title: Identification as overweight by medical professionals: relation to eating disorder diagnosis and risk.
abstract: OBJECTIVE
  Discussions about weight between medical professionals and young adults may increase risk of eating disorders (EDs). Clarifying the relation between screening for overweight and ED risk is needed.
  
  
  METHODS
  548 college-age women were classified as at-risk (n=441) or with an ED (n=107), and were assessed for disordered eating attitudes, behaviors, and relevant history, including, "Has a doctor, nurse, or other medical professional ever told you that you were overweight?" Regression analyses were used to evaluate the relations between being identified as overweight and current disordered eating behaviors, attitudes, and ED diagnosis, without and with covariates (history of weight-related teasing, history of an ED, family history of being identified as overweight, and current body mass index).
  
  
  RESULTS
  146 (26.6%) women reported being previously identified as overweight by a medical professional. There was no relation between being previously identified as overweight and having an ED. Those identified as overweight were more likely to have weight/shape concerns above a high-risk cutoff, but showed no difference in dietary restraint, binge eating, purging behaviors, or excessive exercise compared to those not identified.
  
  
  CONCLUSIONS
  Being previously identified as overweight by a medical professional was associated with increased weight/shape concerns but not with current disordered eating behaviors or ED status. Minimizing the potential negative effects of overweight screening on weight and shape concerns by providing patients with strategies to increase healthy lifestyle behaviors and long-term support for healthy weight loss goals may have a positive impact on reducing the public health problem of overweight and obesity.
authors.affiliation: Department of Psychology, Washington University in St. Louis, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA. Electronic address: kassa@psychiatry.wustl.edu.
authors.forename: Andrea E
authors.initials: AE
authors.lastname: Kass
authors.affiliation: Department of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA.
authors.forename: Annie Z
authors.initials: AZ
authors.lastname: Wang
authors.affiliation: Department of Psychology, Washington University in St. Louis, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA.
authors.forename: Rachel P
authors.initials: RP
authors.lastname: Kolko
authors.affiliation: Department of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA.
authors.forename: Jodi C
authors.initials: JC
authors.lastname: Holland
authors.affiliation: Department of Psychology, Washington University in St. Louis, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA.
authors.forename: Myra
authors.initials: M
authors.lastname: Altman
authors.affiliation: Department of Psychiatry, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305, USA.
authors.forename: Mickey
authors.initials: M
authors.lastname: Trockel
authors.affiliation: Department of Psychiatry, Stanford University School of Medicine, 401 Quarry Road, Stanford, CA 94305, USA.
authors.forename: C Barr
authors.initials: CB
authors.lastname: Taylor
authors.affiliation: Department of Psychology, Washington University in St. Louis, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA; Department of Psychiatry, Washington University School of Medicine, 660 South Euclid Avenue, Campus Box 8134, St. Louis, MO 63110, USA.
authors.forename: Denise E
authors.initials: DE
authors.lastname: Wilfley
mesh_terms: D000293:Adolescent; D000328:Adult; D001828:Body Image / Q000523:psychology; D001068:Feeding and Eating Disorders / Q000175:diagnosis* / Q000523:psychology; D005260:Female; D006801:Humans; D008403:Mass Screening; D050177:Overweight / Q000175:diagnosis*; D010817:Physician-Patient Relations; D018570:Risk Assessment; D055815:Young Adult
keywords: Eating disorder risk; Intervention; Obesity; Overweight; Screening