Lifetime Obesity in Patients with Eating Disorders: Increasing Prevalence,Clinical and Personality Correlates |
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| Authors: | Cynthia Villarejo Fernando Fernández‐Aranda Susana Jiménez‐Murcia Eva Peñas‐Lledó Roser Granero Eva Penelo Francisco J Tinahones Carolina Sancho Nuria Vilarrasa Mónica Montserrat‐Gil de Bernabé Felipe F Casanueva Jose Manuel Fernández‐Real Gema Frühbeck Rafael De la Torre Janet Treasure Cristina Botella José Manuel Menchón |
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| Institution: | 1. Department of Psychiatry, University Hospital of Bellvitge—IDIBELL, , Barcelona, Spain;2. CIBER Fisiopatología Obesidad y Nutrición (CIBERObn), Instituto Salud Carlos III, , Spain;3. Clinical Sciences Department, University of Barcelona, , Spain;4. University of Extremadura, , Badajoz, Spain;5. Laboratori d'Estadística Aplicada, Departament de Psicobiologia i Metodologia, Universitat Autònoma de Barcelona, , Spain;6. Department of Diabetes, Endocrinology and Nutrition, Hospital Clínico Universitario Virgen de Victoria, , Málaga, Spain;7. Endocrinology and Nutrition Department, Bellvitge Universitary Hospital—IDIBELL, , Barcelona, Spain;8. Dietetics Unit, Bellvitge Universitary Hospital, , Barcelona, Spain;9. Division of Endocrinology, Complejo Hospitalario Universitario de Santiago de Compostela, , Spain;10. Department of Diabetes, Endocrinology and Nutrition, Institut d'Investigació Biomèdica de Girona (IdlBGi) Hospital Dr Josep Trueta, , Girona, Spain;11. Department of Endocrinology and Nutrition, University of Navarra, , Pamplona, Spain;12. Human Pharmacology and Clinical Neurosciences Research Group, Neuroscience Research Program, IMIM—Hospital del Mar Research Institute, , Barcelona, Spain;13. Institute of Psychiatry, Psychological Medicine, Section of Eating Disorders, King's College London, , London, UK;14. University Jaume I, , Castellón, Spain;15. CIBER, Salud Mental (CIBERSAM), Instituto Carlos III, , Spain |
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| Abstract: | Objectives : The aims of our study were to examine the lifetime prevalence of obesity rate in eating disorders (ED) subtypes and to examine whether there have been temporal changes among the last 10 years and to explore clinical differences between ED with and without lifetime obesity. Methods : Participants were 1383 ED female patients (DSM‐IV criteria) consecutively admitted, between 2001 and 2010, to Bellvitge University Hospital. They were assessed by means of the Eating Disorders Inventory‐2, the Symptom Checklist‐90—Revised, the Bulimic Investigatory Test Edinburgh and the Temperament and Character Inventory—Revised. Results : The prevalence of lifetime obesity in ED cases was 28.8% (ranging from 5% in anorexia nervosa to 87% in binge‐eating disorders). Over the last 10 years, there has been a threefold increase in lifetime obesity in ED patients (p < .001). People with an ED and obesity had higher levels of childhood and family obesity (p < .001), a later age of onset and longer ED duration; and had higher levels of eating, general and personality symptomatology. Conclusions : Over the last 10 years, the prevalence of obesity associated with disorders characterized by the presence of binge episodes, namely bulimic disorders, is increasing, and this is linked with greater clinical severity and a poorer prognosis. Copyright © 2012 John Wiley & Sons, Ltd and Eating Disorders Association. |
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| Keywords: | obesity eating disorders personality psychopathology |
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