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A cross-sectional model of eating disorders in Argentinean overweight and obese children

  • Luciana Soledad Elizathe
  • Fernán Guido Arana
  • Guillermina Rutsztein
Original Article
  • 143 Downloads

Abstract

Despite the fact that past research identified childhood obesity as an antecedent of eating disorders, not all obese children further develop this pathology. With this regard, our first purpose was to isolate which characteristics differentiate overweight children who have an eating disorder from those who have not. Second, considering that there is little evidence collected in Latin American countries, we provided overweight children data from an Argentinean sample. Specifically, we investigated if weight-teasing, perfectionism, disturbed eating attitudes and behaviors, and body image dissatisfaction are related to the occurrence of an eating disorder in 100 school-aged overweight/obese children (37 girls and 63 boys; mean age 10.85, SD 0.88). Participants completed self-report instruments and were interviewed between 1 and 2 months later to confirm the presence of eating disorders. Seventeen percent participants confirmed to have an eating disorder. Further, the multivariate logistic analysis revealed that perfectionism (Exp β = 1.19) and disturbed eating attitudes and behaviors (Exp β = 4.78) were jointly associated with the presence of an eating disorder. These results were maintained even when the overall model was adjusted for covariates such as age, gender, body mass index, and school type. Weight-teasing and body image dissatisfaction did not contribute to the multivariate model. Prevalence rates of ED and model findings were discussed.

Keywords

Eating disorders Overweight Children 

Notes

Acknowledgments

This study was supported by a postdoctoral fellowship from the Consejo Nacional de Investigaciones Científicas y Técnicas.

Compliance with ethical standards

Conflict of interest

On behalf of all authors, the corresponding author states that there is no conflict of interest.

Ethical approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments.

Informed consent

Informed consent was obtained from all individual participants included in the study.

