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Psychother Psychosom Med Psychol 2007; 57(11): 413-419
DOI: 10.1055/s-2007-986204
Originalarbeit
© Georg Thieme Verlag KG Stuttgart · New York

Essanfälle und Adipositas im Kindesalter

Binge Eating and Obesity in ChildrenAnja  Hilbert1 , Julia  Czaja1
  • 1Fachbereich Psychologie, Philipps-Universität Marburg
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Publication History

eingereicht 7. Sept. 2007

akzeptiert 11. Sept. 2007

Publication Date:
19 October 2007 (online)

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Zusammenfassung

Einzelnen Berichten zufolge leiden Untergruppen adipöser Kinder, darunter Kinder mit Essanfällen, unter einer erhöhten Psychopathologie. Der vorliegende Beitrag gibt einen Überblick über den Forschungsstand zur „Binge-Eating”-Störung (BES) im Kindesalter. Zudem wird eine Studie zur Psychopathologie vorgestellt. Die Ergebnisse zeigen, dass Essanfälle bei Kindern zwischen 8 - 13 Jahren mit essensbezogenen Sorgen, Figur- und Gewichtssorgen, Depressivität sowie Übergewicht und Adipositas einhergingen, jedoch nicht mit vermehrten psychischen Störungen oder Verhaltensauffälligkeiten. Die Psychopathologie war erst bei wiederkehrenden Essanfällen klinisch signifikant erhöht, die DSM-IV-Diagnose einer BES war jedoch nur in wenigen Fällen erfüllt. Die DSM-IV-Kriterien und auch weitere, speziell für Kinder vorgeschlagene Forschungskriterien waren wenig bis moderat mit der Essanfallshäufigkeit korreliert. Psychologische Merkmale, die für wiederkehrende Essanfälle im Kindesalter kennzeichnend sind, bedürfen weiterer Untersuchung.

Abstract

Emerging evidence suggests that subgroups of obese children, including children with binge eating, suffer from an increased psychopathology. The current study provides an overview of research on binge eating disorder (BED) symptomatology in childhood. Data from a community-based investigation in children aged 8 - 13 years show that binge episodes co-occurred with eating concerns, weight and shape concerns, depressiveness, and overweight and obesity, but not with psychiatric diagnoses or general behavioral disturbances. Recurrent binge eating was associated with clinically significant eating disorder psychopathology, but a BED diagnosis was present in only a few cases. The DSM-IV criteria and further proposed research criteria for children showed low to moderate associations with binge eating frequency. Psychological characteristics associated with recurrent binge eating in children are in need of further study.

