Lifetime Obesity in Patients with Eating Disorders: Increasing Prevalence, Clinical and Personality Correlates

Abstract

Objectives : The aims of our study were to examine the lifetime prevalence of obesity rate in eating disorders (ED) subtypes and to examine whether there have been temporal changes among the last 10 years and to explore clinical differences between ED with and without lifetime obesity. Methods : Participants were 1383 ED female patients (DSM‐IV criteria) consecutively admitted, between 2001 and 2010, to Bellvitge University Hospital. They were assessed by means of the Eating Disorders Inventory‐2, the Symptom Checklist‐90—Revised, the Bulimic Investigatory Test Edinburgh and the Temperament and Character Inventory—Revised. Results : The prevalence of lifetime obesity in ED cases was 28.8% (ranging from 5% in anorexia nervosa to 87% in binge‐eating disorders). Over the last 10 years, there has been a threefold increase in lifetime obesity in ED patients ( p < .001). People with an ED and obesity had higher levels of childhood and family obesity ( p < .001), a later age of onset and longer ED duration; and had higher levels of eating, general and personality symptomatology. Conclusions : Over the last 10 years, the prevalence of obesity associated with disorders characterized by the presence of binge episodes, namely bulimic disorders, is increasing, and this is linked with greater clinical severity and a poorer prognosis. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.

Shown for reading. Its publisher allows quoting it, not republishing it.

References 41

1. 1.

   DSM-IV-TR: Diagnostic and statistical manual of mental disorders. 2000.

   Not in our library

2. 2.

   Bachar E, Gur E, Canetti L, Berry E, Stein D. Selflessness and perfectionism as predictors of pathological eating attitudes and disorders: A longitudinal study. European Eating Disorders Review. 2010;18:496-506.

   Not in our library10.1002/erv.984

3. 3.
   Early markers of adult obesity: a review · 2011

   No notice
4. 4.

   Bulik CM, Sullivan PF, Joyce PR, Carter FA, McIntosh VV. Predictors of 1-year treatment outcome in bulimia nervosa. Comprehensive Psychiatry. 1998;39:206-214.

   Not in our library10.1016/s0010-440x(98)90062-1

5. 5.

   Bulik CM, Sullivan PF, Kendler KS. Medical and psychiatric morbidity in obese women with and without binge eating. International Journal of Eating Disorders. 2002;32:72-78.

   Not in our library10.1002/eat.10072

6. 6.

   Bulik CM, Sullivan PF, Kendler KS. Genetic and environmental contributions to obesity and binge eating. International Journal of Eating Disorders. 2003;33:293-298.

   Not in our library10.1002/eat.10140

7. 7.

   Cloninger CR. A systematic method for clinical description and classification of personality variants. A proposal. Archives of General Psychiatry. 1987;44:573-588.

   Not in our library10.1001/archpsyc.1987.01800180093014

8. 8.

   Danner UN, Ouwehand C, van Haastert NL, Hornsveld H, de Ridder DT. Decision-making impairments in women with binge eating disorder in comparison with obese and normal weight women. European Eating Disorders Review. 2012;20:e56-e62.

   Not in our library10.1002/erv.1098

9. 9.

   Derogatis L. SCL-90-R. A bibliography of research reports 1975–1990. 1990.

   Not in our library

10. 10.

    Derogatis LR. SCL-90-R. Cuestionario de 90 síntomas-Manual. 2002.

    Not in our library

11. 11.

    Dingemans AE, van Furth EF. Binge eating disorder psychopathology in normal weight and obese individuals. International Journal of Eating Disorders. 2012;45:135-138.

    Not in our library10.1002/eat.20905

12. 12.

    Fairburn CG, Norman PA, Welch SL, O'Connor ME, Doll HA, Peveler RC. A prospective study of outcome in bulimia nervosa and the long-term effects of three psychological treatments. Archives of General Psychiatry. 1995;52:304-312.

    Not in our library10.1001/archpsyc.1995.03950160054010

13. 13.