References

  1. 1.
    Agras WS, Brandt HA, Bulik CM et al (2004) Report of the National Institutes of Health Workshop on overcoming barriers to treatment research in Anorexia Nervosa. Int J Eat Disord 35(4):509–521. doi: 10.1002/eat.10261 CrossRefPubMedGoogle Scholar
  2. 2.
    Bryant-Waugh R, Lask B (2013) Overview of eating disorders in childhood and adolescence. In: Bryant-Waugh R, Lask B (eds) eating disorders in childhood and adolescence. Routledge, New York, pp 33–49Google Scholar
  3. 3.
    Campbell K, Peebles R (2014) Eating disorders in children and adolescents: state of the art review. Pediatrics 134(3):582–592. doi: 10.1542/peds.2014-0194 CrossRefPubMedGoogle Scholar
  4. 4.
    Peebles R, Wilson JL, Lock JD (2006) How do children with eating disorders differ from adolescents with eating disorders at initial evaluation? J Adolesc Heal 39(6):800–805. doi: 10.1016/j.jadohealth.2006.05.013 CrossRefGoogle Scholar
  5. 5.
    Rosen DS (2010) Identification and management of eating disorders in children and adolescents. Pediatrics 126(6):1240–1253. doi: 10.1542/peds.2010-2821 CrossRefPubMedGoogle Scholar
  6. 6.
    Le Grange D, Loeb KL (2007) Early identification and treatment of eating disorders: prodrome to syndrome. Early Interv Psychiatry 1:27–39. doi: 10.1111/j.1751-7893.2007.00007.x CrossRefPubMedGoogle Scholar
  7. 7.
    Bryant-Waugh R (2007) Anorexia nervosa in children and adolescents. In: Jaffa T, McDermott B (eds) Eating disorders in children and adolescents. Cambridge University Press, New York, pp 111–122Google Scholar
  8. 8.
    Villarejo C, Fernández-Aranda F, Jiménez-Murcia S et al (2012) Lifetime obesity in patients with eating disorders: increasing prevalence, clinical and personality correlates. Eur Eat Disord Rev 20(3):250–254. doi: 10.1002/erv.2166 CrossRefPubMedPubMedCentralGoogle Scholar
  9. 9.
    Lebow J, Sim L, Kransdorf LN (2015) Prevalence of a history of overweight and obesity in adolescents with restrictive eating disorders. J Adolesc Heal 56(1):19–24. doi: 10.1016/j.jadohealth.2014.06.005 CrossRefGoogle Scholar
  10. 10.
    Wang Y, Lobstein T (2006) Worldwide trends in childhood overweight and obesity. Int J Pediatr Obes 1:11–25. doi: 10.1080/17477160600586747 CrossRefPubMedGoogle Scholar
  11. 11.
    Rancourt D, McCullough MB (2015) Overlap in eating disorders and obesity in adolescence. Curr Diab Rep 15:78. doi: 10.1007/s11892-015-0645-y CrossRefPubMedGoogle Scholar
  12. 12.
    Braet C, O’Malley G, Weghuber D et al (2014) The assessment of eating behaviour in children who are obese: a psychological approach. A position paper from the European childhood obesity group. Obes Facts 7(3):153–164. doi: 10.1159/000362391 CrossRefPubMedPubMedCentralGoogle Scholar
  13. 13.
    Stice E (2002) Risk and maintenance factors for eating pathology: a meta-analytic review. Psychol Bull 128(5):825–848. doi: 10.1037//0033-2909.128.5.825 CrossRefPubMedGoogle Scholar
  14. 14.
    Stice E, Shaw H (2004) Eating disorder prevention programs: a meta-analytic review. Psychol Bull 130(2):206–227. doi: 10.1037/0033-2909.130.2.206 CrossRefPubMedGoogle Scholar
  15. 15.
    Kostanski M, Gullone E (2007) The impact of teasing on children’s body image. J Child Fam Stud 16:307–319. doi: 10.1007/s10826-006-9087-0 CrossRefGoogle Scholar
  16. 16.
    Madowitz J, Knatz S, Maginot T et al (2012) Teasing, depression and unhealthy weight control behaviour in obese children. Pediatr Obes 7(6):446–452. doi: 10.1111/j.2047-6310.2012.00078.x CrossRefPubMedPubMedCentralGoogle Scholar
  17. 17.
    Shunk JA, Birch LL (2004) Girls at risk for overweight at age 5 are at risk for dietary restraint, disinhibited overeating, weight concerns, and greater weight gain from 5 to 9 years. J Am Diet Assoc 104(7):1120–1126. doi: 10.1016/j.jada.2004.04.031 CrossRefPubMedPubMedCentralGoogle Scholar
  18. 18.
    Gonçalves S, Silva M, Gomes AR et al (2012) Disordered eating among preadolescent boys and girls: the relationship with child and maternal variables. Nutrients 4:273–285. doi: 10.3390/nu4040273 CrossRefPubMedPubMedCentralGoogle Scholar
  19. 19.
    Junger KF, Janicke DM, Sallinen BJ (2010) The impact of a behavioral weight management program on disordered eating attitudes and behaviors in overweight children. J Am Diet Assoc 110(11):1653–1659. doi: 10.1016/j.jada.2010.08.005 CrossRefGoogle Scholar
  20. 20.
    Tanofsky-Kraff M, Yanovski SZ, Wilfley DE et al (2004) Eating-disordered behaviors, body fat, and psychopathology in overweight and normal-weight children. J Consult Clin Psychol 72(1):53–61. doi: 10.1037/0022-006X.72.1.53 CrossRefPubMedPubMedCentralGoogle Scholar
