---
_id: '13726'
abstract:
- lang: eng
text: This study aims to review and analyze the relationship between early childhood
breastfeeding, nutrition, and weight status in children. We hypothesized (a) that
differences in breastfeeding practices may explain sociodemographic disparities
in children’s overweight and obesity, and (b) that breastfeeding practices may
also explain sociodemographic disparities in children’s diet quality. Data from
N = 7180 children aged 2 to 6 years from NHANES (2005–2018) were classified based
on weight status (normal weight, overweight, obesity, severe obesity), breastfeeding,
and in terms of healthy eating (using the Healthy Eating Index). We used multinomial
logistic and linear regressions to determine pathways between sociodemographic
variables, breastfeeding, and weight status, as well as between sociodemographic
and breastfeeding variables and healthy eating scores. Sociodemographic factors
were significantly associated with childhood weight status, breastfeeding history,
and healthy eating. Weight status increased with child male gender, Mexican American
and Other Hispanic ethnicity, lower education, lower income, and single marital
status; breastfeeding decreased with child age, Non-Hispanic Black ethnicity,
lower education, and single marital status, but increased with Mexican American
ethnicity and higher income. A mediation analysis showed indirect pathways from
sociodemographic variables to weight status via breastfeeding duration. Similar
patterns emerged for healthy eating. The results indicate that breastfeeding is
associated with modestly lower odds of severe obesity and improved diet scores
in early childhood, even after accounting for socioeconomic and demographic differences.
Breastfeeding appears to be a meaningful early-life factor with a significant
impact on weight and healthy dietary outcomes.
author:
- first_name: Frauke
full_name: Klicker, Frauke
last_name: Klicker
- first_name: Georg
full_name: Halbeisen, Georg
id: '85780'
last_name: Halbeisen
orcid: 0000-0002-9529-2215
- first_name: Georgios
full_name: Paslakis, Georgios
last_name: Paslakis
citation:
ama: Klicker F, Halbeisen G, Paslakis G. Can breastfeeding practices explain sociodemographic
disparities in childhood obesity and healthy eating? Results from NHANES 2005–2018.
Reviews in Endocrine and Metabolic Disorders. Published online 2026. doi:10.1007/s11154-026-10049-2
apa: Klicker, F., Halbeisen, G., & Paslakis, G. (2026). Can breastfeeding practices
explain sociodemographic disparities in childhood obesity and healthy eating?
Results from NHANES 2005–2018. Reviews in Endocrine and Metabolic Disorders.
https://doi.org/10.1007/s11154-026-10049-2
bjps: Klicker F, Halbeisen G and Paslakis G (2026) Can Breastfeeding Practices
Explain Sociodemographic Disparities in Childhood Obesity and Healthy Eating?
Results from NHANES 2005–2018. Reviews in Endocrine and Metabolic Disorders.
chicago: Klicker, Frauke, Georg Halbeisen, and Georgios Paslakis. “Can Breastfeeding
Practices Explain Sociodemographic Disparities in Childhood Obesity and Healthy
Eating? Results from NHANES 2005–2018.” Reviews in Endocrine and Metabolic
Disorders, 2026. https://doi.org/10.1007/s11154-026-10049-2.
chicago-de: Klicker, Frauke, Georg Halbeisen und Georgios Paslakis. 2026. Can breastfeeding
practices explain sociodemographic disparities in childhood obesity and healthy
eating? Results from NHANES 2005–2018. Reviews in Endocrine and Metabolic Disorders.
doi:10.1007/s11154-026-10049-2,
.
din1505-2-1: 'Klicker, Frauke ; Halbeisen, Georg ; Paslakis,
Georgios: Can breastfeeding practices explain sociodemographic disparities
in childhood obesity and healthy eating? Results from NHANES 2005–2018. In: Reviews
in Endocrine and Metabolic Disorders. Dordrecht [u.a.] , Springer (2026)'
havard: F. Klicker, G. Halbeisen, G. Paslakis, Can breastfeeding practices explain
sociodemographic disparities in childhood obesity and healthy eating? Results
from NHANES 2005–2018, Reviews in Endocrine and Metabolic Disorders. (2026).