    Fandiño J, Moreira RO, Preissler C, Gaya CW, Papelbaum M, Coutinho WF, et al. Impact of binge eating disorder in the psychopathological profile of obese women. Comprehensive Psychiatry. 2010;51:110-114.

    Not in our library10.1016/j.comppsych.2009.03.011

14. 14.

    Fassino S, Leombruni P, Piero A, Abbate-Daga G, Giacomo Rovera G. Mood, eating attitudes, and anger in obese women with and without binge eating disorder. Journal of Psychosomatic Research. 2003;54:559-566.

    Not in our library10.1016/s0022-3999(02)00462-2

15. 15.

    Fesnad-Seedo C. Recomendaciones nutricionales basadas en la evidencia para la prevención y el tratamiento del sobrepeso y la obesidad en adultos. Revista Española de Obesidad. 2011;9(Supl. 1):5-78.

    Not in our library

16. 16.

    First M, Gibbon M, Spitzer R, Williams J. Users guide for the structured clinical interview for DSM IV axis I disorders—Research version (SCID-I, version 2.0). 1996.

    Not in our library

17. 17.

    Garner DM. Eating disorder inventory-2. 1991.

    Not in our library

18. 18.

    Garner DM. Inventario de Trastornos de la Conducta Alimentaria (EDI-2)-Manual. 1998.

    Not in our library

19. 19.

    Gonzalez M, Penelo E, Gutierrez T, Raich RM. Disordered eating prevention programme in schools: A 30-month follow-up. European Eating Disorders Review. 2011;19:349-356.

    Not in our library10.1002/erv.1102

20. 20.

    Gunnard K, Krug I, Jimenez-Murcia S, Penelo E, Granero R, Treasure J, et al. Relevance of social and self-standards in eating disorders. European Eating Disorders Review. 2011.

    Not in our library10.1002/erv.1148

21. 21.

    Gutierrez F, Torrens M, Boget T, Martin-Santos R, Sangorrin J, Perez G, et al. Psychometric properties of the temperament and character inventory (TCI) questionnaire in a Spanish psychiatric population. Acta Psychiatrica Scandinavica. 2001;103:143-147.

    Not in our library10.1034/j.1600-0447.2001.00183.x

22. 22.

    Haines J, Kleinman KP, Rifas-Shiman SL, Field AE, Austin SB. Examination of shared risk and protective factors for overweight and disordered eating among adolescents. Archives of Pediatrics & Adolescent Medicine. 2010;164:336-343.

    Not in our library10.1001/archpediatrics.2010.19

23. 23.

    Henderson M, Freeman CP. A self-rating scale for bulimia. The ‘BITE’. The British Journal of Psychiatry. 1987;150:18-24.

    Not in our library10.1192/bjp.150.1.18

24. 24.

    Hsu LK, Benotti PN, Dwyer J, Roberts SB, Saltzman E, Shikora S, et al. Nonsurgical factors that influence the outcome of bariatric surgery: A review. Psychosomatic Medicine. 1998;60:338-346.

    Not in our library10.1097/00006842-199805000-00021

25. 25.

    Hsu LK, Mulliken B, McDonagh B, Krupa Das S, Rand W, Fairburn CG, et al. Binge eating disorder in extreme obesity. International Journal of Obesity and Related Metabolic Disorders. 2002;26:1398-1403.

    Not in our library10.1038/sj.ijo.0802081

26. 26.

    Koskina A, Arkell J, Butcher G, Currie A, Gowers S, Key A, et al. Service providers' perceptions of the strengths and prospective improvements in UK eating disorder services: Findings from a royal college survey. European Eating Disorders Review. 2011.

    Not in our library10.1002/erv.1149

27. 27.

    Marcus MD, Wildes JE. Obesity: Is it a mental disorder? International Journal of Eating Disorders. 2009;42:739-753.

    Not in our library10.1002/eat.20725

28. 28.

    McAlpine DE, Frisch MJ, Rome ES, Clark MM, Signore C, Lindroos AK, et al. Bariatric surgery: A primer for eating disorder professionals. European Eating Disorders Review. 2010;18:304-317.

