Abstract
The objective is to estimate the prevalence of binge-eating disorder (BED) and subclinical BED in children and adolescents. Relevant articles were searched in the databases of PubMED and PsycINFO. Articles were included if they measured BED, subclinical BED, binge eating and/or loss of control (LOC) eating in samples of up to 20 years of age or with a mean age below 20 years. Subclinical BED covers participants with < 4 OBEs but ≥ 1 OBE pr. month and studies measuring subclinical DSM-IV/DSM-5 BED, but where all criteria were not met. All study types and measuring methods were accepted, but studies were excluded if they did not assess and exclude cases of recurrent compensatory behaviors. Meta-analyses were used to obtain an overall estimate of the prevalence of BED and subclinical BED, while stratified meta-analyses were used to assess sources of heterogeneity. 39 studies measuring BED, subclinical BED and/or a low frequency of binge eating were included. Two meta-analyses resulted in an overall estimated prevalence of 1.32% BED and 3.0% subclinical BED in children and adolescents. The results were influenced by high heterogeneity. Potential sources to heterogeneity in the BED result were weight of participants and sample types as well as level of risk of bias in the included studies. BED seems to be as frequent in children and adolescents as anorexia nervosa and bulimia nervosa. Hence, treatment of BED and BED symptoms in younger populations should be prioritized on the same terms as anorexia and bulimia nervosa.
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References
American Psychiatric Association (2013) Feeding and Eating Disorders. In: American Psychiatric Association (ed) Diagnostic and Statistical Manual of Mental Disorders (DSM-5), 5 edn. American Psychiatric Publishing, Washington
Marcus MD, Kalarchian MA (2003) Binge eating in children and adolescents. Int J Eat Disord 34:47–57. https://doi.org/10.1002/eat.10205
Stice E, Marti CN, Rohde P (2013) Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. J Abnorm Psychol 122(2):445–457. https://doi.org/10.1037/a0030679
Galmiche M, Dechelotte P, Lambert G, Tavolacci MP (2019) Prevalence of eating disorders over the 2000–2018 period: a systematic literature review. Am J Clin Nutr 109(5):1402–1413. https://doi.org/10.1093/ajcn/nqy342
Marzilli E, Cerniglia L, Cimino S (2018) A narrative review of binge eating disorder in adolescence: prevalence, impact, and psychological treatment strategies. Adolesc Health Med Ther 9:17–30. https://doi.org/10.2147/AHMT.S148050
Lamerz A, Kuepper-Nybelen J, Bruning N, Wehle C, Trost-Brinkhues G, Brenner H, Hebebrand J, Herpertz-Dahlmann B (2005) Prevalence of obesity, binge eating, and night eating in a cross-sectional field survey of 6-year-old children and their parents in a German urban population. J Child Psychol Psychiatry 46(4):385–393. https://doi.org/10.1111/j.1469-7610.2004.00363.x
Tanofsky-Kraff M, Shomaker LB, Olsen C, Roza CA, Wolkoff LE, Columbo KM, Raciti G, Zocca JM, Wilfley DE, Yanovski SZ, Yanovski JA (2011) A prospective study of pediatric loss of control eating and psychological outcomes. J Abnorm Psychol 120(1):108–118. https://doi.org/10.1037/a0021406
He J, Cai Z, Fan X (2017) Prevalence of binge and loss of control eating among children and adolescents with overweight and obesity: an exploratory meta-analysis. Int J Eat Disord 50(2):91–103. https://doi.org/10.1002/eat.22661
Pasold TL, McCracken A, Ward-Begnoche WL (2014) Binge eating in obese adolescents: emotional and behavioral characteristics and impact on health-related quality of life. Clin Child Psychol Psychiatry 19(2):299–312. https://doi.org/10.1177/1359104513488605
Radin RM, Tanofsky-Kraff M, Shomaker LB, Kelly NR, Pickworth CK, Shank LM, Altschul AM, Brady SM, Demidowich AP, Yanovski SZ, Hubbard VS, Yanovski JA (2015) Metabolic characteristics of youth with loss of control eating. Eat Behav 19:86–89. https://doi.org/10.1016/j.eatbeh.2015.07.002
