A5009140371- Eating Disorders and Behaviors
- Obesity, Physical Activity, Diet
- Child Nutrition and Feeding Issues
- Obesity and Health Practices
- Health disparities and outcomes
- Obsessive-Compulsive Spectrum Disorders
- Birth, Development, and Health
- Health and Lifestyle Studies
- COVID-19 and Mental Health
- Behavioral Health and Interventions
- Impact of Technology on Adolescents
- Global Health Care Issues
- Smoking Behavior and Cessation
- Physical Activity and Health
- Cystic Fibrosis Research Advances
- Urban, Neighborhood, and Segregation Studies
- LGBTQ Health, Identity, and Policy
- Food Security and Health in Diverse Populations
- Racial and Ethnic Identity Research
- Cardiovascular Health and Risk Factors
- Cardiovascular Disease and Adiposity
- Urban Transport and Accessibility
- Adolescent and Pediatric Healthcare
- Diet and metabolism studies
- Child Development and Digital Technology
Boston Children's Hospital
2016-2025
Harvard University
2015-2025
Boston Children's Museum
2005-2023
University of Michigan
2023
Children's Hospital
2022
Lemuel Shattuck Hospital
2014-2021
Boston University
2017
Wesleyan University
2016
Massachusetts General Hospital
2015
Massachusetts Department of Public Health
2012
ABSTRACT Background Patient and caregiver perspectives are critical in the evaluation of avoidant/restrictive food intake disorder (ARFID); however, little is understood about how youth perceptions may differ. This study compared reports among pediatric patients from an outpatient ARFID program. Methods Patients (217 individuals with ARFID, aged 8–17) their caregivers completed Nine‐Item Screen (NIAS), a screening tool parallel report forms. The NIAS measures symptomatology across three...
OBJECTIVES: The prevalence of childhood obesity is significantly higher among racial and/or ethnic minority children in the United States. It unclear to what extent well-established risk factors infancy and preschool explain these disparities. Our objective was decompose disparities children’s weight status according contributing socioeconomic behavioral factors. METHODS: We used nationally representative data from ∼10 700 Early Childhood Longitudinal Study Birth Cohort who were followed age...
Food insecurity has been associated with weight status in children and adults although results have mixed. We aimed to identify whether food was BMI young this association differed by gender modified stamp use the presence of home. Cross‐sectional data from wave 4 (2007–2008) National Longitudinal Study Adolescent Health were analyzed. Multiple linear regression used investigate between stratified models adult women ( n = 7,116) men 6,604) controlling for age, race/ethnicity, income,...
Adolescence is a formative period when health care services have unique opportunity to influence later outcomes. Unmet need in adolescence known be associated with poor contemporaneous outcomes; it unknown whether predicts adult outcomes.We used nationally representative data from 14 800 subjects who participated Wave I (mean age: 15.9 years [1994/1995]) and IV 29.6 [2008]) of the National Longitudinal Study Adolescent Adult Health. Logistic regression models were estimate association...
Importance The COVID-19 pandemic has affected youth mental health. Increases in site-specific eating disorder (ED) care have been documented; however, multisite studies demonstrating national trends are lacking. Objective To compare the number of adolescent/young adult patients seeking inpatient and outpatient ED before after onset pandemic. Design, Setting, Participants Using an observational case series design, changes volume ED-related across 15 member sites (14 geographically diverse...
ABSTRACT Objective The purpose of this study was to examine the cross‐sectional association between weight misperception among young adults with overweight/obesity and disordered eating behaviors. Method In a subsample overweight or obesity participating in Wave III (2001–2002) National Longitudinal Study Adolescent Adult Health ( n = 5,184), we examined under‐perception (i.e., perceiving oneself be at healthy body underweight) (fasting/meal skipping for control, purging/pills...
Abstract Background The Coronavirus (COVID-19) pandemic dramatically transformed daily life for adolescents and young adults, altering social physical environments. Previous research has shown such shifts in to be especially challenging people living with eating disorders (ED). However, the extent of this environmental change on ED symptoms mental health (MH) been relatively unexplored patients EDs. This study examines how EDs feel COVID-19 affected their environments as well MH motivation...
To aid in more targeted eating disorder (ED) prevention efforts, we sought to identify sociodemographic and weight-related risk factors for identified triggers the onset of anorexia nervosa (AN) youth. We conducted a retrospective chart review youth admitted medical treatment AN between January 2015 February 2020. From multidisciplinary admission notes, extracted patient-reported reasons diet/exercise changes. used qualitative thematic analysis ED triggers, then categorized each trigger as...
Although schools and neighborhoods influence health, little is known about their relative importance, or the of one context after other has been taken into account. We simultaneously examined each setting on depression among adolescents.Analyzing data from wave 1 (1994-1995) National Longitudinal Study Adolescent Health, we used cross-classified multilevel modeling to examine between-level variation individual-, school-, neighborhood-level predictors adolescent depressive symptoms. Also,...
Shelter-in-place orders and social distancing guidelines, in response to the COVID-19 pandemic, have limited traditional face-to-face interactions led many clinical providers transitioning use of videoconferencing platforms. The present study aims assess how pandemic has impacted adolescents'/young adults' (AYA) eating disorder (ED)-related care, access to, changes in, perceived disruptions quality care are associated with ED thoughts behaviors.AYA enrolled RECOVERY study, a pre-existing...
Recent studies have reported increasing eating disorder incidence and severity following the coronavirus disease 2019 (COVID-19) pandemic. In a diverse cohort of pediatric hospitals, we examined trends in volume emergency visits inpatient admissions for disorders before during pandemic.We monthly patients with (identified by principal International Classification Diseases, 10th Revision, diagnosis codes) across 38 hospitals Pediatric Health Information System pre- (January 2018-March 2020)...
There are no standard assessment approaches for Avoidant Restrictive Food Intake Disorder (ARFID). We describe our approach to multidisciplinary after assessing more than 550 patients with ARFID. collected online survey (ARFID-specific instruments, measures of anxiety, depression) measures. Electronic medical record data (mental health and gastrointestinal diagnoses, micronutrient bone density assessments, growth parameters) were extracted the 239 ARFID seen between 2018 2021 both parent...
OBJECTIVE. Our goal was to determine if racial/ethnic disparities in adolescent boys' and girls' physical activity participation exist persist once the school attended is considered. METHODS. We performed a cross-sectional analysis of 17007 teens National Longitudinal Study Adolescent Health. Using multivariate linear regression, we examined association between self-reported individual race/ethnicity stratified by gender, controlling for wide range sociodemographic, attitudinal, behavioral,...
Obesity is a key public health issue for US youth. Previous research with primarily white samples of youth has indicated that sexual minority females have higher body mass index (BMI) and males lower BMI than their same-gender heterosexual counterparts, orientation differences in increasing across adolescence. This explored whether gender exist nonwhite racial/ethnic groups. Using data from Waves I–IV (1995–2009) the National Longitudinal Study Adolescent Health ( N = 13,306, ages 11–34...