• Open Access

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

Authors

  • Cynthia Villarejo,

    1. Department of Psychiatry, University Hospital of Bellvitge—IDIBELL, Barcelona, Spain
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  • Fernando Fernández-Aranda,

    1. Department of Psychiatry, University Hospital of Bellvitge—IDIBELL, Barcelona, Spain
    2. CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Spain
    3. Clinical Sciences Department, University of Barcelona, Spain
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  • Susana Jiménez-Murcia,

    1. Department of Psychiatry, University Hospital of Bellvitge—IDIBELL, Barcelona, Spain
    2. CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Spain
    3. Clinical Sciences Department, University of Barcelona, Spain
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  • Eva Peñas-Lledó,

    1. University of Extremadura, Badajoz, Spain
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  • Roser Granero,

    1. CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Spain
    2. Laboratori d'Estadística Aplicada, Departament de Psicobiologia i Metodologia, Universitat Autònoma de Barcelona, Spain
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  • Eva Penelo,

    1. Laboratori d'Estadística Aplicada, Departament de Psicobiologia i Metodologia, Universitat Autònoma de Barcelona, Spain
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  • Francisco J. Tinahones,

    1. CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Spain
    2. Department of Diabetes, Endocrinology and Nutrition, Hospital Clínico Universitario Virgen de Victoria, Málaga, Spain
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  • Carolina Sancho,

    1. Department of Psychiatry, University Hospital of Bellvitge—IDIBELL, Barcelona, Spain
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  • Nuria Vilarrasa,

    1. Endocrinology and Nutrition Department, Bellvitge Universitary Hospital—IDIBELL, Barcelona, Spain
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  • Mónica Montserrat-Gil de Bernabé,

    1. Dietetics Unit, Bellvitge Universitary Hospital, Barcelona, Spain
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  • Felipe F. Casanueva,

    1. CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Spain
    2. Division of Endocrinology, Complejo Hospitalario Universitario de Santiago de Compostela, Spain
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  • Jose Manuel Fernández-Real,

    1. CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Spain
    2. Department of Diabetes, Endocrinology and Nutrition, Institut d'Investigació Biomèdica de Girona (IdlBGi) Hospital Dr Josep Trueta, Girona, Spain
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  • Gema Frühbeck,

    1. CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Spain
    2. Department of Endocrinology and Nutrition, University of Navarra, Pamplona, Spain
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  • Rafael De la Torre,

    1. CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Spain
    2. Human Pharmacology and Clinical Neurosciences Research Group, Neuroscience Research Program, IMIM—Hospital del Mar Research Institute, Barcelona, Spain
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  • Janet Treasure,

    1. Institute of Psychiatry, Psychological Medicine, Section of Eating Disorders, King's College London, London, UK
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  • Cristina Botella,

    1. CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, Spain
    2. University Jaume I, Castellón, Spain
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  • José Manuel Menchón

    1. Department of Psychiatry, University Hospital of Bellvitge—IDIBELL, Barcelona, Spain
    2. Clinical Sciences Department, University of Barcelona, Spain
    3. CIBER, Salud Mental (CIBERSAM), Instituto Carlos III, Spain
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Fernando Fernández-Aranda, PhD, FAED, Department of Psychiatry and CIBEROBN, University Hospital of Bellvitge, c/Feixa Llarga s/n, 08907-Barcelona, Spain. Tel: +34-93-2607227; Fax: +34-93-2607193.

Email: ffernandez@bellvitgehospital.cat

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.

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