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Article ; Online: Gone too soon: Studying mortality in eating disorders.

Micali, Nadia / Herle, Moritz

2023 Volume 147, Issue 2, Page(s) 119–121

Abstract: Eating disorders (anorexia nervosa, bulimia nervosa, binge eating disorder, and other specified feeding and eating disorder) are not only common mental health disorders but they also affect an individual's physical, psychological, and social well-being, ... ...

Abstract	Eating disorders (anorexia nervosa, bulimia nervosa, binge eating disorder, and other specified feeding and eating disorder) are not only common mental health disorders but they also affect an individual's physical, psychological, and social well-being, with high impact and burden. Importantly, previous research has found that eating disorders have high mortality, higher than many other psychiatric disorders. Here, we discuss findings from Castellini and colleagues in the context of previous studies.
MeSH term(s)	Humans ; Feeding and Eating Disorders ; Bulimia Nervosa ; Binge-Eating Disorder/psychology ; Anorexia Nervosa/psychology ; Research
Language	English
Publishing date	2023-02-12
Publishing country	United States
Document type	Editorial
ZDB-ID	103-x
ISSN	1600-0447 ; 0001-690X
ISSN (online)	1600-0447
ISSN	0001-690X
DOI	10.1111/acps.13527
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Article ; Online: Longitudinal Analyses Suggest Genomic and Psychological Origins of Disordered Eating and Comorbidities.

Herle, Moritz / Kan, Carol

JAMA network open

2020 Volume 3, Issue 12, Page(s) e2027188

MeSH term(s)	Adolescent ; Feeding and Eating Disorders/epidemiology ; Feeding and Eating Disorders/genetics ; Genomics ; Humans ; Mental Health ; Stress, Psychological
Language	English
Publishing date	2020-12-01
Publishing country	United States
Document type	Journal Article ; Comment
ISSN	2574-3805
ISSN (online)	2574-3805
DOI	10.1001/jamanetworkopen.2020.27188
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Article ; Online: Examining parents' experiences and challenges of feeding preschool children with avid eating behaviour.

Edwards, Katie L / Blissett, Jacqueline / Croker, Helen / Farrow, Claire / Herle, Moritz / Kininmonth, Alice / Llewellyn, Clare / Pickard, Abigail / Haycraft, Emma

Appetite

2024 Volume 198, Page(s) 107372

Abstract: Avid eating behaviours, including greater responsiveness to food cues and emotional over-eating, have been linked to child overweight and obesity. Parental feeding practices are modifiable components of a child's food environment and may be key levers ... ...

Abstract	Avid eating behaviours, including greater responsiveness to food cues and emotional over-eating, have been linked to child overweight and obesity. Parental feeding practices are modifiable components of a child's food environment and may be key levers for behaviour change in tailored interventions to support parents of children with avid eating behaviour. However, there is a lack of research examining parents' experiences in this context. This study aimed to explore parents' experiences of feeding children with avid eating behaviour and to understand any challenges experienced in this context. Semi-structured interviews with parents (N = 15) of a preschool child (3-5 years) identified as having an avid eating behaviour profile explored how children's avid eating manifests, the parental feeding practices used to manage avid eating, and the perceived effectiveness of these strategies. Data were analysed using reflexive thematic analysis. Four core themes were generated. Theme one, 'Have they got worms? Children's insatiable hunger', captures parents' interpretation of the complex ways in which avid eating behaviour manifests. Theme two, 'Parenthood as a duty', illustrates how parents' perceived responsibilities shape their feeding practices. Theme three, 'Lifelong habits', captures parents' use of responsive feeding practices to support children's healthy relationship with food. Theme four, 'Picking battles', captures the structure- and coercive-based feeding strategies commonly used to manage children's avid eating. This novel study provides an in-depth understanding of the complex ways that children's avid eating behaviour manifests, and the strategic and creative parental feeding practices used to manage these behaviours. Such findings are valuable for informing the development of future support resources for parents/caregivers to help their children with avid eating behaviours to develop a healthy relationship with food.
Language	English
Publishing date	2024-04-22
Publishing country	England
Document type	Journal Article
ZDB-ID	1461347-5
ISSN	1095-8304 ; 0195-6663
ISSN (online)	1095-8304
ISSN	0195-6663
DOI	10.1016/j.appet.2024.107372
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Article: Examining Parent Mood, Feeding Context, and Feeding Goals as Predictors of Feeding Practices Used by Parents of Preschool Children With Avid Eating Behavior: Protocol for an Ecological Momentary Assessment Study.

Edwards, Katie / Croker, Helen / Farrow, Claire / Haycraft, Emma / Herle, Moritz / Llewellyn, Clare / Pickard, Abigail / Blissett, Jacqueline

JMIR research protocols

2024 Volume 13, Page(s) e55193

Abstract: Background: An avid eating behavior profile is characterized by a greater interest in food and a tendency to overeat in response to negative emotions. Parents use specific strategies to manage feeding interactions with children with avid eating behavior. ...