Touchette E, Henegar A, Godart NT, Pryor L, Falissard B, Tremblay RE, Cote SM (2011) Subclinical eating disorders and their comorbidity with mood and anxiety disorders in adolescent girls. Psychiatry Res 185(1):185–192. https://doi.org/10.1016/j.psychres.2010.04.005
Swanson SA, Crow SJ, Le Grange D, Swendsen J, Merikangas KR (2011) Prevalence and correlates of eating disorders in adolescents: results from the national comorbidity survey replication adolescent supplement. Arch Gen Psychiatry 68(7):714–723. https://doi.org/10.1001/archgenpsychiatry.2011.22
Decaluwe V, Braet C (2003) Prevalence of binge-eating disorder in obese children and adolescents seeking weight-loss treatment. Int J Obes Relat Metab Disord 27(3):404–409. https://doi.org/10.1038/sj.ijo.0802233
Bohon C (2019) Binge eating disorder in children and adolescents. Child Adolesc Psychiatr Clin N Am 28(4):549–555. https://doi.org/10.1016/j.chc.2019.05.003
Herpertz-Dahlmann B (2015) Adolescent eating disorders: update on definitions, symptomatology, epidemiology, and comorbidity. Child Adolesc Psychiatr Clin N Am 24(1):177–196. https://doi.org/10.1016/j.chc.2014.08.003
Hoek HW, van Hoeken D (2003) Review of the prevalence and incidence of eating disorders. Int J Eat Disord 34(4):383–396. https://doi.org/10.1002/eat.10222
He J, Huang F, Yan J, Wu W, Cai Z, Fan X (2018) Prevalence, demographic correlates, and association with psychological distress of night eating syndrome among Chinese college students. Psychol Health Med 23(5):578–584. https://doi.org/10.1080/13548506.2017.1400669
Crow SJ, Swanson SA, Le Grange D, Feig EH, Merikangas KR (2014) Suicidal behavior in adolescents and adults with bulimia nervosa. Compr Psychiatry 55(7):1534–1539. https://doi.org/10.1016/j.comppsych.2014.05.021
Liberati A, Altman DG, Tetzlaff J, Mulrow C, Gøtzsche PC, Ioannidis JPA, Clarke M, Devereaux PJ, Kleijnen J, Moher D (2009) The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: explanation and elaboration. BMJ 339:1–28
Veritas Health Innovation (2020) Covidence systematic review software. http://www.covidence.org. Accessed 5 Mar 2020
Santonastaso P, Scicluna D, Colombo G, Zanetti T, Favaro A (2006) Eating disorders and attitudes in Maltese and Italian female students. Psychopathology 39(3):153–157. https://doi.org/10.1159/000091801
Schvey NA, Sbrocco T, Stephens M, Bryant EJ, Ress R, Spieker EA, Conforte A, Bakalar JL, Pickworth CK, Barmine M, Klein D, Brady SM, Yanovski JA, Tanofsky-Kraff M (2015) Comparison of overweight and obese military-dependent and civilian adolescent girls with loss-of-control eating. Int J Eat Disord 48(6):790–794. https://doi.org/10.1002/eat.22424
Sepulveda AR, Solano S, Blanco M, Lacruz T, Graell M (2018) Prevalence of childhood mental disorders in overweight and obese Spanish children: identifying loss of control eating. Psychiatry Res 267:175–181. https://doi.org/10.1016/j.psychres.2018.06.019
Field AE, Sonneville KR, Crosby RD, Swanson SA, Eddy KT, Camargo CA Jr, Horton NJ, Micali N (2014) Prospective associations of concerns about physique and the development of obesity, binge drinking, and drug use among adolescent boys and young adult men. JAMA Pediatr 168(1):34–39. https://doi.org/10.1001/jamapediatrics.2013.2915
Herscovici CR, Bay L, Kovalskys I (2005) Prevalence of eating disorders in Argentine boys and girls, aged 10 to 19, who are in primary care. A two-stage community-based survey. Eat Disord 13(5):467–478. https://doi.org/10.1080/10640260500296855
Taylor JY, Caldwell CH, Baser RE, Matusko N, Faison N, Jackson JS (2013) Classification and correlates of eating disorders among blacks: findings from the National Survey of American Life. J Health Care Poor Underserved 24(1):289–310. https://doi.org/10.1353/hpu.2013.0027
Bisset M, Rinehart N, Sciberras E (2019) DSM-5 eating disorder symptoms in adolescents with and without attention-deficit/hyperactivity disorder: a population-based study. Int J Eat Disord 52(7):855–862. https://doi.org/10.1002/eat.23080
