Dataset Information

The persistence of adolescent binge drinking into adulthood: findings from a 15-year prospective cohort study.

ABSTRACT:

Objectives

To examine the prevalence of binge drinking in adolescence and its persistence into adulthood in an Australian cohort.

Design

15-year prospective cohort study.

Setting

Victoria, Australia.

Participants

1943 adolescents were recruited from secondary schools at age 14-15 years.

Primary outcome measures

Levels of past-week 'binge' drinking (5+ standard drinks on a day, each 10 g alcohol) and 'heavy binge' drinking (20+ standard drinks on a day for males, 11+ for females) were assessed during six adolescent waves, and across three adult waves up to age 29 years.

Results

Half of the males (52%) and a third of the females (34%) reported past-week adolescent binge drinking. 90% of male and 70% of female adolescent-onset binge drinkers continued to binge in young adulthood; 70% of males and 48% of females who were not adolescent-onset binge drinkers reported young adult binge drinking. Past-week heavy bingeing was less common in adolescence than adulthood. Overall, 35% of the sample (95% CI 33% to 38%) reported past-week binge drinking in adolescence and young adulthood and one-third (33%; 30% to 35%) first reported binge drinking in young adulthood; only 7% of the sample (6-8%) had binge drinking in adolescence but not young adulthood. 'Heavy binge' drinking occurred in adolescence and young adulthood for 9% (8% to 10%); 8% (7% to 10%) reported it in adolescence but no longer in young adulthood; and 24% (22% to 26%) began 'heavy binge' drinking in young adulthood. Among adolescent binge drinkers (n=821), young adult binge and heavy binge drinking were predicted by being male, adolescent antisocial behaviour and adverse consequences of drinking in adolescence.

Conclusions

Binge alcohol use is common and persistent among young Australians. Efforts to prevent the onset of binge drinking during adolescence may substantially reduce harmful patterns of alcohol use in young adulthood.

SUBMITTER: Degenhardt L

PROVIDER: S-EPMC3753516 | biostudies-literature | 2013 Aug

REPOSITORIES: biostudies-literature

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Publications

The persistence of adolescent binge drinking into adulthood: findings from a 15-year prospective cohort study.

Degenhardt Louisa L O'Loughlin Christina C Swift Wendy W Romaniuk Helena H Carlin John J Coffey Carolyn C Hall Wayne W Patton George G

BMJ open 20130819 8

<h4>Objectives</h4>To examine the prevalence of binge drinking in adolescence and its persistence into adulthood in an Australian cohort.<h4>Design</h4>15-year prospective cohort study.<h4>Setting</h4>Victoria, Australia.<h4>Participants</h4>1943 adolescents were recruited from secondary schools at age 14-15 years.<h4>Primary outcome measures</h4>Levels of past-week 'binge' drinking (5+ standard drinks on a day, each 10 g alcohol) and 'heavy binge' drinking (20+ standard drinks on a day for male ...[more]

PMID: 23959750

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Project description:BackgroundBinge eating disorder is bidirectionally associated with obesity and with metabolic syndrome. It is less clear whether overeating and binge eating, or overeating with loss of control, also predicts metabolic risk, and if so, whether these associations are solely attributable to greater weight. The goal of this study was to examine longitudinal associations of overeating and binge eating behavior with cardiometabolic risk markers in adolescence.MethodsAdolescents (n = 619) in the Project Viva research study self-reported overeating and binge eating behavior in early adolescence (median 12.9 years, "baseline"). In late adolescence (median 17.4 years, "follow-up"), we assessed outcomes of adiposity and blood pressure, and in a subset of participants (n = 270-424), biomarkers of dyslipidemia, insulin resistance, liver dysfunction, inflammation, and adipokine homeostasis. We conducted multivariable linear regression analyses adjusted for socio-demographics and prenatal obesogenic exposures, and additionally for baseline body mass index (BMI) z-score.ResultsAt baseline, 58 (9%) participants reported overeating behavior, and of those, 24 (41%) had binge eating behavior (e.g., overeating accompanied by loss of control). In adjusted models, adolescents with overeating had higher adiposity at follow-up ~ 5 years later (e.g., % body fat 4.03; 95% confidence interval (CI) 1.76, 6.31) than those not reporting overeating behavior; additional adjustment for baseline BMI z-score attenuated associations generally except for % body fat (2.95; 95% CI 1.03, 4.87). Overeating behavior was also associated with higher inflammation and greater adipokine dysfunction, remaining positively associated with interleukin-6 (IL-6) (log-transformed β = 0.42 pg/mL; 95% CI 0.12, 0.73) and negatively with adiponectin (log-transformed β = -0.28 ug/mL; 95% CI - 0.47, - 0.08) even after adjusting for baseline BMI z-score. Overeating behavior was not consistently associated with other outcomes. Adolescents reporting binge eating behavior generally had the greatest adiposity, (e.g., % body fat 5.00; 95% CI 1.74, 8.25) as compared to those without overeating.ConclusionsAdolescents reporting overeating and binge eating behavior had higher adiposity and poorer inflammatory and adipokine profiles, but no difference in other outcomes, than adolescents who did not endorse these behaviors. These associations were only partially accounted for by higher baseline BMI z-score. These differences may signal increased risk for future cardiovascular disease.

Dataset Information

The persistence of adolescent binge drinking into adulthood: findings from a 15-year prospective cohort study.

Objectives

Design

Setting

Participants

Primary outcome measures

Results

Conclusions

Publications

The persistence of adolescent binge drinking into adulthood: findings from a 15-year prospective cohort study.

Similar Datasets

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