  21. 21.
    Braet C, Claus L, Goossens L et al (2008) Differences in eating style between overweight and normal-weight youngsters. J Health Psychol 13(6):733–743. doi: 10.1177/1359105308093850 CrossRefPubMedGoogle Scholar
  22. 22.
    Neumark-Sztainer D, Wall M, Guo J et al (2006) Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: how do dieters fare 5 years later? J Am Diet Assoc 106(4):559–568. doi: 10.1016/j.jada.2006.01.003 CrossRefPubMedGoogle Scholar
  23. 23.
    Goldschmidt AB, Aspen VP, Sinton MM et al (2008) Disordered eating attitudes and behaviors in overweight youth. Obesity 16(2):257–264. doi: 10.1038/oby.2007.48 CrossRefPubMedGoogle Scholar
  24. 24.
    Bardone-Cone AM, Wonderlich SA, Frost RO et al (2007) Perfectionism and eating disorders: current status and future directions. Clin Psychol Rev 27:384–405. doi: 10.1016/j.cpr.2006.12.005 CrossRefPubMedGoogle Scholar
  25. 25.
    Goldner EM, Cockell SJ, Srikameswaran S (2002) Perfectionism and eating disorders. In: Flett GL, Hewitt PL (eds) Perfectionism: theory, research, and treatment. American Psychological Association, Washington, DC, pp 319–340CrossRefGoogle Scholar
  26. 26.
    Fairburn C (2008) Clinical perfectionism, core low self-esteem and interpersonal problems. In: Fairburn C (ed) Cognitive behavioral therapy and eating disorders. The Guilford Press, New York, pp 197–220Google Scholar
  27. 27.
    Castro J, Gila A, Gual P et al (2004) Perfectionism dimensions in children and adolescents with anorexia nervosa. J Adolesc Health 35(5):392–398. doi: 10.1016/j.jadohealth.2003.11.094 CrossRefPubMedGoogle Scholar
  28. 28.
    Saling M, Ricciardelli L, McCabe MA (2005) Prospective study of individual factors in the development of weight and muscle concerns among preadolescent children. J Youth Adolesc 34(6):651–661. doi: 10.1007/s10964-005-8953-1 CrossRefGoogle Scholar
  29. 29.
    Eddy KT, Tanofsky-Kraff M, Thompson-Brenner H et al (2007) Eating disorder pathology among overweight treatment-seeking youth: clinical correlates and cross-sectional risk modeling. Behav Res Ther 45(10):2360–2371. doi: 10.1016/j.brat.2007.03.017 CrossRefPubMedGoogle Scholar
  30. 30.
    Cottee-Lane D, Pistrang N, Bryant-Waugh R (2004) Childhood onset anorexia nervosa: the experience of parents. Eur Eat Disord Rev 12(3):169–177. doi: 10.1002/erv.560 CrossRefGoogle Scholar
  31. 31.
    Lask B, Bryant-Waugh R, Wright F et al (2005) Family physician consultation patterns indicate high risk for early-onset anorexia nervosa. Int J Eat Disord 38(3):269–272. doi: 10.1002/eat.20163 CrossRefPubMedGoogle Scholar
  32. 32.
    Gupta N, Goel K, Shah P et al (2012) Childhood obesity in developing countries: epidemiology, determinants, and prevention. Endocr Rev 33(1):48–70. doi: 10.1210/er.2010-0028 CrossRefPubMedGoogle Scholar
  33. 33.
    Rivera JÁ, De Cossío TG, Pedraza LS et al (2014) Childhood and adolescent overweight and obesity in Latin America: a systematic review. Lancet Diabetes Endocrinol 2:321–332. doi: 10.1016/S2213-8587(13)70173-6 CrossRefPubMedGoogle Scholar
  34. 34.
    Smink FR, van Hoeken D, Hoek HW (2012) Epidemiology of eating disorders: incidence, prevalence and mortality rates. Curr Psychiatry Rep 14(4):406–414. doi: 10.1007/s11920-012-0282-y CrossRefPubMedPubMedCentralGoogle Scholar
  35. 35.
    De Onis M, Onyango AW, Borghi E et al (2007) Development of a WHO growth reference for school-aged children and adolescents. Bull World Health Organ 85(9):660–667. doi: 10.2471/BLT.07.043497 CrossRefGoogle Scholar
  36. 36.
    American Psychiatric Association (1994) Diagnostic and statistical manual of mental disorders, 4th edn. American Psychiatric Association, Washington, DCGoogle Scholar
  37. 37.
    Nicholls D, Chater R, Lask B (2010) Children into DSM don’t go: a comparison of classification systems for eating disorders in childhood and early adolescence. Int J Eat Disord 28(3):317–324. doi: 10.1002/1098-108X(200011)28:3<317::AID-EAT9>3.0.CO;2-#
  38. 38.
    Bravender T, Bryant-Waugh R, Herzog D et al (2010) Classification of eating disturbance in children and adolescents: proposed changes for the DSM-V. Eur Eat Disord Rev 18(2):79–89. doi: 10.1002/erv.994 CrossRefPubMedPubMedCentralGoogle Scholar
  39. 39.
    Sociedad Argentina de Pediatría (2013) Guía para la evaluación del crecimiento físico. Ideográfica, Buenos Aires. Retrieved from http://www.sap.org.ar/docs/publicaciones/libro_verde_sap_2013.pdf
  40. 40.
    Maloney MJ, McGuire JB, Daniels SR (1988) Reliability testing of a children’s version of the eating attitude test. J Am Acad Child Adolesc Psychiatry 27:541–543. doi: 10.1097/00004583-198809000-00004 CrossRefPubMedGoogle Scholar
