What medical providers need to elevate outpatient care for adolescents and young adults with binge‐eating disorder: A novel protocol DOI Creative Commons
Amanda E. Downey, Michelle A. Odette, Austin Sanders

et al.

International Journal of Eating Disorders, Journal Year: 2023, Volume and Issue: 57(2), P. 294 - 302

Published: Dec. 21, 2023

Abstract Purpose Binge‐eating disorder (BED) in adolescents and young adults is underrecognized understudied no standardized guidelines exist for medical providers caring this population. To highlight the lack of extant evidence, we examine demographic characteristics youth with BED an academic eating disorders (EDs) program primary care clinic describe needs their providers. Method A retrospective chart review was conducted patients who met criteria from July 2021 to June 2022. We surveyed understand multidisciplinary team expertise EDs amalgamated current evidence into a protocolized schema designed implementation outpatient setting. Results Eighteen were reviewed, 14 identified as female, 3 male, 1 “Other.” Average age 15.4 (2.7) years old, mean body mass index 35.90 (8.25). 33.3% (6) White/Caucasian, followed by 22.2% (4) Hispanic/Latinx. Eleven 18 privately insured. The most common recommendations regular meals snacks individual psychotherapy. Medical desired more education about identification management BED. Conclusions address BED, Forum include: increased providers, monitoring, emphasis on psychotherapy, weight‐inclusive orientation. Public Significance Adolescents are undertreated. Little known these receive within program. For first time, preliminary provided.

Language: Английский

Binge Eating Disorder and Metabolic Syndrome: Shared Mechanisms and Clinical Implications DOI Open Access

Mr Michel Alagha,

Firas Al-Alam,

Karmen Saroufine

et al.

Healthcare, Journal Year: 2025, Volume and Issue: 13(5), P. 482 - 482

Published: Feb. 23, 2025

Background: Binge eating disorder (BED) is characterized by episodes of uncontrollable eating, defined the rapid consumption large quantities food over a short period. This condition associated with variety psychological and non-psychological factors, including behavioral, biological, genetic, neurological, pharmacological influences, all which adversely affect patients' daily lives. BED linked to numerous health consequences, such as obesity, atherosclerosis, diabetes, chronic pain, hypertension. Although not exclusive individuals it more prevalent in this population, who also face heightened risk developing metabolic syndrome (MetS). The latter cluster five factors-obesity, hyperlipidemia, hyperinsulinemia, hypertension, hyperglycemia-that significantly increase likelihood diseases. Methods: narrative review synthesizes existing research explore association between MetS, examining shared pathophysiological mechanisms clinical implications. It highlights role escalating insecurity ongoing political, economic, crises development BED. Results: MetS components, type 2 dyslipidemia, contributing increased morbidity mortality. Beyond body weight, neurological factors mediate relationship. Conclusions: strongly through biological pathways. Early detection, integrated management strategies, further are crucial addressing public challenges posed association.

Language: Английский

Citations

1

Food inequity and insecurity and MASLD: burden, challenges, and interventions DOI
Shira Zelber‐Sagi, Patrizia Carrieri, Juan M. Pericàs

et al.

Nature Reviews Gastroenterology & Hepatology, Journal Year: 2024, Volume and Issue: 21(10), P. 668 - 686

Published: July 29, 2024

Language: Английский

Citations

8

Prospective association of screen time with binge‐eating disorder among adolescents in the United States: The mediating role of depression DOI Creative Commons
Abubakr A A Al-Shoaibi, Iris Yuefan Shao, Kyle T. Ganson

et al.

International Journal of Eating Disorders, Journal Year: 2024, Volume and Issue: 57(5), P. 1192 - 1201

Published: Feb. 15, 2024

Screen time has been reported to be associated with binge-eating disorder (BED) among adolescents in the US; however, potential mediators remain unclear. This study aimed evaluate depression symptoms as a mediator of prospective association between screen and BED.

Language: Английский

Citations

7

The social epidemiology of binge-eating disorder and behaviors in early adolescents DOI Creative Commons
Jason M. Nagata,

Zacariah Smith-Russack,

Angel Paul

et al.

