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Pediatrics. Author manuscript; available in PMC 2016 October 01. Published in final edited form as: Pediatrics. 2015 October ; 136(4): e856–e863. doi:10.1542/peds.2015-0622.
Weight gain, executive functioning, and eating behaviors among girls Andrea B. Goldschmidt, Ph.D.1, Alison E. Hipwell, Ph.D.2,3, Stephanie D. Stepp, Ph.D.2, Kathleen M. McTigue, M.D., M.P.H., M.S.4, and Kate Keenan, Ph.D.1 1Department
of Psychiatry and Behavioral Neuroscience, The University of Chicago, Chicago,
Illinois
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2Department
of Psychiatry, University of Pittsburgh, Pittsburgh, Pennsylvania
3Department
of Psychology, University of Pittsburgh, Pittsburgh, Pennsylvania
4Department
of Medicine, University of Pittsburgh, Pittsburgh, Pennsylvania
Abstract Objective—Executive functioning and excess weight have been associated in both crosssectional and prospective studies, but mechanisms explaining this relationship are unclear. The current study aimed to further explore the longitudinal relationship between executive functioning and changes in body weight, and to determine whether binge eating behaviors mediate this relationship.
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Methods—Community-based girls (N=2,450) were assessed using the WISC-III Mazes subtest and a parent-report measure of impulsivity at age 10, and using a self-report measure of binge eating and investigator-measured body mass index (BMI; kg/m2) annually between ages 10–16. Regression and bootstrapping analyses explored the relations among age 10 impulsivity and Mazes performance, age 12 and age 14 binge eating frequency, and age 10–16 BMI changes. Results—Age 10 impulsivity and Mazes performance each independently predicted age 10–16 BMI changes, after accounting for demographics, verbal comprehension, and BMI at age 10 (ps