Hoy D, Brooks P, Woolf A, Blyth F, March L, Bain C, Baker P, Smith E, Buchbinder R (2012) Assessing risk of bias in prevalence studies: modification of an existing tool and evidence of interrater agreement. J Clin Epidemiol 65(9):934–939. https://doi.org/10.1016/j.jclinepi.2011.11.014
Barendregt JJ, Doi SA, Lee YY, Norman RE, Vos T (2013) Meta-analysis of prevalence. J Epidemiol Community Health 67(11):974–978. https://doi.org/10.1136/jech-2013-203104
Nyaga VN, Arbyn M, Aerts M (2014) Metaprop: a Stata command to perform meta-analysis of binomial data. Arch Public Health 72(1):1–10. https://doi.org/10.1186/2049-3258-72-39
Egger M, Smith GD, Schneider M, Minder C (1997) Bias in meta-analysis detected by a simple, graphical test. BMJ 315(7109):629–634. https://doi.org/10.1136/bmj.315.7109.629
Higgins JPT, Thompson SG, Deeks JJ, Altman DG (2003) Measuring inconsistency in meta-analyses. BMJ 327(7414):557–560. https://doi.org/10.1136/bmj.327.7414.557
Richardson M, Garner P, Donegan S (2019) Interpretation of subgroup analyses in systematic reviews: a tutorial. Clin Epidemiol Glob Health 7(2):192–198. https://doi.org/10.1016/j.cegh.2018.05.005
Ackard DM, Fulkerson JA, Neumark-Sztainer D (2007) Prevalence and utility of DSM-IV eating disorder diagnostic criteria among youth. Int J Eat Disord 40(5):409–417. https://doi.org/10.1002/eat.20389
Allen KL, Byrne SM, Oddy WH, Crosby RD (2013) DSM–IV–TR and DSM-5 eating disorders in adolescents: prevalence, stability, and psychosocial correlates in a population-based sample of male and female adolescents. J Abnorm Psychol 122(3):720–732. https://doi.org/10.1037/a0034004
Bishop-Gilyard CT, Berkowitz RI, Wadden TA, Gehrman CA, Cronquist JL, Moore RH (2011) Weight reduction in obese adolescents with and without binge eating. Obesity (Silver Spring) 19(5):982–987. https://doi.org/10.1038/oby.2010.249
Cotrufo P, Barretta V, Monteleone P (1997) An epidemiological study on eating disorders in two high schools in Naples. Eur Psychiatry 12(7):342–344. https://doi.org/10.1016/S0924-9338(97)80003-X
Cotrufo P, Barretta V, Monteleone P, Maj M (1998) Full-syndrome, partial-syndrome and subclinical eating disorders: an epidemiological study of female students in Southern Italy. Acta Psychiatr Scand 98(2):112–115. https://doi.org/10.1111/j.1600-0447.1998.tb10051.x
Cotrufo P, Gnisci A, Caputo I (2005) Brief report: Psychological characteristics of less severe forms of eating disorders: an epidemiological study among 259 female adolescents. J Adolesc 28(1):147–154. https://doi.org/10.1016/j.adolescence.2004.07.006
Engstrom I, Kroon M, Arvidsson CG, Segnestam K, Snellman K, Aman J (1999) Eating disorders in adolescent girls with insulin-dependent diabetes mellitus: a population-based case-control study. Acta Paediatr 88(2):175–180. https://doi.org/10.1080/08035259950170358
Fairweather-Schmidt AK, Wade TD (2014) DSM-5 eating disorders and other specified eating and feeding disorders: is there a meaningful differentiation? Int J Eat Disord 47(5):524–533. https://doi.org/10.1002/eat.22257
Flament MF, Buchholz A, Henderson K, Obeid N, Maras D, Schubert N, Paterniti S, Goldfield G (2015) Comparative distribution and validity of DSM-IV and DSM-5 diagnoses of eating disorders in adolescents from the community. Eur Eat Disord Rev 23(2):100–110. https://doi.org/10.1002/erv.2339
Glasofer DR, Tanofsky-Kraff M, Eddy KT, Yanovski SZ, Theim KR, Mirch MC, Ghorbani S, Ranzenhofer LM, Haaga D, Yanovski JA (2007) Binge eating in overweight treatment-seeking adolescents. J Pediatr Psychol 32(1):95–105. https://doi.org/10.1093/jpepsy/jsl012
Glazer KB, Sonneville KR, Micali N, Swanson SA, Crosby R, Horton NJ, Eddy KT, Field AE (2019) The course of eating disorders involving bingeing and purging among adolescent girls: prevalence, stability, and transitions. J Adolesc Health 64(2):165–171. https://doi.org/10.1016/j.jadohealth.2018.09.023
