TY - JOUR
T1 - Lifetime obesity in patients with eating disorders: Increasing prevalence, clinical and personality correlates
AU - Villarejo, Cynthia
AU - Fernández-Aranda, Fernando
AU - Jiménez-Murcia, Susana
AU - Peñas-Lledó, Eva
AU - Granero, Roser
AU - Penelo, Eva
AU - Tinahones, Francisco J.
AU - Sancho, Carolina
AU - Vilarrasa, Nuria
AU - Montserrat-Gil De Bernabé, Mónica
AU - Casanueva, Felipe F.
AU - Fernández-Real, Jose Manuel
AU - Frühbeck, Gema
AU - De La Torre, Rafael
AU - Treasure, Janet
AU - Botella, Cristina
AU - Menchón, José Manuel
PY - 2012/5/1
Y1 - 2012/5/1
N2 - Objectives: The aims of our study were to examine the lifetime prevalence of obesity rate in eating disorders (ED) subtypes and to examine whether there have been temporal changes among the last 10years and to explore clinical differences between ED with and without lifetime obesity. Methods: Participants were 1383 ED female patients (DSM-IV criteria) consecutively admitted, between 2001 and 2010, to Bellvitge University Hospital. They were assessed by means of the Eating Disorders Inventory-2, the Symptom Checklist-90-Revised, the Bulimic Investigatory Test Edinburgh and the Temperament and Character Inventory-Revised. Results: The prevalence of lifetime obesity in ED cases was 28.8% (ranging from 5% in anorexia nervosa to 87% in binge-eating disorders). Over the last 10years, there has been a threefold increase in lifetime obesity in ED patients (p<.001). People with an ED and obesity had higher levels of childhood and family obesity (p<.001), a later age of onset and longer ED duration; and had higher levels of eating, general and personality symptomatology. Conclusions: Over the last 10years, the prevalence of obesity associated with disorders characterized by the presence of binge episodes, namely bulimic disorders, is increasing, and this is linked with greater clinical severity and a poorer prognosis. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.
AB - Objectives: The aims of our study were to examine the lifetime prevalence of obesity rate in eating disorders (ED) subtypes and to examine whether there have been temporal changes among the last 10years and to explore clinical differences between ED with and without lifetime obesity. Methods: Participants were 1383 ED female patients (DSM-IV criteria) consecutively admitted, between 2001 and 2010, to Bellvitge University Hospital. They were assessed by means of the Eating Disorders Inventory-2, the Symptom Checklist-90-Revised, the Bulimic Investigatory Test Edinburgh and the Temperament and Character Inventory-Revised. Results: The prevalence of lifetime obesity in ED cases was 28.8% (ranging from 5% in anorexia nervosa to 87% in binge-eating disorders). Over the last 10years, there has been a threefold increase in lifetime obesity in ED patients (p<.001). People with an ED and obesity had higher levels of childhood and family obesity (p<.001), a later age of onset and longer ED duration; and had higher levels of eating, general and personality symptomatology. Conclusions: Over the last 10years, the prevalence of obesity associated with disorders characterized by the presence of binge episodes, namely bulimic disorders, is increasing, and this is linked with greater clinical severity and a poorer prognosis. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association.
KW - eating disorders
KW - obesity
KW - personality
KW - psychopathology
U2 - 10.1002/erv.2166
DO - 10.1002/erv.2166
M3 - Review article
VL - 20
SP - 250
EP - 254
JO - European Eating Disorders Review
JF - European Eating Disorders Review
SN - 1072-4133
IS - 3
ER -
