Table 1a
Characteristics of Included Studies Using Children’s Body Image and Eating Questionnaire
Study Sample
size
Study population
Age (years)
Sex Assessment
instrument
Independent variables Main findingsa Girls Boys Both
sexes Cross-sectional studies
Oliver & Thelen (1996)17
264 Community- based sample of school children
9–11 Girls and boys
BIEQ EDI
Sex (female) Age (older)
Body mass index (higher)
Negative social interactions about weight or eating
+ n.s.
+ +
Vander Wal & Thelen (2000)18
526 Community- based sample of school children
9–11 Girls and boys
BIEQ Body weight (higher)
Age (older)
+ +
− n.s.
a The main findings show the independent variable’s association with early-onset disordered eating: positive (+), negative (−), or not statistically significant (n.s.).
BIEQ, Body Image and Eating Questionnaire; EDI, Eating Disorder Inventory.
Table 1b
Characteristics of Included Studies Using Children’s Eating Attitude Test
Study Sampl
e size
Study population
Age (years)
Sex Assessment
instrument
Independent variables Main findingsa Girls Boys Both
sexes Cross-sectional studies
Hill et al.
(1990)19
52 Community-based sample of school children
9–11 Girls EAT Parental disordered eating +
Flannery- Schroeder &
Chrisler (1996)20
84 Community-based sample of school children
6–11 Girls and boys
ChEAT Gender traits (femininity) Body dissatisfaction
n.s.
+ Rolland et al.
(1997)21
244 Community-based sample school children
8–12 Girls and boys
ChEAT Age (older)
Sex (female)
Body mass index (higher)
+ n.s.
+ + Kelly et al.
(1999)22
228 Community-based sample of school children
7–9 Girls ChEAT Age (older)
Body dissatisfaction Social interactions
Low self-esteem/self-worth
+ + n.s.
n.s.
Gardner et al.
(2000)23
216 Community-based sample of children
6–12 Girls and boys
ChEAT Body weight (higher) Negative social interactions Body dissatisfactions Depression
Low self-esteem/self-worth
+ + + + n.s.
Thomas et al.
(2000)24,b
202 Community-based sample of school children
8–9 Girls and boys
ChEAT Age (older)
Body mass index (higher) Gender traits (femininity) Low self-esteem/self-worth
+ n.s.
+ n.s.
+ n.s.
n.s.
Holt &
Ricciardelli (2002)25,b
236 Community-based sample of school children
8–10 Girls and boys
ChEAT Age (older)
Body mass index (higher)
Social interactions about weight or eating
Negative affect Positive affect
+
n.s.
n.s.
−
n.s.
+ +
Vander Wal, (2004)26
139 Community-based sample of school children
10 Girls ChEAT Ethnicity
Body weight (higher)
n.s.
+ DeLeel et al.
(2009)27
581 Community-based sample of children enrolled in The Pittsburgh Girls Study
9–10 Girls ChEAT Age (older)
Ethnicity (African Americans) Socioeconomic status
− + n.s.
Evans et al.
(2013)28
127 Community-based sample of school children
7–11 Girls ChEAT Age (older)
Body mass index (higher) Body dissatisfaction Thin idealization Depression
− +
− + + Longitudinal studies
Davison et al.
(2003)29
182 Community-based study of children
9 Girls ChEAT Previous disordered eating +
Parkinson et al.
(2012)30
589 Community-based sample of children
8–10 Girls and boys
ChEAT Sex (female) −
enrolled in the Gateshead Millennium Study
Body mass index (higher) Body dissatisfaction
Socioeconomic status (lower) Parental body mass index (higher) Previous disordered eating Emotional symptoms
n.s.
+ + + + +
a The main findings show the independent variable’s association with early-onset disordered eating: positive (+), negative (−), or not statistically significant (n.s.).
b Thomas et al. (2000) and Holt & Ricciardelli (2002) are based on the same data source.
ChEAT, Children’s Eating Attitude Test; EAT, Eating Attitude Test.
Table 1c.
Characteristics of Included Studies Using Children’s Eating Disorder Examination
Study Sampl
e size
Study population
Age (years)
Sex Assessment
instrument
Independent variables Main findingsa Girls Boys Both
sexes Cross-sectional studies
Klump et al.
(2010)31,b
172 Community-based sample of children enrolled in the Minnesota Twin Family Study
10–12 Girls EDE Genetic influence +
Pearson et al.
(2010)32
908 Community-based sample of school children
10 Boys EDE Pubertal stage
Eating expectancies Thinness and restricting expectancies
Negative urgency
n.s.
+ + +
cGoossens et al.
(2011)33
482 Community-based sample of school children
8–11 Girls and boys
ChEDE Low self-esteem/self-worth
Insecure attachment toward parents
+ + Madowitz et al.
(2012)34
79 Community-based sample of overweight children enrolled in the Parents as Agents of Change Study
8–12 Girls and boys
EDE Negative social interactions about weight or eating
Parental comments and concerns about child’s weight or eating
+ n.s.
Sinton et al.
