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Cited by 171Eating Disorders and BehaviorsNutrition, Health and Food BehaviorChild Nutrition and Feeding Issues

Chronic illness and disordered eating: a discussion of the literature

Open access
Quick, Virginia M., Byrd-Bredbenner, Carol, Neumark-Sztainer, Dianne·2013·Advances in Nutrition
DOI 10.3945/an.112.003608PMC PMC3650496
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Abstract

This paper describes the prevalence of eating disorders and disordered eating behaviors, the reasons why these practices are endorsed, and the potential consequences in youths and young adults with selected diet-related chronic health conditions (DRCHCs) and provides recommendations for eating disorder prevention interventions and research efforts. Although it remains unclear whether the prevalence of eating disorders is higher in those with DRCHCs compared with the general population, overall findings suggest that young people with DRCHCs may be at risk of endorsing disordered eating behaviors that may lead to diagnosis of an eating disorder and other health problems over the course of their treatment. Thus, health care providers should be aware that young people with DRCHCs may be at risk of eating disorders and carefully monitor psychological changes and the use of unhealthy weight control methods. It is also important to develop and evaluate theory-based interventions and disease-specific eating disorder risk screening tools that are effective in halting the progression of eating disorders and negative health outcomes in young people with chronic health conditions.

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  • Psychological factors such as cystic fibrosis associated depression and anxiety, intense focus on BMI, lack of control in a chronic disease, and preoccupation with morbidity and mortality likely further contribute to eating disorders in cystic fibrosis.

    “Psychological factors, such as CF associated depression and anxiety, intense focus on BMI, lack of control in a chronic disease, and preoccupation with morbidity and mortality, likely further contribute.”

    From Eating disorders and body image in cystic fibrosis (2021) · cites this paper as [8]

    The “Cystic fibrosis patients” risk-factor table (page not provided) lists depression, pressure to manage weight, lack of coping skills, and concern about shorter life expectancy as potential contributors to disordered eating. It does not identify anxiety or a lack of control over the disease as cystic-fibrosis risk factors; anxiety appears instead in the type 1 diabetes risk-factor table. (LLM, conf=0.86)

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  • The effects of eating disorders, eating disturbances, and body image on nutrition and BMI maintenance are often overlooked in many cystic fibrosis clinics.

    “The effects of eating disorders, eating disturbances, and body image on nutrition and BMI maintenance is often overlooked in many CF clinics [8].”

    From Eating disorders and body image in cystic fibrosis (2021) · cites this paper as [8]

    The ‘Cystic fibrosis and disordered eating’ section says body image and eating disturbances are understudied, and that disordered eating practices can harm patients’ health. It does not say that many CF clinics overlook their effects on nutrition or BMI maintenance; being understudied is not the same as being overlooked in clinical care. Page numbers were not available in our copy. (LLM, conf=0.84)

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  • Acknowledging the psychological impact of cystic fibrosis, addressing concerns such as anxiety and/or depression in the cystic fibrosis individual, and providing adequate resources for therapy will reduce the likelihood of developing eating disturbance or an eating disorder.

    “Acknowledging the psychological impact of CF, addressing concerns such as anxiety and/or depression in the CF individual, and providing adequate resources for therapy will reduce the likelihood of developing eating disturbance or an eating disorder (Table 2) [8], [33].”

    From Eating disorders and body image in cystic fibrosis (2021) · cites this paper as [8]

    The ‘Cystic fibrosis patients’ risk-factor list identifies poor emotional well-being, including depression, as a potential risk factor for disordered eating. The ‘Development of disease-specific eating disorder screeners’ and ‘Development of eating disorder prevention interventions’ sections recommend monitoring psychological risk factors and developing preventive interventions for young people with diet-related chronic conditions. They do not establish that providing therapy for anxiety or depression in people with cystic fibrosis will reduce their likelihood of developing an eating disturbance or disorder. No page numbers are available in our copy. (LLM, conf=0.87)

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  • Cystic fibrosis, similar to other chronic diseases, is often associated with depression and anxiety, a sense of lack of control, and a preoccupation with morbidity and mortality, increasing the risk for an eating disorder or dissatisfaction with body image.

