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The relationship between obesity, eating disorders and ESSENCE

Participants: Elisabet Wentz, Jovanna Dahlgren & Anna Björk.

Background: Obesity in children and adolescents has become a global health problem. Four percent of all adolescents in Sweden suffer from obesity. The last decade ADHD has been reported to be overrepresented in both children and adults with obesity. Eating disorders, binge eating in particular, are more common in adults with obesity than in the general population.

Aim: 1) To examine the prevalence of neuropsychiatric disabilities, included in the concept of ESSENCE (Early Symptomatic Syndromes Eliciting Neurodevelopmental Clinical Examinations), such as ADHD, chronic tic disorders, autism spectrum disorder (ASD), and motor clumsiness (DCD), among children and adolescents with obesity.

2) To examine whether eating disorders, particularly those with impulse control disorder, i.e. binging and purging, are more common in obese children with ESSENCE than in obese children without ESSENCE.

Methods: In collaboration with Professor Jovanna Dahlgren and medical student Anna Björk 76 children were recruited from the Obesity Center at the Queen Silvia Children University Hospital in Gothenburg in order to investigate psychiatric symptoms using semi-structured interviews (DAWBA to examine ESSENCE, eating disorders and depression), parental questionnaires (5-15 and ASSQ to examine ADHD-symptomatology, DCD och ASD) and self-report questionnaires (EDI-C and EDE-Q – to examine eating disorder symptoms). Medical records have been scrutinized in order to discover previous ESSENCE-diagnoses. The parents have completed ASRS, to estimate the prevalence of adult ADHD.

Results: The results have been presented in a manuscript and submitted to a scientific journal.



Page Manager: Anna Spyrou|Last update: 4/4/2016

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