(2012)35
204 Community-based sample of overweight children enrolled in a randomized controlled trial on weight
7–12 Girls and boys
ChEDE Age
Sex Ethnicity
Socioeconomic status
n.s.
n.s.
n.s.
n.s.
maintenance treatment
Body mass index
Parental body mass index Internalizing symptoms Externalizing symptoms
Negative social interactions about weight or eating
Loneliness
Parental disordered eating Parental psychological problems
n.s.
n.s.
n.s.
n.s.
+
+ + n.s.
Longitudinal studies Stein et al.
(2006)36
56 Hospital-based sample of children born to eating-disordered mothers
Community-based sample of children born to mothers enrolled in a study on eating habits
10 Girls and boys
ChEDE Parental disordered eating Parental comments and concerns about child’s weight or eating
+ +
Goossens et al.
(2012)37,c
601 Community-based sample of school children
8–11 Girls and boys
ChEDE Sex (female)
Previous disordered eating
Insecure attachment toward parents
+ + + Matton et al.
(2013)38
613 Community-based sample of children enrolled in a large prospective project
8-12 Girls and boys
ChEDE Sex
Body mass index (higher) Parental feeding practices Previous disordered eating
n.s.
+ n.s.
+
a The main findings show the independent variable’s association with early-onset disordered eating: positive (+), negative (−), or not statistically significant (n.s.).
b Klump et al. (2010) is based on the same data source as Klump et al. (2000) in Table 1e.
c Goossens et al. (2011) and Goossens et al. (2012) are based on the same data source.
ChEDE, Children’s Eating Disorder Examination; EDE, Eating Disorder Examination.
Table 1d
Characteristics of Included Studies Using Dutch Eating Behaviour Questionnaire
Study Sampl
e size
Study population
Age (years)
Sex Assessment
instrument
Independent variables Main findingsa Girls Boys Both
sexes Cross-sectional studies
Hill et al.
(1992)39
84 Community-based sample of school children
8–10 Girls DEBQ Body weight (higher) +
Hill & Bhatti (1995)40
97 Community-based sample of school children
9 Girls DEBQ Ethnicity (Asian) +
Hill & Franklin (1998)41
40 Community-based sample of school children
11 Girls DEBQ Body mass index (higher)
Low self-esteem/self-worth Parental disordered eating Parental comments and concerns about child’s weight or eating
+ + + +
Hill & Pallin (1998)42
176 Community-based sample of school children
8 Girls
and boys
DEBQ Body mass index (higher) Body dissatisfaction Low self-esteem/self-worth Parental disordered eating
+
+ n.s.
n.s.
n.s.
+ Anschutz et al.
(2009)43
501 Community-based sample of school children
7–10 Girls and boys
DEBQ Body mass index (higher) Parental disordered eating Parental comments and concerns about child’s weight or eating
n.s.
n.s.
+ +
+
Silva et al.
(2013)44
453 Community-based sample of children
7–12 Girls and boys
DEBQ Body mass index (higher) External eating
Emotional eating n.s. −
+
−
a The main findings show the independent variable’s association with early-onset disordered eating: positive (+), negative (−), or not statistically significant (n.s.).
DEBQ, Dutch Eating Behaviour Questionnaire.
Table 1e
Characteristics of Included Studies Using Eating Disorder Inventory
Study Sampl
e size
Study population
Age (years)
Sex Assessment
instrument
Independent variables Main findingsa Girls Boys Both
sexes Cross-sectional studiesb
Striegel-Moore et al. (1995)45,c
613 Community-based sample of children enrolled in The National Heart, Lung, and Blood Institute Growth and Health Study
9–10 Girls EDI Ethnicity (African Americans)
Socioeconomic status (lower—only in Caucasians)
Body mass index (higher) Pubertal stage
Body dissatisfaction (only in Caucasians)
Low self-esteem/self-worth Negative social interactions about weight or eating (only in African Americans)
+ +
+ n.s.
+
n.s.
+
Klump et al.
(2000)46
341 Community-based sample of children enrolled in The Minnesota Twin Family Study
10–12 Girls EDI Genetics influence n.s.
Phares et al.
(2004)47
141 Community-based sample of school children
9 Girls
and boys
EDI Parental disordered eating Negative social interactions about weight or eating
Depression
Low self-esteem/self-worth
+ +
+ + Case-control studies
Striegel-Moore et al. (1992)48
36 Hospital-based sample of insulin-
8–11 Girls EDI Insulin-dependent diabetes mellitus n.s.
dependent diabetes mellitus patients
Community-based sample of
matched controls
a The main findings show the independent variable’s association with early-onset disordered eating: positive (+), negative (−), or not statistically significant (n.s.).
b Oliver & Thelen (1996) in Table 1a also used EDI to measure presence of disordered eating.
c Striegel-Moore et al. (1995) is based on the same data source as Schreiber et al. (1996) in Table 1h.
EDI, Eating Disorder Inventory.
Table 1f
Characteristics of Included Studies Using Kids’ Eating Disorder Survey
Study Sampl
e size
Study population
Age (years)
Sex Assessment
instrument
Independent variables Main findingsa Girls Boys Both
sexes Cross-sectional studies
Robinson et al.
