Targeted prevention of excess weight gain and eating disorders in high-risk adolescent girls: a randomized controlled trial

Tanofsky‐Kraff, Marian; Shomaker, Lauren B.; Wilfley, Denise E.; Young, Jami F.; Sbrocco, Tracy; Stephens, Mark B.; Ranzenhofer, Lisa M.; Elliott, Camden; Brady, Sheila M.; Radin, Rachel M.; Vannucci, Anna; Bryant, Edny J.; Osborn, Robyn; Berger, Sarah Shafer; Olsen, Cara; Kozlosky, Merel; Reynolds, James C.; Yanovski, Jack A.

doi:10.3945/ajcn.114.092536

Cited by 98 publications

(148 citation statements)

References 43 publications

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“…These may have a small but significant effect across a population, and thus be cost-effective, but more intensive efforts in those susceptible to weight gain, with approaches such as interpersonal psychotherapy, may also be required [63]. Evidence from rodent studies suggests that the benefits of such an approach may have enormous implications in reducing the programming of later obesity and metabolic derangements in the offspring and future generations [64,65].…”

Section: Novel Approaches At Preventionmentioning

confidence: 97%

Childhood obesity: Current and novel approaches

Sabin

Kieß

2015

Best Practice & Research Clinical Endocrinology & Metab

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Section: Novel Approaches At Preventionmentioning

confidence: 97%

Childhood obesity: Current and novel approaches

Sabin

Kieß

2015

Best Practice & Research Clinical Endocrinology & Metab

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“…Interpersonal psychotherapy (IPT) and health education groups targeting girls at risk of obesity and ED showed decreases in BMI, loss of control eating, depression and anxiety 30. In the IPT group, objective binge eating frequency was also reduced at 12-month follow-up.…”

Section: Bulimia Nervosa and Binge Eating Disordermentioning

confidence: 99%

Assessment and treatment of eating disorders in children and adolescents

2016

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Feeding and eating disorders (FEDs) are serious mental health disorders that cause impairments in physical health, development, cognition and psychosocial function and can go undetected for months or years. They are characterised by disturbed eating behaviour associated with concerns about weight and shape or by disinterest in food, phobic avoidance or avoidance due to sensory aspects of food. Restrictive forms of FEDs lead to significant weight loss requiring intervention. Without specific knowledge of these conditions, they can evade detection, delaying time to diagnosis and treatment and potentially influencing outcome. This review article focuses on the key factors involved in the psychiatric assessment and treatment of four feeding or eating disorders (EDs): anorexia nervosa, avoidant-restrictive food intake disorder, bulimia nervosa and binge eating disorder. They have been chosen for discussion as they are most likely to be encountered in both a psychiatric and paediatric setting. It emphasises the importance of a family-focused, developmentally appropriate and multidisciplinary approach to care. It does not address aspects of medical assessment and treatment. Other feeding or EDs not included in this article are pica, rumination disorder, other specified feeding and eating disorder and unspecified feeding and eating disorder.

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“…In a parallelgroup, 12-week randomized trial comparing interpersonal psychotherapy or a weekly health education group in 113 adolescent girls considered at high risk for adult obesity and eating disorders (because of a BMI between the 75th and 97th percentiles and episodes of loss-of-control eating), both groups showed similar improvement in BMI metrics, percent body fat, loss-of-control eating, and symptoms of depression and anxiety over 12 months of follow-up. 11 These data suggest that BMI-based obesity prevention programs may need to also address depressive symptoms and disordered eating to be effective and safe.…”

mentioning

confidence: 97%

The Epidemic of Depression With Obesity

McElroy

2015

J. Clin. Psychiatry

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In this month's issue, Olvera and colleagues 1 provide important findings about the increasingly recognized link among depression, obesity, and metabolic syndrome. 2 Evaluating 1,768 Mexican American adults living on the United States/Mexico border from 2004 to 2010, they found that 30% had current depression, 14% had severe depression, 52% were obese, and 45% had metabolic syndrome. Depression was associated with female gender, low education, low high-density lipoprotein cholesterol, and increased waist circumference, while severe depression was associated with female gender, low education, and extreme obesity. The authors concluded that among Mexican Americans, obesity, female gender, and low education were risk factors for depression.To provide context, these findings can be compared with data from the National Health and Nutrition Examination Survey (NHANES) obtained during a comparable time period, 2005 to 2010. 2 As in Olvera and colleagues 1 study, obesity was defined as a body mass index (BMI) ≥ 30 mg/ kg 2 , BMI was determined from measured (as opposed to self-report) body weight and height, and depression was defined as exceeding a threshold of depressive symptoms over the past 2 weeks. In that data set, 7.2% had current depression and 34.6% were obese; 43% of adults with depression were obese; adults with depression were more likely to be obese than adults without depression; and the proportion of adults with obesity rose as the severity of depressive symptoms increased. Women with depression were more likely to be obese than women without depression in every age group, while this was true of men only in those ≥ 60 years.However, among Mexican American women and men, rates of obesity did not differ by depression status in the NHANES data.2 The relationship between obesity and depression varied by race and ethnicity only among nonHispanic white women. Thus, 46.6% of depressed Mexican American women were obese compared with 43.1% of nondepressed Mexican American women, while among non-Hispanic white women, 45% with depression were obese compared with 32% without depression. It is unknown why Olvera and colleagues' findings are inconsistent with NHANES, but they show that the links among depression, obesity, and metabolic derangement are just as relevant to Mexican American women as they are to other racial/ethnic groups.What do we know about the depression-obesity relationship? As found by Olvera and colleagues, 1 this relationship appears to be stronger in women than in men and with greater severity of depression. 3 Other data show that it is bidirectional 4 and associated with atypical depressive features.5 Thus, obesity increases the risk of onset of depression, and depression predicts development of obesity. A similar bidirectional relationship may exist between depression and metabolic syndrome. It has been hypothesized that obese individuals may develop depression due to the stigma or medical burdens of obesity, as well as the adverse effects of the proinflammatory state of excess adiposity on the...

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Targeted prevention of excess weight gain and eating disorders in high-risk adolescent girls: a randomized controlled trial

Cited by 98 publications

References 43 publications

Childhood obesity: Current and novel approaches

Childhood obesity: Current and novel approaches

Assessment and treatment of eating disorders in children and adolescents

The Epidemic of Depression With Obesity

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