Journal of Eating Disorders, Journal Year: 2023, Volume and Issue: 11(1)

Published: Oct. 13, 2023

Abstract Background Binge-eating disorder (BED) is the most common eating phenotype and linked to several negative health outcomes. Yet, little known about social epidemiology of BED, particularly in early adolescence. The objective this study was examine associations between sociodemographic characteristics BED binge-eating behaviors a large, national cohort 10–14-year-old adolescents United States (U.S.) Methods We conducted cross-sectional analysis two-year follow-up data from Adolescent Brain Cognitive Development (ABCD) Study (2018 − 2020) that included 10,197 (10 14 years, mean 12 years) U.S. Multivariable logistic regression models were used assess behaviors, defined based on Kiddie Schedule for Affective Disorders Schizophrenia. Results In adolescent sample (48.8% female, 54.0% White, 19.8% Latino/Hispanic, 16.1% Black, 5.4% Asian, 3.2% Native American, 1.5% Other), prevalence 1.0% 6.3%, respectively. Identifying as gay or bisexual (compared heterosexual; adjusted odds ratio [AOR]: 2.25, 95% CI 1.01–5.01) having household income less than $75,000 (AOR: 2.05, CI: 1.21–3.46) associated with greater BED. Being male 1.28, 1.06–1.55), American 1.60, 1.01–2.55) descent, 1.34, 1.08–1.65), identifying (AOR ‘Yes’ Response: 1.95, 1.31–2.91 AOR ‘Maybe’ 1.81, 1.19–2.76) all higher behaviors. Conclusion Several variables showed significant which can inform targeted screening, prevention, education campaigns among adolescents.

Language: Английский

Citations

16

Food Insecurity and Food Addiction in a Large, National Sample of Lower-Income Adults DOI Creative Commons
Cindy W. Leung, Lindsey Parnarouskis, Melissa J. Slotnick

et al.

Current Developments in Nutrition, Journal Year: 2023, Volume and Issue: 7(12), P. 102036 - 102036

Published: Nov. 20, 2023

Growing research has highlighted associations between food insecurity and eating-related problems. Food addiction is one important, clinically significant pattern of problematic eating, which related to, but distinct from eating disorders. To date, only study examined the association addiction. Additional needed to understand complexities this association. We in a large, national convenience sample lower-income adults, potential heterogeneity by age, gender, race ethnicity. A cross-sectional, web-based was conducted among 1,780 US adults (≥18 years) with household incomes <250% federal poverty guideline. Household security assessed using Security Survey Module. modified Yale Addiction Scale (mYFAS), version 2.0. Multivariate logistic regression models addiction, adjusting for sociodemographic covariates. The prevalence 7.3%, 51%. Compared security, endorsed each mYFAS symptom significantly greater frequency, including failure fulfill major role obligations (20%), continued use despite social or interpersonal problems (18%), craving strong desire (16%). After adjustment, associated 3.83-fold higher odds (95% CI 2.83, 6.17), no most foods reported were: chips, non-diet soda, chocolate, pizza, ice cream. These findings provide additional support Mechanistic studies are explore psychosocial factors, behaviors, environment contributing these associations.

Language: Английский

Citations

13

Food insecurity is related to eating disorder psychopathology beyond psychological distress in rural Chinese adolescents DOI
Jinbo He, Yueyang Xiao, Yulu Zhang

et al.

International Journal of Eating Disorders, Journal Year: 2024, Volume and Issue: 57(8), P. 1716 - 1724

Published: May 8, 2024

This study aimed to examine the relationship between food insecurity (FI) and eating disorder psychopathology in a large sample of rural Chinese adolescents.

Language: Английский

Citations

4

Eating Disorders DOI
Evelyn Attia,

B. Timothy Walsh

JAMA, Journal Year: 2025, Volume and Issue: unknown

Published: March 6, 2025

Eating disorders are characterized by disturbances in eating behavior and occur worldwide, with a lifetime prevalence of 2% to 5%. They more common among females than males may be associated medical psychiatric complications, impaired functioning, decreased quality life. Common include anorexia nervosa, bulimia binge-eating disorder, avoidant/restrictive food intake disorder. These changes weight, electrolyte abnormalities (eg, hyponatremia, hypokalemia), bradycardia, reproductive hormones estradiol levels females), bone density. Individuals disorder have high rates depression (76.3% for 65.5% 49.5% nervosa) higher suicide attempts those without disorders. Anorexia nervosa is mortality rate 5.1 deaths per 1000 person-years (95% CI, 4.0-6.1), nearly 6 times that individuals the same age nervosa; 25% from suicide. First-line treatments nutritional support, psychotherapy, pharmacotherapy. Behaviorally focused therapies, including cognitive behavioral therapy, effective, especially Youth benefit family-based treatment parental oversight eating, resulting remission at 12 months 48.6% vs 34.3% individual (odds ratio, 2.08; 95% 1.07-4.03; P = .03). Fluoxetine other antidepressants decrease episodes binge even (fluoxetine placebo, standardized mean difference -0.24 [small effect size; -0.41 -0.08]). Antidepressants central nervous system stimulant lisdexamfetamine reduce frequency compared placebo (antidepressants -0.29 -0.51 -0.06]; Hedges g 0.57 [medium 0.28-0.86]). There currently no effective medications nervosa. serious or complications such as bradycardia suicidality should hospitalized treatment. Globally, affect 5% during their males. In addition weight changes, cause abnormalities, hormones, density, increased risk depression, anxiety, attempts.

