TY - JOUR
T1 - A preliminary examination of Loss of Control Eating Disorder (LOC-ED) in middle childhood
AU - Matherne, Camden E.
AU - Tanofsky-Kraff, Marian
AU - Altschul, Anne M.
AU - Shank, Lisa M.
AU - Schvey, Natasha A.
AU - Brady, Sheila M.
AU - Galescu, Ovidiu
AU - Demidowich, Andrew P.
AU - Yanovski, Susan Z.
AU - Yanovski, Jack A.
N1 - Funding Information:
Research support: Intramural Research Program, NIH , grant Z1A-HD-00641 from the NICHD, with supplemental funding from NIMHD to J. Yanovski; USUHS grant R072IC to M. Tanofsky-Kraff. The authors report no competing interests. J. Yanovski is a commissioned officer in the U.S. Public Health Service, DHHS. Disclaimer: The opinions and assertions expressed herein are those of the authors and are not to be construed as reflecting the views of USUHS or the U.S. Department of Defense.
Funding Information:
Funding for this study was provided by Intramural Research Program, NIH , grant Z1A-HD-00641 from the NICHD, with supplemental funding from NIMHD to J. Yanovski; USUHS grant R072IC to M. Tanofsky-Kraff. None of these institutions had a role in the study design, collection, analysis or interpretation of the data, writing the manuscript, or the decision to submit the paper for publication.
Publisher Copyright:
© 2015.
PY - 2015/8/1
Y1 - 2015/8/1
N2 - Loss of Control Eating Disorder (LOC-ED) has been proposed as a diagnostic category for children 6-12. years with binge-type eating. However, characteristics of youth with LOC-ED have not been examined. We tested the hypothesis that the proposed criteria for LOC-ED would identify children with greater adiposity, more disordered eating attitudes, and greater mood disturbance than those without LOC-ED. Participants were 251 youth (10.29. years. ±. 1.54, 53.8% female, 57.8% White, 35.5% Black, 2.0% Asian, 4.8% Hispanic, 53.0% overweight). Youth were interviewed regarding eating attitudes and behaviors, completed questionnaires to assess general psychopathology, and underwent measurements of body fat mass. Using previously proposed criteria for LOC-ED, children were classified as LOC-ED (n. = 19), LOC in the absence of the full disorder (subLOC, n. = 33), and youth not reporting LOC (noLOC, n. = 199). LOC-ED youth had higher BMIz (. p= 0.001) and adiposity (. p= 0.003) and reported greater disordered eating concerns (. p<. 0.001) compared to noLOC youth. Compared to subLOC youth, LOC-ED youth had non-significantly higher BMIz (. p= 0.11), and significantly higher adiposity (. p= 0.04) and disordered eating attitudes (. p= 0.02). SubLOC youth had greater disordered eating concerns (. p<. 0.001) and BMIz (. p= 0.03) but did not differ in adiposity (. p= 0.33) compared to noLOC youth. These preliminary data suggest that LOC-ED youth are elevated on disordered eating cognitions and anthropometric measures compared to youth without LOC-ED. Longitudinal studies are needed to determine if those with LOC-ED are at particularly increased risk for progression of disordered eating and excess weight gain.
AB - Loss of Control Eating Disorder (LOC-ED) has been proposed as a diagnostic category for children 6-12. years with binge-type eating. However, characteristics of youth with LOC-ED have not been examined. We tested the hypothesis that the proposed criteria for LOC-ED would identify children with greater adiposity, more disordered eating attitudes, and greater mood disturbance than those without LOC-ED. Participants were 251 youth (10.29. years. ±. 1.54, 53.8% female, 57.8% White, 35.5% Black, 2.0% Asian, 4.8% Hispanic, 53.0% overweight). Youth were interviewed regarding eating attitudes and behaviors, completed questionnaires to assess general psychopathology, and underwent measurements of body fat mass. Using previously proposed criteria for LOC-ED, children were classified as LOC-ED (n. = 19), LOC in the absence of the full disorder (subLOC, n. = 33), and youth not reporting LOC (noLOC, n. = 199). LOC-ED youth had higher BMIz (. p= 0.001) and adiposity (. p= 0.003) and reported greater disordered eating concerns (. p<. 0.001) compared to noLOC youth. Compared to subLOC youth, LOC-ED youth had non-significantly higher BMIz (. p= 0.11), and significantly higher adiposity (. p= 0.04) and disordered eating attitudes (. p= 0.02). SubLOC youth had greater disordered eating concerns (. p<. 0.001) and BMIz (. p= 0.03) but did not differ in adiposity (. p= 0.33) compared to noLOC youth. These preliminary data suggest that LOC-ED youth are elevated on disordered eating cognitions and anthropometric measures compared to youth without LOC-ED. Longitudinal studies are needed to determine if those with LOC-ED are at particularly increased risk for progression of disordered eating and excess weight gain.
KW - Binge eating
KW - Loss of control eating
KW - Obesity
KW - Prevention
UR - http://www.scopus.com/inward/record.url?scp=84928717803&partnerID=8YFLogxK
U2 - 10.1016/j.eatbeh.2015.04.001
DO - 10.1016/j.eatbeh.2015.04.001
M3 - Article
C2 - 25913008
AN - SCOPUS:84928717803
SN - 1471-0153
VL - 18
SP - 57
EP - 61
JO - Eating Behaviors
JF - Eating Behaviors
ER -