Key words

obesity - children - binge eating - eating disorders - psychopathology

Literatur

  • 1 Kurth B M, Schaffrath-Rosario A. Die Verbreitung von Übergewicht und Adipositas bei Kindern und Jugendlichen in Deutschland. Ergebnisse des bundesweiten Kinder- und Jugendgesundheitssurveys (KiGGS).  Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2007;  50 736-743
    CrossrefPubMedGoogle Scholar
  • 2 Arbeitsgemeinschaft Adipositas im Kindes- und Jugendalter (AGA) .Leitlinien Adipositas im Kindes- und Jugendalter. 2004 http://www.adipositas-gesellschaft.de/daten/Leitlinie-AGA-2004-09-10.pdf
    Google Scholar
  • 3 Puhl R, Brownell K D. Bias, discrimination, and obesity.  Obes Res. 2001;  9 788-805
    CrossrefPubMedGoogle Scholar
  • 4 Hennings A, Hilbert A, Thomas J. et al .Reduktion der Stigmatisierung Übergewichtiger bei Schülern: Auswirkungen eines Informationsfilms. Psychother Psychosom Med Psychol 2007, Online vor dem Druck
    Google Scholar
  • 5 Serdula M K, Ivery D, Coates R J. et al . Do obese children become obese adults? A review of the literature.  Prev Med. 1993;  22 167-77
    CrossrefPubMedGoogle Scholar
  • 6 Guo S S, Roche A F, Chumlea W C. et al . The predictive value of childhood body mass index values for overweight at age 35 y.  Am J Clin Nutr. 1994;  59 810-9
    PubMedGoogle Scholar
  • 7 Wilfley E D, Tibbs T L, Van Buren D J. et al . Lifestyle interventions in the treatment of childhood overweight: a meta-analytic review of randomized controlled trials.  Health Psychol. 2007;  26 521-532
    CrossrefPubMedGoogle Scholar
  • 8 Wilson G, Grilo C M, Vitousek K M. Psychological treatment of eating disorders.  Am Psychol. 2007;  62 199-216
    CrossrefPubMedGoogle Scholar
  • 9 Hilbert A, Munsch S. „Binge-Eating”-Störung bei Kindern und Jugendlichen.  Kindheit und Entwicklung. 2005;  14 209-221
    CrossrefPubMedGoogle Scholar
  • 10 Tanofsky-Kraff M. Binge eating among children and adolescents. In: Jelalian E, Steele RG (eds) The Handbook of Child and Adolescent Obesity. New York, NY; Springer in press
    Google Scholar
  • 11 Amercian Psychiatric Association .Diagnostic and statistical manual of mental disorders: DSM-IV. 4th ed. Washington; American Psychiatric Association 1994
    Google Scholar
  • 12 Wilfley D E, Wilson G T, Agras W S. The clinical significance of binge eating disorder.  Int J Eat Disord. 2003;  34 96-106
    CrossrefPubMedGoogle Scholar
  • 13 de Zwaan M. Binge eating disorder and obesity.  Int J Obes Relat Metab Disord. 2001;  25 Suppl 1 51-55
    CrossrefPubMedGoogle Scholar
  • 14 Ackard D M, Neumark-Sztainer D, Story M. et al . Overeating among adolescents: prevalence and associations with weight-related characteristics and psychological health.  Pediatrics. 2003;  111 67-74
    CrossrefPubMedGoogle Scholar
  • 15 Decaluwé V, Braet C. Prevalence of binge-eating disorder in obese children and adolescents seeking weight-loss treatment.  Int J Obes. 2003;  27 404-409
    CrossrefPubMedGoogle Scholar
  • 16 Tanofsky-Kraff M, Yanovski S Z, Wilfley D E. et al . Eating-disordered behaviors, body fat, and psychopathology in overweight and normal-weight children.  J Consult Clin Psychol. 2004;  72 53-61
    PubMedGoogle Scholar
  • 17 Tanofsky-Kraff M, Morgan C M, Yanovski S Z. et al . Comparison of assessments of children's eating-disordered behaviors by interview and questionnaire.  Int J Eat Disord. 2003;  33 213-224
    CrossrefPubMedGoogle Scholar
  • 18 Goossens L, Braet C, Decaluwé V. Loss of control over eating in obese youngsters.  Behav Res Ther. 2007;  45 1-9
    CrossrefPubMedGoogle Scholar
  • 19 Shapiro J R, Woolson S L, Hamer R M. et al . Evaluating binge eating disorder in children: development of the children's binge eating disorder scale (C-BEDS).  Int J Eat Disord. 2007;  40 82-89
    CrossrefPubMedGoogle Scholar
  • 20 Morgan C M, Yanovski S Z, Nguyen T T. et al . Loss of control over eating, adiposity, and psychopathology in overweight children.  Int J Eat Disord. 2002;  31 430-441
    CrossrefPubMedGoogle Scholar
  • 21 Theim K R, Tanofsky-Kraff M, Salaita C G. et al . Children's descriptions of the foods consumed during loss of control eating episodes.  Eat Behav. 2007;  8 258-65
