Evidence map›Paper›PMID 41024260›Full record

ArticleJournal of eating disorders2025

Weight discrimination and eating disorder symptoms in early adolescence: a prospective cohort study.

Jason M Nagata, Arianna Thompson, Christiane K Helmer, Kyle T Ganson, Alexander Testa, Wesley R Barnhart, Jinbo He, Fiona C Baker, Jason M Lavender

Abstract read
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Article in Journal of eating disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

What it found

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2 · The registry

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Jason M NagataDepartment of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA. jason.nagata@ucsf.edu.
Arianna ThompsonDepartment of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA.
Christiane K HelmerDepartment of Pediatrics, University of California, San Francisco, 550 16th Street, 4th Floor, Box 0503, San Francisco, CA, 94143, USA.
Kyle T GansonFactor-Inwentash Faculty of Social Work, University of Toronto, Toronto, 246 Bloor St W, Toronto, ON, M5S 1V4, Canada.
Alexander TestaDepartment of Management, Policy and Community Health, University of Texas Health Science Center at Houston, 7000 Fannin, Suite 1706, Houston, TX, 77030, USA.
Wesley R BarnhartDepartment of Psychology, Suffolk University, 73 Tremont Street, 8th Floor, Boston, MA, 02108, USA.
Jinbo HeDepartment of Biosciences and BioinformaticsSchool of Science, Xi'an Jiaotong-Liverpool University, Suzhou, 215123, Jiangsu, China.
Fiona C BakerCenter for Health Sciences, SRI International, 333 Ravenswood Ave, Menlo Park, CA, 94025, USA.
Jason M LavenderMilitary Cardiovascular Outcomes Research Program (MiCOR), Department of Medicine, Uniformed Services University of the Health Sciences, 4301 Jones Bridge Rd, Bethesda, MD, 20814, USA.

Funding

Informing national guidelines on adolescent and young adult physical activity and sedentary behavior to prevent cardiovascular diseaseK08HL159350 · NHLBI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI NAGATA, JASON M · 2021 to 2025
$869k
Doris Duke Charitable Foundation 2022056NHLBI NIH HHS K08 HL159350NHLBI NIH HHS K08HL159350
6 · The paper itself

Abstract

backgroundWeight discrimination is associated with adverse outcomes, including eating disorder (ED) symptoms, but few longitudinal studies have investigated this relationship in early adolescence. We examined the prospective association of weight discrimination with ED symptoms one year later in early adolescents, and the extent to which this association was moderated by body mass index (BMI) percentile and sex.

methodsWe analyzed prospective data from Year 2 (2018-2020) and Year 3 (2019-2021) of the Adolescent Brain Cognitive Development (ABCD) Study (N = 9,079). To estimate the associations between self-reported experiences of weight discrimination in Year 2 and ED symptoms in Year 3, we conducted multiple logistic and ordinal logistic regression analyses, controlling for potential covariates, including ED symptoms in Year 2. Weight discrimination was measured using the Perceived Discrimination Scale. Presence of various ED symptoms was assessed via parent report using the Kiddie Schedule for Affective Disorders and Schizophrenia (KSADS-5). Participant BMI percentile and sex were also investigated as potential moderators.

resultsWeight discrimination was prospectively associated with higher odds of worry about weight gain (adjusted odds ratio [aOR] 2.12, 95% confidence interval [CI] 1.08-4.14, p = 0.028), self-worth tied to weight (aOR 3.75, 95% CI 2.54-5.55, p < 0.001), inappropriate compensatory behaviors to prevent weight gain (aOR 2.75, 95% CI 2.02-3.74, p < 0.001), binge eating symptoms (aOR 1.72, 95% CI 1.10-2.68, p = 0.018), and distress about binge eating (aOR 2.26, 95% CI 1.33-3.85, p = 0.002) one year later. Weight discrimination was also associated with higher odds of a greater number of overall ED symptoms one year later (aOR 2.21, 95% CI 1.61-3.03, p < 0.001). A significant interaction by BMI percentile was also found: in adolescents with BMI of 5th to < 85th percentile, weight discrimination was more strongly and prospectively associated with higher odds of binge eating symptoms (aOR 3.32, 95% CI 1.27-8.68, p = 0.015) and binge eating distress (aOR 5.11, 95% CI 2.10-12.44, p < 0.001).

conclusionsResults support a prospective relationship between perceived weight discrimination and ED symptoms in early adolescents, and the differential associations based on BMI percentile highlight the need for interventions that address weight stigma across the weight spectrum.

Indexed as

AdolescenceBinge eatingDiscriminationDisordered eatingEating disorderWeightWeight stigma

Identifiers

PMID41024260
PMCPMC12482715

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LicenceCC BY
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.