    “Finally, CF, similar to other chronic diseases, is often associated with depression and anxiety, a sense of lack of control, and a preoccupation with morbidity and mortality, increasing the risk for an eating disorder or dissatisfaction with body image [8].”

    From Eating disorders and body image in cystic fibrosis (2021) · cites this paper as [8]

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  • Findings from the literature suggest the psychological burden of cystic fibrosis may be contributing to poor weight gain, and that eating disorders and disturbed eating must be considered in the differential diagnosis of such problems.

    “However, findings from the literature suggest the psychological burden of CF may be contributing to poor weight gain, and that eating disorders and disturbed eating must be considered in the differential diagnosis of such problems.”

    From Eating disorders and body image in cystic fibrosis (2021) · cites this paper as [8]

    The sections “Cystic fibrosis patients” and “Cystic fibrosis and disordered eating” list psychological risk factors and document harmful disordered eating practices in people with CF. The section on disease-specific screeners recommends monitoring psychological status and disordered eating in chronic illness. The paper does not specifically establish that psychological burden contributes to poor weight gain in CF or explicitly frame eating disorders as a differential diagnosis for poor weight gain; page numbers were not available in our copy. (LLM, conf=0.82)

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Cites

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Research works printed but not linked: 4

  1. [22]22. Rubin R. Peyrot M. Psychosocial problems and interventions in dia- betes. Diabetes Care. 1992;15:1640-57.
  2. [41]41. Peveler R, Fairburn C, Boller I, Dunger D. Eating disorders in adoles- cents with IDDM. Diabetes Care. 1992;15:1356-60.
  3. [67]67. Ricca V, Mannucci E, Calabro A, Bernardo M, Cabras P, Rotella C. Anorexia nervosa and celiac disease: two case reports. Int J Eat Disord. 2000;27:119-22.
  4. [79]79. Gilbert P, Miles J. Body shame: conceptualization, research and treat- ment. New York: Brunner-Routledge; 2002.

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Authors
Quick, V. M., Byrd-Bredbenner, C., & Neumark-Sztainer, D.
Affiliations
National Institutes of Health (US)
Corresponding author
Quick, Virginia M.
ORCID
Quick, Virginia M.
Venue
Advances in Nutrition
Publisher
Elsevier BV
Published
2013-05
Volume
4
Issue
3
Pages
277-286
ISSN
  • 2156-5376 (ISSN-L)
  • 2161-8313
DOI
10.3945/an.112.003608
PMC
PMC3650496
OpenAlex
W2158050735
Cited by
171
References
117
Citations by year
2026: 13 · 2025: 19 · 2024: 24 · 2023: 18 · 2022: 23 · 2021: 18 · 2020: 10 · 2019: 6 · 2018: 9 · 2017: 8 · 2016: 7 · 2015: 9 · 2014: 5 · 2013: 2
FWCI
1.12
Type
journal article
Language
en
Open access
Licence
Locations
  • Advances in Nutrition (publishedVersion)
  • Europe PMC (PubMed Central) (publishedVersion)
  • PubMed Central (publishedVersion)
  • PubMed (publishedVersion)
  • Rutgers University Community Repository (Rutgers University) (submittedVersion)
Funders
  • National Institutes of Health
  • National Institute of Child Health and Human Development
  • Eunice Kennedy Shriver National Institute of Child Health and Human Development
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
disordered eating, eating disorders, youth, young adults, prevalence, risk factors, eating disorder prevention, risk screening tool, weight control methods, psychological monitoring, chronic disease
MeSH terms
Feeding and Eating Disorders, Celiac Disease, Chronic Disease, Cystic Fibrosis, Diabetes Mellitus, Type 1, Humans, Research, Risk Factors, Inflammatory Bowel Diseases, Irritable Bowel Syndrome

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