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Subclinical binge eating symptoms in early adolescence and its preceding and concurrent factors: a population-based study

  • University College London
  • University of Pittsburgh

Research output: Contribution to journal › Article › Academic › peer-review

28 Citations (Scopus)
130 Downloads (Pure)

Abstract

Objective: Binge eating, loss of control eating and overeating often develop during late childhood or early adolescence. Understanding the presentation of binge eating as early as symptoms manifest and its preceding and concurrent factors is essential to hamper the development of eating disorders. This study examined the prevalence, concurrent and preceding factors (e.g. compensatory behaviors, emotional and behavioral problems) of subclinical binge eating symptoms in early adolescence. Methods: Data from the population-based Generation R Study were used (n = 3595). At 10 years and 14 years, preceding and concurrent factors including eating behaviors, body dissatisfaction, emotional and behavioral problems and body composition were assessed. At 14 years, 3595 adolescents self-reported on binge eating symptoms in the past 3 months and were categorized into four groups: no symptoms (n = 3143, 87.4%), overeating only (n = 121, 3.4%), loss of control (LOC) eating only (n = 252, 7.0%) or binge eating (i.e. both, n = 79, 2.2%). Results: In total, 452 (12.6%) young adolescents reported subclinical binge eating symptoms. Those who reported LOC eating and binge eating showed most compensatory behaviors (e.g. hide or throw away food, skipping meals). Concurrent emotional and behavioral problems, body dissatisfaction, more emotional-, restrained- and uncontrolled eating, and a higher BMI were associated with subclinical binge eating symptoms. Preceding self-reported emotional and behavioral problems, body dissatisfaction, more restrained eating and higher BMI (both fat mass and fat-free mass) at 10 years were associated with LOC eating and binge eating, but not with overeating. Discussion: Among young adolescents, subclinical binge eating symptoms were common. Considering the high prevalence of LOC eating, and the overlapping preceding and concurrent factors of LOC eating and binge eating compared to overeating, LOC eating seems to be a key symptom of binge eating in early adolescence.

Original languageEnglish
Article number180
JournalJournal of Eating Disorders
Volume10
Issue number1
DOIs
Publication statusPublished - 23 Nov 2022

Bibliographical note

Funding Information:
The general design of Generation R Study is made possible by financial support from the Erasmus Medical Center and the Erasmus University Rotterdam, the Netherlands Organization for Health Research and Development (ZonMW), the Netherlands Organisation for Scientific Research (NWO), the Ministry of Health, Welfare and Sport and the Ministry of Youth and Families. The current study was made possible by grants from the Netherlands Organization for Health Research and Development (Mental Health Care Research Program - Fellowship 636320005 to PWJ; NWO, ZonMW, grant number 543003109 to RG), from the Dutch Heart Foundation (grant number 2017T013 to RG), and from the Dutch Diabetes Foundation (grant number 2017.81.002 to RG). CL holds a fellowship funded by the Rosetrees Trust and MQ – Transforming Mental Health. The funders had no role in the design and conduct of the study or the writing of the report.

Publisher Copyright:
© 2022, The Author(s).

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

  1. SDG 3 - Good Health and Well-being
    SDG 3 Good Health and Well-being

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