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Binge Eating and Weight-Related Quality of Life in Obese Adolescents
Section on Growth and Obesity, Program in Developmental Endocrinology and Genetics, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), National Institutes of Health (NIH), DHHS, Bethesda, MD 20892, USA
Uniformed Services University of the Health Sciences (USUHS), Bethesda, MD 20814, USA
Department of Community and Family Medicine, Duke University Health Systems, Durham, NC 27710, USA
Obesity and Quality of Life Consulting, Durham, NC 27705, USA
These authors contributed equally to this work.
* Author to whom correspondence should be addressed.
Received: 23 November 2011; in revised form: 25 February 2012 / Accepted: 28 February 2012 / Published: 6 March 2012
Abstract: Limited data exist regarding the association between binge eating and quality of life (QOL) in obese adolescent girls and boys. We, therefore, studied binge eating and QOL in 158 obese (BMI ≥ 95th percentile) adolescents (14.5 ± 1.4 years, 68.0% female, 59% African-American) prior to weight-loss treatment. Youth completed an interview to assess binge eating and a questionnaire measure of QOL. Controlling for body composition, binge eating youth (n = 35), overall, reported poorer QOL in domains of health, mobility, and self-esteem compared to those without binge eating ( ps < 0.05). Also, girls, overall, reported poorer QOL than boys in activities of daily-living, mobility, self-esteem, and social/interpersonal functioning (ps < 0.05). Girls with binge eating reported the greatest impairments in activities of daily living, mobility, self-esteem, social/interpersonal functioning, and work/school QOL (ps < 0.05). Among treatment-seeking obese adolescents, binge eating appears to be a marker of QOL impairment, especially among girls. Prospective and treatment designs are needed to explore the directional relationship between binge eating and QOL and their impact on weight outcomes.
Keywords: weight-related quality of life (WR-QOL); binge eating; adolescent; obesity
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Ranzenhofer, L.M.; Columbo, K.M.; Tanofsky-Kraff, M.; Shomaker, L.B.; Cassidy, O.; Matheson, B.E.; Kolotkin, R.L.; Checchi, J.M.; Keil, M.; McDuffie, J.R.; Yanovski, J.A. Binge Eating and Weight-Related Quality of Life in Obese Adolescents. Nutrients 2012, 4, 167-180.
Ranzenhofer LM, Columbo KM, Tanofsky-Kraff M, Shomaker LB, Cassidy O, Matheson BE, Kolotkin RL, Checchi JM, Keil M, McDuffie JR, Yanovski JA. Binge Eating and Weight-Related Quality of Life in Obese Adolescents. Nutrients. 2012; 4(3):167-180.
Ranzenhofer, Lisa M.; Columbo, Kelli M.; Tanofsky-Kraff, Marian; Shomaker, Lauren B.; Cassidy, Omni; Matheson, Brittany E.; Kolotkin, Ronette L.; Checchi, Jenna M.; Keil, Margaret; McDuffie, Jennifer R.; Yanovski, Jack A. 2012. "Binge Eating and Weight-Related Quality of Life in Obese Adolescents." Nutrients 4, no. 3: 167-180.