ECE2014 Poster Presentations Paediatric endocrinology (33 abstracts)
Emotional and binge eating disorders in children with severe obesity
Tatsiana Yemelyantsava 2 , Anzhalika Solntsava 1 , Olga Zagrebaeva 1 , Alexandr Sukalo 1 , Hanna Mikhno 1 , Ludmila Viazava 3 , Yuliya Tkachova 4 & Katsiaryna Konchyts 1
1Belarusian State Medical University, Minsk, Belarus; 2Republican Research and Practice Center for Mental Health, Minsk, Belarus; 32nd city children’s clinic, Minsk, Belarus; 48th State Paediatric Outpatient Clinic, Minsk, Belarus.
Background: Binge eating (BE) is a common cause of severe paediatric obesity, which develops after the uncontrolled wish of changing the present emotional condition.
Aim: To study the phenomenon of BE in the context of emotional disorders in severe obese children.
Methods: We examined 88 children with severe obesity (mean±s.d. 11.5±3.4 years; BMI 29.7±5.7 kg/m2) in the Endocrinological Department of University Clinic (Minsk) and 50 healthy controls (10.6±2.3 years (P=0.4), BMI 17.3±2.3 kg/m2 (P=0.01)). Eidemiller test (ET) underwent 88 obese and 17 controls; (Children Eating Disorder Examination Questionnaire) ChEDE-Q, (Depression Self-Rating Scale) DSRS, and (Child Behavior checklist) CBCL – 70 obese and 50 controls.
Results: ET showed the reliable excessive demands (P=0.004), educational uncertainty (P=0.001), imposition the conflicts on child (P=0.049) parents of obese patients. DSRS showed the presence of clinical depression in 8.3% obese and 5.3% healthy children. There were the reliable differences between depression and BE symptoms by CBCL (P=0.002). BE were noticed in all examined children with obesity by ChEDE-Q test (r=0.57, P<0.01) and had a strong relation with the clinical symptoms of attention deficiency (r=0.57, P<0.01) and hyperactivity/impulsiveness (r=0.56, P<0.01).
Conclusions: We found the presence of BE disorders with attention deficiency and hyperactivity/impulsiveness in obese children. Parent’s excessive demands, educational uncertainty and imposition the conflicts on the child might be one of the cause of obesity development in children. Improving these psychological problems is the effective treatment of obese children
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Endocrine Abstracts
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