Andrea B Goldschmidt1, Tyler B Mason2, Kathryn E Smith3, Amy H Egbert4, Scott G Engel5, Alissa Haedt-Matt6. 1. Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Weight Control and Diabetes Research Center/The Miriam Hospital, Providence, RI, United States of America. Electronic address: goldscha@pitt.edu. 2. Department of Population and Public Health Sciences, University of Southern California, Los Angeles, CA, United States of America. 3. Department of Psychiatry and Behavioral Science, University of Southern California, Los Angeles, CA, United States of America. 4. Department of Psychiatry and Human Behavior, Warren Alpert Medical School of Brown University, Weight Control and Diabetes Research Center/The Miriam Hospital, Providence, RI, United States of America. 5. Department of Biobehavioral Research, Sanford Research, Fargo, ND, United States of America; Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine and Health Sciences, Fargo, ND, United States of America. 6. Department of Psychology, Illinois Institute of Technology, Chicago, IL, United States of America.
Abstract
BACKGROUND: Research suggests that youth with overweight/obesity can be subtyped according to disinhibited eating tendencies. No research has attempted to subtype classes of eating episodes along sensational, psychological, and hedonic dimensions. METHODS: Youth (N = 39; 55% female) aged 8-14 y with overweight/obesity completed a 2-week ecological momentary assessment protocol in which they reported on all eating episodes and their sensational, environmental, affective, and interpersonal contexts. Latent profile analysis (LPA) was used to classify episodes based on loss of control (LOC) while eating, self-reported overeating, food palatability, hunger, and cravings. Classes were compared on affective, interpersonal, appearance-related, and environmental correlates using Wald chi-square tests. RESULTS: LPA identified three classes of eating episodes involving high levels of LOC/self-reported overeating ("binge-like" class), low levels of hunger ("eating-in-the-absence-of-hunger" class), and high hunger and cravings ("appetitive eating" class). Binge-like eating was associated with the highest levels of body dissatisfaction, interpersonal distress, and positive affect, and was most likely to occur in the after-school hours. CONCLUSIONS: Binge-like eating tends to occur in a psychological context relative to other types of eating episodes in youth with overweight/obesity. Future research should explore whether certain classes of eating episodes are associated with distinct weight trajectories over time.
BACKGROUND: Research suggests that youth with overweight/obesity can be subtyped according to disinhibited eating tendencies. No research has attempted to subtype classes of eating episodes along sensational, psychological, and hedonic dimensions. METHODS: Youth (N = 39; 55% female) aged 8-14 y with overweight/obesity completed a 2-week ecological momentary assessment protocol in which they reported on all eating episodes and their sensational, environmental, affective, and interpersonal contexts. Latent profile analysis (LPA) was used to classify episodes based on loss of control (LOC) while eating, self-reported overeating, food palatability, hunger, and cravings. Classes were compared on affective, interpersonal, appearance-related, and environmental correlates using Wald chi-square tests. RESULTS: LPA identified three classes of eating episodes involving high levels of LOC/self-reported overeating ("binge-like" class), low levels of hunger ("eating-in-the-absence-of-hunger" class), and high hunger and cravings ("appetitive eating" class). Binge-like eating was associated with the highest levels of body dissatisfaction, interpersonal distress, and positive affect, and was most likely to occur in the after-school hours. CONCLUSIONS: Binge-like eating tends to occur in a psychological context relative to other types of eating episodes in youth with overweight/obesity. Future research should explore whether certain classes of eating episodes are associated with distinct weight trajectories over time.
Authors: Anna Vannucci; Marian Tanofsky-Kraff; Ross D Crosby; Lisa M Ranzenhofer; Lauren B Shomaker; Sara E Field; Mira Mooreville; Samantha A Reina; Merel Kozlosky; Susan Z Yanovski; Jack A Yanovski Journal: J Consult Clin Psychol Date: 2012-12-31
Authors: Joshua M Smyth; Stephen A Wonderlich; Kristin E Heron; Martin J Sliwinski; Ross D Crosby; James E Mitchell; Scott G Engel Journal: J Consult Clin Psychol Date: 2007-08
Authors: Hellas Cena; Matteo Vandoni; Vittoria Carlotta Magenes; Ilaria Di Napoli; Luca Marin; Paola Baldassarre; Alessia Luzzi; Francesca De Pasquale; Gianvincenzo Zuccotti; Valeria Calcaterra Journal: Int J Environ Res Public Health Date: 2022-07-07 Impact factor: 4.614