ieee: 'F. Klicker, G. Halbeisen, and G. Paslakis, “Can breastfeeding practices explain
sociodemographic disparities in childhood obesity and healthy eating? Results
from NHANES 2005–2018,” Reviews in Endocrine and Metabolic Disorders, 2026,
doi: 10.1007/s11154-026-10049-2.'
mla: Klicker, Frauke, et al. “Can Breastfeeding Practices Explain Sociodemographic
Disparities in Childhood Obesity and Healthy Eating? Results from NHANES 2005–2018.”
Reviews in Endocrine and Metabolic Disorders, 2026, https://doi.org/10.1007/s11154-026-10049-2.
short: F. Klicker, G. Halbeisen, G. Paslakis, Reviews in Endocrine and Metabolic
Disorders (2026).
ufg: 'Klicker, Frauke/Halbeisen, Georg/Paslakis, Georgios: Can breastfeeding
practices explain sociodemographic disparities in childhood obesity and healthy
eating? Results from NHANES 2005–2018, in: Reviews in Endocrine and Metabolic
Disorders (2026).'
van: Klicker F, Halbeisen G, Paslakis G. Can breastfeeding practices explain sociodemographic
disparities in childhood obesity and healthy eating? Results from NHANES 2005–2018.
Reviews in Endocrine and Metabolic Disorders. 2026;
date_created: 2026-05-04T09:15:21Z
date_updated: 2026-05-04T09:26:01Z
department:
- _id: DEP1500
doi: 10.1007/s11154-026-10049-2
keyword:
- Breastfeeding
- Obesity
- Healthy eating
- Weight disorders
- Social diversity
language:
- iso: eng
place: 'Dordrecht [u.a.] '
publication: Reviews in Endocrine and Metabolic Disorders
publication_identifier:
eissn:
- 1573-2606
issn:
- 1389-9155
publication_status: published
publisher: 'Springer '
quality_controlled: '1'
status: public
title: Can breastfeeding practices explain sociodemographic disparities in childhood
obesity and healthy eating? Results from NHANES 2005–2018
type: scientific_journal_article
user_id: '83781'
year: '2026'
...
---
_id: '13618'
abstract:
- lang: eng
text: Food addiction (FA) could be a potential prognostic factor of weight loss
intervention outcomes. This systematic review with meta‐analysis aimed to (1)
estimate this prognostic effect of FA diagnosis and symptom count in individuals
with overweight or obesity and (2) explore potential sources of heterogeneity
based on properties of the weight loss intervention, study, and sample (e.g.,
age, gender, ethnicity). We searched PubMed, PsycINFO, and Web of Science for
studies reporting on associations between pre‐intervention FA (assessed with the
Yale Food Addiction Scale) and weight outcomes after weight loss intervention
in individuals with overweight or obesity without a medically diagnosed eating
disorder. Twenty‐five studies met inclusion criteria, including 4904 individuals
(71% women, Mage = 41 years, BMI = 40.82 kg/m2),
k = 18 correlations of weight loss with FA symptom
count, and k = 21 mean differences between FA diagnosis
groups. Pooled estimates of random‐effects meta‐analyses found limited support
for a detrimental effect of FA symptom count and diagnosis on weight loss intervention
outcomes. Negative associations with FA increased for behavioral weight loss interventions
and among more ethnically diverse samples. More research on the interaction of
FA with pre‐existing mental health problems and environmental factors is needed.
