Weight Suppression in Eating Disorders: a Research and Conceptual Update

Curr Psychiatry Rep. 2018 Aug 28;20(10):80. doi: 10.1007/s11920-018-0955-2.

Abstract

Purpose of review: Weight suppression, the discrepancy between an individual's highest past weight at adult height and his or her current weight, is related to many characteristics of individuals with eating disorders. This paper reviews research findings from the past 5 years, draws several implications regarding the mechanism underlying these effects, and proposes new approaches to measuring weight suppression.

Recent findings: Studies were reviewed under the categories of anorexia nervosa, bulimia nervosa, and mixed or miscellaneous samples, with more studies falling into the last category than in the first two. Recent findings have continued to show that weight suppression is related to a wide variety of biological and behavioral features in both diagnosed and sub-clinical samples. Weight suppression promotes weight gain which is anathema to individuals with eating disorders, putting them in a biobehavioral bind that appears to prolong their disorder. Priorities for future research are to understand the mechanisms underlying the effects of weight suppression, evaluate new ways of defining weight suppression, and study its implications for modifying treatment.

Keywords: Anorexia nervosa; BMI; Bulimia nervosa; Dieting; Weight loss; Weight suppression.

Publication types

  • Review

MeSH terms

  • Anorexia Nervosa / physiopathology
  • Anorexia Nervosa / psychology
  • Anorexia Nervosa / therapy
  • Behavioral Research / trends*
  • Bulimia Nervosa / physiopathology
  • Bulimia Nervosa / psychology
  • Bulimia Nervosa / therapy
  • Feeding and Eating Disorders / physiopathology*
  • Feeding and Eating Disorders / psychology*
  • Feeding and Eating Disorders / therapy
  • Humans
  • Weight Gain / physiology
  • Weight Loss / physiology*