry. 2012;24(3):262–70. This paper reviews prevention approaches for shared eating disorder and obesity risk factors, highlighting the use of interpersonal therapy to address both conditions.
70.
Boutelle KN, Kuckertz JM, Carlson J, et al. A pilot study evaluation a one-session attention modification training to decrease overeating in obese children. Appetite. 2014;76:180–5.PubMedCentralCrossRefPubMed
71.
Black JA, White B, Viner RM, et al. Bariatric surgery for obese children and adolescents: a systematic review and meta-analysis. Obes Rev. 2013;14:634–44.CrossRefPubMed
72.
Niego SH, Kofman MD, Weiss JJ, et al. Binge eating in the bariatric surgery population: a review of the literature. Int J Eat Disord. 2007;40:349–59.CrossRefPubMed
73.
Lebow J, Chuy JA, Cedermark K, et al. The development or exacerbation of eating disorder symptoms after topiramate initiation. Pediatrics. 2015;135(5):e1312–6.CrossRefPubMed
74.
75.
Hill LS, Reid F, Morgan JF, et al. SCOFF, the development of an eating disorder screener. Int J Eat Disord. 2010;43:344–51.PubMed
76.
Solmi F, Hatch SL, Hotopf M, et al. Validation of the SCOFF questionnaire for eating disorders in a multiethnic general population sample. Int J Eat Disord. 2015;48:312–6.PubMedCentralCrossRefPubMed
77.
O’Brien SH, Holubkov R, Reis EC. Identification, evaluation, and management of obesity in an academic primary care center. Pediatrics. 2004;114(2):e154–9.CrossRefPubMed
78.
Barlow SE, The Expert Committee. Expert committee recommendations regarding the prevention, assessment, and treatment of child and adolescent overweight and obesity: summary report. Pediatrics. 2007;120:S164–92.CrossRefPubMed
Metadata
Title
Overlap in Eating Disorders and Obesity in Adolescence
Authors
Diana Rancourt
Mary Beth McCullough
Publication date
01-10-2015
Publisher
Springer US
Published in
Current Diabetes Reports / Issue 10/2015
Print ISSN: 1534-4827
Electronic ISSN: 1539-0829
DOI
https://doi.org/10.1007/s11892-015-0645-y

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