Epidemiology, health-related quality of life and economic burden of binge eating disorder: a systematic literature review

Abstract

PurposeTo perform a systematic review on the epidemiology, the health-related quality of life (HRQoL) and economic burden of binge eating disorder (BED).MethodsA systematic literature search of English-language articles was conducted using Medline, Embase, PsycINFO, PsycARTICLES, Academic Search Complete, CINAHL Plus, Business Source Premier and Cochrane Library. Literature search on epidemiology was limited to studies published between 2009 and 2013. Cost data were inflated and converted to 2012 US$ purchasing power parities. All of the included studies were assessed for quality.ResultsForty-nine articles were included. Data on epidemiology were reported in 31, HRQoL burden in 16, and economic burden in 7 studies. Diagnosis of BED was made using 4th Edition of The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria in 46 studies. Lifetime prevalence of BED was 1.1–1.9 % in the general population (DSM-IV). BED was associated with significant impairment in aspects of HRQoL relating to both physical and mental health; the Short Form 36 Physical and Mental Component Summary mean scores varied between 31.1 to 47.3 and 32.0 to 49.8, respectively. Compared to individuals without eating disorder, BED was related to increased healthcare utilization and costs. Annual direct healthcare costs per BED patient ranged between $2,372 and $3,731.ConclusionsBED is a serious eating disorder that impairs HRQoL and is related to increased healthcare utilization and healthcare costs. The limited literature warrants further research, especially to better understand the long-term HRQoL and economic burden of BED.Electronic supplementary materialThe online version of this article (doi:10.1007/s40519-014-0173-9) contains supplementary material, which is available to authorized users.

IMPULS: Impulsivity-Focused Group Intervention to Reduce Binge Eating Episodes in Patients with Binge Eating Disorder – A Randomised Controlled Trial

“…Binge eating disorder (BED) is the newest defined and most frequent eating disorder with a significant mental burden and a high comorbidity with obesity and subsequent somatic diseases [1]. The main criterion of BED according to DSM-5 [2] is the occurrence of binge eating (BE) episodes, at least once a week in 3 months, accompanied by a subjective loss of control.…”

The Impact of Impulsivity on Weight Loss Four Years after Bariatric Surgery

“…Moreover, pathological eating is increased in patients with obesity seeking bariatric surgery [4,20]. Particularly, the diagnosis of a binge eating disorder (BED) in patients who wait for bariatric surgery, with a point prevalence of 13.4% and 14.6% of subthreshold binge eating, is remarkably high [21], compared with the lifetime prevalence of 1.1%–1.9% in the general population [22]. Concerning the impact of the affective state , several studies indicate that people with obesity show pathological eating behavior especially in negative mood [23], which is in line with the negative urgency concept of impulsivity [15].…”

Binge-eating disorder: emerging treatments for a new diagnosis

“…Another study drawn from the same population showed an independent increased risk of irritable bowel syndrome and gastroesophageal reflux disorder (GERD) [29]. Overall health-related quality of life in binge eating patients is significantly lower than noneating disorder patients and physical health-related quality of life in the BED group is lower than that of other eating disorder groups [30].…”