Jason M Nagata1, Andrea K Garber2, Jennifer L Tabler3, Stuart B Murray4, Kirsten Bibbins-Domingo5,6. 1. Division of Adolescent and Young Adult Medicine, , University of California, San Francisco, CA, USA. jasonmnagata@gmail.com. 2. Division of Adolescent and Young Adult Medicine, , University of California, San Francisco, CA, USA. 3. Department of Sociology and Anthropology, University of Texas Rio Grande Valley, Edinburg, TX, USA. 4. Department of Psychiatry, University of Californias, San Francisco, CA, USA. 5. Department of Epidemiology and Biostatistics, University of California, San Francisco, CA, USA. 6. Department of Medicine, University of California, San Francisco, CA, USA.
Abstract
BACKGROUND: Clinical and community samples indicate that eating disorders (EDs) and disordered eating behaviors (DEBs) may co-occur among adolescents and young adults at a weight status classified as overweight or obese. OBJECTIVE: To determine the prevalence of EDs and DEBs among young adults at a weight status classified as overweight or obese using a nationally representative sample and to characterize differences in prevalence by sex, race/ethnicity, sexual orientation, and socioeconomic status. DESIGN: Cross-sectional nationally representative data collected from Wave III of the National Longitudinal Study of Adolescent to Adult Health (Add Health). PARTICIPANTS: Young adults ages 18-24 years old. MAIN MEASURES: ED diagnosis and DEBs (self-reported binge eating or unhealthy weight control behaviors including vomiting, fasting/skipping meals, or laxative/diuretic use to lose weight). Covariates: age, sex, race/ethnicity, sexual orientation, weight status, and education. KEY RESULTS: Of the 14,322 young adults in the sample, 48.6% were at a weight status classified as overweight or obese. Compared to young adults at a weight status classified as underweight or normal weight, those at a weight status classified as overweight or obese reported a higher rate of DEBs (29.3 vs 15.8% in females, 15.4 vs 7.5% in males). Logistic regression analyses demonstrated that odds of engaging in DEBs were 2.32 (95% confidence interval 2.05-2.61) times higher for females compared to males; 1.66 (1.23-2.24) times higher for Asian/Pacific Islander compared to White; 1.62 (1.16-2.26) times higher for homosexual or bisexual compared to heterosexual; 1.26 (1.09-1.44) times higher for high school or less versus more than high school education; and 2.45 (2.16-2.79) times higher for obesity compared to normal weight, adjusting for all covariates. CONCLUSIONS: The high prevalence of DEBs particularly in young adults at a weight status classified as overweight or obese underscores the need for screening, referrals, and tailored interventions for DEBs in this population.
BACKGROUND: Clinical and community samples indicate that eating disorders (EDs) and disordered eating behaviors (DEBs) may co-occur among adolescents and young adults at a weight status classified as overweight or obese. OBJECTIVE: To determine the prevalence of EDs and DEBs among young adults at a weight status classified as overweight or obese using a nationally representative sample and to characterize differences in prevalence by sex, race/ethnicity, sexual orientation, and socioeconomic status. DESIGN: Cross-sectional nationally representative data collected from Wave III of the National Longitudinal Study of Adolescent to Adult Health (Add Health). PARTICIPANTS: Young adults ages 18-24 years old. MAIN MEASURES: ED diagnosis and DEBs (self-reported binge eating or unhealthy weight control behaviors including vomiting, fasting/skipping meals, or laxative/diuretic use to lose weight). Covariates: age, sex, race/ethnicity, sexual orientation, weight status, and education. KEY RESULTS: Of the 14,322 young adults in the sample, 48.6% were at a weight status classified as overweight or obese. Compared to young adults at a weight status classified as underweight or normal weight, those at a weight status classified as overweight or obese reported a higher rate of DEBs (29.3 vs 15.8% in females, 15.4 vs 7.5% in males). Logistic regression analyses demonstrated that odds of engaging in DEBs were 2.32 (95% confidence interval 2.05-2.61) times higher for females compared to males; 1.66 (1.23-2.24) times higher for Asian/Pacific Islander compared to White; 1.62 (1.16-2.26) times higher for homosexual or bisexual compared to heterosexual; 1.26 (1.09-1.44) times higher for high school or less versus more than high school education; and 2.45 (2.16-2.79) times higher for obesity compared to normal weight, adjusting for all covariates. CONCLUSIONS: The high prevalence of DEBs particularly in young adults at a weight status classified as overweight or obese underscores the need for screening, referrals, and tailored interventions for DEBs in this population.
Entities:
Keywords:
anorexia nervosa; binge eating; bulimia nervosa; eating disorders; obesity; weight control behaviors; young adult
Authors: Jason M Nagata; Neville H Golden; Rebecka Peebles; Jin Long; Stuart B Murray; Mary B Leonard; Jennifer L Carlson Journal: J Adolesc Health Date: 2017-01-11 Impact factor: 5.012
Authors: C B Taylor; T Sharpe; C Shisslak; S Bryson; L S Estes; N Gray; K M McKnight; M Crago; H C Kraemer; J D Killen Journal: Int J Eat Disord Date: 1998-07 Impact factor: 4.861
Authors: Jason M Nagata; Jennifer L Carlson; Jessica M Kao; Neville H Golden; Stuart B Murray; Rebecka Peebles Journal: Int J Eat Disord Date: 2017-11-07 Impact factor: 4.861
Authors: Stuart B Murray; Scott Griffiths; Jonathan M Mond; Joseph Kean; Aaron J Blashill Journal: Drug Alcohol Depend Date: 2016-06-16 Impact factor: 4.492
Authors: Jason M Nagata; Neville H Golden; Rebecka Peebles; Jin Long; Mary B Leonard; Audrey O Chang; Jennifer L Carlson Journal: Int J Eat Disord Date: 2016-09-09 Impact factor: 4.861
Authors: Laura Hooper; Susan Telke; Nicole Larson; Susan M Mason; Dianne Neumark-Sztainer Journal: Public Health Nutr Date: 2020-05-29 Impact factor: 4.022
Authors: Jason M Nagata; Jennifer L Carlson; Neville H Golden; Jin Long; Stuart B Murray; Rebecka Peebles Journal: Int J Eat Disord Date: 2019-02-16 Impact factor: 4.861
Authors: Jason M Nagata; David B Braudt; Benjamin W Domingue; Kirsten Bibbins-Domingo; Andrea K Garber; Scott Griffiths; Stuart B Murray Journal: Int J Eat Disord Date: 2019-04-17 Impact factor: 4.861
Authors: Jason M Nagata; Matthew R Capriotti; Stuart B Murray; Emilio J Compte; Scott Griffiths; Kirsten Bibbins-Domingo; Juno Obedin-Maliver; Annesa Flentje; Micah E Lubensky; Mitchell R Lunn Journal: Eur Eat Disord Rev Date: 2019-12-02
Authors: Katherine N Balantekin; Anne Claire Grammer; Ellen E Fitzsimmons-Craft; Dawn E Eichen; Andrea K Graham; Grace E Monterubio; Marie-Laure Firebaugh; Anna M Karam; Shiri Sadeh-Sharvit; Neha J Goel; Rachael E Flatt; Mickey T Trockel; C Barr Taylor; Denise E Wilfley Journal: Eat Behav Date: 2021-02-13
Authors: Jason M Nagata; Idia B Thurston; Bryan T Karazsia; Daniel Woolridge; Sara M Buckelew; Stuart B Murray; Jerel P Calzo Journal: Eat Weight Disord Date: 2020-03-28 Impact factor: 4.652