{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,20]],"date-time":"2026-08-20T15:11:57Z","timestamp":1787238717325,"version":"build-2736575974"},"reference-count":82,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2012,9,6]],"date-time":"2012-09-06T00:00:00Z","timestamp":1346889600000},"content-version":"vor","delay-in-days":2075,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Obesity"],"published-print":{"date-parts":[[2007,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:italic>\n                      <jats:bold>Objective:<\/jats:bold>\n                    <\/jats:italic>\n                    Many overweight adolescents display elevated risk for the development of eating disorders, as seen in higher rates of weight\/shape concerns and disordered eating behaviors, but the extent of impairment in this subset of high\u2010risk adolescents has not been explored.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>\n                      <jats:bold>Research Methods and Procedures:<\/jats:bold>\n                    <\/jats:italic>\n                    Eighty\u2010one overweight adolescents (63% girls) presenting for an Internet\u2010based weight loss program were assessed at baseline using the Eating Disorder Examination Questionnaire, the Depression, Anxiety, and Stress Scale, and the Pediatric Quality of Life questionnaire. Adolescents who earned elevated scores on both the Weight Concern and Shape Concern subscales of the Eating Disorder Examination Questionnaire were considered at high risk for the development of eating disorders (56.8%).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>\n                      <jats:bold>Results:<\/jats:bold>\n                    <\/jats:italic>\n                    Comparisons of high\u2010 and normal\u2010risk groups revealed that high\u2010risk adolescents reported higher levels of depression [\n                    <jats:italic>F<\/jats:italic>\n                    (3,76) = 5.75,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.019], anxiety [\n                    <jats:italic>F<\/jats:italic>\n                    (3,76) = 5.67,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.020], and stress [\n                    <jats:italic>F<\/jats:italic>\n                    (3,75) = 8.50,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.005], and greater impairments in physical health [\n                    <jats:italic>F<\/jats:italic>\n                    (3,77) = 10.7,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.002], emotional functioning [\n                    <jats:italic>F<\/jats:italic>\n                    (3,77) = 5.3,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.024], and social functioning [\n                    <jats:italic>F<\/jats:italic>\n                    (3,77) = 10.0,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.002]. There were no differences in school functioning [\n                    <jats:italic>F<\/jats:italic>\n                    (3,77) = 1.5,\n                    <jats:italic>p<\/jats:italic>\n                    = 0.219]. Among the high\u2010risk adolescents, over half (52.2%) reported binge eating at least once in the past month.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>\n                      <jats:bold>Discussion:<\/jats:bold>\n                    <\/jats:italic>\n                    Results suggest that overweight adolescents at high risk for the development of eating disorders also experience elevated levels of negative affect, impairment in health\u2010related quality of life, and eating disturbances, although prospective data are needed to determine the directionality between eating disorder pathology and general psychopathology. Further research is warranted to evaluate whether behavioral weight loss interventions should be enhanced for this high\u2010risk subset.\n                  <\/jats:p>","DOI":"10.1038\/oby.2007.515","type":"journal-article","created":{"date-parts":[[2008,7,15]],"date-time":"2008-07-15T08:18:07Z","timestamp":1216109887000},"page":"145-154","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":64,"title":["Psychosocial and Physical Impairment in Overweight Adolescents at High Risk for Eating Disorders"],"prefix":"10.1002","volume":"15","author":[{"given":"Angela Celio","family":"Doyle","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Daniel","family":"Le Grange","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Andrea","family":"Goldschmidt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Denise E.","family":"Wilfley","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2012,9,6]]},"reference":[{"key":"e_1_2_7_2_2","volume-title":"Health, United States, 2004 With Chartbook on Trends in the Health of Americans","author":"National Center for Health Statistics","year":"2004"},{"key":"e_1_2_7_3_2","volume-title":"CDC Growth Charts: United States Advance Data from Vital and Health Statistics, no. 314","author":"Kuczmarksi R. 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