Dieting and the development of eating disorders in overweight and obese adults

Susan Z. Yanovski, Charles J. Billington, Leonard H. Epstein, Norma J. Goodwin, James O. Hill, F. Xavier Pi-Sunyer, Barbara J. Rolls, Judith S. Stern, Thomas A. Wadden, Roland L. Weinsier, G. Terence Wilson, Rena R. Wing, S. Van Hubbard, Jay H. Hoofnagle, James Everhart, Barbara Harrison

Research output: Contribution to journalArticle

120 Citations (Scopus)

Abstract

We reviewed articles evaluating the relations among dieting, weight loss treatment, weight cycling, eating disorders, and psychological functioning in overweight and obese adults. Moderate caloric (energy) restriction, in combination with behavioral weight loss treatment, does not seem to cause clinically significant binge eating in overweight adults without preexisting binge eating problems and might ameliorate binge eating, at least in the short term, in those reporting recurrent binge eating before treatment. Most studies of behavioral weight loss interventions report improvements in psychological status during weight loss. However, these improvements might return to baseline with weight regain. Weight cycling does not seem to be associated with clinically significant psychopathologic conditions, although results of cross-sectional studies show an association between weight cycling and binge eating, as well as poorer perceived health status. 'Nondieting' approaches seem to lead to improvements in mood and self-esteem; however, weight loss is generally minimal. Concerns that dieting induces eating disorders or other psychological dysfunction in overweight and obese adults are generally not supported by empirical studies. Such concerns should not preclude attempts to reduce caloric intake and increase physical activity to achieve modest weight loss or prevent additional weight gain.

Original languageEnglish (US)
Pages (from-to)2581-2589
Number of pages9
JournalArchives of Internal Medicine
Volume160
Issue number17
StatePublished - Sep 25 2000

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Bulimia
Weight Loss
Weights and Measures
Psychology
Caloric Restriction
Energy Intake
Self Concept
Health Status
Weight Gain
Feeding and Eating Disorders
Therapeutics
Cross-Sectional Studies
Exercise

ASJC Scopus subject areas

  • Internal Medicine

Cite this

Yanovski, S. Z., Billington, C. J., Epstein, L. H., Goodwin, N. J., Hill, J. O., Pi-Sunyer, F. X., ... Harrison, B. (2000). Dieting and the development of eating disorders in overweight and obese adults. Archives of Internal Medicine, 160(17), 2581-2589.

Dieting and the development of eating disorders in overweight and obese adults. / Yanovski, Susan Z.; Billington, Charles J.; Epstein, Leonard H.; Goodwin, Norma J.; Hill, James O.; Pi-Sunyer, F. Xavier; Rolls, Barbara J.; Stern, Judith S.; Wadden, Thomas A.; Weinsier, Roland L.; Wilson, G. Terence; Wing, Rena R.; Van Hubbard, S.; Hoofnagle, Jay H.; Everhart, James; Harrison, Barbara.

In: Archives of Internal Medicine, Vol. 160, No. 17, 25.09.2000, p. 2581-2589.

Research output: Contribution to journalArticle

Yanovski, SZ, Billington, CJ, Epstein, LH, Goodwin, NJ, Hill, JO, Pi-Sunyer, FX, Rolls, BJ, Stern, JS, Wadden, TA, Weinsier, RL, Wilson, GT, Wing, RR, Van Hubbard, S, Hoofnagle, JH, Everhart, J & Harrison, B 2000, 'Dieting and the development of eating disorders in overweight and obese adults', Archives of Internal Medicine, vol. 160, no. 17, pp. 2581-2589.
Yanovski SZ, Billington CJ, Epstein LH, Goodwin NJ, Hill JO, Pi-Sunyer FX et al. Dieting and the development of eating disorders in overweight and obese adults. Archives of Internal Medicine. 2000 Sep 25;160(17):2581-2589.
Yanovski, Susan Z. ; Billington, Charles J. ; Epstein, Leonard H. ; Goodwin, Norma J. ; Hill, James O. ; Pi-Sunyer, F. Xavier ; Rolls, Barbara J. ; Stern, Judith S. ; Wadden, Thomas A. ; Weinsier, Roland L. ; Wilson, G. Terence ; Wing, Rena R. ; Van Hubbard, S. ; Hoofnagle, Jay H. ; Everhart, James ; Harrison, Barbara. / Dieting and the development of eating disorders in overweight and obese adults. In: Archives of Internal Medicine. 2000 ; Vol. 160, No. 17. pp. 2581-2589.
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