Childhood risk factors for lifetime bulimic or compulsive eating by age 30 years in a British national birth cohort
Copyright policy )Childhood risk factors for lifetime bulimic or compulsive eating by age 30 years in a British national birth cohort
OBJECTIVE: To examine whether previously identified childhood risk factors for bulimia or compulsive eating (BCE) predict self-reported lifetime BCE by age 30 years in a prospective birth cohort. METHOD: Using data from the 1970 British Cohort Study at birth, 5, and 10 years, associations between 22 putative childhood risk factors and self-reported lifetime BCE at 30 years were examined, adjusting for sex and socioeconomic status. RESULTS: Only female sex (odds ratio (OR): 9.2; 95% confidence interval (CI): 1.9-43.7; p = 0.005), low self-esteem (OR:2.9; 95%CI: 1.1-7.5; p = 0.03) and high maternal education (OR:5.4; 95%CI: 2.0-14.8; p = 0.001) were significantly associated with higher risk of BCE, whereas high SES at 10 years was significantly protective (OR:0.2; 95%CI: 0.1-0.8; p = 0.022) of BCE in fully adjusted multivariable logistic regression analysis. DISCUSSION: Our findings do not support a strong role for childhood weight status and eating behaviours in the development of bulimia and compulsive eating pathology, rather suggesting a focus on self esteem may have greater relative importance. Findings in relation to maternal education and SES need further exploration.
- Great Ormond Street Hospital United Kingdom
- University College London United Kingdom
- University of Cambridge United Kingdom
- Great Ormond Street Hospital Children's Charity United Kingdom
- UCL Institute of Child Health United Kingdom
Adult, Male, Compulsive eating, Pediatric Obesity, Binge-Eating Disorder/epidemiology/etiology/prevention & control/psychology, Binge eating, 150, 610, Feeding Behavior/psychology, Mothers, Cohort Studies, Compulsive Behavior/epidemiology/etiology/prevention & control/psychology, Sex Factors, Risk Factors, MD Multidisciplinary, Prevalence, Humans, Longitudinal Studies, Prospective Studies, Pediatric Obesity/physiopathology/psychology, Bulimia Nervosa, Child, Mothers/education, Nutrition & Dietetics, Overweight/epidemiology/prevention & control/psychology, United Kingdom/epidemiology, Feeding Behavior, Overweight, Adult Binge-Eating Disorder/epidemiology/*etiology/prevention & control/psychology Bulimia Nervosa/epidemiology/*etiology/prevention & control/psychology Child *Child Nutritional Physiological Phenomena Cohort Studies Compulsive Behavior/epidemiology/*etiology/prevention & control/psychology Educational Status *Feeding Behavior/psychology Female Humans Longitudinal Studies Male Mothers/education Overweight/epidemiology/*prevention & control/psychology Pediatric Obesity/*physiopathology/psychology Prevalence Prospective Studies Risk Factors Self Concept Self Report Sex Factors United Kingdom/epidemiology *Binge eating *Bulimia nervosa *Childhood *Compulsive eating *Eating disorders *Risk factors, Childhood, Bulimia Nervosa/epidemiology/etiology/prevention & control/psychology, Self Concept, United Kingdom, Risk factors, Bulimia nervosa, Eating disorders, Compulsive Behavior, Educational Status, Female, Self Report, Child Nutritional Physiological Phenomena, Binge-Eating Disorder
Adult, Male, Compulsive eating, Pediatric Obesity, Binge-Eating Disorder/epidemiology/etiology/prevention & control/psychology, Binge eating, 150, 610, Feeding Behavior/psychology, Mothers, Cohort Studies, Compulsive Behavior/epidemiology/etiology/prevention & control/psychology, Sex Factors, Risk Factors, MD Multidisciplinary, Prevalence, Humans, Longitudinal Studies, Prospective Studies, Pediatric Obesity/physiopathology/psychology, Bulimia Nervosa, Child, Mothers/education, Nutrition & Dietetics, Overweight/epidemiology/prevention & control/psychology, United Kingdom/epidemiology, Feeding Behavior, Overweight, Adult Binge-Eating Disorder/epidemiology/*etiology/prevention & control/psychology Bulimia Nervosa/epidemiology/*etiology/prevention & control/psychology Child *Child Nutritional Physiological Phenomena Cohort Studies Compulsive Behavior/epidemiology/*etiology/prevention & control/psychology Educational Status *Feeding Behavior/psychology Female Humans Longitudinal Studies Male Mothers/education Overweight/epidemiology/*prevention & control/psychology Pediatric Obesity/*physiopathology/psychology Prevalence Prospective Studies Risk Factors Self Concept Self Report Sex Factors United Kingdom/epidemiology *Binge eating *Bulimia nervosa *Childhood *Compulsive eating *Eating disorders *Risk factors, Childhood, Bulimia Nervosa/epidemiology/etiology/prevention & control/psychology, Self Concept, United Kingdom, Risk factors, Bulimia nervosa, Eating disorders, Compulsive Behavior, Educational Status, Female, Self Report, Child Nutritional Physiological Phenomena, Binge-Eating Disorder
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