Eating disorder symptoms in a cohort of 11 to 16-year-old black and white girls: The NHLBI growth and health study

Objective: This study sought to provide reference data for the Eating Disor der Inventory (EDI) with use of young adolescent black and white girls. Mor eover, the study examined the relationship between race, age, socioeconomic status, and adiposity and each of the eight EDI scales. Method: To achieve these aims, data were used that had been collected in Years 3, 5, and 7 as part of the National Heart, Lung, and Blood institute Growth and Health St udy, a longitudinal cohort study of risk factors for obesity in black and w hite girls. For the present report, data were available from 2,228 girls in Year 3, 2,056 girls in Year 5, and 1,902 girls in Year 7 Results: EDI scor es were found to vary by race, age, socioeonomic status, and body weight of respondents. Black girls scored different from white girls on all EDI subs cales. Scores on all but two subscales (Body Dissatisfaction, Drive for Thi nness) decreased significantly with increasing age. Significant inverse ass ociations were found between maximum parental education and all EDI subscal es except Body Dissatisfaction and Perfectionism. Elevated body weight was associated significantly with Body Dissatisfaction, Drive for Thinness, Bul imia, Interoceptive Awareness, and Ineffectiveness. Discussion: Our results illustrate the importance of taking into consideration the potentially con founding role of demographic characteristics and body weight when comparing different race or ethnic groups on the EDI. (C) 2000 by John Wiley & Sons, Inc.