Are children with chronic illnesses requiring dietary therapy at risk for disordered eating or eating disorders? A systematic review

Conviser, Jenny H.; Fisher, Sheehan D.; McColley, Susanna A.

doi:10.1002/eat.22831

Cited by 57 publications

(53 citation statements)

References 125 publications

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“…Furthermore, physical anxiety can include interoceptive experiences involving gastrointestinal distress, which can impact feelings of hunger and fullness. Recent reviews of the relationship between gastrointestinal symptoms and eating disorders highlight the potential for complex and reciprocal relationships between eating disorder, anxiety, and gastrointestinal symptoms (Conviser, Fisher, & McColley, ; Norris et al., ), which may be mediated by variations in gut microbiota (Glenny, Bulik‐Sullivan, Tang, Bulik, & Carroll, ; Kleiman et al., ).…”

Section: Discussionmentioning

confidence: 99%

Anxiety disorder symptoms at age 10 predict eating disorder symptoms and diagnoses in adolescence

Schaumberg

Zerwas

Goodman

et al. 2018

Child Psychology Psychiatry

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Background: Cross-sectional associations between anxiety disorders and eating disorders (EDs) have been well documented; however, limited research has examined whether symptoms of anxiety disorders are prospectively associated with EDs. Identifying these longitudinal associations can aid in discerning relationships among eating and anxiety disorders and point toward a mechanistic understanding of developmental psychopathology. This study investigated the prospective associations between parent-reported anxiety in mid-childhood (age 10) and childreported ED behaviors and disorders in adolescence (at ages 14 and 16 years) in a population-based sample. Methods: Participants were individuals enrolled in the Avon Longitudinal Study of Parents and Children (ALSPAC), a population-based, prospective study of women and their children; 7,767 children whose parents provided data at age 10 were included in current analyses. An exploratory factor analysis identified latent anxiety factors at age 10, followed by a path analysis that evaluated associations between these factors and eating disorder symptoms and cognitions at age 14. Results: Parent-reported anxiety symptoms at age 10 yielded 5 factors: obsessive-compulsive disorder (OCD) symptoms related to symmetry and checking (Factor 1); OCD symptoms associated with aversion to dirt and germs (Factor 2); physical anxiety symptoms (Factor 3); worries (Factor 4); and social phobia symptoms (Factor 5). Factors 3 and 4 showed the most consistent, positive associations with a range of ED symptoms at age 14. Factor 3 predicted diagnosis of bulimia nervosa by age 16 (OR = 1.11, p = .007), whereas Factor 4 predicted diagnoses of anorexia nervosa (OR = 1.10, p = .01) and disordered eating by age 16 (OR = 1.08, p = .001). Conclusions: Results indicate that symptoms of generalized anxiety in middle childhood may predict adolescentonset ED symptoms and ED diagnoses.Anxiety-related symptoms at age 10 and eating disorder symptoms during adolescence were examined in a population-based, epidemiological sample of children.Worries and physical anxiety at age 10 predict eating disorder symptoms and diagnoses in adolescence.Clinicians should be attentive to weight fluctuations and eating concerns among anxious children. Childhood worries about physical symptoms might predispose to eating and body related worries that can convert into full blown ED.

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Section: Discussionmentioning

confidence: 99%

Anxiety disorder symptoms at age 10 predict eating disorder symptoms and diagnoses in adolescence

Schaumberg

Zerwas

Goodman

et al. 2018

Child Psychology Psychiatry

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“…In particular, according to most recent literature reviews (Hanlan et al, 2013;Conviser et al, 2018;Pursey et al, 2020), disordered eating behaviors (DEBs) were more common in youths with T1D compared to healthy peers, and this was significantly associated with poorer glycemic control (Young et al, 2013).…”

