{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T21:21:01Z","timestamp":1776288061435,"version":"3.50.1"},"reference-count":39,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2017,2,11]],"date-time":"2017-02-11T00:00:00Z","timestamp":1486771200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R01 MH\u201038333"],"award-info":[{"award-number":["R01 MH\u201038333"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000025","name":"National Institute of Mental Health","doi-asserted-by":"publisher","award":["R03 MH\u2010094832"],"award-info":[{"award-number":["R03 MH\u2010094832"]}],"id":[{"id":"10.13039\/100000025","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2017,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>For some, fat phobia or fear of uncontrollable weight gain is diagnostic of eating disorders, often inhibiting treatment engagement and predicting symptom relapse. Prior research has reported weight changes at infrequent or long intervals, but rate, shape, and magnitude of long\u2010term changes remain unknown. Our study examined 22\u2010year longitudinal trajectories of body mass index (BMI) in women with anorexia nervosa (AN) and bulimia nervosa (BN).<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>Participants were followed over 10 years (<jats:italic>N<\/jats:italic>\u2009=\u2009225) and at 22\u2010year follow\u2010up (<jats:italic>N<\/jats:italic>\u2009=\u2009175). Using latent growth curves, we examined: (1) shape and rate of intra\u2010individual BMI change over 10 years; (2) predictors of BMI change over 10 years, (3) 22\u2010year BMI outcomes; and (4) BMI changes over 10 years as predictors of 22\u2010year BMI.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The best\u2010fitting model captured overall intra\u2010individual rates of BMI change in three intervals, showing moderate rate of BMI increase from intake to year 2, modest increase from year 2 to 5, and plateau from year 5 to 10. At 22 years, 14% were underweight, 69% were normal weight, and only 17% were overweight or obese. Greater increases from intake to year 2 predicted higher BMI at 22 years (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.43, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) and were predicted by intake diagnosis of AN\u2010restricting (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.31, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01) or AN\u2010binge eating\/purging (<jats:italic>\u03b2<\/jats:italic>\u2009=\u20090.29, <jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01).<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>BMI increased most rapidly during earlier years of the study for those with lower weight at study intake (i. e., AN) and plateaued over time, settling in the normal range for most. Psychoeducation about expected BMI trajectory may challenge patients' long\u2010term fat phobic predictions.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.22690","type":"journal-article","created":{"date-parts":[[2017,2,11]],"date-time":"2017-02-11T06:16:39Z","timestamp":1486793799000},"page":"739-747","source":"Crossref","is-referenced-by-count":18,"title":["Will I get fat? 22\u2010year weight trajectories of individuals with eating disorders"],"prefix":"10.1002","volume":"50","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2059-3256","authenticated-orcid":false,"given":"Helen B.","family":"Murray","sequence":"first","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital 2 Longfellow Place, Suite 200 Boston MA 02114"},{"name":"Psychology Department Drexel University 3141 Chestnut Street, Stratton Hall 119 Philadelphia PA 19104"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nassim","family":"Tabri","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital 2 Longfellow Place, Suite 200 Boston MA 02114"},{"name":"Department of Psychiatry Harvard Medical School 25 Shattuck Street Boston MA 02115"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2601-581X","authenticated-orcid":false,"given":"Jennifer J.","family":"Thomas","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital 2 Longfellow Place, Suite 200 Boston MA 02114"},{"name":"Department of Psychiatry Harvard Medical School 25 Shattuck Street Boston MA 02115"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David B.","family":"Herzog","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Harvard Medical School 25 Shattuck Street Boston MA 02115"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Debra L.","family":"Franko","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital 2 Longfellow Place, Suite 200 Boston MA 02114"},{"name":"Department of Counseling and Applied Educational Psychology Northeastern University 120 Behrakis Health Sciences Center, 30 Leon Street Boston MA 02115"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kamryn T.","family":"Eddy","sequence":"additional","affiliation":[{"name":"Eating Disorders Clinical and Research Program, Massachusetts General Hospital 2 Longfellow Place, Suite 200 Boston MA 02114"},{"name":"Department of Psychiatry Harvard Medical School 25 Shattuck Street Boston MA 02115"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2017,2,11]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1038\/ejcn.2013.260"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20727"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0033930"},{"key":"e_1_2_7_5_1","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2012.12010147"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF03325282"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1098-108X(199811)24:3<267::AID-EAT4>3.0.CO;2-K"},{"key":"e_1_2_7_8_1","article-title":"Recovery from anorexia and bulimia nervosa at 22\u2010year follow\u2010up","author":"Eddy K. 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