Disordered eating behaviors and cardiometabolic risk among young adults with overweight or obesity
Corresponding Author
Jason M. Nagata MD, MSc
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, California
Correspondence
Jason M. Nagata, Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, 3333 California Street, Suite 245, San Francisco, CA 94143.
Email: [email protected]
Search for more papers by this authorAndrea K. Garber PhD, RD
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, California
Search for more papers by this authorJennifer Tabler PhD
Department of Sociology and Anthropology, University of Texas Rio Grande Valley, Edinburg, Texas
Search for more papers by this authorStuart B. Murray PhD
Department of Psychiatry, University of California, San Francisco, California
Search for more papers by this authorEric Vittinghoff PhD
Department of Epidemiology and Biostatistics, University of California, San Francisco, California
Search for more papers by this authorKirsten Bibbins-Domingo PhD, MD, MAS
Department of Epidemiology and Biostatistics, University of California, San Francisco, California
Department of Medicine, University of California, San Francisco, California
Search for more papers by this authorCorresponding Author
Jason M. Nagata MD, MSc
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, California
Correspondence
Jason M. Nagata, Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, 3333 California Street, Suite 245, San Francisco, CA 94143.
Email: [email protected]
Search for more papers by this authorAndrea K. Garber PhD, RD
Division of Adolescent and Young Adult Medicine, Department of Pediatrics, University of California, San Francisco, California
Search for more papers by this authorJennifer Tabler PhD
Department of Sociology and Anthropology, University of Texas Rio Grande Valley, Edinburg, Texas
Search for more papers by this authorStuart B. Murray PhD
Department of Psychiatry, University of California, San Francisco, California
Search for more papers by this authorEric Vittinghoff PhD
Department of Epidemiology and Biostatistics, University of California, San Francisco, California
Search for more papers by this authorKirsten Bibbins-Domingo PhD, MD, MAS
Department of Epidemiology and Biostatistics, University of California, San Francisco, California
Department of Medicine, University of California, San Francisco, California
Search for more papers by this authorFunding information: National Institute of Mental Health, Grant/Award Number: K23 MH115184; University of California, San Francisco; American Pediatric Society; American Academy of Pediatrics; Eunice Kennedy Shriver National Institute of Child Health and Human Development, Grant/Award Numbers: 5R01HD082166-02, K12HD00085033, and P01-HD31921
Abstract
Objective
To determine if unhealthy weight control behaviors or binge-eating behaviors among young adults with overweight/obesity are associated with body mass index (BMI) change and cardiometabolic risk at 7-year follow-up.
Methods
We used longitudinal cohort data from 5,552 young adults with overweight/obesity at baseline (18–24 years) with 7-year follow-up (24–32 years) from the National Longitudinal Study of Adolescent to Adult Health. Baseline predictors were: (a) unhealthy weight control behaviors such as vomiting, fasting, skipping meals, or laxative/diuretic use to lose weight; or (b) binge-eating behaviors. Participants reporting either unhealthy weight control behaviors or binge-eating behaviors were considered to engage in any disordered eating behavior (DEB). Outcomes at 7-year follow-up were BMI change, incident diabetes, incident hypertension, and incident hyperlipidemia.
Results
Young adults with overweight/obesity reporting unhealthy weight control behaviors at baseline had higher BMI and weight at 7-year follow-up than those without unhealthy weight control behaviors. In regression models adjusting for baseline BMI, race/ethnicity, age, and education, unhealthy weight control behaviors were associated with greater change in BMI in both sexes and binge-eating behavior at baseline was associated with greater odds of incident hyperlipidemia (odds ratio 1.90, 95% CI 1.29–2.79) at 7-year follow-up in males.
Conclusions
The higher risk for increased BMI (in both males and females) and incident hyperlipidemia (in males) over time in young adults with overweight/obesity who engage in DEBs underscores the need to screen for DEBs in this population and provide referrals and tailored interventions as appropriate.
CONFLICT OF INTEREST
The authors declared no conflict of interest.
Supporting Information
| Filename | Description |
|---|---|
| EAT22927-supp-0001-Appendix_A.docxWord 2007 document , 18.5 KB | Appendix S1. Comparison of characteristics of eligible overweight or obese young adults in the National Longitudinal Study of Adolescent to Adult Health at baseline who were included versus excluded. |
| EAT22927-supp-0001-Appendix_B.docxWord 2007 document , 17.5 KB | Appendix S2. Full regression models for disordered eating behaviors and cardiometabolic risk outcomes reaching statistical significance. |
Please note: The publisher is not responsible for the content or functionality of any supporting information supplied by the authors. Any queries (other than missing content) should be directed to the corresponding author for the article.
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