Five-Year Longitudinal Predictive Factors for Disordered Eating in a Population-Based Sample of Overweight Adolescents: Implications for Prevention and Treatment

Objective: The objective of this study is to identify predictors of prevalence and incidence of disordered eating (binge eating and extreme weight control behaviors) among overweight adolescents. Method: Five-year longitudinal associa-tions were examined in 412 overweight adolescents who participated in Project EAT-I and II. Results: Among both overweight males and females, risk factors for disordered eating included exposure to weight loss magazine articles, higher weight impor-tance, and unhealthy weight control behaviors, while family connectedness, body satisfaction, and regular meals were protective factors, although there were some differences in predictors of prevalence (total cases) versus incidence (new cases) of disordered eating. Among males, poor eating patterns, including fast food and sweetened beverage intake, increased risk for disordered eating, and the use of healthy weight control behav-iors was protective. Discussion: Attention should be directed toward decreasing disordered eating among overweight adolescents. Findings suggest the importance of pro-moting positive family relationships, psy-chological health, and regular meals, and steering adolescents away from overem-phasizing weight and using unhealthy weight control behaviors. VC 2009 b