<p>Binge Eating Disorder in Patients with Type 2 Diabetes: Diagnostic and Management Challenges</p>

Abstract

Type 2 diabetes mellitus (T2DM) is associated with an increased risk of disordered eating behaviors including binge eating disorder (BED). Comorbid BED in patients with T2DM has been associated with adverse clinical outcomes such as higher body mass index (BMI) and depressive symptoms. Identifying and addressing this disorder in patients with T2DM is a significant challenge for health-care providers. The purpose of this narrative review is to discuss current perspectives on BED in the context of T2DM with implications for screening and management of these highly comorbid conditions. BED continues to be underrecognized and underdiagnosed. However, there are established tools that providers can use to screen for BED such as the SCOFF Questionnaire and Questionnaire on Eating and Weight Patterns-5. There are several effective treatments for BED including cognitive behavioral therapy, interpersonal therapy, and lisdexamfetamine dimesylate. However, few studies have examined the effects of these treatments in patients with co-morbid T2DM and BED.

Mindfulness in Treatment Approaches for Addiction — Underlying Mechanisms and Future Directions

“…Although not classified as addictive disorders by ICD-11 or DSM-5, problematic pornography use as well as binge eating share some criteria with SUD and behavioral addictions such as lack of control over habitual or even compulsive behavioral patterns [29] [30]. Meta-analyses showed that ACT was effective in reducing pornography viewing time as well as improving measures of quality of life.…”

Estudo de associação entre compulsão alimentar periódica e síndrome metabólica / Association study between binge eating and metabolic syndrome

“…Em se tratando dos cofatores da SM, a glicemia alterada é dos mais importantes do grupo de cofatores da SM, já que favorece o aumento da morbidade e da mortalidade por doenças cardiovasculares (MCLELLAN et al, 2007), além de estar associado a um risco aumentado de comportamentos alimentares desordenados, incluindo o TCAP (CHEVINSKY et al, 2020). Segundo, Parry et al (2017) a explicação para essa relação estaria no padrão alimentar desses indivíduos, que estaria associado a "alimentos saborosos" ricos em carboidratos e gorduras (CHEVINSKY et al, 2020;PARRY et al, 2017). Esta situação foi também observada ao analisar os grupos alimentares, consumidos na população deste estudo.…”

“…Contudo, quando há um consumo desenfreado desses alimentos, o corpo se descompensa e acaba por solicitar cada vez mais essa ingestão, contribuindo para instalação do TCAP (FEIJÓ et al, 2010;CHEVINSKY et al, 2020;PARRY et al, 2017).…”

“…A SM, é um agrupamento de fatores de risco metabólicos, incluindo adiposidade central, pressão arterial elevada, baixo nível de colesterol de alta densidade (HDL), nível elevado de triglicerídeos e alto nível de glicose em jejum (IDF, 2006;KLOBUKOSKI, 2017;UDO et al, 2014). Evidências claras sugerem que a SM confere aumentados riscos de desfechos cardiovasculares desfavoráveis (CHEVINSKY et al, 2020;WILSON et al, 2005).…”

Gestörtes Essverhalten und Essstörungen bei Menschen mit Diabetes mellitus

“…Einteilung von Essstörungen nach ICD-10 und DSM-5 Sie tritt bei Frauen deutlich häufiger auf als bei Männern. Die Befundlage zu BES bei Diabetes ist uneinheitlich; es werden Prävalenzraten zwischen 1,4 % und 25 % berichtet[6]. Der Zusammenhang zwischen BN und BES und der Entstehung von Adipositas und Typ-2-Diabetes mellitus ist unklar.…”