title: Lifetime obesity in patients with eating disorders: increasing prevalence, clinical and personality correlates.
abstract: OBJECTIVE
  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 10 years 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 10 years, 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 10 years, 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.
authors.affiliation: Department of Psychiatry, University Hospital of Bellvitge-IDIBELL, Barcelona, Spain.
authors.forename: Cynthia
authors.initials: C
authors.lastname: Villarejo
authors.forename: Fernando
authors.initials: F
authors.lastname: Fernández-Aranda
authors.forename: Susana
authors.initials: S
authors.lastname: Jiménez-Murcia
authors.forename: Eva
authors.initials: E
authors.lastname: Peñas-Lledó
authors.forename: Roser
authors.initials: R
authors.lastname: Granero
authors.forename: Eva
authors.initials: E
authors.lastname: Penelo
authors.forename: Francisco J
authors.initials: FJ
authors.lastname: Tinahones
authors.forename: Carolina
authors.initials: C
authors.lastname: Sancho
authors.forename: Nuria
authors.initials: N
authors.lastname: Vilarrasa
authors.forename: Mónica
authors.initials: M
authors.lastname: Montserrat-Gil de Bernabé
authors.forename: Felipe F
authors.initials: FF
authors.lastname: Casanueva
authors.forename: Jose Manuel
authors.initials: JM
authors.lastname: Fernández-Real
authors.forename: Gema
authors.initials: G
authors.lastname: Frühbeck
authors.forename: Rafael
authors.initials: R
authors.lastname: De la Torre
authors.forename: Janet
authors.initials: J
authors.lastname: Treasure
authors.forename: Cristina
authors.initials: C
authors.lastname: Botella
authors.forename: José Manuel
authors.initials: JM
authors.lastname: Menchón
mesh_terms: D000293:Adolescent; D000328:Adult; D015897:Comorbidity; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000453:epidemiology* / Q000523:psychology; D010551:Personality; D010554:Personality Disorders / Q000453:epidemiology* / Q000523:psychology; D010555:Personality Inventory; D015995:Prevalence