A prospective study of pediatric loss of control eating and psychological outcomes
Open accessAbstract
Loss of control (LOC) eating in youth is associated cross-sectionally with eating-related and psychosocial distress and is predictive of excessive weight gain. However, few longitudinal studies have examined the psychological impact and persistence of pediatric LOC eating. We administered the Eating Disorder Examination and self-reported measures of depressive and anxiety symptoms to 195 boys and girls (mean age = 10.4 years, SD = 1.5) at baseline and again 4.7 years (SD = 1.2) later to 118 of these youth. Missing data were imputed. Baseline report of LOC was associated with the development of partial- or full-syndrome binge eating disorder (p = .03), even after accounting for the contribution of sex, race, baseline characteristics (age, disordered eating attitudes, and mood symptoms), body mass index growth between baseline and follow-up, and years in study. Half (52.2%; 95% CI [1.15, 6.22]) of children who endorsed experiencing LOC at baseline reported persistence of LOC at follow-up (p = .02). Compared with children who never reported LOC eating or reported LOC only at baseline, those with persistent LOC experienced significantly greater increases in disordered eating attitudes (ps < .001) and depressive symptoms (p = .027) over time. These data suggest that LOC eating in children is a problematic behavior that frequently persists into adolescence and that persistent LOC eating is associated with worsening of emotional distress.
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Binge eating predicts excess weight gain and psychological distress over time.
“Binge eating is also predictive of excess weight gain [13-15] and psychological distress over time [16].”
From LIBER8 design and methods: An integrative intervention for loss of control eating among African American and White adolescent girls (2013) · cites this paper as [16]
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Food Insecurity and Eating Pathology in Adolescents
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- Authors
- Tanofsky-Kraff, M., Shomaker, L. B., Olsen, C., Roza, C. A., Wolkoff, L. E., Columbo, K. M., Raciti, G., Zocca, J. M., Wilfley, D. E., Yanovski, S. Z., & Yanovski, J. A.
- Affiliations
- National Institutes of Health (US)
- Uniformed Services University of the Health Sciences (US)
- Washington University in St. Louis (US)
- Venue
- Journal of Abnormal Psychology
- Published
- 2011-02
- Volume
- 120
- Issue
- 1
- Pages
- 108-118
- ISSN
- 0021-843X (ISSN-L)
- 1939-1846
- PMC
- PMC3051193
- OpenAlex
- W1991234960
- Cited by
- 319
- References
- 74
- Citations by year
- 2026: 11 · 2025: 18 · 2024: 18 · 2023: 31 · 2022: 15 · 2021: 21 · 2020: 24 · 2019: 21 · 2018: 21 · 2017: 21 · 2016: 21 · 2015: 29 · 2014: 30 · 2013: 18 · 2012: 15
- FWCI
- 13.32
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Journal of Abnormal Psychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (Z01-HD-00641)
- National Center on Minority Health and Health Disparities
- National Institute of Diabetes and Digestive and Kidney Diseases (1R01DK080906-01A1)
- USUHS (R072IC)
- National Institute of Mental Health (K24MH070446)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
- Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Keywords
- loss of control eating, binge eating disorder, eating disorders in children, disordered eating attitudes, depressive symptoms, anxiety symptoms, emotional distress, children and adolescents, longitudinal development
- MeSH terms
- Adolescent, Affect, Feeding and Eating Disorders, Body Composition, Child, Depression, Female, Humans, Male, Obesity, Prospective Studies, Body Mass Index, Logistic Models, Disease Progression
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