Diet pill and laxative use for weight control predicts first-time receipt of an eating disorder diagnosis within the next 5 years among female adolescents and young adults

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: To replicate findings from a prior study which identified prospective associations between use of products for weight control and subsequent receipt of a first-time eating disorder (ED) diagnosis among female adolescents and young adults. Method: Data from a prospective cohort study, Project EAT (Eating and Activity in Teens and Young Adults), were used to examine prospective associations between self-reported past-year diet pill and laxative use for weight control and self-reported receipt of an ED diagnosis among females without prior receipt of an ED diagnosis (N = 1,015). Participants were followed from early/middle adolescence (EAT-I; Mage = 14.9 years) into late adolescence/emerging adulthood (EAT-II; Mage = 19.5 years) and young adulthood (EAT-III; Mage = 24.8 years). Results: First-time receipt of an ED diagnosis was reported by 2.4% of participants at EAT-II and 4.0% at EAT-III. After adjusting for demographics and weight status, participants using diet pills (risk ratio [RR] = 3.58, 95% confidence interval [CI]: 1.96–6.54) and laxatives (RR = 2.77, 95% CI: 1.01–7.64) had greater risk of receiving a first-time ED diagnosis within 5 years than those not using these products. Discussion: The present study replicated prior findings, providing further evidence for a prospective link between use of products for weight control and subsequent receipt of an ED diagnosis.

Original languageEnglish (US)
Pages (from-to)1289-1294
Number of pages6
JournalInternational Journal of Eating Disorders
Volume54
Issue number7
Early online dateMay 5 2021
DOIs
StatePublished - Jul 2021

Bibliographical note

Funding Information:
Data collection for the study was supported by Grant Number R01HL116892 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark‐Sztainer). The authors' time to conduct and describe the analysis reported within this manuscript was supported by Grant Number R35HL139853 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark‐Sztainer) and Grant Number T32MH082761 from the National Institute of Mental Health (PI: Scott Crow). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute; National Institute of Mental Health; or the National Institutes of Health.

Funding Information:
Data collection for the study was supported by Grant Number R01HL116892 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer). The authors' time to conduct and describe the analysis reported within this manuscript was supported by Grant Number R35HL139853 from the National Heart, Lung, and Blood Institute (PI: Dianne Neumark-Sztainer) and Grant Number T32MH082761 from the National Institute of Mental Health (PI: Scott Crow). The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Heart, Lung, and Blood Institute; National Institute of Mental Health; or the National Institutes of Health.

Publisher Copyright:
© 2021 Wiley Periodicals LLC.

Keywords

  • adolescent
  • diet pills
  • eating disorders
  • laxatives
  • weight loss
  • young adult

PubMed: MeSH publication types

  • Journal Article
  • Research Support, N.I.H., Extramural

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