Hammerle F, Huss M, Ernst V, Burger A (2016) Thinking dimensional: prevalence of DSM-5 early adolescent full syndrome, partial and subthreshold eating disorders in a cross-sectional survey in German schools. BMJ Open 6(5):1–7. https://doi.org/10.1136/bmjopen-2015-010843
Herle M, Stavola B, Hubel C, Abdulkadir M, Ferreira DS, Loos RJF, Bryant-Waugh R, Bulik CM, Micali N (2019) A longitudinal study of eating behaviours in childhood and later eating disorder behaviours and diagnoses. Br J Psychiatry 216(2):1–7. https://doi.org/10.1192/bjp.2019.174
Johnson WG, Rohan KJ, Kirk AA (2002) Prevalence and correlates of binge eating in White and African American adolescents. Eat Behav 3(2):179–189. https://doi.org/10.1016/S1471-0153(01)00057-5
Mitchison D, Mond J, Bussey K, Griffiths S, Trompeter N, Lonergan A, Pike KM, Murray SB, Hay P (2019) Dsm-5 full syndrome, other specified, and unspecified eating disorders in australian adolescents: prevalence and clinical significance. Psychol Med 50(6):981–990. https://doi.org/10.1017/S0033291719000898
Mohammadi MR, Mostafavi SA, Hooshyari Z, Khaleghi A, Ahmadi N, Molavi P, Armani Kian A, Safavi P, Delpisheh A, Talepasand S, Hojjat SK, Pourdehghan P, Ostovar R, Hosseini SH, Mohammadzadeh S, Salmanian M, Alavi SS, Ahmadi A, Zarafshan H (2019) Prevalence, correlates and comorbidities of feeding and eating disorders in a nationally representative sample of iranian children and adolescents. Int J Eat Disord 53(3):1–13. https://doi.org/10.1002/eat.23197
Mousa TY, Al-Domi HA, Mashal RH, Jibril MA (2010) Eating disturbances among adolescent schoolgirls in Jordan. Appetite 54(1):196–201. https://doi.org/10.1016/j.appet.2009.10.008
Pelaez-Fernandez MA, Labrador FJ, Raich RM (2008) Comparison of single- and double-stage designs in the prevalence estimation of eating disorders in community samples. Span J Psychol 11(2):542–550
Rosenvinge JH, Borgen JS, Börresen R (1999) The prevalence and psychological correlates of anorexia nervosa, bulimia nervosa and binge eating among 15-yr-old students: a controlled epidemiological study. Eur Eat Disord Rev 7(5):382–391
Ross HE, Ivis F (1999) Binge eating and substance use among male and female adolescents. Int J Eat Disord 26(3):245–260. https://doi.org/10.1002/(SICI)1098-108X(199911)26:3%3c245::AID-EAT2%3e3.0.CO;2-R
Schluter N, Schmidt R, Kittel R, Tetzlaff A, Hilbert A (2016) Loss of control eating in adolescents from the community. Int J Eat Disord 49(4):413–420. https://doi.org/10.1002/eat.22488
Smith FM, Latchford GJ, Hall RM, Dickson RA (2008) Do chronic medical conditions increase the risk of eating disorder? A cross-sectional investigation of eating pathology in adolescent females with scoliosis and diabetes. J Adolesc Health 42(1):58–63. https://doi.org/10.1016/j.jadohealth.2007.08.008
Terhoeven V, Nikendei C, Barnighausen T, Bountogo M, Friederich HC, Ouermi L, Sie A, Harling G (2020) Eating disorders, body image and media exposure among adolescent girls in rural Burkina Faso. Trop Med Int Health 25(1):132–141. https://doi.org/10.1111/tmi.13340
Utzinger LM, Gowey MA, Zeller M, Jenkins TM, Engel SG, Rofey DL, Inge TH, Mitchell JE (2016) Loss of control eating and eating disorders in adolescents before bariatric surgery. Int J Eat Disord 49(10):947–952. https://doi.org/10.1002/eat.22546
Van Vlierberghe L, Braet C, Goossens L, Mels S (2009) Psychiatric disorders and symptom severity in referred versus non-referred overweight children and adolescents. Eur Child Adolesc Psychiatry 18(3):164–173. https://doi.org/10.1007/s00787-008-0717-5
Wentz E, Bjork A, Dahlgren J (2019) Is there an overlap between eating disorders and neurodevelopmental disorders in children with obesity? Nutrients 11(10):1–11. https://doi.org/10.3390/nu11102496
Zini A, Siani R, Sandri M, Soardo F, Siciliani O (2007) Partial syndromes in eating disorders: a prevalence study on a sample of Italian adolescents. Eat Weight Disord 12(3):125–131. https://doi.org/10.1007/BF03327639
Thorsteinsdottir G, Ulfarsdottir L (2008) Eating disorders in college students in Iceland. Eur J Psychiatry 22(2):107–115. https://doi.org/10.4321/S0213-61632008000200007
