title: Association of a history of childhood-onset obesity and dieting with eating disorders.
abstract: This was a retrospective, observational chart review conducted on a convenience sample of 537 outpatients, aged 16-60 years, referred to an Italian Dietetic and Nutrition University Center. The study aimed to look at the association between a history of childhood obesity and dieting behaviors with development of eating disorders (EDs) at a later age. Subjects with a history of EDs (n = 118), assessed using both self-report and health records, were compared with those with no EDs (n = 419), who were attending the clinic mainly for primary prevention of metabolic and cardiovascular risk. Logistic regression analysis was performed to assess the association of childhood-onset obesity with development of an ED at a later age. Childhood-onset obesity, gender, maternal history of eating disorders, and dieting were associated with a positive history of EDs at a later age (p < .05). It is important to raise professional awareness of early symptoms of EDs in children with a history of obesity and treat them accordingly.
authors.affiliation: a Unit of Human Nutrition and Dietetics, Department of Public Health , Experimental and Forensic Medicine, University of Pavia , Pavia , Italy.
authors.forename: Hellas
authors.initials: H
authors.lastname: Cena
authors.affiliation: b Departments of Medicine, Gastroenterology and Pediatrics, and Endocrinology , Massachusetts General Hospital and Harvard Medical School , Boston , Massachusetts , USA.
authors.forename: Fatima Cody
authors.initials: FC
authors.lastname: Stanford
authors.affiliation: a Unit of Human Nutrition and Dietetics, Department of Public Health , Experimental and Forensic Medicine, University of Pavia , Pavia , Italy.
authors.forename: Luana
authors.initials: L
authors.lastname: Ochner
authors.affiliation: a Unit of Human Nutrition and Dietetics, Department of Public Health , Experimental and Forensic Medicine, University of Pavia , Pavia , Italy.
authors.forename: Maria Luisa
authors.initials: ML
authors.lastname: Fonte
authors.affiliation: c Institute of Molecular Genetics , National Research Council of Italy , Pavia , Italy.
authors.forename: Ginevra
authors.initials: G
authors.lastname: Biino
authors.affiliation: a Unit of Human Nutrition and Dietetics, Department of Public Health , Experimental and Forensic Medicine, University of Pavia , Pavia , Italy.
authors.forename: Rachele
authors.initials: R
authors.lastname: De Giuseppe
authors.affiliation: d Division of General Academic Pediatrics, Department of Pediatrics , Massachusetts General Hospital for Children , Boston , Massachusetts , USA.|e Department of Nutrition , Harvard T.H. Chan School of Public Health , Boston , Massachusetts , USA.
authors.forename: Elsie
authors.initials: E
authors.lastname: Taveras
authors.affiliation: f Pediatric Endocrine and Neuroendocrine Units , Massachusetts General Hospital and Harvard Medical School , Boston , Massachusetts , USA.
authors.forename: Madhusmita
authors.initials: M
authors.lastname: Misra
mesh_terms: D000293:Adolescent; D000328:Adult; D004038:Diet, Reducing / Q000706:statistics & numerical data*; D001068:Feeding and Eating Disorders / Q000453:epidemiology*; D005260:Female; D006801:Humans; D007558:Italy / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D063766:Pediatric Obesity / Q000453:epidemiology*; D012189:Retrospective Studies; D055815:Young Adult