title: Eating-related environmental factors in underweight eating disorders and obesity: are there common vulnerabilities during childhood and early adolescence?
abstract: OBJECTIVE
  This study aimed to examine whether there is an association between individual, social and family influences and dysfunctional eating patterns early in life and the likelihood of developing a subsequent underweight eating disorder (ED) or obesity.
  
  
  METHODS
  The total sample comprised 152 individuals (underweight ED, n = 45; obese patients, n = 65; healthy controls; n = 42) from Barcelona, Spain. The Cross-Cultural Questionnaire (CCQ) was used to assess early eating influences as well as individual and family eating patterns and attitudes towards food.
  
  
  RESULTS
  Even though a few shared eating influences emerged for both groups, unique factors were also observed. Whereas relationship with friends, teasing about eating habits by family members and the mass media were of specific relevance to the underweight ED group, the patient's own physical appearance, body dissatisfaction, teasing about eating habits by friends, teasing about body shape by family members and dysfunctional eating patterns were unique to obesity.
  
  
  CONCLUSIONS
  Overlapping environmental risk factors provide evidence for integral prevention and intervention approaches that simultaneously tackle a range of weight-related problems. The unique factors might be important for targeting high-risk individuals.
authors.affiliation: Psychological Medicine, Institute of Psychiatry, King's College London, UK.
authors.forename: I
authors.initials: I
authors.lastname: Krug
authors.forename: C
authors.initials: C
authors.lastname: Villarejo
authors.forename: S
authors.initials: S
authors.lastname: Jiménez-Murcia
authors.forename: C
authors.initials: C
authors.lastname: Perpiñá
authors.forename: N
authors.initials: N
authors.lastname: Vilarrasa
authors.forename: R
authors.initials: R
authors.lastname: Granero
authors.forename: A
authors.initials: A
authors.lastname: Cebolla
authors.forename: C
authors.initials: C
authors.lastname: Botella
authors.forename: M
authors.initials: M
authors.lastname: Montserrat-Gil de Bernabe
authors.forename: E
authors.initials: E
authors.lastname: Penelo
authors.forename: S
authors.initials: S
authors.lastname: Casella
authors.forename: M A
authors.initials: MA
authors.lastname: Islam
authors.forename: E
authors.initials: E
authors.lastname: Orekhova
authors.forename: F F
authors.initials: FF
authors.lastname: Casanueva
authors.forename: A
authors.initials: A
authors.lastname: Karwautz
authors.forename: J M
authors.initials: JM
authors.lastname: Menchón
authors.forename: J
authors.initials: J
authors.lastname: Treasure
authors.forename: F
authors.initials: F
authors.lastname: Fernández-Aranda
mesh_terms: D000293:Adolescent; D000328:Adult; D001828:Body Image; D016022:Case-Control Studies; D002648:Child; D003469:Culture; D004435:Eating / Q000523:psychology*; D005190:Family / Q000523:psychology; D005247:Feeding Behavior / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000209:etiology / Q000523:psychology*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000209:etiology / Q000523:psychology*; D012189:Retrospective Studies; D012307:Risk Factors; D012931:Social Environment; D011795:Surveys and Questionnaires