    CrossrefPubMedGoogle Scholar
  • 22 Mirch M C, McDuffie J R, Yanovski S Z. et al . Effects of binge eating on satiation, satiety, and energy intake of overweight children.  Am J Clin Nutr. 2007;  84 732-738
    PubMedGoogle Scholar
  • 23 Ledoux S, Choquet M, Manfredi R. Associated factors for self-reported binge eating among male and female adolescents.  J Adolesc. 1993;  16 75-91
    CrossrefPubMedGoogle Scholar
  • 24 Tanofsky-Kraff M, Faden D, Yanovski S Z. et al . The perceived onset of dieting and loss of control eating behaviors in overweight children.  Int J Eat Disord. 2005;  38 112-122
    CrossrefPubMedGoogle Scholar
  • 25 Tanofsky-Kraff M, Haynos A F, Kotler L A. et al . Laboratory-based studies of eating among children and adolescents.  Current Nutrition & Food Science. 2007;  3 55-74
    PubMedGoogle Scholar
  • 26 Fisher J O, Birch L L. Restricting access to palatable foods affects children's behavioral response, food selection, and intake.  Am J Clin Nutr. 1999;  69 1264-72
    PubMedGoogle Scholar
  • 27 Fisher J O, Birch L L. Restricting access to foods and children's eating.  Appetite. 1999;  32 405-419
    CrossrefPubMedGoogle Scholar
  • 28 Laessle R G, Uhl H, Lindel B. et al . Parental influences on laboratory eating behavior in obese and non-obese children.  Int J Obes Relat Metab Disord. 2001;  25 Suppl 1 60-62
    CrossrefPubMedGoogle Scholar
  • 29 Glasofer D R, Tanofsky-Kraff M, Eddy K T. et al . Binge eating in overweight treatment-seeking adolescents.  J Pediatr Psychol. 2007;  32 95-105
    PubMedGoogle Scholar
  • 30 Marcus M D, Kalarchian M A. Binge eating in children and adolescents.  Int J Eat Disord. 2003;  43 47-57
    PubMedGoogle Scholar
  • 31 Bryant-Waugh R, Lask B. Eating disorders in children.  J Child Psychol Psychiatry. 1995;  36 191-202
    CrossrefPubMedGoogle Scholar
  • 32 Striegel-Moore R H, Franko D L. Epidemiology of binge eating disorder.  Int J Eat Disord. 2003;  34 19-29
    CrossrefPubMedGoogle Scholar
  • 33 Bryant-Waugh R J, Cooper P J, Taylor C L. et al . The use of the Eating Disorder Examination with children: A pilot study.  Int J Eat Disord. 1996;  19 391-397
    CrossrefPubMedGoogle Scholar
  • 34 Decaluwe V, Braet C, Fairburn C. Binge eating in obese children and adolescents.  Int J Eat Disord. 2003;  33 78-84
    CrossrefPubMedGoogle Scholar
  • 35 Field A E, Camargo C A, Taylor C B. et al . Overweight, weight concerns, and bulimic behaviors among boys and girls.  J Am Acad Child Adolesc Psychiatry. 1999;  38 754-760
    PubMedGoogle Scholar
  • 36 Tanofsky-Kraff M, Yanovski S Z, Yanovski J A. Comparison of child interview and parent reports of children's eating disordered behaviors.  Eat Behav. 2005;  6 95-99
    CrossrefPubMedGoogle Scholar
  • 37 Lamerz A, Kuepper-Nybelen J, Bruning N. et al . Prevalence of obesity, binge eating, and night eating in a cross-sectional field survey of 6-year-old children and their parents in a German urban population.  J Child Psychol Psychiatry. 2005;  46 385-93
    CrossrefPubMedGoogle Scholar
  • 38 Stice E, Agras W S, Hammer L D. Risk factors for the emergence of childhood eating disturbances: A five-year prospective study.  Int J Eat Disord. 1999;  25 375-387
    CrossrefPubMedGoogle Scholar
  • 39 Haines J, Neumark-Sztainer D, Eisenberg M E. et al . Weight teasing and disordered eating behaviors in adolescents: longitudinal findings from Project EAT (Eating Among Teens).  Pediatrics. 2006;  117 209-215
    CrossrefPubMedGoogle Scholar
  • 40 Neumark-Sztainer D, Wall M, Guo J. et al . Obesity, disordered eating, and eating disorders in a longitudinal study of adolescents: how do dieters fare 5 years later?.  J Am Diet Assoc. 2006;  106 559-568
    CrossrefPubMedGoogle Scholar
  • 41 Stice E, Presnell K, Spangler D. Risk factors for binge eating onset in adolescent girls: a 2-year prospective investigation.  Health Psychol. 2002;  21 131-138
    CrossrefPubMedGoogle Scholar
  • 42 Pope Jr H G, Lalonde J K, Pindyck L J. et al . Binge eating disorder: a stable syndrome.  Am J Psychiatry. 2006;  163 2181-2183
