Prevalence of and risk factors for binge eating behaviour in 6930 adults starting a weight loss or maintenance programme

Bertoli, Simona; Ponissi, Veronica; Bedogni, Giorgio; Beggio, Valentina; Strepparava, M; