{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,12]],"date-time":"2026-02-12T08:39:30Z","timestamp":1770885570860,"version":"3.50.1"},"reference-count":60,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T00:00:00Z","timestamp":1690329600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2023,10]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Objective<\/jats:title><jats:p>The offspring of US military service members may be at increased risk for eating disorders. However, no epidemiological studies to date have evaluated eating disorder incidence rates and prevalence estimates among military\u2010dependent youth.<\/jats:p><\/jats:sec><jats:sec><jats:title>Method<\/jats:title><jats:p>This retrospective cohort study examined eating disorder diagnoses in the military healthcare system (MHS) from 2016 through 2021. Active duty and national guard military\u2010dependent youth, aged 10\u201317\u2009years, who received care in the MHS via TRICARE Prime insurance, were identified by one or more ICD\u201010 codes indicative of an eating disorder diagnosis (anorexia nervosa, bulimia nervosa, binge\u2010eating disorder, and other\u2010specified eating disorders).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>During the 6\u2010year surveillance period, 2534 dependents received incident diagnoses of eating disorders, with a crude overall incidence rate of 1.75 cases per 10,000 person\u2010years. The most common diagnosis was other\u2010specified eating disorder, followed by anorexia nervosa, bulimia nervosa, and binge\u2010eating disorder. The crude annual incidence rate of all eating disorder diagnoses increased by nearly 65% from 2016 to 2021. Rates for all diagnoses were highest in 2020 and 2021. Period prevalence estimates\u00a0were .08% for any eating disorder diagnosis, .01% for anorexia nervosa, .004% for bulimia nervosa, .004% for binge\u2010eating disorder, and .06% for other\u2010specified eating disorders.<\/jats:p><\/jats:sec><jats:sec><jats:title>Discussion<\/jats:title><jats:p>The observed increase in eating disorder diagnoses during the surveillance period appeared to be driven by female dependents. More military dependents experienced a new\u2010onset diagnosis during the COVID\u201019 pandemic compared to previous years. These findings highlight the need for eating disorder screening, identification, and treatment for dependents within the MHS.<\/jats:p><\/jats:sec><jats:sec><jats:title>Public Significance Statement<\/jats:title><jats:p>Children of US military service members may be at increased risk for eating disorders. Results indicate new\u2010onset eating disorder cases increased 65% from 2016 to 2021, primarily among girls compared to boys. The most diagnosed and fastest growing diagnosis was other\u2010specified eating disorder. Rates of anorexia nervosa increased following the COVID\u201019 pandemic. Findings highlight the need for eating disorder screening, identification, and treatment within the military healthcare system.<\/jats:p><\/jats:sec>","DOI":"10.1002\/eat.24025","type":"journal-article","created":{"date-parts":[[2023,7,26]],"date-time":"2023-07-26T09:49:50Z","timestamp":1690364990000},"page":"1973-1982","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":9,"title":["Incidence and prevalence of eating disorders among active duty <scp>US<\/scp> military\u2010dependent youth from 2016 to 2021"],"prefix":"10.1002","volume":"56","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-3841-2508","authenticated-orcid":false,"given":"Katherine A.","family":"Thompson","sequence":"first","affiliation":[{"name":"Military Cardiovascular Outcomes Research (MiCOR) Program USU  Bethesda Maryland USA"},{"name":"Metis Foundation  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vivian","family":"Bauman","sequence":"additional","affiliation":[{"name":"Military Cardiovascular Outcomes Research (MiCOR) Program USU  Bethesda Maryland USA"},{"name":"Metis Foundation  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kevin W.","family":"Sunderland","sequence":"additional","affiliation":[{"name":"Clinical Investigation Facility, David Grant Medical Center, Travis Air Force Base  California USA"},{"name":"Ripple Effect  Rockville Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jennifer A.","family":"Thornton","sequence":"additional","affiliation":[{"name":"Clinical Investigation Facility, David Grant Medical Center, Travis Air Force Base  California USA"},{"name":"Ripple Effect  Rockville Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natasha A.","family":"Schvey","sequence":"additional","affiliation":[{"name":"Department of Medical and Clinical Psychology USU  Bethesda Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rachel","family":"Moyer","sequence":"additional","affiliation":[{"name":"Department of Family Medicine David Grant Medical Center  Travis Air Force Base California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nana Amma","family":"Sekyere","sequence":"additional","affiliation":[{"name":"Department of Family Medicine David Grant Medical Center  Travis Air Force Base California USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Wendy","family":"Funk","sequence":"additional","affiliation":[{"name":"Kennell and Associates Inc.  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