Language: Английский

Citations

0

The relationship between household food insecurity and quality of life among children aged 7–13 years: effects of parent-reported disordered eating, anxiety and depression DOI Creative Commons

Elie Ghadban,

Feten Fekih-Romdhane,

Joakima Khachan

et al.

BMC Public Health, Journal Year: 2025, Volume and Issue: 25(1)

Published: March 14, 2025

Food insecurity (FI) has been linked to adverse child health outcomes, including developmental, physical, and psychological disorders. However, little is known about the impact of FI on Lebanese children, especially considering daily social economic challenges population faces. These heighten children's vulnerability, particularly with regard disordered eating, anxiety, depression, which may act as mediating factors affecting their overall quality life. This study aims assess effects depression between life among children aged 7–13 years. A cross-sectional was conducted 504 parents assessed using Arab Family Security Scale (AFFSS), KIDSCREEN-10, eating Eating Disorder Examination-Questionnaire Short-Parent version, anxiety Spence Children's Anxiety Scale-Parent, Short Mood Feelings Questionnaire-Parent version. Mediation analysis performed PROCESS MACRO v3.4 in SPSS, 5000 bootstrapped samples. In total, 30.8% reported severe levels household FI. The results mediation showed that fully mediated association Higher significantly associated higher eating/depression/anxiety, whereas eating/depression/anxiety were lower not directly indirectly affects child's through its depression. Addressing these disorders from food-insecure households appears be essential improve implications are specific Lebanon but provide valuable insights applicable similar socio-economically politically challenged areas.

Language: Английский

Citations

0

Racial discrimination is associated with binge-eating disorder in early adolescents: a cross-sectional analysis DOI Creative Commons
Julia H. Raney, Abubakr A A Al-Shoaibi, Iris Yuefan Shao

et al.

Journal of Eating Disorders, Journal Year: 2023, Volume and Issue: 11(1)

Published: Aug. 17, 2023

Abstract Background Racial and ethnic discrimination are known stressors associated with negative psychological physical health outcomes. Previous studies have found relationships between racial/ethnic binge-eating disorder (BED), though they mainly focused on adult populations. The aim of this study was to determine associations BED in a large, national cohort early adolescents. We further sought explore the perpetrator (students, teachers, or other adults) BED. Methods analyzed cross-sectional data from Adolescent Brain Cognitive Development Study (N = 11,075, 2018–2020). Logistic regression analyses examined self-reported experiences racial behaviors diagnosis, adjusting for potential confounders. Racial/ethnic measures were assessed based Perceived Discrimination Scale, which race/ethnicity frequency by adults outside school, students. Binge-eating diagnosis Kiddie Schedule Affective Disorders Schizophrenia (KSAD-5). Results In racially diverse sample adolescents age range 9–12 years), 4.7% reported 1.1% met criteria adjusted models, 3 times higher odds having (OR 3.31, CI 1.66–7.74). Further, students school significantly increased 1.36, 1.10–1.68 OR 1.42 1.06–1.90, respectively)., Increased binge eating only perpetuated 1.12, 1.02–1.23). Conclusions Children who experienced discrimination, particularly when students, diagnoses. Clinicians may consider screening providing anti-racist, trauma-informed care evaluating treating patients

Language: Английский

Citations

8

Prevention of eating disorders: 2023 in review DOI Creative Commons
Michael P. Levine

Eating Disorders, Journal Year: 2024, Volume and Issue: 32(3), P. 223 - 246

Published: May 3, 2024

This review of 16 prevention-related publications in Eating Disorders during 2022 is framed by three models: (1) Mental Health Intervention Spectrum: health promotion → types prevention case identification/referral treatment; (2) the cycle: rationale and theory, shaped critical reviews clarifying risk protective factors program innovation feasibility studies efficacy effectiveness research dissemination; (3) definitions links between disordered eating (DE) disorders (EDs). Seven articles fell into category (including screening studies) relevant reviews, while nine addressed correlates of/risk (RFs) for various aspects DE EDs. One implication reviewed that RF toward construction selective indicated programs an expanding array diverse at-risk groups needs to address, from a nuanced, intersectional framework, broad range beyond negative body image internalization beauty ideals. Another that, expand improve current forthcoming programs, shape effective advocacy prevention-oriented social policy, field general particular need more scholarship form meta-analyses; factor research; development multi-stage evaluation; multi-step activism at local, state (province, region), national levels.

Language: Английский

Citations

2