{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,27]],"date-time":"2026-10-27T12:43:52Z","timestamp":1793105032623,"version":"4.5.0"},"reference-count":74,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,2,6]],"date-time":"2026-02-06T00:00:00Z","timestamp":1770336000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100013288","name":"LIFE programme","doi-asserted-by":"publisher","id":[{"id":"10.13039\/100013288","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008678","name":"Universit\u00e4t Leipzig","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008678","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000780","name":"European Commission","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100000780","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100004895","name":"European Social Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100004895","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100008530","name":"European Regional Development Fund","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100008530","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100014913","name":"Freistaat Sachsen","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100014913","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Intl J Eating Disorders"],"published-print":{"date-parts":[[2026,5]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Eating disorders (EDs) often emerge in adolescence, but developmental trajectories across different core features remain largely unclear.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      The prospective, community\u2010based study included\n                      <jats:italic>N<\/jats:italic>\n                      \u2009=\u2009898 participants aged 9.5\u201317.5\u2009years (47.6% female, age 11.8\u2009\u00b1\u20091.4\u2009years) with annual follow\u2010up over 2\u20136 (3.4\u2009\u00b1\u20091.2) years. Multivariate trajectories of binge eating, restraint, weight\u2010compensatory behaviors (Eating Disorder Examination\u2010Questionnaire for Children), and body mass index\u2010standard deviation score (BMI\u2010SDS) derived from objective anthropometrics were analyzed using group\u2010based multi\u2010trajectory modeling (GBMTM) separately for girls and boys. ED and general psychopathology were used for validation and outcome comparisons.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>GBMTM identified five distinct trajectories of ED symptoms and BMI\u2010SDS in girls and six in boys. Low\u2010symptom trajectories at lower, normal, and higher BMI\u2010SDS were most common and showed only mild, transient ED symptoms. In boys, trajectories were largely characterized by stable ED symptoms at different BMI\u2010SDS levels, whereas in girls, ED symptoms showed more pronounced change over time. In both sexes, two high\u2010risk subgroups reflected bulimic and binge\u2010eating patterns and followed trajectories with elevated or increasing ED symptoms across ages, which in girls were particularly associated with increased ED and general psychopathology at last assessment.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>GBMTM results support the developmental specificity of bulimic\/binge\u2010eating syndromes and noneating\u2010disordered overweight across adolescence. High\u2010risk subgroups in both sexes\u2014and their particularly unfavorable outcomes in girls\u2014underscore the need for sex\u2010specific early identification strategies that consider longitudinal constellations of multiple ED symptoms and weight status rather than single indicators.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/eat.70045","type":"journal-article","created":{"date-parts":[[2026,2,7]],"date-time":"2026-02-07T05:44:47Z","timestamp":1770443087000},"page":"978-995","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Multivariate Trajectories of Eating Disorder Symptoms and Weight Status in 10\u2010 to 17\u2010Year\u2010Old Children and Adolescents"],"prefix":"10.1002","volume":"59","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2775-1296","authenticated-orcid":false,"given":"Anja","family":"Hilbert","sequence":"first","affiliation":[{"name":"Integrated Research and Treatment Center AdiposityDiseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, Leipzig University Medical Center  Leipzig Germany"},{"name":"German Center for Child and Adolescent Health (DZKJ), partner site Leipzig\/Dresden  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0006-7237-1945","authenticated-orcid":false,"given":"Danielle","family":"Schewe","sequence":"additional","affiliation":[{"name":"Integrated Research and Treatment Center AdiposityDiseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, Leipzig University Medical Center  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6851-1307","authenticated-orcid":false,"given":"Andreas","family":"Hiemisch","sequence":"additional","affiliation":[{"name":"LIFE Leipzig Research Center for Civilization Diseases, Leipzig University  Leipzig Germany"},{"name":"Department of Women and Child Health