Pilot Study of the Prevalence of Binge Eating Disorder in Patients with Non-Alcoholic Fatty Liver Disease

Zhang, Jinyu; Mohan, Neena; Malevanchik, Lev; Tarangelo, Nicholas; Denicola, Richard P.; Abbasi, Omair; Marzio, Dina Halegoua-De

doi:10.1016/s0016-5085(17)32411-3

Cited by 4 publications

(4 citation statements)

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“…may act as barriers to weight loss, and by association, the resolution of NAFLD. Endorsing BED symptomatology occurred significantly more often in individuals with NAFLD, supporting preliminary findings in the adult NAFLD literature, suggesting patients with NAFLD may have a higher prevalence of BED (10). Indeed, BED symptomatology in participants with NAFLD (13%) was more than twice as high as participants without NAFLFD (4.9%) whose rates were similar to those found in a non-MBS sample with pediatric obesity (5.3%) (26).…”

Section: Discussionsupporting

confidence: 80%

“…Although mixed, there is evidence associating unhealthy eating behavior (UEB) with poor dietary quality, decreased physical fitness, and weight gain in children and adults (6)(7)(8)(9). UEB in adults, specifically binge eating symptoms (10) and rapid eating (11), have been associated with NAFLD, independent of obesity. Studies in youth with NAFLD are more limited, with 1 reporting higher, though nonsignificant, restrained eating rates and higher external and emotional eating compared with children with obesity without NAFLD (12).…”

Section: What Is Newmentioning

confidence: 99%

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Unhealthy Eating, Psychopathology, and Nonalcoholic Fatty Liver Disease in Youth Presenting for Bariatric Surgery

Ley

Zeller

Reiter‐Purtill

et al. 2021

J. pediatr. gastroenterol. nutr.

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Section: Discussionsupporting

confidence: 80%

Section: What Is Newmentioning

confidence: 99%

Unhealthy Eating, Psychopathology, and Nonalcoholic Fatty Liver Disease in Youth Presenting for Bariatric Surgery

Ley

Zeller

Reiter‐Purtill

et al. 2021

J. pediatr. gastroenterol. nutr.

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“…Already in childhood, the presence of BED predicts the development of MS approximately 5 years later, making researching BED in children an important target for treatment [30]. Furthermore, a higher prevalence of BED was seen among NAFLD patients, suggesting a possible connection [31]. Rapid consumption of large amounts of food (often 2000-5000 kcal, ingested in a short time) increases inflammatory and oxidative stress, which is considered an important component for the development of MS, for example, producing rapid and sustained increases in glucose and insulin levels [32].…”

Section: Metabolic Implicationsmentioning

confidence: 99%

Screening, Diagnosis, and Treatment of Patients with Binge Eating Disorder and Obesity: What the Endocrinologist Needs to Know

Marucci,

Busetto,

Chianelli

et al. 2024

Endocrines

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Binge eating disorder (BED) is the most common eating disorder categorized in the DSM-V, but it is often not diagnosed in patients with obesity because it can be difficult to detect in these patients who often have altered eating patterns. In this narrative review, we have highlighted the most recent findings in the screening, diagnosis, and treatment of patients with BED and obesity. The results of our search showed that many BED patients are not obese, and most people with obesity do not have binge behavior. In the diagnostic assessment of these patients, it is important to evaluate not only the clinical and nutritional status and the presence of medical comorbidities, but also the psychological signs and symptoms related to psychiatric comorbidities to define the appropriate diagnosis and the consequent level of treatment. Well-tolerated drugs with action on both body weight and binges can be useful as a second-line complement to cognitive behavioral therapy (CBT). Specific guidelines are needed to obtain consensus on appropriate recommendations in patients with obesity and BED approaching bariatric surgery, taking into account not only weight reduction and clinical data, but also eating behaviors. Identification of BED is important for targeting individuals at high risk of obesity, adverse metabolic patterns, and cardiovascular disease. The challenge is to also achieve lasting weight loss in patients with BED and concomitant obesity.

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“…Very few data exist on the possible association of BED with NAFLD. In 95 NAFLD patients screened by the binge eating scale (BES), Zhang et al reported higher than normal scores in 22 (23.1%) and 6 (6.3%) scored ≥27, a value highly diagnostic for BED ("probable" BED) [9]. However, no association was found between possible or probable BED and the components of the metabolic syndrome.…”

Section: Introductionmentioning

confidence: 99%

Risk of Binge Eating Disorder in Patients With Non-Alcoholic Fatty Liver Disease Screened for Metabolic Features

Brodosi,

Stecchi,

Marchignoli

et al. 2023

Preprint

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Purpose - Very few data exist on the association between non-alcoholic fatty liver disease (NAFLD) and eating disorders. The study was aimed to evaluate the presence of binge eating disorder (BED), frequently associated with obesity, in NAFLD subjects screened for the features of metabolic syndrome. Methods - Demographic, clinical investigation, anthropometric measurements and laboratory were collected in 129 patients with NAFLD (34.1% males; age, 53.7 years; BMI, 34.4 kg/m2) addressed by general practitioners to a hospital-based unit of metabolic disorders. The risk of binge eating was tested by the binge eating scale (BES); values in the range 17-26 were considered “possible” BED, values > 26 were considered “probable” BED. Hepatic steatosis and fibrosis were tested by surrogate biomarkers and imaging (transient elastography). Calorie intake and lifestyle were self-assessed by questionnaires. Results - Possible BED was present in 17.8% of cases, probable BED in another 7.6%, and were neither associated with gender, obesity class, diabetes, features of metabolic syndrome, nor with presence and severity of hepatic steatosis and fibrosis. Also steatosis grade by CAP and fibrosis stage by liver stiffness did not correlate with BES. However, an association was present between the daily caloric intake and “possible” BED (odds ratio, 1.14; 95% confidence interval, 1.05-1.24; “probable” BED, 1.21; 1.07-1.37), after adjustment for confounders. Conclusion - Binge eating, as scored by BES, is present in a significant proportion of NAFLD cases screened for metabolic disorders. It may impact behavioral treatment, reducing the chance of weight loss without systematic psychological support.

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Pilot Study of the Prevalence of Binge Eating Disorder in Patients with Non-Alcoholic Fatty Liver Disease

Cited by 4 publications

References 0 publications

Unhealthy Eating, Psychopathology, and Nonalcoholic Fatty Liver Disease in Youth Presenting for Bariatric Surgery

Unhealthy Eating, Psychopathology, and Nonalcoholic Fatty Liver Disease in Youth Presenting for Bariatric Surgery

Screening, Diagnosis, and Treatment of Patients with Binge Eating Disorder and Obesity: What the Endocrinologist Needs to Know

Risk of Binge Eating Disorder in Patients With Non-Alcoholic Fatty Liver Disease Screened for Metabolic Features

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