Khalid Rabia, Lister Natalie B, Paxton Susan J, Maguire Sarah, Libesman Sol, Seidler Anna L, Cooper Kelly, Quigley Fiona, Yourell Jacqlyn, Baur Louise A, Jebeile Hiba
Children's Hospital Westmead Clinical School, The University of Sydney, Westmead, New South Wales, Australia.
Charles Perkins Centre, The University of Sydney, Sydney, New South Wales, Australia.
Obes Rev. 2025 Jan;26(1):e13840. doi: 10.1111/obr.13840. Epub 2024 Oct 4.
To describe pathways to eating disorder (ED) development that have been evaluated in people with overweight and obesity.
Four databases were searched to identify studies testing ED development models in adolescents (10-19 years) or adults (>19 years) with overweight and obesity. Explanatory variables were thematically grouped into constructs to describe pathways to each ED outcome.
Of 2226 studies screened, 46 (10 adolescent; 36 adult) were included. Study samples were predominantly female, ranging from 22 to 2236 participants and mean age 12.3 to 56.0 years. In total, 207 explanatory variables were grouped into 18 constructs to summarize 107 pathways that were identified. The most common ED outcome was binge eating (n = 24 studies), followed by global ED psychopathology (n = 10 studies). Across pathways to ED development, negative affect was the most proposed construct, followed by preoccupation with weight/shape and weight stigma.
Pathways to ED development in people with overweight and obesity are complex and may include more than 18 different explanatory factors of which negative affect, preoccupation with weight/shape, and weight stigma are the most common. More research on adolescents, males, and the spectrum of ED in diverse populations is required for early identification and intervention.
描述在超重和肥胖人群中已得到评估的饮食失调（ED）发展途径。
检索了四个数据库，以确定在超重和肥胖的青少年（10 - 19岁）或成年人（>19岁）中测试ED发展模型的研究。将解释变量按主题分组为构建体，以描述通向每种ED结果的途径。
在筛选的2226项研究中，纳入了46项（10项针对青少年；36项针对成年人）。研究样本主要为女性，参与者人数从22至2236不等，平均年龄为12.3至56.0岁。总共207个解释变量被分组为18个构建体，以总结所确定的107条途径。最常见的ED结果是暴饮暴食（n = 24项研究），其次是整体ED精神病理学（n = 10项研究）。在ED发展的各种途径中，负面影响是最常被提及的构建体，其次是对体重/体型的过度关注和体重耻辱感。
超重和肥胖人群中ED发展的途径很复杂，可能包括18种以上不同的解释因素，其中负面影响、对体重/体型的过度关注和体重耻辱感最为常见。需要对青少年、男性以及不同人群中ED的范围进行更多研究，以便早期识别和干预。