(2001)49
895 Community-based sample of school children
8 Girls
and boys
KEDS Sex (female)
Ethnicity (African Americans) Body mass index (higher)
Socioeconomic status (lower—only in Latin and African American girls)
+ n.s.
+
+
−
Ricca et al.
(2010)50
733 Community-based sample of school children
7–12 Girls and boys
KEDS Body mass index (higher) Parental body mass index Family meals
Parental comments and concerns about child’s weight or eating
+ n.s.
+
n.s.
+
a The main findings show the independent variable’s association with early-onset disordered eating: positive (+), negative (−), or not statistically significant (n.s.).
KEDS, Kids’ Eating Disorder Survey.
Table 1g
Characteristics of Included Studies Using McKnight Risk Factor Survey
Study Sampl
e size
Study population
Age (years)
Sex Assessment
instrument
Independent variables Main findingsa Girls Boys Both
sexes Cross-sectional studies
Haines et al.
(2008)51
73 Community-based sample of school children enrolled in the Ready. Set.
Action! program
10 Girls and boys
MRFS Parental disordered eating Parental body dissatisfaction Parental comments and concerns about child’s weight or eating
+ + +
Longitudinal studies Jacobi et al.
(2001)52
108 Community-based sample of children
8 Girls
and boys
MRFS Sex
Body mass index
Parental disordered eating (only in girls)
n.s.
n.s.
+
a The main findings show the independent variable’s association with early-onset disordered eating: positive (+), negative (−), or not statistically significant (n.s.).
MRFS, McKnight Risk Factor Survey.
Table 1h
Characteristics of Included Studies Using Other Assessment Instruments
Study Sampl
e size
Study population
Age (years)
Sex Assessment
instrument
Independent variables Main findingsa Girls Boys Both
sexes Cross-sectional studies
Schreiber et al.
(1996)53,b
2353 Community-based sample of children enrolled in the National Heart, Lung, and Blood Institute Growth and Health Study
9–10 Girls Self-reported weight-control behaviors
Ethnicity (African Americans) Age (older)
Body mass index (higher) Body dissatisfaction
Socioeconomic status (lower) Pubertal stage
Parental comments and concerns about child’s weight or eating
+
− + + + n.s.
+
Taylor et al.
(1998)54
78 Community-based sample of school children
9–12 Girls Stanford Weight Concern Scale
Importance peers put on weight or eating
Negative social interactions about weight or eating
Parental disordered eating Pubertal stage
Media influence
Low self-esteem/self-worth Ethnicity
Body mass index (higher)
+ n.s.
n.s.
n.s.
+ n.s.
n.s.
+ Morgan et al.
(2002)55
112 Community-based sample of obese school children
6–10 Girls and boys
Adolescent Questionnaire of Eating and Weight Pattern
Age Sex
Ethnicity (African Americans)
n.s.
n.s.
+
Body mass index (higher) Fat mass (higher) Bone age Trait anxiety Depression
Body dissatisfaction
+ + n.s.
+ + + Ricciardelli et al.
(2003)56,c
507 Community-based sample of school children
8–11 Girls and boys
Body Change Inventory
Body dissatisfaction Body mass index (higher) Negative affect
Low self-esteem/self-worth Negative social interactions about weight or eating
+ n.s.
n.s.
−
+
n.s.
+
Jacobi et al.
(2008)57
426 Community-based sample of school children
8–12 Girls and boys
Inventory for Assessment of Eating Behaviors and Weight Problems in Children
Age (older) Sex
Body mass index (higher) Parental disordered eating Parental body weight (higher)
− n.s.
+ n.s.
n.s.
Lourenco et al.
(2008)58
128 Hospital-based sample of obese children seeking treatment for obesity
10 Girls and boys
Binge Eating Scale
Age Sex
Body mass index Waist
Body mass composition Pubertal stage
n.s.
n.s.
n.s.
n.s.
n.s.
n.s.
Råstam et al.
(2013)59
12,304 Community-based sample of children enrolled in the Child and Adolescent Twin
9–12 Girls and boys
Eating Problems Age (older)
Concentration/attention problems Impulsiveness/activity problems
n.s.
+ +
n.s.
n.s.
Study in Sweden Language problems Social interaction problems Flexibility problems
n.s. +
n.s.
n.s.
Longitudinal studies McCabe et al.
(2005)60,c
412 Community-based sample of normal weight and overweight school children
8–11 Girls and boys
Body Change Inventory
Previous disordered eating Body dissatisfaction Positive affect Negative affect
Low self-esteem/self-worth Parental comments and concerns about child’s weight or eating
+
− n.s.
n.s.
n.s.
n.s.
n.s.
n.s.
a The main findings show the independent variable’s association with early-onset disordered eating: positive (+), negative (−), or not statistically significant (n.s.).
b Schreiber et al. (1996) is based on the same data source as Striegel-Moore et al. (1995) in Table 1e.
c Ricciardelli et al. (2003) and McCabe et al. (2005) are based on the same data source as Thomas et al. (2000) and Holt & Ricciardelli (2002) in Table 1b.−