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Cited by 136Eating Disorders and BehaviorsNutrition, Health and Food BehaviorObesity, Physical Activity, Diet

Eating disorder symptoms do not just disappear: the implications of adolescent eating-disordered behaviour for body weight and mental health in young adulthood

The BELLA study group, Herpertz-Dahlmann, Beate, Dempfle, Astrid, Konrad, Kerstin, Klasen, Fionna, Ravens-Sieberer, Ulrike·2015·European Child & Adolescent Psychiatry
DOI 10.1007/s00787-014-0610-3
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Abstract

This study reports the outcomes of childhood and adolescent eating-disordered behaviour on the development of body mass index (BMI) and psychological functioning in young adulthood in a population-based sample in Germany (the BELLA study). Information at baseline and follow-up was obtained through a telephone interview and mailed self-report questionnaires. At both measurement points, BMI, eating disorder symptoms (SCOFF questionnaire), and symptoms of depression and anxiety were assessed in the same cohort of 771 participants (n = 420 females, n = 351 males). The age range at baseline was 11-17 years, and the age range at follow-up was 17-23 years. High scores for eating-disordered behaviour in childhood or adolescence significantly predicted eating-disordered behaviour in young adulthood (multiplicative effect estimate: 1.31; 95 % CI: 1.2-1.42, p < 0.0001), although there was a decline in prevalence (from 19.3 to 13.8 %, p = 0.002) and severity (mean decrease in SCOFF 0.07, 95 % CI: -0.01-0.14, p = 0.06). After accounting for potentially confounding variables at baseline (SES, probands' BMI, parental BMI, depressive symptoms), participants with more eating disorder symptoms at baseline had a higher risk of developing overweight (odds ratio (OR): 1.58; 95 % CI: 1.19-2.09, p = 0.001), obesity (OR = 1.67; 95 % CI: 1.03-2.66, p = 0.03), and depressive symptoms at follow-up (additive effect estimate: 0.45; 95 %CI: 0.19-0.7, p = 0.0006). Early symptoms of depression showed a significant relationship with extreme underweight in young adulthood (OR = 1.13; 95 %CI: 1.01-1.25, p = 0.02). The high stability of eating disorder symptoms and the significant association with overweight and worse mental health in adulthood underscore the need for early detection and intervention during childhood and adolescence. Youth with depression should be monitored for the development of restrictive eating disorders.

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Authors
The BELLA study group, Herpertz-Dahlmann, B., Dempfle, A., Konrad, K., Klasen, F., & Ravens-Sieberer, U.
Affiliations
  • RWTH Aachen University (DE)
  • Philipps University of Marburg (DE)
  • University Medical Center Hamburg-Eppendorf (DE)
ORCID
Venue
European Child & Adolescent Psychiatry
Publisher
Springer Science and Business Media LLC
Published
2014-09-11
Volume
24
Issue
6
Pages
675-684
ISSN
  • 1018-8827 (ISSN-L)
  • 1435-165X
DOI
10.1007/s00787-014-0610-3
OpenAlex
W2002425827
Cited by
136
References
45
Citations by year
2026: 7 · 2025: 11 · 2024: 11 · 2023: 12 · 2022: 14 · 2021: 19 · 2020: 14 · 2019: 10 · 2018: 10 · 2017: 9 · 2016: 11 · 2015: 8
FWCI
11.01
Type
journal article
Language
en
Open access
closed
Licence
www.springer.com/tdm (tdm)
Locations
  • European Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
  • Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Obesity, Physical Activity, Diet
Keywords
eating disorder symptoms, early adulthood, body mass index, overweight, obesity, depression, anxiety, restrictive eating disorders, underweight, early detection, longitudinal outcomes
MeSH terms
Adolescent, Adolescent Behavior, Age Factors, Feeding and Eating Disorders, Mental Disorders, Body Weight, Child, Female, Follow-Up Studies, Germany, Humans, Male, Mental Health, Obesity, Body Mass Index, Overweight, Young Adult

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