article_number: e13851
author:
- first_name: Georg
full_name: Halbeisen, Georg
id: '85780'
last_name: Halbeisen
orcid: 0000-0002-9529-2215
- first_name: Marie
full_name: Pahlenkemper, Marie
last_name: Pahlenkemper
- first_name: Luisa
full_name: Sabel, Luisa
last_name: Sabel
- first_name: Candice
full_name: Richardson, Candice
last_name: Richardson
- first_name: Zaida
full_name: Agüera, Zaida
last_name: Agüera
- first_name: Fernando
full_name: Fernandez‐Aranda, Fernando
last_name: Fernandez‐Aranda
- first_name: Georgios
full_name: Paslakis, Georgios
last_name: Paslakis
citation:
ama: 'Halbeisen G, Pahlenkemper M, Sabel L, et al. The prognostic role of food addiction
for weight loss treatment outcomes in individuals with overweight and obesity:
A systematic review and meta‐analysis. Obesity reviews : an official journal
of the International Association for the Study of Obesity . 2024;26(2). doi:10.1111/obr.13851'
apa: 'Halbeisen, G., Pahlenkemper, M., Sabel, L., Richardson, C., Agüera, Z., Fernandez‐Aranda,
F., & Paslakis, G. (2024). The prognostic role of food addiction for weight
loss treatment outcomes in individuals with overweight and obesity: A systematic
review and meta‐analysis. Obesity Reviews : An Official Journal of the International
Association for the Study of Obesity , 26(2), Article e13851. https://doi.org/10.1111/obr.13851'
bjps: 'Halbeisen G et al. (2024) The Prognostic Role of Food Addiction
for Weight Loss Treatment Outcomes in Individuals with Overweight and Obesity:
A Systematic Review and Meta‐analysis. Obesity reviews : an official journal
of the International Association for the Study of Obesity 26.'
chicago: 'Halbeisen, Georg, Marie Pahlenkemper, Luisa Sabel, Candice Richardson,
Zaida Agüera, Fernando Fernandez‐Aranda, and Georgios Paslakis. “The Prognostic
Role of Food Addiction for Weight Loss Treatment Outcomes in Individuals with
Overweight and Obesity: A Systematic Review and Meta‐analysis.” Obesity Reviews :
An Official Journal of the International Association for the Study of Obesity
26, no. 2 (2024). https://doi.org/10.1111/obr.13851.'
chicago-de: 'Halbeisen, Georg, Marie Pahlenkemper, Luisa Sabel, Candice Richardson,
Zaida Agüera, Fernando Fernandez‐Aranda und Georgios Paslakis. 2024. The prognostic
role of food addiction for weight loss treatment outcomes in individuals with
overweight and obesity: A systematic review and meta‐analysis. Obesity reviews :
an official journal of the International Association for the Study of Obesity
26, Nr. 2. doi:10.1111/obr.13851,
.'
din1505-2-1: 'Halbeisen, Georg ; Pahlenkemper, Marie ; Sabel,
Luisa ; Richardson, Candice
; Agüera, Zaida ; Fernandez‐Aranda,
Fernando ; Paslakis, Georgios:
The prognostic role of food addiction for weight loss treatment outcomes in individuals
with overweight and obesity: A systematic review and meta‐analysis. In: Obesity
reviews : an official journal of the International Association for the Study of
Obesity Bd. 26. Oxford , Wiley (2024), Nr. 2'
havard: 'G. Halbeisen, M. Pahlenkemper, L. Sabel, C. Richardson, Z. Agüera, F. Fernandez‐Aranda,
G. Paslakis, The prognostic role of food addiction for weight loss treatment outcomes
in individuals with overweight and obesity: A systematic review and meta‐analysis,
Obesity Reviews : An Official Journal of the International Association for the
Study of Obesity . 26 (2024).'
ieee: 'G. Halbeisen et al., “The prognostic role of food addiction for weight
loss treatment outcomes in individuals with overweight and obesity: A systematic
review and meta‐analysis,” Obesity reviews : an official journal of the International
Association for the Study of Obesity , vol. 26, no. 2, Art. no. e13851, 2024,
doi: 10.1111/obr.13851.'
mla: 'Halbeisen, Georg, et al. “The Prognostic Role of Food Addiction for Weight
Loss Treatment Outcomes in Individuals with Overweight and Obesity: A Systematic
Review and Meta‐analysis.” Obesity Reviews : An Official Journal of the International
Association for the Study of Obesity , vol. 26, no. 2, e13851, 2024, https://doi.org/10.1111/obr.13851.'