Garner DM, Olmstead MP, Polivy J (1983) Development and validation of a multidimensional eating disorder inventory for anorexia nervosa and bulimia. Int J Eat Disord 2(2):15–34. https://doi.org/10.1002/1098-108X(198321)2:2%3c15::AID-EAT2260020203%3e3.0.CO;2-6
Fairburn CG, Beglin SJ (1994) Assessment of eating disorders: interview or self-report questionnaire? Int J Eat Disord 16(4):363–370. https://doi.org/10.1002/1098-108X(199412)16:4%3c363::AID-EAT2260160405%3e3.0.CO;2-#
Fairburn CG (ed) (2008) Cognitive behavior therapy and eating disorders. The Guilford Press, New York
Bryant-Waugh RJ, Cooper PJ, Taylor CL, Lask BD (1996) The use of the eating disorder examination with children: a pilot study. Int J Eat Disord 19(4):391. https://doi.org/10.1002/(SICI)1098-108X(199605)19:4%3c391::AID-EAT6%3e3.0.CO;2-G
Qian J, Hu Q, Wan Y, Li T, Wu M, Ren Z, Yu D (2013) Prevalence of eating disorders in the general population: a systematic review. Shanghai Arch Psychiatry 25(4):212–223. https://doi.org/10.3969/j.issn.1002-0829.2013.04.003
Campbell K, Peebles R (2014) Eating disorders in children and adolescents: state of the art review. Pediatrics 134(3):582–592. https://doi.org/10.1542/peds.2014-0194
Fairburn CG, Doll HA, Welch SL, Hay PJ, Davies BA, O’Connor ME (1998) Risk factors for binge eating disorder: a community-based, case-control study. Arch Gen Psychiatry 55(5):425–432. https://doi.org/10.1001/archpsyc.55.5.425
McCuen-Wurst C, Ruggieri M, Allison KC (2018) Disordered eating and obesity: associations between binge-eating disorder, night-eating syndrome, and weight-related comorbidities. Ann N Y Acad Sci 1411(1):96–105. https://doi.org/10.1111/nyas.13467
Wilfley DE, Schwartz MB, Spurrell EB, Fairburn CG (1997) Assessing the specific psychopathology of binge eating disorder patients: interview or self-report? Behav Res Ther 35(12):1151–1159. https://doi.org/10.1016/S0005-7967(97)80010-1
Passi VA, Bryson SW, Lock J (2003) Assessment of eating disorders in adolescents with anorexia nervosa: self-report questionnaire versus interview. Int J Eat Disord 33(1):45–54. https://doi.org/10.1002/eat.10113
Dahlgren LC, Wisting L (2016) Transitioning from DSM-IV to DSM-5: a systematic review of eating disorder prevalence assessment. Int J Eat Disord 49(11):975–997. https://doi.org/10.1002/eat.22596
Goldschmidt AB, Doyle AC, Wilfley DE (2007) Assessment of binge eating in overweight youth using a questionnaire version of the child eating disorder examination with instructions. Int J Eat Disord 40(5):460–467. https://doi.org/10.1002/eat.20387
Tanofsky-Kraff M, Marcus MD, Yanovski SZ, Yanovski JA (2008) Loss of control eating disorder in children age 12 years and younger: proposed research criteria. Eat Behav 9(3):360–365. https://doi.org/10.1016/j.eatbeh.2008.03.002
Jones WR, Morgan JF (2010) Eating disorders in men: a review of the literature. J Public Ment Health 9(2):23–31. https://doi.org/10.5042/jpmh.2010.0326
Erskine HE, Whiteford HA (2018) Epidemiology of binge eating disorder. Curr Opin Psychiatry 31(6):462–470. https://doi.org/10.1097/yco.0000000000000449
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We thank Anders Helles Carlsen for his assistance with the statistical work in Stata.
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LC had the idea and MLK performed the literature search and data analysis. Both did the bias assessment of included articles. MLK did the first draft of the manuscript; hereafter, both were involved in commenting and revising the manuscript. Both authors read and approved the final manuscript.
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Kjeldbjerg, M.L., Clausen, L. Prevalence of binge-eating disorder among children and adolescents: a systematic review and meta-analysis. Eur Child Adolesc Psychiatry 32, 549–574 (2023). https://doi.org/10.1007/s00787-021-01850-2
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DOI: https://doi.org/10.1007/s00787-021-01850-2