title: Disordered eating and health-related quality of life in overweight and obese children.
abstract: OBJECTIVE
  To examine disordered eating and associations with health-related quality of life (HRQOL) in rural overweight/obese (OW/OB) children.
  
  
  METHODS
  Cross-sectional analyses were conducted with 272 rural OW/OB children aged 8-12 years (M = 10.36; SD = 1.39). Child anthropometrics, demographics, disordered eating attitudes, unhealthy weight control behaviors (UWCBs), and HRQOL were measured. Relationships between these variables were analyzed using bootstrapped multiple linear regressions.
  
  
  RESULTS
  Clinically significant disordered eating attitudes were endorsed by 17% of the sample, and the majority endorsed UWCBs. Disordered eating attitudes and weight status were the most common predictors of HRQOL. Disordered eating attitudes and UWCBs were negatively related to emotional HRQOL but were unrelated to social, school, or physical HRQOL.
  
  
  CONCLUSIONS
  Disordered eating is a serious and relevant problem in OW/OB children living in rural areas and may be indicative of impairments in emotional functioning. Early intervention may reduce the risk for eating disorders and associated negative sequelae.
authors.affiliation: Department of Clinical and Health Psychology, University of Florida goweyma@phhp.ufl.edu.
authors.forename: Marissa A
authors.initials: MA
authors.lastname: Gowey
authors.affiliation: Department of Clinical and Health Psychology, University of Florida.
authors.forename: Crystal S
authors.initials: CS
authors.lastname: Lim
authors.affiliation: Department of Clinical and Health Psychology, University of Florida.
authors.forename: Lisa M
authors.initials: LM
authors.lastname: Clifford
authors.affiliation: Department of Clinical and Health Psychology, University of Florida.
authors.forename: David M
authors.initials: DM
authors.lastname: Janicke
mesh_terms: D001294:Attitude to Health; D015992:Body Mass Index; D001835:Body Weight; D002648:Child; D003430:Cross-Sectional Studies; D004644:Emotions; D005247:Feeding Behavior / Q000523:psychology*; D001068:Feeding and Eating Disorders / Q000150:complications / Q000523:psychology*; D005260:Female; D006304:Health Status; D006801:Humans; D008297:Male; D009765:Obesity / Q000150:complications / Q000523:psychology*; D050177:Overweight / Q000150:complications / Q000523:psychology*; D011788:Quality of Life / Q000523:psychology*; D012574:Schools; D011795:Surveys and Questionnaires
keywords: children; eating and feeding disorders; obesity; quality of life