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Chronic Illness and Disordered Eating: A Discussion of the Literature
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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 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]
Experimental — accuracy not yet measuredThe source backs part of the claim, not all of it — or backs it for a different population, condition or comparison.
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“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]
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“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]
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“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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“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]
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“Unfortunately, there are few reliable and valid eating disorder screeners specifically tailored to those with CF and this significantly limits the ability to accurately assess eating disorders or disturbed eating in this patient population.”
From Eating disorders and body image in cystic fibrosis (2021) · cites this paper as [8]
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“General eating disorder screening tools have the potential to miscalculate eating disorder risk in those with a chronic illness [8], [32].”
From Eating disorders and body image in cystic fibrosis (2021) · cites this paper as [8]
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Self-citation
Metadata
- 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
- 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
- bronze
- doi.org
- 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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