Weight suppression predicts maintenance and onset of bulimic syndromes at 10-year follow-up.

Pamela K. Keel · Todd F. Heatherton

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Obesity and Health Practices

Abstract

Conflicting results have emerged regarding the prognostic significance of weight suppression for maintenance of bulimic symptoms. This study examined whether the magnitude of weight suppression would predict bulimic syndrome maintenance and onset in college-based samples of men (n = 369) and women (n = 968) at 10-year follow-up. Data come from a longitudinal study of body weight and disordered eating with high retention (80%). Among those with a bulimic syndrome at baseline, greater weight suppression significantly predicted maintenance of the syndrome and, among those without a bulimic syndrome at baseline, greater weight suppression predicted onset of a bulimic syndrome at 10-year follow-up in multivariate models that included baseline body mass index, diet frequency, and weight perception. Future research should address mechanisms that could account for the effects of weight suppression over a long duration of follow-up.

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2015Weight suppression in bulimia nervosa: Associations with biology and behavior.2013Defining features of unhealthy exercise associated with disordered eating and eating disorder diagnoses 2020Weight suppression increases odds for future onset of anorexia nervosa, bulimia nervosa, and purging disorder, but not binge eating disorder

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