    CrossrefPubMedGoogle Scholar
  • 43 Quadflieg N, Hedlund S, Fichter M. Psychopathologie von Essanfällen im Kindesalter.  Verhaltenstherapie. 2007;  17 (Suppl 1) 24-25
    PubMedGoogle Scholar
  • 44 Cachelin F M, Striegel-Moore R H, Elder K A. et al . Natural course of a community sample of women with Binge Eating Disorder.  Int J Eat Disord. 1999;  25 45-54
    CrossrefPubMedGoogle Scholar
  • 45 Tanofsky-Kraff M, Cohen M L, Yanovski S Z. et al . A prospective study of psychological predictors of body fat gain among children at high risk for adult obesity.  Pediatrics. 2006;  117 1203-1209
    CrossrefPubMedGoogle Scholar
  • 46 Field A E, Austin S B, Taylor C B. et al . Relation between dieting and weight change among preadolescents and adolescents.  Pediatrics. 2003;  112 900-906
    CrossrefPubMedGoogle Scholar
  • 47 Stice E, Cameron R P, Killen J D. et al . Naturalistic weight-reduction efforts prospectively predict growth in relative weight and onset of obesity among female adolescents.  J Consult Clin Psychol. 1999;  67 967-974
    PubMedGoogle Scholar
  • 48 Stice E, Presnell K, Shaw H. et al . Psychological and behavioral risk factors for obesity onset in adolescent girls: a prospective study.  J Consult Clin Psychol. 2005;  73 195-202
    PubMedGoogle Scholar
  • 49 Fairburn C G, Doll H A, Welch S L. et al . Risk factors for binge eating disorder: A community-based, case-control study.  Arch Gen Psychiatry. 1998;  55 425-432
    CrossrefPubMedGoogle Scholar
  • 50 Striegel-Moore R H, Fairburn C G, Wilfley D E. et al . Risk factors for binge eating disorder in black and white women: A community-based case-control study.  Psychol Med. 2005;  35 907-917
    CrossrefPubMedGoogle Scholar
  • 51 Pike K M, Wilfley D, Hilbert A. et al . Antecent life events of binge eating disorder.  Psychiatry Res. 2006;  142 19-29
    CrossrefPubMedGoogle Scholar
  • 52 Fowler S J, Bulik C M. Family environment and psychiatric history in women with binge eating disorder and obese controls.  Behaviour Change. 1997;  14 106-112
    PubMedGoogle Scholar
  • 53 Lee Y H, Abbott D W, Seim H. et al . Eating disorders and psychiatric disorders in the first-degree relatives of obese probands with binge eating disorder and obese non-binge eating disorder controls.  Int J Eat Disord. 1999;  26 322-332
    CrossrefPubMedGoogle Scholar
  • 54 Bulik C M, Sullivan P F, Kendler K S. Genetic and environmental contributions to obesity and binge eating.  Int J Eat Disord. 2003;  33 293-298
    PubMedGoogle Scholar
  • 55 Lubrano-Berthelier C, Dubern B, Lacorte J M. et al . Melanocortin 4 receptor mutations in a large cohort of severely obese adults: prevalence, functional classification, genotype-phenotype relationship, and lack of association with binge eating.  J Clin Endocrinol Metab. 2006;  91 1811-1818
    CrossrefPubMedGoogle Scholar
  • 56 Watkins B, Frampton I, Lask B. et al . Reliability and validity of the child version of the eating disorder examination: A preliminary investigation.  Int J Eat Disord. 2005;  38 183-187
    CrossrefPubMedGoogle Scholar
  • 57 Stiensmeier-Pelster J, Schürmann M, Duda K. Depressions-Inventar für Kinder und Jugendliche (Handanweisung). 2. Auflage. Göttingen; Hogrefe 2000
    Google Scholar
  • 58 Unnewehr S, Schneider S, Magraf J. Diagnostisches Interview bei psychischen Störungen im Kindes- und Jugendalter (Kinder-DIPS). Berlin; Springer 1995
    Google Scholar
  • 59 Arbeitsgruppe Deutsche Child Behavior Checklist .CBCL/4 - 18. Elternfragebogen über das Verhalten von Kindern und Jugendlichen. Deutsche Bearbeitung der Child Behavior Checklist. Köln; Arbeitsgruppe Kinder-, Jugend- und Familiendiagnostik (KJFD) 1998
    Google Scholar
  • 60 Devlin M J, Goldfein J A, Dobrow I. What is this thing called BED? Current status of binge eating disorder nosology.  Int J Eat Disord. 2003;  34 2-18
    CrossrefPubMedGoogle Scholar

PD Dr. Anja Hilbert

Fachbereich Psychologie, Philipps-Universität Marburg

Gutenbergstraße 18

35032 Marburg

Email: hilbert@staff.uni-marburg.de

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