Abstract	Background: An avid eating behavior profile is characterized by a greater interest in food and a tendency to overeat in response to negative emotions. Parents use specific strategies to manage feeding interactions with children with avid eating behavior. While momentary and contextual factors, such as parental mood, have been found to influence parental feeding practices, there is a lack of research examining parents' daily experiences of feeding children with avid eating behavior. Examining this is important because parental feeding practices are key levers in tailored interventions to support children's healthy eating behavior. Objective: We aim to describe the ecological momentary assessment methods and procedures used in the APPETItE (Appetite in Preschoolers: Producing Evidence for Tailoring Interventions Effectively) project, which aims to examine how variation in parental mood, feeding goals, and the context of eating occasions affect the parental feeding practices used to manage feeding interactions with children with an avid eating behavior profile. Methods: Participants are primary caregivers from the APPETItE cohort who have a preschool-age child (aged 3-5 years) with an avid eating behavior profile. Caregivers complete a 10-day ecological momentary assessment period using signal- and event-contingent surveys to examine (1) mood and stress, (2) parental feeding goals, and (3) contextual factors as predictors of parental feeding practices. Results: Recruitment and data collection began in October 2023 and is expected to be completed by spring 2024. The data have a 3-level structure: repeated measurements (level 1) nested within days (level 2) nested within an individual (level 3). Thus, lag-dependent models will be conducted to test the main hypotheses. Conclusions: The findings from this study will provide an understanding of caregivers' daily experiences of feeding preschool children with avid eating behavior, who are at greater risk for the development of obesity. Understanding the predictors of feeding practices at the moment they occur, and across various contexts, will inform the development of tailored resources to support caregivers in managing children's avid eating behavior. International registered report identifier (irrid): DERR1-10.2196/55193.
Language	English
Publishing date	2024-03-19
Publishing country	Canada
Document type	Journal Article
ZDB-ID	2719222-2
ISSN	1929-0748
ISSN	1929-0748
DOI	10.2196/55193
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Article ; Online: Could interventions on physical activity mitigate genomic liability for obesity? Applying the health disparity framework in genetically informed studies.

Herle, Moritz / Pickles, Andrew / Pain, Oliver / Viner, Russell / Pingault, Jean-Baptiste / De Stavola, Bianca L

European journal of epidemiology

2023 Volume 38, Issue 4, Page(s) 403–412

Abstract: Polygenic scores (PGS) are now commonly available in longitudinal cohort studies, leading to their integration into epidemiological research. In this work, our aim is to explore how polygenic scores can be used as exposures in causal inference-based ... ...

Abstract	Polygenic scores (PGS) are now commonly available in longitudinal cohort studies, leading to their integration into epidemiological research. In this work, our aim is to explore how polygenic scores can be used as exposures in causal inference-based methods, specifically mediation analyses. We propose to estimate the extent to which the association of a polygenic score indexing genetic liability to an outcome could be mitigated by a potential intervention on a mediator. To do this this, we use the interventional disparity measure approach, which allows us to compare the adjusted total effect of an exposure on an outcome, with the association that would remain had we intervened on a potentially modifiable mediator. As an example, we analyse data from two UK cohorts, the Millennium Cohort Study (MCS, N = 2575) and the Avon Longitudinal Study of Parents and Children (ALSPAC, N = 3347). In both, the exposure is genetic liability for obesity (indicated by a PGS for BMI), the outcome is late childhood/early adolescent BMI, and the mediator and potential intervention target is physical activity, measured between exposure and outcome. Our results suggest that a potential intervention on child physical activity can mitigate some of the genetic liability for childhood obesity. We propose that including PGSs in a health disparity measure approach, and causal inference-based methods more broadly, is a valuable addition to the study of gene-environment interplay in complex health outcomes.
MeSH term(s)	Adolescent ; Child ; Humans ; Cohort Studies ; Exercise ; Genomics ; Longitudinal Studies ; Pediatric Obesity ; Mediation Analysis
Language	English
Publishing date	2023-03-11
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	632614-6
ISSN	1573-7284 ; 0393-2990
ISSN (online)	1573-7284
ISSN	0393-2990
DOI	10.1007/s10654-023-00980-y
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Article ; Online: Latent anxiety and depression dimensions differ amongst patients with eating disorders: A Swedish nationwide investigation.

Hübel, Christopher / Birgegård, Andreas / Johansson, Therese / Petersen, Liselotte V / Isomaa, Rasmus / Herle, Moritz

International journal of methods in psychiatric research

2023 Volume 32, Issue 3, Page(s) e1961

Abstract: Objective: Anxiety and depression symptoms are common in individuals with eating disorders. To study these co-occurrences, we need high-quality self-report questionnaires. The 19-item self-rated Comprehensive Psychopathological Rating Scale for ... ...

