Prevalence and Correlates of Disordered Eating Behaviors Among Young Adults with Overweight or Obesity

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Section: Unhealthy Weight Control Behaviorssupporting

confidence: 71%

Disordered eating behaviors and cardiometabolic risk among young adults with overweight or obesity

Nagata

Garber

Tabler

et al. 2018

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“…The severity of ED symptoms in AAN has been shown to be equal or greater to symptom severity in AN (Sawyer et al, 2016). Nearly a third of U.S. adolescents considered overweight engage in ED behaviors (Nagata, Garber, Tabler, Murray, & Bibbins-Domingo, 2018;Neumark-Sztainer et al, 2007).…”

Section: Introductionmentioning

confidence: 99%

Comparisons of bone density and body composition among adolescents with anorexia nervosa and atypical anorexia nervosa

Nagata

Carlson

Golden

et al. 2019

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Objective: To compare bone mineral density (BMD) and body composition among adolescents: 1) with atypical anorexia nervosa (AAN) versus anorexia nervosa (AN) and 2) those with and without a prior history of overweight. Method: Electronic medical records of patients 9–20 years with AN or AAN who underwent dual-energy x-ray absorptiometry (DXA) scans were retrospectively reviewed and analyzed. Results: A total of 286 adolescents with AN or AAN were included. In linear regression models, AAN was associated with greater Z-scores in whole body bone mineral content (BMC, B=0.88, p<0.001), lumbar spine BMD (B=0.79, p=0.002), femoral neck BMD (B=0.670, p=0.009); fat mass index (FMI, B=1.33, p=0.003), and lean body mass index (LBMI, B=1.10, p<0.001) compared to AN, adjusting for age, sex, and duration of illness. A prior overweight history was associated with greater Z-scores in whole body BMC; lumbar spine BMD, total hip BMD, femoral neck BMD, and LBMI. Discussion: Adolescents with AAN had higher BMD Z-scores than adolescents with AN; adolescents with a prior overweight history had greater BMD Z-scores than adolescents without a prior overweight history. These findings may inform clinical guidelines for the medical management of AAN.

“…An estimated 11% of young adults report disordered eating behaviors such as vomiting, fasting, skipping meals, or laxative/diuretic use to lose weight and 2% report being diagnosed with an eating disorder in nationally representative surveys of the United States, such as the National Longitudinal Study of Adolescent to Adult Health (Nagata, Garber, Tabler, Murray, & Bibbins‐Domingo, ). Young women disproportionately engage in disordered eating behaviors compared to young men (Stephen, Rose, Kenney, Rosselli‐Navarra, & Weissman, ).…”

Section: Introductionmentioning

confidence: 99%

Eating disorders and disordered eating behaviors among women: Associations with sexual risk

Fergus

Copp

Tabler

2019

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Objective To evaluate the association between eating disorders or disordered eating behaviors and sexual risk in young women. Method We used prospective cohort data of young women ages 18–26 years from the National Longitudinal Study of Adolescent to Adult Health (N = 5,899). Exposures of interest (at 18–26 years) included a self‐reported eating disorder diagnosis or disordered eating behaviors including fasting/skipping meals, vomiting, diet pills, or laxative/diuretic use to lose weight and binge eating. Sexual risk outcomes at 7‐year follow‐up included the number of new sexual partners, condom use, and sexually transmitted infections. Results Having either an eating disorder or reporting any disordered eating behavior was associated with a greater number of new sexual partners (B = 1.09, 95% CI [0.18, 2.00]) and lower odds of condom use (odds ratio 0.70, 95% CI [0.53, 0.94] among a subsample of sexually active, unmarried women). Discussion Young women with eating disorders or who engage in disordered eating behaviors are at higher risk for multiple new sexual partners and unprotected sex. Clinicians caring for young adults with eating disorders may consider screening for sexual risk behaviors.