    Not in our library10.1002/erv.1012

29. 29.

    Müller A, Claes L, Mitchell JE, Fischer J, Horbach T, de Zwaan M. Binge eating and temperament in morbidly obese prebariatric surgery patients. European Eating Disorders Review. 2012;20:e91-e95.

    Not in our library10.1002/erv.1126

30. 30.

    Nasser JA, Gluck ME, Geliebter A. Impulsivity and test meal intake in obese binge eating women. Appetite. 2004;43:303-307.

    Not in our library10.1016/j.appet.2004.04.006

31. 31.

    Nuñez-Navarro A, Jimenez-Murcia S, Alvarez-Moya E, Villarejo C, Diaz IS, Augmantell CM, et al. Differentiating purging and nonpurging bulimia nervosa and binge eating disorder. International Journal of Eating Disorders. 2011;44:488-496.

    Not in our library10.1002/eat.20823

32. 32.

    2010.

    Not in our library

33. 33.

    Rivas T, Bernabé R, Jiménez M. Fiabillidad y validez del test de investigación bulímica de Edimburgo (BITE) en una muestra de adolescentes españoles. Psicología Conductual. 2004;12:447-461.

    Not in our library

34. 34.

    Roemmich JN, Lambiase MJ, Lobarinas CL, Balantekin KN. Interactive effects of dietary restraint and adiposity on stress-induced eating and the food choice of children. Eating Behavior. 2011;12:309-312.

    Not in our library10.1016/j.eatbeh.2011.07.003

35. 35.

    Root TL, Szatkiewicz JP, Jonassaint CR, Thornton LM, Pinheiro AP, Strober M, et al. Association of candidate genes with phenotypic traits relevant to anorexia nervosa. European Eating Disorders Review. 2011;19:487-493.

    Not in our library10.1002/erv.1138

36. 36.

    Van den Eynde F, Treasure J. Neuroimaging in eating disorders and obesity: Implications for research. Child and Adolescent Psychiatric Clinics of North America. 2009;18:95-115.

    Not in our library10.1016/j.chc.2008.07.016

37. 37.

    Volkow ND, O'Brien CP. Issues for DSM-V: Should obesity be included as a brain disorder? The American Journal of Psychiatry. 2007;164:708-710.

    Not in our library10.1176/ajp.2007.164.5.708

38. 38.

    Volkow ND, Wang GJ, Fowler JS, Tomasi D, Baler R. Food and drug reward: Overlapping circuits in human obesity and addiction. Current Topics in Behavioral Neurosciences. 2011.

    Not in our library10.1007/7854_2011_169

39. 39.

    Whitaker KL, Jarvis MJ, Beeken RJ, Boniface D, Wardle J. Comparing maternal and paternal intergenerational transmission of obesity risk in a large population-based sample. American Journal of Clinical Nutrition. 2010;91:1560-1567.

    Not in our library10.3945/ajcn.2009.28838

40. 40.

    Wilson GT. Eating disorders, obesity and addiction. European Eating Disorders Review. 2010;18:341-351.

    Not in our library10.1002/erv.1048

Cited by papers we hold 6

• Eating disorder outcomes: findings from a rapid review of over a decade of research · 2023
  No notice
• The classification of feeding and eating disorders in the ICD-11: results of a field study comparing proposed ICD-11 guidelines with existing ICD-10 guidelines · 2019
  Not checked
• Obesity and loss of disease-free years owing to major non-communicable diseases: a multicohort study · 2018
  No notice
• Obesity with Comorbid Eating Disorders: Associated Health Risks and Treatment Approaches · 2018
  No notice
• Association of Irisin with Fat Mass, Resting Energy Expenditure, and Daily Activity in Conditions of Extreme Body Mass Index · 2014
  No notice
• Executive Functions Profile in Extreme Eating/Weight Conditions: From Anorexia Nervosa to Obesity · 2012
  No notice

Reads

A person counts once a day per paper. We keep no cookie and no address: a reader is a hash that changes every day. Any month under five reads shows no number.