Abstract	Objective: Anxiety and depression symptoms are common in individuals with eating disorders. To study these co-occurrences, we need high-quality self-report questionnaires. The 19-item self-rated Comprehensive Psychopathological Rating Scale for Affective Syndromes (CPRS-S-A) is not validated in patients with eating disorders. We tested its factor structure, invariance, and differences in its latent dimensions. Method: Patients were registered by 45 treatment units in the Swedish nationwide Stepwise quality assurance database for specialised eating disorder care (n = 9509). Patients self-reported their anxiety and depression symptoms on the CPRS-S-A. Analyses included exploratory and confirmatory factor analyses (CFA) in split samples, and testing of invariance and differences in subscales across eating disorder types. Results: Results suggested a four-factor solution: Depression, Somatic and fear symptoms, Disinterest, and Worry. Multigroup CFA indicated an invariant factor structure. We detected the following differences: Patients with anorexia nervosa binge-eating/purging subtype scored the highest and patients with unspecified feeding and eating disorders the lowest on all subscales. Patients with anorexia nervosa or purging disorder show more somatic and fear symptoms than individuals with either bulimia nervosa or binge-eating disorder. Conclusion: Our four-factor solution of the CPRS-S-A is suitable for patients with eating disorders and may help to identify differences in anxiety and depression dimensions amongst patients with eating disorders.
MeSH term(s)	Humans ; Depression/epidemiology ; Depression/psychology ; Sweden/epidemiology ; Feeding and Eating Disorders/epidemiology ; Binge-Eating Disorder/diagnosis ; Binge-Eating Disorder/psychology ; Anorexia Nervosa/epidemiology ; Anorexia Nervosa/diagnosis ; Anxiety/epidemiology
Language	English
Publishing date	2023-02-12
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1078002-6
ISSN	1557-0657 ; 1049-8931
ISSN (online)	1557-0657
ISSN	1049-8931
DOI	10.1002/mpr.1961
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Article ; Online: Associations between childhood autistic traits and adolescent eating disorder behaviours are partially mediated by fussy eating.

Carter Leno, Virginia / Micali, Nadia / Bryant-Waugh, Rachel / Herle, Moritz

European eating disorders review : the journal of the Eating Disorders Association

2022 Volume 30, Issue 5, Page(s) 604–615

Abstract: Objective: Previous literature shows an increased risk for eating disorders in autistic individuals. This study tested whether fussy eating contributes to the association between childhood autistic traits and adolescent eating disorder behaviours.: ... ...

Abstract	Objective: Previous literature shows an increased risk for eating disorders in autistic individuals. This study tested whether fussy eating contributes to the association between childhood autistic traits and adolescent eating disorder behaviours. Method: Using data from the Avon Longitudinal Study of Parents and Children, we estimated the intercept and slope of parent-rated autistic traits and fussy eating between 7 and 14 years (N = 8982) and their association with self-reported eating disorder behaviours at age 14 years, including the indirect path from autistic traits to eating disorder behaviours via fussy eating. Analyses were adjusted for child sex, maternal age at delivery, maternal body mass index and maternal education. Results: Analyses found a small indirect pathway from autistic traits intercept to eating disorder behaviours via fussy eating slope (b = 0.017, 95% CI = 0.002-0.032, p = 0.026), with higher levels of autistic traits at age 7 years being associated with a shallower decline in fussy eating, which in turn was associated with greater eating disorder behaviours. Conclusion: Findings point towards fussy eating as a potential link between childhood autistic traits and later disordered eating. Addressing fussy eating patterns before they become entrenched may decrease risk for eating disorders later in development.
MeSH term(s)	Adolescent ; Autistic Disorder ; Child ; Child Behavior ; Feeding Behavior ; Feeding and Eating Disorders/epidemiology ; Humans ; Longitudinal Studies
Language	English
Publishing date	2022-04-06
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1159507-3
ISSN	1099-0968 ; 1067-1633 ; 1072-4133
ISSN (online)	1099-0968
ISSN	1067-1633 ; 1072-4133
DOI	10.1002/erv.2902
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Article ; Online: Additional Data to Explain Childhood Obesity-Reply.

Schrempft, Stephanie / Herle, Moritz / Llewellyn, Clare H

JAMA pediatrics

2019 Volume 173, Issue 6, Page(s) 605–606

MeSH term(s)	Body Mass Index ; Child ; Family ; Humans ; Pediatric Obesity
Language	English
Publishing date	2019-04-01
Publishing country	United States
Document type	Journal Article ; Comment
ZDB-ID	2701223-2
ISSN	2168-6211 ; 2168-6203
ISSN (online)	2168-6211
ISSN	2168-6203
DOI	10.1001/jamapediatrics.2019.0376
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Article ; Online: Parental feeding and childhood genetic risk for obesity: exploring hypothetical interventions with causal inference methods.

