Family correlates of childhood binge eating: A systematic review
Jaclyn A Saltzman1, Janet M Liechty2
1Department of Human Development and Family Studies, University of Illinois, Doris Kelly Christopher Hall, 904 W. Nevada Street, MC-081, Urbana, IL, USA; Illinois Transdiscplinary Obesity Prevention Program (I-TOPP), University of Illinois, USA.
Insights
Family weight teasing and parental emotional unresponsiveness are linked to binge eating in children (C-BE). Further research is needed to understand childhood binge eating prevention strategies.
Area of Science:
- Pediatric Psychology
- Eating Disorder Research
- Family Studies
Background:
- Binge Eating Disorder (BED) is a prevalent eating disorder in the US.
- Binge eating behaviors have been observed in children as young as five years old.
- Understanding family factors is crucial for preventing childhood eating disorders.
Purpose of the Study:
- To identify family correlates of binge eating in children (C-BE) aged 12 and under.
- To synthesize existing research on family predictors of C-BE.
- To inform prevention and intervention strategies for childhood eating disorders.
Main Methods:
- Systematic review of peer-reviewed studies published between 1980 and April 2015.
- Searches conducted in PubMed and PsycInfo databases.
- Fifteen studies were included after reviewing 736 records; risk of bias was assessed.
Main Results:
- Family weight teasing and parent emotional unresponsiveness were identified as correlates of C-BE.
- No associations were found between C-BE and parent weight, education, socioeconomic status, or race/ethnicity.
- Evidence was insufficient or unclear for other factors like parental disordered eating, harsh discipline, and feeding practices.
Conclusions:
- Family weight teasing and parental emotional unresponsiveness are key areas for intervention in childhood eating disorder prevention.
- Further longitudinal research is necessary to clarify risk factors and inform public health efforts.
- Addressing family dynamics is vital for preventing binge eating problems in children.
Objective:
Binge Eating Disorder is the most prevalent eating disorder in the US, and binge eating has been identified in children as young as five. As part of a larger registered systematic review, we identified family correlates of binge eating in children (C-BE) aged 12 and under.
Method:
Using established guidelines, we searched PubMed and PsycInfo for peer-reviewed studies published in English between 1980 and April 2015 that examined family correlates and predictors of C-BE. This yielded 736 records for review; after exclusions fifteen studies were reviewed. Risk of bias was assessed. A risk factor typology was used to classify correlates.
Results:
Nine of the included studies were cross-sectional and six longitudinal. Family weight teasing and parent emotional unresponsiveness were correlates of C-BE. Parent weight, education/socio-economic situation, and parent race/ethnicity were not associated with C-BE in any study reviewed. There was insufficient or unclear evidence regarding associations between C-BE and parent disordered eating, weight or thinness concern, harsh discipline, maternal dieting, attachment security, and mealtimes and feeding practices. Limitations included too few studies on many of the correlates to summarize, inconsistency of findings, homogenous samples, and predominately cross-sectional designs.
Discussion:
Weight-related teasing in families and parental emotional unresponsiveness are correlates of C-BE and important areas to address in parent education and eating disorder prevention programs with families. Further longitudinal studies on putative risk factors for binge eating in childhood are needed to address current limitations, enable synthesis across studies, and inform public health efforts to prevent binge eating problems in children.
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