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Disordered eating behaviors and cardiometabolic risk among young adults with overweight or obesity
Author(s) -
Nagata Jason M.,
Garber Andrea K.,
Tabler Jennifer,
Murray Stuart B.,
Vittinghoff Eric,
BibbinsDomingo Kirsten
Publication year - 2018
Publication title -
international journal of eating disorders
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.785
H-Index - 138
eISSN - 1098-108X
pISSN - 0276-3478
DOI - 10.1002/eat.22927
Subject(s) - overweight , body mass index , medicine , obesity , binge eating , weight change , longitudinal study , cohort , young adult , weight loss , demography , gerontology , pathology , sociology
Objective To determine if unhealthy weight control behaviors or binge‐eating behaviors among young adults with overweight/obesity are associated with body mass index (BMI) change and cardiometabolic risk at 7‐year follow‐up. Methods We used longitudinal cohort data from 5,552 young adults with overweight/obesity at baseline (18–24 years) with 7‐year follow‐up (24–32 years) from the National Longitudinal Study of Adolescent to Adult Health. Baseline predictors were: (a) unhealthy weight control behaviors such as vomiting, fasting, skipping meals, or laxative/diuretic use to lose weight; or (b) binge‐eating behaviors. Participants reporting either unhealthy weight control behaviors or binge‐eating behaviors were considered to engage in any disordered eating behavior (DEB). Outcomes at 7‐year follow‐up were BMI change, incident diabetes, incident hypertension, and incident hyperlipidemia. Results Young adults with overweight/obesity reporting unhealthy weight control behaviors at baseline had higher BMI and weight at 7‐year follow‐up than those without unhealthy weight control behaviors. In regression models adjusting for baseline BMI, race/ethnicity, age, and education, unhealthy weight control behaviors were associated with greater change in BMI in both sexes and binge‐eating behavior at baseline was associated with greater odds of incident hyperlipidemia (odds ratio 1.90, 95% CI 1.29–2.79) at 7‐year follow‐up in males. Conclusions The higher risk for increased BMI (in both males and females) and incident hyperlipidemia (in males) over time in young adults with overweight/obesity who engage in DEBs underscores the need to screen for DEBs in this population and provide referrals and tailored interventions as appropriate.