short: 'G. Halbeisen, M. Pahlenkemper, L. Sabel, C. Richardson, Z. Agüera, F. Fernandez‐Aranda,
G. Paslakis, Obesity Reviews : An Official Journal of the International Association
for the Study of Obesity 26 (2024).'
ufg: 'Halbeisen, Georg u. a.: The prognostic role of food addiction for weight
loss treatment outcomes in individuals with overweight and obesity: A systematic
review and meta‐analysis, in: Obesity reviews : an official journal of the
International Association for the Study of Obesity 26 (2024), H. 2.'
van: 'Halbeisen G, Pahlenkemper M, Sabel L, Richardson C, Agüera Z, Fernandez‐Aranda
F, et al. The prognostic role of food addiction for weight loss treatment outcomes
in individuals with overweight and obesity: A systematic review and meta‐analysis.
Obesity reviews : an official journal of the International Association for the
Study of Obesity . 2024;26(2).'
date_created: 2026-03-25T14:40:47Z
date_updated: 2026-03-25T15:12:23Z
department:
- _id: DEP1500
doi: 10.1111/obr.13851
intvolume: ' 26'
issue: '2'
keyword:
- bariatric surgery
- diverse populations
- food addiction
- gender differences
- obesity
- psychotherapy
- weight loss
language:
- iso: eng
place: 'Oxford '
publication: 'Obesity reviews : an official journal of the International Association
for the Study of Obesity '
publication_identifier:
eissn:
- 1467-789X
issn:
- 1467-7881
publication_status: published
publisher: Wiley
quality_controlled: '1'
status: public
title: 'The prognostic role of food addiction for weight loss treatment outcomes in
individuals with overweight and obesity: A systematic review and meta‐analysis'
type: scientific_journal_article
user_id: '83781'
volume: 26
year: '2024'
...
---
_id: '13632'
abstract:
- lang: eng
text: 'Objective: Phenotypical comparisons between individuals with obesity without
binge eating disorder (OB) and individuals with obesity and comorbid binge eating
disorder (OB + BED) are subject to ongoing investigations. At the same time, gender-related
differences have rarely been explored, raising the question whether men and women
with OB and OB + BED may require differently tailored treatments.Method: We retrospectively
compared pre- versus post-treatment data in a matched sample of n = 180 men and
n = 180 women with OB or OB + BED who received inpatient treatment.Results: We
found that men displayed higher weight loss than women independent of diagnostic
group. In addition, men with OB + BED showed higher weight loss than men with
OB after 7 weeks of treatment.Conclusions: The present findings add to an emerging
yet overall still sparse body of studies comparing phenotypical features and treatment
outcomes in men and women with OB and OB + BED; implications for further research
are discussed.Clinical Trial Registration: The study was prospectively registered
with the German Clinical Trial Register as part of application DRKS00028441.'
author:
- first_name: Gerrit
full_name: Brandt, Gerrit
last_name: Brandt
- first_name: Georg
full_name: Halbeisen, Georg
id: '85780'
last_name: Halbeisen
orcid: 0000-0002-9529-2215
- first_name: Karsten
full_name: Braks, Karsten
last_name: Braks
- first_name: Thomas J.
full_name: Huber, Thomas J.
last_name: Huber
- first_name: Georgios
full_name: Paslakis, Georgios
last_name: Paslakis
citation:
ama: 'Brandt G, Halbeisen G, Braks K, Huber TJ, Paslakis G. Gender differences in
individuals with obesity and binge eating disorder: A retrospective comparison
of phenotypical features and treatment outcomes. European Eating Disorders
Review. 2023;31(3):413-424. doi:10.1002/erv.2972'
apa: 'Brandt, G., Halbeisen, G., Braks, K., Huber, T. J., & Paslakis, G. (2023).
