Cited by 336Eating Disorders and BehaviorsNutrition, Health and Food BehaviorHealth and Lifestyle Studies

Eating disorder symptoms among undergraduate and graduate students at 12 U.S. colleges and universities

Lipson, SK, Sonneville, KR·2017·Eating Behaviors

Abstract

Objectives We sought to estimate the prevalence of eating disorder symptoms in a large sample of U.S. college students and variations therein across student characteristics.Methods Participants were 9713 students from 12 colleges and universities participating in the Healthy Bodies Study. We used gender-stratified logistic regression to estimate bivariate correlates of elevated eating disorder symptoms, past-month objective binge eating, and past-month compensatory behaviors across student characteristics including age, degree-level, sexual orientation, race/ethnicity, first-generation status, citizenship, academic and extracurricular characteristics, and weight status. Eating disorder outcomes were based on the Eating Disorder Examination Questionnaire.Results We observed higher prevalence of objective binge eating among females relative to males (49% versus 30%, p<0.001), but similar prevalence of compensatory behaviors (31% versus 29%). Weight status was the most consistent predictor of eating disorder risk with significantly more symptoms seen among individuals with overweight and obesity. When compared to individuals with a healthy weight, those with overweight had greater eating disorder risk (males OR=3.5; females OR=2.0), binge eating (males OR=2.1; females OR=1.9), and use of compensatory behaviors (males OR=1.5; females OR=1.3).Conclusions This study suggests smaller gender difference in prevalence of eating disorder symptoms than previously reported and identifies students with overweight/obesity as salient targets for campus-based eating disorder screening and early intervention efforts.

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Crossref · 10.1016/j.eatbeh.2016.12.003

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  • Eating disorder risk in overweight adolescents was about twice as high as in the normal weight population.

    “Most obvious, the eating disorder risk in overweight adolescent was about twice as high as in the normal weight population, which supports previously published literature emphasizing the high prevalence of binge eating and compensatory and unhealthy weight control behavior in overweight and obese adolescent populations [8,49,50].”

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Authors
Lipson, S., & Sonneville, K.
Affiliations
University of Michigan (US)
Corresponding author
Sonneville, KR
Venue
Eating Behaviors
Publisher
Elsevier BV
Published
2017-01
Volume
24
Pages
81-88
ISSN
1471-0153 (ISSN-L)
OpenAlex
W2565385612
Cited by
336
References
38
Citations by year
2026: 15 · 2025: 36 · 2024: 40 · 2023: 39 · 2022: 45 · 2021: 60 · 2020: 43 · 2019: 29 · 2018: 22 · 2017: 7
FWCI
25.92
Type
journal article
Language
en
Open access
closed
Locations
  • Eating Behaviors (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 › Health Professions › General Health Professions › Health and Lifestyle Studies
Keywords
eating disorder symptoms, university students, binge eating, compensatory behavior, overweight, obesity, weight status, gender differences, sexual orientation, race and ethnicity, first-generation college students
MeSH terms
Adolescent, Adult, Feeding and Eating Disorders, Body Weight, Bulimia, Ethnicity, Female, Humans, Male, Obesity, Sexual Behavior, Sex Factors, Students, Universities, Prevalence, Logistic Models, Overweight, Young Adult

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