Please use this identifier to cite or link to this item: https://doi.org/10.3945/ajcn.116.141697
Title: Prospective associations between problematic eating attitudes in midchildhood and the future onset of adolescent obesity and high blood pressure
Authors: Wade, K.H
Kramer, M.S 
Oken, E
Timpson, N.J
Skugarevsky, O
Patel, R
Bogdanovich, N
Vilchuck, K
Smith, G.D
Thompson, J
Martin, R.M
Keywords: adolescent
adolescent obesity
Article
attitude
attitude assessment
body mass
breast feeding
child
childrens eating attitudes test
controlled study
demography
diastolic blood pressure
eating disorder
female
futurology
human
hypertension
major clinical study
male
multicenter study
prospective study
randomized controlled trial
systolic blood pressure
attitude to health
blood pressure
clinical trial
cluster analysis
feeding behavior
follow up
hypertension
multivariate analysis
obesity
Overweight
Pediatric Obesity
psychology
questionnaire
risk factor
socioeconomics
Adiposity
Adolescent
Blood Pressure
Body Mass Index
Child
Cluster Analysis
Feeding Behavior
Female
Follow-Up Studies
Health Knowledge, Attitudes, Practice
Humans
Hypertension
Male
Multivariate Analysis
Overweight
Pediatric Obesity
Prospective Studies
Risk Factors
Socioeconomic Factors
Surveys and Questionnaires
Issue Date: 2017
Publisher: American Society for Nutrition
Citation: Wade, K.H, Kramer, M.S, Oken, E, Timpson, N.J, Skugarevsky, O, Patel, R, Bogdanovich, N, Vilchuck, K, Smith, G.D, Thompson, J, Martin, R.M (2017). Prospective associations between problematic eating attitudes in midchildhood and the future onset of adolescent obesity and high blood pressure. American Journal of Clinical Nutrition 105 (2) : 306-312. ScholarBank@NUS Repository. https://doi.org/10.3945/ajcn.116.141697
Rights: Attribution 4.0 International
Abstract: Background: Clinically diagnosed eating disorders may have adverse cardiometabolic consequences, including overweight or obesity and high blood pressure. However, the link between problematic eating attitudes in early adolescence, which can lead to disordered eating behaviors, and future cardiometabolic health is, to our knowledge, unknown. Objective: We assessed whether variations in midchildhood eating attitudes influence the future development of overweight or obesity and high blood pressure. Design: Of 17,046 children who participated in the Promotion of Breastfeeding Intervention Trial (PROBIT), we included 13,557 participants (79.5% response rate) who completed the Children's Eating Attitudes Test (ChEAT) at age 11.5 y and in whom we measured adiposity and blood pressure at ages 6.5, 11.5, and 16 y. We assessed whether ChEAT scores $85th percentile (indicative of problematic eating attitudes) compared with scores ,85th percentile at age 11.5 y were associated with new-onset overweight, obesity, high systolic blood pressure, or high diastolic blood pressure between midchildhood and early adolescence. Results: After controlling for baseline sociodemographic confounders, we observed positive associations of problematic eating attitudes at age 11.5 y with new-onset obesity (OR: 2.18; 95% CI: 1.58, 3.02), newonset high systolic blood pressure (OR: 1.34; 95% CI: 1.05, 1.70), and new-onset high diastolic blood pressure (OR: 1.25; 95% CI: 0.99, 1.58) at age 16 y. After further controlling for body mass index at age 6.5 y, problematic eating attitudes remained positively associated with newonset obesity (OR: 1.80; 95% CI: 1.28, 2.53); however, associations with new-onset high blood pressure were attenuated (OR: 1.14; 95% CI: 0.89, 1.45 and OR: 1.09; 95% CI: 0.86, 1.39 for new-onset systolic and diastolic blood pressure, respectively). Conclusions: Problematic eating attitudes in midchildhood seem to be related to the development of obesity in adolescence, a relatively novel observation with potentially important public health implications for obesity control. PROBIT was registered at clinicaltrials.gov as NCT01561612 and isrctn.com as ISRCTN37687716. © 2017 American Society for Nutrition.
Source Title: American Journal of Clinical Nutrition
URI: https://scholarbank.nus.edu.sg/handle/10635/179242
ISSN: 00029165
DOI: 10.3945/ajcn.116.141697
Rights: Attribution 4.0 International
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