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Premorbid BMI predicts binge-purge symptomatology among individuals with anorexia nervosa
Journal article   Peer reviewed

Premorbid BMI predicts binge-purge symptomatology among individuals with anorexia nervosa

Elin L Lantz, Christopher Gillberg, Maria Råstam, Elisabet Wentz and Michael R Lowe
The International journal of eating disorders, v 50(7), pp 852-855
Jul 2017
PMID: 28432804

Abstract

Body Mass Index Female Anorexia Nervosa - diagnosis Binge-Eating Disorder - diagnosis Humans Adolescent
A finding consistent with the transdiagnostic approach to eating disorders is that about half of those with restricting anorexia nervosa (AN) eventually undergo a transition to the binge/purge (BP) subtype or to bulimia nervosa. Given evidence that individuals with bulimic symptoms exhibit elevated weights premorbidly, we tested the hypothesis that among those with AN, highest premorbid BMI would predict which individuals with AN would develop AN-BP. The current study used longitudinal data from a community sample of adolescents with AN in Sweden. Premorbid weights were obtained from growth charts, and participants were re-assessed at 6, 10, and 18 years after first presentation with AN. A greater highest premorbid BMI z score predicted a greater likelihood of developing binge/purge symptoms over 18 years. Among individuals who develop an eating disorder, premorbid BMI may be implicated in the type and course of the eating disorder that emerges.

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Collaboration types
Domestic collaboration
International collaboration
Web of Science research areas
Nutrition & Dietetics
Psychiatry
Psychology
Psychology, Clinical
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