Section: Introductionmentioning

confidence: 99%

Body Image Problems and Disordered Eating Behaviors in Italian Adolescents With and Without Type 1 Diabetes: An Examination With a Gender-Specific Body Image Measure

et al. 2020

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To examine body image problems and their associations with disordered eating behavior in adolescents with type 1 diabetes and well-matched healthy peers. Methods: Using a cross-sectional design, 183 adolescents with type 1 diabetes (13.02-18.05 years) were recruited from diabetes centers in southern Italy and compared to healthy peers matched for age and gender. Participants completed self-report measures of disordered eating behaviors (DEPS-r and EDI-3RF) and a gender-specific body image problem questionnaire (SATAQ-4R). Socio-demographic and clinical data (zBMI, HbA1c, and disease duration) were also collected. Hierarchical multiple linear regression analyses were computed to determine the relative importance of diabetes variables and body image problems on participants' disordered eating behaviors after controlling for demographic variables. Results: Adolescents with type 1 diabetes showed diabetes-specific eating problems in 37.7% of cases and had more eating problem symptoms (assessed as drive for thinness and bulimia) than healthy peers. Male adolescents with type 1 diabetes did not display more body image problems (p > 0.05); females with type 1 diabetes compared to females in the control group were found to be more pressured by family (p = 0.025) but less by media (p = 0.022) to improve their appearance and attain a thin body. zBMI and body image problems contributed to a significant increase in disordered eating behavior risk both in male and female adolescents with diabetes and in healthy peers (zBMI 0.213 < β < 0.426, p < 0.05; body image 0.243 < β < 0.572, p < 0.05).

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“…The response rate was 80.6% (13,751 of the original 17,046 children). Children with diabetes (n = 43) or children with missing diabetes status (n = 34) were excluded from our study because diabetes management may change eating attitudes and has been associated with disease-specific weight control behaviors (Conviser, Fisher, & McColley, 2018). We did not have data for other diagnoses that may be associated with eating attitudes or eating disorders.…”

Section: Participantsmentioning

confidence: 99%

Assessment of eating attitudes and dieting behaviors in healthy children: Confirmatory factor analysis of the Children's Eating Attitudes Test

Murphy

Hwang

Kramer

et al. 2019

Intl J Eating Disorders

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Objective: The Children’s Eating Attitudes Test (ChEAT) is a self-report questionnaire that is conventionally summarised with a single score to identify ‘problematic’ eating attitudes, masking informative variability in different eating attitude domains. This study evaluated the empirical support for single-versus multifactor models of the ChEAT. For validation, we compared how well the single- versus multifactor-based scores predicted BMI. Method: Using data from 13,674 participants of the 11.5 year-follow-up of the Promotion of Breastfeeding Intervention Trial (PROBIT) in the Republic of Belarus, we conducted confirmatory factor analysis to evaluate the performance of 3- and 5-factor models, which were based on past studies, to a single-factor model representing the conventional summary of the ChEAT. We used cross-validated linear regression models and the reduction in mean squared error (MSE) to compare the prediction of BMI at 11.5y and 16y by the conventional and confirmed factor-based ChEAT scores. Results: The 5-factor model, based on 14 of the original 26 ChEAT items, had good fit to the data whereas the 3- and single-factor models did not. The MSE for concurrent (11.5y) BMI regressed on the 5-factor ChEAT summary was 35% lower than that of the single-score models, which reduced the MSE from the null model by only 1–5%. The MSE for BMI at 16y was 20% lower. Discussion: We found that a parsimonious 5-factor model of the ChEAT explained the data collected from healthy Belarusian children better than the conventional summary score and thus provides a more discriminating measure of eating attitudes.

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Are children with chronic illnesses requiring dietary therapy at risk for disordered eating or eating disorders? A systematic review

Cited by 57 publications

References 125 publications

Anxiety disorder symptoms at age 10 predict eating disorder symptoms and diagnoses in adolescence

Anxiety disorder symptoms at age 10 predict eating disorder symptoms and diagnoses in adolescence

Body Image Problems and Disordered Eating Behaviors in Italian Adolescents With and Without Type 1 Diabetes: An Examination With a Gender-Specific Body Image Measure

Assessment of eating attitudes and dieting behaviors in healthy children: Confirmatory factor analysis of the Children's Eating Attitudes Test

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