1. Triggers for eating disorder onset in youth with anorexia nervosa across the weight spectrum.
- Author
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Lin, Jessica A, Jhe, Grace, Adhikari, Richa, Vitagliano, Julia A, Rose, Kelsey L., Freizinger, Melissa, and Richmond, Tracy K
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ANOREXIA nervosa complications , *PREVENTION of eating disorders , *HEALTH education , *BODY weight , *CHILDHOOD obesity , *AGE distribution , *RETROSPECTIVE studies , *ACQUISITION of data , *PATIENTS , *HEALTH outcome assessment , *DIET , *RISK assessment , *HOSPITAL admission & discharge , *QUALITATIVE research , *SEX distribution , *REINFORCEMENT (Psychology) , *AGE factors in disease , *RESEARCH funding , *MEDICAL records , *HEALTH care teams , *EXERCISE , *DESCRIPTIVE statistics , *SOCIODEMOGRAPHIC factors , *THEMATIC analysis , *LOGISTIC regression analysis , *WHITE people , *BODY mass index , *EATING disorders , *PSYCHOLOGICAL stress - Abstract
To aid in more targeted eating disorder (ED) prevention efforts, we sought to identify sociodemographic and weight-related risk factors for identified triggers for the onset of anorexia nervosa (AN) in youth. We conducted a retrospective chart review of youth admitted for medical treatment of AN between January 2015 and February 2020. From multidisciplinary admission notes, we extracted patient-reported reasons for diet/exercise changes. We used qualitative thematic analysis to identify ED triggers, then categorized each trigger as binary variables (presence/absence) for logistic regression analysis of risks associated with each trigger. Of 150 patients, mean (SD) age was 14.1(2.3) years. A total of 129 (86%) were female and 120 (80%) were Non-Hispanic White. Triggers included environmental stressors (reported by 30%), external pressures of the thin/fit ideal (29%), internalized thin/fit ideal (29%), weight-related teasing (19%), and receiving health education (14%). Younger age was associated with higher odds of weight-related teasing (p =.04) and health education (p =.03). Males had greater odds of internalized thin/fit ideal than females (p =.04). Those with premorbid body mass indices ≥85th percentile for age and sex had greater odds of reporting positive reinforcement (p =.03) and weight-related teasing (p =.04) than those with weights <85th percentile. We use these findings to detail potential targets for advancing ED prevention efforts. [ABSTRACT FROM AUTHOR]
- Published
- 2023
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