TY - JOUR
T1 - Patterns of Eating Disorder Pathology are Associated with Weight Change in Family-Based Behavioral Obesity Treatment
AU - Balantekin, Katherine N.
AU - Hayes, Jacqueline F.
AU - Sheinbein, Daniel H.
AU - Kolko, Rachel P.
AU - Stein, Richard I.
AU - Saelens, Brian E.
AU - Hurst, Kelly Theim
AU - Welch, R. Robinson
AU - Perri, Michael G.
AU - Schechtman, Kenneth B.
AU - Epstein, Leonard H.
AU - Wilfley, Denise E.
N1 - Funding Information:
Funding agencies: This work was supported by several National Institutes of Health (NIH) grants: R01HD036904 (National Institute of Child Health and Human Development), UL1TR002345 (National Center for Advancing Translational Sciences), and K24MH070446 (National Institute of Mental Health). KNB was supported by T32HL130357 (National Heart, Lung, and Blood Institute), JFH was supposed by T32HL007456 (National Heart, Lung, and Blood Institute), and RIS was supported by KL2RR024994 (National Center for Research Resources). Disclosure: LHE reports involvement with Kurbo/Datri Health outside the submitted work; DEW reports consulting for Shire Pharmaceuticals and Sunovian Pharmaceuticals outside the submitted work. The other authors declared no conflict of interest. Clinical trial registration: ClinicalTrials.gov identifier NCT00759746. Received: 1 June 2017; Accepted: 29 August 2017; Published online 6 October 2017. doi:10.1002/oby.22028
Publisher Copyright:
© 2017 The Obesity Society
PY - 2017/12
Y1 - 2017/12
N2 - Objective: Children with overweight or obesity have elevated eating disorder (ED) pathology, which may increase their risk for clinical EDs. The current study identified patterns of ED pathology in children with overweight or obesity entering family-based behavioral weight loss treatment (FBT) and examined whether children with distinct patterns differed in their ED pathology and BMI z score (zBMI) change across FBT. Methods: Before participating in a 16-session FBT, children (N = 241) completed surveys or interviews assessing ED pathology (emotional eating, shape/weight/eating concerns, restraint, and loss of control [LOC]). Shape and weight concerns (SWC) and LOC were also assessed post treatment. Child height and weight were measured at baseline and post treatment. Latent class analysis identified patterns of ED pathology. Repeated-measures ANOVA examined changes in zBMI and ED pathology. Results: Four patterns of ED pathology were identified: low ED pathology, SWC, only loss of control, and high ED pathology. SWC decreased across treatment, with the highest decreases in patterns characterized by high SWC. All groups experienced significant decreases in zBMI; however, children with the highest ED pathology did not achieve clinically significant weight loss. Conclusions: ED pathology decreased after FBT, decreasing ED risk. While all children achieved zBMI reductions, further research is needed to enhance outcomes for children with high ED pathology.
AB - Objective: Children with overweight or obesity have elevated eating disorder (ED) pathology, which may increase their risk for clinical EDs. The current study identified patterns of ED pathology in children with overweight or obesity entering family-based behavioral weight loss treatment (FBT) and examined whether children with distinct patterns differed in their ED pathology and BMI z score (zBMI) change across FBT. Methods: Before participating in a 16-session FBT, children (N = 241) completed surveys or interviews assessing ED pathology (emotional eating, shape/weight/eating concerns, restraint, and loss of control [LOC]). Shape and weight concerns (SWC) and LOC were also assessed post treatment. Child height and weight were measured at baseline and post treatment. Latent class analysis identified patterns of ED pathology. Repeated-measures ANOVA examined changes in zBMI and ED pathology. Results: Four patterns of ED pathology were identified: low ED pathology, SWC, only loss of control, and high ED pathology. SWC decreased across treatment, with the highest decreases in patterns characterized by high SWC. All groups experienced significant decreases in zBMI; however, children with the highest ED pathology did not achieve clinically significant weight loss. Conclusions: ED pathology decreased after FBT, decreasing ED risk. While all children achieved zBMI reductions, further research is needed to enhance outcomes for children with high ED pathology.
UR - http://www.scopus.com/inward/record.url?scp=85035009013&partnerID=8YFLogxK
U2 - 10.1002/oby.22028
DO - 10.1002/oby.22028
M3 - Article
C2 - 28984076
AN - SCOPUS:85035009013
SN - 1930-7381
VL - 25
SP - 2115
EP - 2122
JO - Obesity
JF - Obesity
IS - 12
ER -