Herle, Moritz / Pickles, Andrew / Micali, Nadia / Abdulkadir, Mohamed / De Stavola, Bianca L

International journal of obesity (2005)

2022 Volume 46, Issue 7, Page(s) 1271–1279

Abstract: Background: Parental-feeding behaviors are common intervention targets for childhood obesity, but often only deliver small changes. Childhood BMI is partly driven by genetic effects, and the extent to which parental-feeding interventions can mediate ... ...

Abstract	Background: Parental-feeding behaviors are common intervention targets for childhood obesity, but often only deliver small changes. Childhood BMI is partly driven by genetic effects, and the extent to which parental-feeding interventions can mediate child genetic liability is not known. Here we aim to examine how potential interventions on parental-feeding behaviors can mitigate some of the association between child genetic liability and BMI in early adolescence, using causal inference methods. Methods: Data from the Avon Longitudinal Study of Parents and Children were used to estimate an interventional disparity measure for a child polygenic score for BMI (PGS-BMI) on BMI at 12 years. The approach compares counterfactual outcomes for different hypothetical interventions on parental-feeding styles applied when children are 10-11 years (n = 4248). Results are presented as adjusted total association (Adj-Ta) between genetic liability (PGS-BMI) and BMI at 12 years, versus the interventional disparity measure-direct effect (IDM-DE), which represents the association that would remain, had we intervened on parental-feeding under different scenarios. Results: For children in the top quintile of genetic liability, an intervention shifting parental feeding to the levels of children with lowest genetic risk, resulted in a difference of 0.81 kg/m Conclusions: Findings suggest that parental-feeding interventions have the potential to buffer some of the genetic liability for childhood obesity. Further, we highlight a novel way to analyze potential interventions for health conditions only using secondary data analyses, by combining methodology from statistical genetics and social epidemiology.
MeSH term(s)	Body Mass Index ; Child ; Feeding Behavior ; Humans ; Longitudinal Studies ; Parents ; Pediatric Obesity/epidemiology ; Pediatric Obesity/genetics ; Pediatric Obesity/prevention & control
Language	English
Publishing date	2022-03-19
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	752409-2
ISSN	1476-5497 ; 0307-0565
ISSN (online)	1476-5497
ISSN	0307-0565
DOI	10.1038/s41366-022-01106-2
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Article ; Online: Persistent thinness and anorexia nervosa differ on a genomic level.

Hübel, Christopher / Abdulkadir, Mohamed / Herle, Moritz / Palmos, Alish B / Loos, Ruth J F / Breen, Gerome / Micali, Nadia / Bulik, Cynthia M

European journal of human genetics : EJHG

2023 Volume 32, Issue 1, Page(s) 117–124

Abstract: Thinness and anorexia nervosa are both characterised by persistent low weight. Individuals with anorexia nervosa concurrently report distorted perceptions of their body and engage in weight-loss behaviours, whereas individuals with thinness often wish to ...

Abstract	Thinness and anorexia nervosa are both characterised by persistent low weight. Individuals with anorexia nervosa concurrently report distorted perceptions of their body and engage in weight-loss behaviours, whereas individuals with thinness often wish to gain weight. Both conditions are heritable and share genomics with BMI, but are not genetically correlated with each other. Based on their pattern of genetic associations with other traits, we explored differences between thinness and anorexia nervosa on a genomic level. In Part 1, using publicly available data, we compared genetic correlations of persistent thinness/anorexia nervosa with eleven psychiatric disorders. In Part 2, we identified individuals with adolescent persistent thinness in the Avon Longitudinal Study of Parents and Children (ALSPAC) by latent class growth analysis of measured BMI from 10 to 24 years (n = 6594) and evaluated associations with psychiatric and anthropometric polygenic scores. In Part 1, in contrast to the positive genetic correlations of anorexia nervosa with various psychiatric disorders, persistent thinness showed negative genetic correlations with attention deficit hyperactivity disorder (r
MeSH term(s)	Adolescent ; Child ; Humans ; Anorexia Nervosa/genetics ; Anorexia Nervosa/psychology ; Depressive Disorder, Major ; Thinness/genetics ; Longitudinal Studies ; Genomics
Language	English
Publishing date	2023-07-20
Publishing country	England
Document type	Journal Article
ZDB-ID	1141470-4
ISSN	1476-5438 ; 1018-4813
ISSN (online)	1476-5438
ISSN	1018-4813
DOI	10.1038/s41431-023-01431-8
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