Patterns and prevalence of disordered eating and weight control behaviors in women ages 25–45
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Objective The current study describes detailed eating behaviors, dieting behaviors, and attitudes about shape and weight in 4023 women ages 25 to 45. Method The survey was delivered on-line and participants were identified using a national quota-sampling procedure. Results Disordered eating behaviors, extreme weight loss measures, and negative cognitions about shape and weight were widely endorsed by women in this age group and were not limited to White participants. Thirty-one percent of women without a history of anorexia nervosa or binge eating reported having purged to control weight, and 74.5% of women reported that their concerns about shape and weight interfered with their happiness. Discussion Unhealthy approaches to weight control and negative attitudes about shape and weight are pervasive even among women without eating disorders. The development of effective approaches to address the impact of these unhealthy behaviors and attitudes on the general well-being and functioning of women is required.
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AtypAN may be more difficult to detect than AN due to a lack of apparent emaciation, particularly in an environment where weight loss behaviours such as dieting and exercise are culturally normative.
“AtypAN may be more difficult to detect than AN due to a lack of apparent emaciation, particularly in an environment where weight loss behaviours such as dieting and exercise are culturally normative (Reba-Harrelson et al., 2009).”
From Is there a basis for a weight cut‐off point? A large‐scale investigation of atypical anorexia and anorexia nervosa subtypes among patients at a residential treatment centre. (2024) · cites this paper as Reba-Harrelson et al., 2009
The Discussion reports that dieting and attempts to lose weight were common among the women surveyed, supporting the background point about prevalent weight-loss behaviours. It does not address atypical anorexia nervosa or say that a lack of apparent emaciation makes it harder to detect than anorexia nervosa. (LLM, conf=0.85)
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- Authors
- Reba-Harrelson, L., Von Holle, A., Hamer, R. M., Swann, R., Reyes, M. L., & Bulik, C. M.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Corresponding author
- Bulik, C. M.
- ORCID
- Bulik, C. M.
- Venue
- Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity
- Published
- 2009-12
- Volume
- 14
- Issue
- 4
- Pages
- 190-198
- ISSN
- 1124-4909 (ISSN-L)
- 1590-1262
- PMC
- PMC3612547
- OpenAlex
- W2043996952
- Cited by
- 124
- References
- 46
- Citations by year
- 2026: 4 · 2025: 8 · 2024: 10 · 2023: 7 · 2022: 10 · 2021: 16 · 2020: 8 · 2019: 11 · 2018: 6 · 2017: 7 · 2016: 10 · 2015: 7 · 2014: 6 · 2013: 4 · 2012: 6
- FWCI
- 3.54
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Eating and Weight Disorders - Studies on Anorexia Bulimia and Obesity (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institute of Mental Health (R01MH082732, K23MH087954)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Health Professions › Pharmacy › Obesity and Health Practices
- Keywords
- disordered eating, weight control behaviors, dieting, purging, body image, women, middle-aged women, prevalence, eating disorders
- MeSH terms
- Adult, Anorexia Nervosa, Appetite Depressants, Asian, Black or African American, Body Image, Body Weight, Diuretics, Female, Hispanic or Latino, Humans, Indians, North American, Middle Aged, Sampling Studies, United States, Vomiting, Exercise, Body Mass Index, Prevalence, Caloric Restriction, White People, Bulimia Nervosa, Laxatives, Binge-Eating Disorder
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