Associations Among Anxiety, Sleep Quality, and Binge Eating in Hispanic and African American/Black Early Adolescents

Background/Objectives: Binge eating behavior has been deemed a significant factor associated with adolescent obesity. Understanding the underlying factors contributing to binge eating is critical, particularly among youth at risk of obesity. Hispanic and African American/Black children and adolescents experience disproportionately higher rates of obesity compared to their White peers. This study investigated the associations among anxiety, sleep quality, and binge eating among 315 Hispanic and African American/Black boys and girls, while controlling for demographic and adiposity covariates. Methods: Participants completed self-report surveys and underwent objective assessments of height, weight, and body fat percentage. Results: Descriptive analyses indicated a mean age of 10.71 years for boys and 10.92 years for girls. Most participants (71.9%) were classified as overweight or obese, and 94.1% were U.S.-born. Hierarchical regression analyses showed that both anxiety (β = 0.24, p < 0.001) and sleep quality (β = 0.23, p < 0.001) were significantly linked with higher levels of reported binge eating, after controlling for age, ethnicity, gender, and body fat percentage. The full model accounted for 15.4% of the variance in binge eating. Conclusions: These findings highlight the importance of targeting anxiety and sleep quality in interventions aimed at reducing binge eating among Hispanic and African American/Black early adolescents.