University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6001-0356","authenticated-orcid":false,"given":"Antje","family":"K\u00f6rner","sequence":"additional","affiliation":[{"name":"German Center for Child and Adolescent Health (DZKJ), partner site Leipzig\/Dresden  Leipzig Germany"},{"name":"LIFE Leipzig Research Center for Civilization Diseases, Leipzig University  Leipzig Germany"},{"name":"Department of Women and Child Health University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-4118-9455","authenticated-orcid":false,"given":"Wieland","family":"Kiess","sequence":"additional","affiliation":[{"name":"German Center for Child and Adolescent Health (DZKJ), partner site Leipzig\/Dresden  Leipzig Germany"},{"name":"LIFE Leipzig Research Center for Civilization Diseases, Leipzig University  Leipzig Germany"},{"name":"Department of Women and Child Health University Hospital for Children and Adolescents and Center for Pediatric Research, Leipzig University  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7794-2897","authenticated-orcid":false,"given":"Ricarda","family":"Schmidt","sequence":"additional","affiliation":[{"name":"Integrated Research and Treatment Center AdiposityDiseases, Behavioral Medicine Research Unit, Department of Psychosomatic Medicine and Psychotherapy, Leipzig University Medical Center  Leipzig Germany"},{"name":"German Center for Child and Adolescent Health (DZKJ), partner site Leipzig\/Dresden  Leipzig Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,2,6]]},"reference":[{"key":"e_1_2_12_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20846"},{"key":"e_1_2_12_3_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20561"},{"key":"e_1_2_12_4_1","doi-asserted-by":"publisher","DOI":"10.1183\/13993003.02286\u20102021"},{"key":"e_1_2_12_5_1","volume-title":"American Psychiatric Association","author":"American Psychiatric Association","year":"2013"},{"key":"e_1_2_12_6_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.2011.300182"},{"key":"e_1_2_12_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20062"},{"key":"e_1_2_12_8_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10802\u2010017\u20100322\u20105"},{"key":"e_1_2_12_9_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.j5245"},{"key":"e_1_2_12_10_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010022\u201000603\u2010z"},{"key":"e_1_2_12_11_1","volume-title":"Statistical Power Analysis for the Behavioral Sciences","author":"Cohen J.","year":"1988"},{"key":"e_1_2_12_12_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsx113"},{"key":"e_1_2_12_13_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.genhosppsych.2014.04.001"},{"key":"e_1_2_12_14_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010023\u201000902\u2010z"},{"key":"e_1_2_12_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.socscimed.2023.116449"},{"key":"e_1_2_12_16_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.1364"},{"key":"e_1_2_12_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787\u2010018\u201001267\u20104"},{"key":"e_1_2_12_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000146"},{"key":"e_1_2_12_19_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964\u2010012\u20109844\u2010x"},{"key":"e_1_2_12_20_1","doi-asserted-by":"publisher","DOI":"10.1111\/sjop.12950"},{"key":"e_1_2_12_21_1","doi-asserted-by":"publisher","DOI":"10.1002\/oby.23769"},{"key":"e_1_2_12_22_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa1803527"},{"key":"e_1_2_12_23_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.20387"},{"key":"e_1_2_12_24_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1469\u20107610.1997.tb01545.x"},{"key":"e_1_2_12_25_1","unstructured":"Hilbert A.2016.\u201cEating Disorder Examination Questionnaire f\u00fcr Kinder.\u201dDeutschsprachige \u00dcbersetzung. [Eating Disorder Examination\u2010Questionnaire for children. German translation]. dgvt\u2010Verlag."},{"key":"e_1_2_12_26_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00787\u2010019\u201001337\u20101"},{"key":"e_1_2_12_27_1","doi-asserted-by":"publisher","DOI":"10.1177\/0049124113503141"},{"key":"e_1_2_12_28_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964\u2010005\u20108935\u20103"},{"key":"e_1_2_12_29_1","doi-asserted-by":"crossref","unstructured":"Klasen H. W.Woerner A.Rothenberger andR.Goodman.2003.\u201cDie deutsche Fassung des Strengths and Difficulties Questionnaire (SDQ\u2010Deu) \u2010 \u00dcbersicht und Bewertung erster Validierungs\u2010 und Normierungsbefunde.