Riesgo de trastornos alimentarios en adolescentes obesos de la Región Metropolitana.

Autores/as

  • Verónica Marín hospital luis calvo mackenna
  • Katerina Sommer 2Psiquiatra Infantil y de la Adolescencia, Unidad Psiquiatría Infantil-Departamento de Pediatría-Clínica Alemana de Santiago, Facultad de Medicina Clínica Alemana- Universidad del Desarrollo.
  • Paulina Agurto Pediatra, Unidad de Cuidados Intensivos Cardiovascular, Hospital Luis Calvo Mackenna
  • María Luisa Ceballos 4Pediatra,Unidad de Cuidados Intensivos Pediátricos, Hospital Luis Calvo Mackenna.
  • María Luisa Aguirre 5Pediatra Nutrióloga, Departamento Pediatría y Cirugía Infantil Oriente, Facultad de Medicina, Universidad de Chile, Hospital Luis Calvo Mackenna.

Palabras clave:

(Rev Med Chile…) (Key-words, Adolescent, Eating disorders, Obesity)

Resumen

Background: Preliminary research suggests that eating disorders (ED) are common among overweight teenagers. Missing the diagnosis is a poor prognostic factor. Aim: To quantify the risk of ED and the effects of age, sex and severity of obesity in obese adolescents. Patients and methods: We studied 99 obese adolescents with a body mass index (BMI) > percentile 95 of CDC-NCHS, 51% females, aged between 11 and 19 years, attending an obesity clinic. The Eating Disorders Inventory-2 (EDI-2) was used to evaluate the risk of ED. A score equal or higher than 110, corresponding to the 85th percentile, was considered as risky. Results: Sixteen percent of studied adolescents had EDI scores > 110. No statistically significant differences were observed by age, sex or severity of obesity. EDI-2 scores in participants with a BMI z score over and under 4 were 93.6 ± 33.9 and 78.2 ± 38.8 respectively (p=0.02). A high percentage of participants had body dissatisfaction (BD) and drive for thinness. Bulimic symptoms, inefficacy, fear of maturity, and impulsivity scores were significantly higher among participants with a high risk of developing ED. Conclusions: Obese adolescents have a high risk for ED, regardless of their age and sex. The risk increases along with higher BMI. The routine use of screening tests is fundamental for an early detection of ED.

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Publicado

2014-10-02

Cómo citar

Marín, V., Sommer, K., Agurto, P., Ceballos, M. L., & Aguirre, M. L. (2014). Riesgo de trastornos alimentarios en adolescentes obesos de la Región Metropolitana. Revista Médica De Chile, 142(10). Recuperado a partir de https://revistamedicadechile.cl/index.php/rmedica/article/view/3438

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