Eating-related Environmental Factors in Underweight Eating Disorders and Obesity: Are There Common Vulnerabilities During Childhood and Early Adolescence?

TY - JOUR

T1 - Eating-related Environmental Factors in Underweight Eating Disorders and Obesity

T2 - Are There Common Vulnerabilities During Childhood and Early Adolescence?

AU - Krug, I

AU - Villarejo, C

AU - Jiménez-Murcia, S

AU - Perpiñá, C

AU - Vilarrasa, N

AU - Granero, R

AU - Cebolla, A

AU - Botella, C

AU - Montserrat-Gil de Bernabe, M

AU - Penelo, E

AU - Casella, S

AU - Islam, M A

AU - Orekhova, E

AU - Casanueva, F F

AU - Karwautz, A

AU - Menchón, J M

AU - Treasure, J

AU - Fernández-Aranda, F

PY - 2013/5

Y1 - 2013/5

N2 - Objective  This study aimed to examine whether there is an association between individual, social and family influences and dysfunctional eating patterns early in life and the likelihood of developing a subsequent underweight eating disorder (ED) or obesity.  Method  The total sample comprised 152 individuals (underweight ED, n=45; obese patients, n=65; healthy controls; n=42) from Barcelona, Spain. The Cross-Cultural Questionnaire (CCQ) was used to assess early eating influences as well as individual and family eating patterns and attitudes towards food.  Results  Even though a few shared eating influences emerged for both groups, unique factors were also observed. Whereas relationship with friends, teasing about eating habits by family members and the mass media were of specific relevance to the underweight ED group, the patient's own physical appearance, body dissatisfaction, teasing about eating habits by friends, teasing about body shape by family members and dysfunctional eating patterns were unique to obesity.  Conclusions  Overlapping environmental risk factors provide evidence for integral prevention and intervention approaches that simultaneously tackle a range of weight-related problems. The unique factors might be important for targeting high-risk individuals.

AB - Objective  This study aimed to examine whether there is an association between individual, social and family influences and dysfunctional eating patterns early in life and the likelihood of developing a subsequent underweight eating disorder (ED) or obesity.  Method  The total sample comprised 152 individuals (underweight ED, n=45; obese patients, n=65; healthy controls; n=42) from Barcelona, Spain. The Cross-Cultural Questionnaire (CCQ) was used to assess early eating influences as well as individual and family eating patterns and attitudes towards food.  Results  Even though a few shared eating influences emerged for both groups, unique factors were also observed. Whereas relationship with friends, teasing about eating habits by family members and the mass media were of specific relevance to the underweight ED group, the patient's own physical appearance, body dissatisfaction, teasing about eating habits by friends, teasing about body shape by family members and dysfunctional eating patterns were unique to obesity.  Conclusions  Overlapping environmental risk factors provide evidence for integral prevention and intervention approaches that simultaneously tackle a range of weight-related problems. The unique factors might be important for targeting high-risk individuals.

KW - eating disorders

KW - anorexia nervosa

KW - EDNOS

KW - obesity

KW - individual and family eating patterns

KW - eating influences

KW - RISK-FACTORS

KW - SHARED RISK

KW - PROJECT EAT

KW - WEIGHT

KW - CHILDREN

KW - BEHAVIOR

KW - ASSOCIATIONS

KW - PREVALENCE

KW - OVERWEIGHT

KW - PREVENTION

U2 - 10.1002/erv.2204

DO - 10.1002/erv.2204

M3 - Article

C2 - 23172786

SN - 1072-4133

VL - 21

SP - 202

EP - 208

JO - European Eating Disorders Review

JF - European Eating Disorders Review

IS - 3

ER -