  41. 41.
    Elizathe LS, Murawski BM, Arana FG et al (2012) Propiedades Psicométricas del Children’s Eating Attitudes Test (ChEAT): una escala de identificación de riesgo de trastornos alimentarios en niños. Evaluar 11: 18–39. Retrieved from https://revistas.unc.edu.ar/index.php/revaluar/article/view/2840
  42. 42.
    Maloney MJ, McGuire J, Daniels SR et al (1989) Dieting behavior and eating attitudes in children. Pediatrics 84: 482–489. Retrieved from http://pediatrics.aappublications.org/content/84/3/482
  43. 43.
    Collins ME (1991) Body figure perceptions and preferences among pre-adolescent children. Int J Eat Disord 10(2):199–208. doi: 10.1002/1098-108X(199103)10:2<199:AID-EAT2260100209>3.0.CO;2-D CrossRefGoogle Scholar
  44. 44.
    Oros LB (2003) Medición del perfeccionismo infantil: Desarrollo y validación de una escala para niños de 8 a 13 años de edad. Rev Iberoam Diagnóstico y Evaluación Psicológica 16(2): 99–112. Retrieved from http://www.aidep.org/03_ridep/R16/R166.pdf
  45. 45.
    Fairburn CG, Cooper Z (1993) The eating disorder examination. In: Fairburn CG, Wilson GT (eds) Binge eating: nature, assessment and treatment. Guilford Press, New YorkGoogle Scholar
  46. 46.
    Rutsztein G, Murawski B, Elizathe L et al (2010) Eating disorders: detection in female and male adolescents in Buenos Aires. A two-stage study. Rev Mex Trastor Aliment 1: 48–61. Retrieved from http://journals.iztacala.unam.mx/index.php/amta/article/viewFile/6/15
  47. 47.
    Bryant-Waugh RJ, Cooper PJ, Taylor CL et al (1996) The use of the eating disorder examination with children: a pilot study. Int J Eat Disord 19(4):391–397. doi: 10.1002/(SICI)1098-108X(199605)19:4<391:AID-EAT6>3.0.CO;2-G CrossRefPubMedGoogle Scholar
  48. 48.
    O’Brien RM (2007) A caution regarding rules of thumb for variance inflation factors. Qual Quan 41(5):673–690. doi: 10.1007/s11135-006-9018-6 CrossRefGoogle Scholar
  49. 49.
    Pauli-Pott U, Becker K, Albayrak Ö et al (2013) Links between psychopathological symptoms and disordered eating behaviors in overweight/obese youths. Int J Eat Disord 46(2):156–163. doi: 10.1002/eat.22055 CrossRefPubMedGoogle Scholar
  50. 50.
    Lim CS, Gowey MA, Cohen MJ et al (2016) Unhealthy weight control behaviors mediate the association between weight status and weight-specific health-related quality of life in treatment-seeking youth who are obese. Eat Weight Disord. doi: 10.1007/s40519-016-0262-z PubMedGoogle Scholar
  51. 51.
    Neumark-Sztainer D, Wall M, Story M et al (2012) Dieting and unhealthy weight control behaviors during adolescence: associations with 10-year changes in body mass index. J Adolesc Heal 50:80–86. doi: 10.1016/j.jadohealth.2011.05.010 CrossRefGoogle Scholar
  52. 52.
    Braet C (2006) Patient characteristics as predictors of weight loss after an obesity treatment for children. Obesity 14(1):148–155. doi: 10.1038/oby.2006.18 CrossRefPubMedGoogle Scholar
  53. 53.
    Sancho C, Arija MV, Asorey O et al (2007) Epidemiology of eating disorders: a two year follow up in an early adolescent school population. Eur Child Adolesc Psychiatry 16(8):495–504. doi: 10.1007/s00787-007-0625-0 CrossRefPubMedGoogle Scholar
  54. 54.
    Cebolla A, Perpiñá C, Lurbe E et al (2012) Prevalence of binge eating disorder among a clinical sample of obese children. An Pediatría 77(2):98–102. doi: 10.1016/j.anpedi.2011.11.027 CrossRefGoogle Scholar
  55. 55.
    Decaluwé V, Braet C, Fairburn CG (2003) Binge eating in obese children and adolescents. Int J Eat Disord 33(1):78–84. doi: 10.1002/eat.10110 CrossRefPubMedGoogle Scholar
  56. 56.
    Mann T, Tomiyama AJ, Westling E et al (2007) Medicare’s search for effective obesity treatments: diets are not the answer. Am Psychol 62(3):220–233. doi: 10.1037/0003-066X.62.3.220 CrossRefPubMedGoogle Scholar
  57. 57.
    Sonneville KR, Calzo JP, Horton NJ et al (2012) Body satisfaction, weight gain and binge eating among overweight adolescent girls. Int J Obes 36(7):944–949. doi: 10.1038/ijo.2012.68 CrossRefGoogle Scholar
  58. 58.
    Fairburn C (2008) Eating disorders: the transdiagnostic view and the cognitive behavioral theory. In: Fairburn C (ed) Cognitive behavioral therapy and eating disorders. The Guilford Press, New York, pp 7–22Google Scholar

Copyright information

© Springer International Publishing Switzerland 2016

Authors and Affiliations

  1. 1.Facultad de PsicologíaUniversidad de Buenos AiresBuenos AiresArgentine Republic
  2. 2.Consejo Nacional de Investigaciones Científicas y Técnicas (CONICET)Buenos AiresArgentine Republic

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