Gender and racial/ethnic differences in binge eating symptoms in a nationally representative sample of adolescents in the United States
Open accessAbstract
Objective Binge eating disorder (BED) is the most prevalent eating disorder in the U.S. adolescent population. Both BED and subthreshold binge eating disorder (SBED) are associated with physical and mental health problems. Gender and racial/ethnic differences in prevalence of binge eating in a nationally representative sample of adolescents have been reported but have not yet been assessed in relation to individual symptoms of binge eating. We examined gender and racial/ethnic differences in endorsement of eight binge eating symptoms in a nationally representative sample of U.S. adolescents.Methods We used data from the National Comorbidity Survey-Adolescent Supplement (NCS-A; 2001-2004), a nationally representative cross-sectional study of adolescents aged 13 to 18years (n=9336). We compared binge eating symptoms across gender and racial/ethnic groups using multivariable regression models.Results Females endorsed more binge eating symptoms than males associated with loss of control ('eat when not hungry') (adjusted prevalence ratio [aPR]=1.18, 95% confidence interval [CI]=1.02, 1.37, p=0.024) and distress (e.g., 'afraid of weight gain while binge eating' [aPR]=3.29, CI=2.43, 4.47, p<0.001). Racial/ethnic minorities displayed different patterns of binge eating symptoms than non-Hispanic Whites. Hispanics reported being more 'afraid of weight gain while binge eating' (aPR=2.05, CI=1.25, 3.37, p=0.006) than non-Hispanic Blacks.Discussion Our findings suggest significant gender and racial/ethnic differences in binge eating symptom presentation. Future work should explore reasons for these gender and racial/ethnic differences and consider these differences when determining how best to prevent and treat binge eating in adolescents.
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Prevalence rates vary from 1 to 5% for BED and from 2.5 to 4.6% for subclinical forms of BED like LOC, with higher prevalence of LOC and BED in obese youth than in the general population.
“According to a recent review [3] prevalence rates vary from 1 to 5% for BED and from 2.5 to 4.6% for subclinical forms of BED like LOC [12], with higher prevalence of LOC and BED in obese youth than in the general population.”
From Correlates of interpersonal emotion regulation problems in Loss of Control eating (LOC) in youth: study protocol of the combined online and App based questionnaire, laboratory and randomized controlled online intervention i-BEAT trial (2021) · cites this paper as [12]
Methods §2.1 reports lifetime subthreshold BED in 2.74% of the adolescent sample, within the claimed 2.5–4.6% range, and the Introduction describes subthreshold BED as involving loss of control. The paper does not establish that range for LOC itself or report the claimed prevalence comparison between obese youth and the general population. (LLM, conf=0.84)
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- Authors
- Lee-Winn, A. E., Reinblatt, S. P., Mojtabai, R., & Mendelson, T.
- Affiliations
- Johns Hopkins University (US)
- Venue
- Eating Behaviors
- Publisher
- Elsevier BV
- Published
- 2016-08
- Volume
- 22
- Pages
- 27-33
- ISSN
- 1471-0153 (ISSN-L)
- PMC
- PMC4983227
- OpenAlex
- W2329002494
- Cited by
- 78
- References
- 63
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 14 · 2023: 7 · 2022: 8 · 2021: 11 · 2020: 7 · 2019: 9 · 2018: 10 · 2017: 4 · 2016: 2
- FWCI
- 11.14
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Eating Behaviors (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Intramural Research Program
- 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
- binge eating, binge eating disorder, adolescents, gender differences, racial and ethnic differences, Latino youth, non-Hispanic Black adolescents, loss of control eating, fear of weight gain, eating disorder symptoms
- MeSH terms
- Adolescent, Black or African American, Bulimia, Cross-Sectional Studies, Ethnicity, Female, Hispanic or Latino, Humans, Male, United States, Prevalence, Multivariate Analysis, Black People, White People, Binge-Eating Disorder
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