{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,30]],"date-time":"2026-09-30T02:54:01Z","timestamp":1790736841180,"version":"4.1.0"},"reference-count":35,"publisher":"American Academy of Pediatrics (AAP)","issue":"2","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2012,8,1]]},"abstract":"<jats:sec><jats:title>OBJECTIVE:<\/jats:title><jats:p>Anorexia nervosa and bulimia nervosa (BN) are rare, but eating disorders not otherwise specified (EDNOS) are relatively common among female participants. Our objective was to evaluate whether BN and subtypes of EDNOS are predictive of developing adverse outcomes.<\/jats:p><\/jats:sec><jats:sec><jats:title>METHODS:<\/jats:title><jats:p>This study comprised a prospective analysis of 8594 female participants from the ongoing Growing Up Today Study. Questionnaires were sent annually from 1996 through 2001, then biennially through 2007 and 2008. Participants who were 9 to 15 years of age in 1996 and completed at least 2 consecutive questionnaires between 1996 and 2008 were included in the analyses. Participants were classified as having BN (\u2265weekly binge eating and purging), binge eating disorder (BED; \u2265weekly binge eating, infrequent purging), purging disorder (PD; \u2265weekly purging, infrequent binge eating), other EDNOS (binge eating and\/or purging monthly), or nondisordered.<\/jats:p><\/jats:sec><jats:sec><jats:title>RESULTS:<\/jats:title><jats:p>BN affected \u223c1% of adolescent girls; 2% to 3% had PD and another 2% to 3% had BED. Girls with BED were almost twice as likely as their nondisordered peers to become overweight or obese (odds ratio [OR]: 1.9 [95% confidence interval: 1.0\u20133.5]) or develop high depressive symptoms (OR: 2.3 [95% confidence interval: 1.0\u20135.0]). Female participants with PD had a significantly increased risk of starting to use drugs (OR: 1.7) and starting to binge drink frequently (OR: 1.8).<\/jats:p><\/jats:sec><jats:sec><jats:title>CONCLUSIONS:<\/jats:title><jats:p>PD and BED are common and predict a range of adverse outcomes. Primary care clinicians should be made aware of these disorders, which may be underrepresented in eating disorder clinic samples. Efforts to prevent eating disorders should focus on cases of subthreshold severity.<\/jats:p><\/jats:sec>","DOI":"10.1542\/peds.2011-3663","type":"journal-article","created":{"date-parts":[[2012,7,17]],"date-time":"2012-07-17T13:24:54Z","timestamp":1342531494000},"page":"e289-e295","source":"Crossref","is-referenced-by-count":158,"title":["Prospective Association of Common Eating Disorders and Adverse Outcomes"],"prefix":"10.1542","volume":"130","author":[{"given":"Alison E.","family":"Field","sequence":"first","affiliation":[{"name":"Division of Adolescent Medicine, Department of Medicine, Children\u2019s Hospital Boston and Harvard Medical School, Boston, Massachusetts;"},{"name":"Channing Laboratory, Department of Medicine, Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts;"},{"name":"Departments of Epidemiology, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kendrin R.","family":"Sonneville","sequence":"additional","affiliation":[{"name":"Division of Adolescent Medicine, Department of Medicine, Children\u2019s Hospital Boston and Harvard Medical School, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nadia","family":"Micali","sequence":"additional","affiliation":[{"name":"Brain and Behavioural Sciences Unit, Institute of Child Health, University College London, London, United Kingdom;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ross D.","family":"Crosby","sequence":"additional","affiliation":[{"name":"Neuropsychiatric Research Institute and Department of Clinical Neuroscience, University of North Dakota School of Medicine and Health Sciences, Fargo, North Dakota;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sonja A.","family":"Swanson","sequence":"additional","affiliation":[{"name":"Departments of Epidemiology, and"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nan M.","family":"Laird","sequence":"additional","affiliation":[{"name":"Biostatistics, Harvard School of Public Health, Boston, Massachusetts;"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Treasure","sequence":"additional","affiliation":[{"name":"King\u2019s College London, Institute of Psychiatry, London, United Kingdom; 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