Gender differences in individuals with obesity and binge eating disorder: A retrospective
comparison of phenotypical features and treatment outcomes. European Eating
Disorders Review, 31(3), 413–424. https://doi.org/10.1002/erv.2972'
bjps: 'Brandt G et al. (2023) Gender Differences in Individuals with
Obesity and Binge Eating Disorder: A Retrospective Comparison of Phenotypical
Features and Treatment Outcomes. European Eating Disorders Review 31,
413–424.'
chicago: 'Brandt, Gerrit, Georg Halbeisen, Karsten Braks, Thomas J. Huber, and Georgios
Paslakis. “Gender Differences in Individuals with Obesity and Binge Eating Disorder:
A Retrospective Comparison of Phenotypical Features and Treatment Outcomes.” European
Eating Disorders Review 31, no. 3 (2023): 413–24. https://doi.org/10.1002/erv.2972.'
chicago-de: 'Brandt, Gerrit, Georg Halbeisen, Karsten Braks, Thomas J. Huber und
Georgios Paslakis. 2023. Gender differences in individuals with obesity and binge
eating disorder: A retrospective comparison of phenotypical features and treatment
outcomes. European Eating Disorders Review 31, Nr. 3: 413–424. doi:10.1002/erv.2972,
.'
din1505-2-1: 'Brandt, Gerrit ; Halbeisen, Georg ; Braks,
Karsten ; Huber, Thomas J.
; Paslakis, Georgios: Gender differences
in individuals with obesity and binge eating disorder: A retrospective comparison
of phenotypical features and treatment outcomes. In: European Eating Disorders
Review Bd. 31. Chichester, Wiley (2023), Nr. 3, S. 413–424'
havard: 'G. Brandt, G. Halbeisen, K. Braks, T.J. Huber, G. Paslakis, Gender differences
in individuals with obesity and binge eating disorder: A retrospective comparison
of phenotypical features and treatment outcomes, European Eating Disorders Review.
31 (2023) 413–424.'
ieee: 'G. Brandt, G. Halbeisen, K. Braks, T. J. Huber, and G. Paslakis, “Gender
differences in individuals with obesity and binge eating disorder: A retrospective
comparison of phenotypical features and treatment outcomes,” European Eating
Disorders Review, vol. 31, no. 3, pp. 413–424, 2023, doi: 10.1002/erv.2972.'
mla: 'Brandt, Gerrit, et al. “Gender Differences in Individuals with Obesity and
Binge Eating Disorder: A Retrospective Comparison of Phenotypical Features and
Treatment Outcomes.” European Eating Disorders Review, vol. 31, no. 3,
2023, pp. 413–24, https://doi.org/10.1002/erv.2972.'
short: G. Brandt, G. Halbeisen, K. Braks, T.J. Huber, G. Paslakis, European Eating
Disorders Review 31 (2023) 413–424.
ufg: 'Brandt, Gerrit u. a.: Gender differences in individuals with obesity
and binge eating disorder: A retrospective comparison of phenotypical features
and treatment outcomes, in: European Eating Disorders Review 31 (2023),
H. 3, S. 413–424.'
van: 'Brandt G, Halbeisen G, Braks K, Huber TJ, Paslakis G. Gender differences in
individuals with obesity and binge eating disorder: A retrospective comparison
of phenotypical features and treatment outcomes. European Eating Disorders Review.
2023;31(3):413–24.'
date_created: 2026-03-27T09:52:07Z
date_updated: 2026-03-27T14:33:18Z
department:
- _id: DEP1500
doi: 10.1002/erv.2972
external_id:
isi:
- '000936206700001'
pmid:
- '36802088'
intvolume: ' 31'
isi: '1'
issue: '3'
keyword:
- binge eating disorder
- diversity
- gender
- obesity
- psychotherapy
language:
- iso: eng
page: 413-424
place: Chichester
pmid: '1'
publication: European Eating Disorders Review
publication_identifier:
eissn:
- 1099-0968
issn:
- 1072-4133
publication_status: published
publisher: Wiley
quality_controlled: '1'
status: public
title: 'Gender differences in individuals with obesity and binge eating disorder:
A retrospective comparison of phenotypical features and treatment outcomes'
type: scientific_journal_article
user_id: '83781'
volume: 31
year: '2023'
...