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Eating disorder symptoms among undergraduate and graduate students at 12 U.S. colleges and universities
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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“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].”
From Psychopathological symptoms and well-being in overweight and underweight adolescents: A network analysis (2021) · cites this paper as [49]
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Self-citationFunctional gastrointestinal symptoms and increased risk for orthorexia nervosa
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Metadata
- 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 › Medicine › Public Health, Environmental and Occupational Health › 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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