\u201d[German version of the Strengths and Difficulties Questionnaire (SD\u2010Q\u2010Deu) \u2010 overview and evaluation of first validation and normative results].https:\/\/doi.org\/10.23668\/PSYCHARCHIVES.11726.","DOI":"10.1037\/t07042-000"},{"key":"e_1_2_12_30_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22658"},{"key":"e_1_2_12_31_1","doi-asserted-by":"publisher","DOI":"10.1177\/0962280215598665"},{"key":"e_1_2_12_32_1","doi-asserted-by":"publisher","DOI":"10.1007\/s001120170107"},{"key":"e_1_2_12_33_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40337\u2010025\u201001293\u2010z"},{"key":"e_1_2_12_34_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00103\u2010007\u20100219\u20105"},{"key":"e_1_2_12_35_1","doi-asserted-by":"publisher","DOI":"10.1026\/0012\u20101924\/a000153"},{"key":"e_1_2_12_36_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2022.5848"},{"key":"e_1_2_12_37_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22382"},{"key":"e_1_2_12_38_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11357\u2010023\u201000906\u20102"},{"key":"e_1_2_12_39_1","doi-asserted-by":"publisher","DOI":"10.1111\/obr.12842"},{"key":"e_1_2_12_40_1","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2020.55"},{"key":"e_1_2_12_41_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaac.2015.05.009"},{"key":"e_1_2_12_42_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291719000898"},{"key":"e_1_2_12_43_1","doi-asserted-by":"publisher","DOI":"10.1097\/MOP.0000000000000911"},{"key":"e_1_2_12_44_1","doi-asserted-by":"publisher","DOI":"10.4159\/9780674041318"},{"key":"e_1_2_12_45_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010081122\u2010012416"},{"key":"e_1_2_12_46_1","doi-asserted-by":"publisher","DOI":"10.1177\/0962280216673085"},{"key":"e_1_2_12_47_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(20)31859\u20106"},{"key":"e_1_2_12_48_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140\u20106736(23)02750\u20102"},{"key":"e_1_2_12_49_1","doi-asserted-by":"publisher","DOI":"10.3109\/17477161003615583"},{"key":"e_1_2_12_50_1","doi-asserted-by":"publisher","DOI":"10.2147\/AHMT.S220102"},{"key":"e_1_2_12_51_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000111"},{"key":"e_1_2_12_52_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10654\u2010016\u20100216\u20109"},{"key":"e_1_2_12_53_1","doi-asserted-by":"publisher","DOI":"10.1186\/s40608\u2010018\u20100210\u20108"},{"key":"e_1_2_12_54_1","doi-asserted-by":"publisher","DOI":"10.1186\/1471\u20102458\u201012\u20101021"},{"key":"e_1_2_12_55_1","doi-asserted-by":"publisher","DOI":"10.1002\/erv.1068"},{"key":"e_1_2_12_56_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.psyneuen.2023.106384"},{"key":"e_1_2_12_57_1","doi-asserted-by":"publisher","DOI":"10.1016\/S2215\u20100366(21)00040\u20107"},{"key":"e_1_2_12_58_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ypmed.2022.107095"},{"key":"e_1_2_12_59_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00103\u2010019\u201003015\u20108"},{"key":"e_1_2_12_60_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22488"},{"key":"e_1_2_12_61_1","doi-asserted-by":"publisher","DOI":"10.1097\/YCO.0000000000000818"},{"key":"e_1_2_12_62_1","doi-asserted-by":"publisher","DOI":"10.1002\/eat.22329"},{"key":"e_1_2_12_63_1","doi-asserted-by":"publisher","DOI":"10.1037\/0021\u2010843X.116.1.188"},{"key":"e_1_2_12_64_1","doi-asserted-by":"publisher","DOI":"10.1146\/annurev\u2010clinpsy\u2010021815\u2010093317"},{"key":"e_1_2_12_65_1","doi-asserted-by":"publisher","DOI":"10.1037\/abn0000666"},{"key":"e_1_2_12_66_1","doi-asserted-by":"publisher","DOI":"10.1037\/a0030679"},{"key":"e_1_2_12_67_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.cpr.2021.102046"},{"key":"e_1_2_12_68_1","doi-asserted-by":"publisher","DOI":"10.1001\/archgenpsychiatry.2011.22"},{"key":"e_1_2_12_69_1","volume-title":"Growth at Adolescence With a General Consideration of the Effects of Hereditary and Environmental Factors Upon Growth and Maturation From Birth to Maturity","author":"Tanner J. M.","year":"1962"},{"key":"e_1_2_12_70_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10964\u2010019\u201001174\u20100"},{"key":"e_1_2_12_71_1","doi-asserted-by":"publisher","DOI":"10.1177\/2167702619859331"},{"key":"e_1_2_12_72_1","doi-asserted-by":"publisher","DOI":"10.1017\/S003329171400289X"},{"key":"e_1_2_12_73_1","doi-asserted-by":"publisher","DOI":"10.1017\/S0033291722001568"},{"key":"e_1_2_12_74_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2019.08.012"},{"key":"e_1_2_12_75_1","doi-asserted-by":"publisher","DOI":"10.3390\/nu13114096"}],"container-title":["International Journal of Eating Disorders"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.70045","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/eat.70045","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/eat.70045","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T14:17:58Z","timestamp":1780064278000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/eat.70045"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,2,6]]},"references-count":74,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,5]]}},"alternative-id":["10.1002\/eat.70045"],"URL":"https:\/\/doi.org\/10.1002\/eat.70045","archive":["Portico"],"relation":{},"ISSN":["0276-3478","1098-108X"],"issn-type":[{"value":"0276-3478","type":"print"},{"value":"1098-108X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,2,6]]},"assertion":[{"value":"2025-07-24","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-21","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-02-06","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}