S K Lipson1, K R Sonneville2. 1. Child Health Evaluation and Research Center, Department of Pediatrics, University of Michigan Medical School, United States. 2. Department of Nutritional Sciences, University of Michigan School of Public Health, United States. Electronic address: kendrins@umich.edu.
Abstract
OBJECTIVES: We sought to estimate the prevalence of eating disorder symptoms in a large sample of U.S. college students and variations therein across student characteristics. METHODS: Participants were 9713 students from 12 colleges and universities participating in the Healthy Bodies Study. We used gender-stratified logistic regression to estimate bivariate correlates of elevated eating disorder symptoms, past-month objective binge eating, and past-month compensatory behaviors across student characteristics including age, degree-level, sexual orientation, race/ethnicity, first-generation status, citizenship, academic and extracurricular characteristics, and weight status. Eating disorder outcomes were based on the Eating Disorder Examination Questionnaire. RESULTS: We observed higher prevalence of objective binge eating among females relative to males (49% versus 30%, p<0.001), but similar prevalence of compensatory behaviors (31% versus 29%). Weight status was the most consistent predictor of eating disorder risk with significantly more symptoms seen among individuals with overweight and obesity. When compared to individuals with a healthy weight, those with overweight had greater eating disorder risk (males OR=3.5; females OR=2.0), binge eating (males OR=2.1; females OR=1.9), and use of compensatory behaviors (males OR=1.5; females OR=1.3). CONCLUSIONS: This study suggests smaller gender difference in prevalence of eating disorder symptoms than previously reported and identifies students with overweight/obesity as salient targets for campus-based eating disorder screening and early intervention efforts.
OBJECTIVES: We sought to estimate the prevalence of eating disorder symptoms in a large sample of U.S. college students and variations therein across student characteristics. METHODS:Participants were 9713 students from 12 colleges and universities participating in the Healthy Bodies Study. We used gender-stratified logistic regression to estimate bivariate correlates of elevated eating disorder symptoms, past-month objective binge eating, and past-month compensatory behaviors across student characteristics including age, degree-level, sexual orientation, race/ethnicity, first-generation status, citizenship, academic and extracurricular characteristics, and weight status. Eating disorder outcomes were based on the Eating Disorder Examination Questionnaire. RESULTS: We observed higher prevalence of objective binge eating among females relative to males (49% versus 30%, p<0.001), but similar prevalence of compensatory behaviors (31% versus 29%). Weight status was the most consistent predictor of eating disorder risk with significantly more symptoms seen among individuals with overweight and obesity. When compared to individuals with a healthy weight, those with overweight had greater eating disorder risk (males OR=3.5; females OR=2.0), binge eating (males OR=2.1; females OR=1.9), and use of compensatory behaviors (males OR=1.5; females OR=1.3). CONCLUSIONS: This study suggests smaller gender difference in prevalence of eating disorder symptoms than previously reported and identifies students with overweight/obesity as salient targets for campus-based eating disorder screening and early intervention efforts.
Authors: Ellen E Fitzsimmons-Craft; Katherine N Balantekin; Dawn M Eichen; Andrea K Graham; Grace E Monterubio; Shiri Sadeh-Sharvit; Neha J Goel; Rachael E Flatt; Kristina Saffran; Anna M Karam; Marie-Laure Firebaugh; Mickey Trockel; C Barr Taylor; Denise E Wilfley Journal: Int J Eat Disord Date: 2019-07-03 Impact factor: 4.861
Authors: Ellen E Fitzsimmons-Craft; Marie-Laure Firebaugh; Andrea K Graham; Dawn M Eichen; Grace E Monterubio; Katherine N Balantekin; Anna M Karam; Annie Seal; Burkhardt Funk; C Barr Taylor; Denise E Wilfley Journal: Psychol Serv Date: 2018-11-08
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Authors: Vivienne M Hazzard; Melissa Simone; Skylar L Borg; Kelley A Borton; Kendrin R Sonneville; Jerel P Calzo; Sarah K Lipson Journal: Int J Eat Disord Date: 2020-05-25 Impact factor: 4.861
Authors: Hana F Zickgraf; Vivienne M Hazzard; Shannon M O'Connor; Melissa Simone; Gail A Williams-Kerver; Lisa M Anderson; Sarah K Lipson Journal: Int J Eat Disord Date: 2020-07-04 Impact factor: 4.861