Sonneville K R, Calzo J P, Horton N J, Field A E, Crosby R D, Solmi F, Micali N
Psychol Med. 2015;45(12):2511-20. doi: 10.1017/S0033291715000148.
Identifying childhood predictors of binge eating and understanding risk mechanisms could help improve prevention and detection efforts. The aim of this study was to examine whether features of attention-deficit/hyperactivity disorder (ADHD), as well as childhood eating disturbances, predicted binge eating later in adolescence.
We studied specific risk factors for the development of binge eating during mid-adolescence among 7120 males and females from the Avon Longitudinal Study of Parents and Children (ALSPAC), a cohort study of children in the UK, using data from multiple informants to develop structural equation models. Repeated assessment of eating disturbances during childhood (mid-childhood overeating, late-childhood overeating and early-adolescent strong desire for food), as well as teacher- and parent-reported hyperactivity/inattention during mid- and late childhood, were considered as possible predictors of mid-adolescent binge eating.
Prevalence of binge eating during mid-adolescence in our sample was 11.6%. The final model of predictors of binge eating during mid-adolescence included direct effects of late-childhood overeating [standardized estimate 0.145, 95% confidence interval (CI) 0.038–0.259, p = 0.009] and early-adolescent strong desire for food (standardized estimate 0.088, 95% CI −0.002 to 0.169, p = 0.05). Hyperactivity/inattention during late childhood indirectly predicted binge eating during mid-adolescence (standardized estimate 0.085, 95% CI 0.007–0.128, p = 0.03) via late-childhood overeating and early-adolescent strong desire for food.
Our findings indicate that early ADHD symptoms, in addition to an overeating phenotype, contribute to risk for adolescent binge eating. These findings lend support to the potential role of hyperactivity/inattention in the development of overeating and binge eating.
识别儿童期暴饮暴食的预测因素并了解风险机制有助于改进预防和检测工作。本研究的目的是检验注意力缺陷/多动障碍（ADHD）的特征以及儿童期饮食紊乱是否能预测青少年后期的暴饮暴食。
我们利用来自英国一项儿童队列研究“埃文亲子纵向研究”（ALSPAC）中7120名男性和女性的数据，通过多渠道信息来构建结构方程模型，研究青少年中期暴饮暴食发展的特定风险因素。儿童期饮食紊乱的重复评估（儿童中期暴饮暴食、儿童晚期暴饮暴食和青少年早期对食物的强烈渴望），以及教师和家长报告的儿童中期和晚期的多动/注意力不集中，被视为青少年中期暴饮暴食的可能预测因素。
我们样本中青少年中期暴饮暴食的患病率为11.6%。青少年中期暴饮暴食预测因素的最终模型包括儿童晚期暴饮暴食的直接影响[标准化估计值0.145，95%置信区间（CI）0.038–0.259，p = 0.009]和青少年早期对食物的强烈渴望（标准化估计值0.088，95% CI -0.002至0.169，p = 0.05）。儿童晚期的多动/注意力不集中通过儿童晚期暴饮暴食和青少年早期对食物的强烈渴望间接预测青少年中期的暴饮暴食（标准化估计值0.085，95% CI 0.007–0.128，p = 0.03）。
我们的研究结果表明，除了暴饮暴食表型外，早期ADHD症状也会增加青少年暴饮暴食的风险。这些发现支持了多动/注意力不集中在暴饮暴食发展过程中的潜在作用。
