A prospective study of loss of control eating for body weight gain in children at high risk for adult obesity

Authors

  • Marian Tanofsky-Kraff PhD,

    Corresponding author
    1. Unit on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health (NIH), DHHS, Bethesda, Maryland
    2. Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USUHS), Bethesda, Maryland
    • Department of Medical and Clinical Psychology, USUHS, 4301 Jones Bridge Road, Bethesda, MD 20814-4712
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  • Susan Z. Yanovski MD,

    1. Unit on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health (NIH), DHHS, Bethesda, Maryland
    2. Division of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive Kidney Diseases, NIH, DHHS, Bethesda, Maryland
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  • Natasha A. Schvey BA,

    1. Unit on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health (NIH), DHHS, Bethesda, Maryland
    2. Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USUHS), Bethesda, Maryland
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  • Cara H. Olsen MS, MPH,

    1. Department of Preventive Medicine and Biometrics, USUHS, Bethesda, Maryland
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  • Jennifer Gustafson BS,

    1. Unit on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health (NIH), DHHS, Bethesda, Maryland
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  • Jack A. Yanovski MD, PhD

    1. Unit on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development, National Institutes of Health (NIH), DHHS, Bethesda, Maryland
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  • This article is a US Government work and, as such, is in the public domain in the United States of America.

Abstract

Objective

Limited data suggest that disordered-eating may predispose children to excessive weight gain. We investigated the relationship between baseline responses to the Eating Disorder Examination adapted for Children (ChEDE) and change in BMI (kg/m2) in children at high risk for adult obesity.

Method

Children (6–12 years) were administered the ChEDE to assess loss of control (LOC) eating, dietary restraint, and eating, shape, and weight concern. Height and weight were measured at baseline and annually.

Results

Between July, 1999, and August, 2007, 772 measurements were obtained from 143 children over 4.5 ± 1.9 years. LOC eating predicted an increased rate of BMI growth over time (p = .02). Compared with children without LOC, those reporting LOC gained an additional mean 2.4 kg of weight per year.

Conclusion

LOC is a salient predictor of weight gain during middle childhood. Interventions that decrease LOC eating should be evaluated for their ability to prevent excessive pediatric weight gain. © 2008 by Wiley Periodicals, Inc. Int J Eat Disord 2009

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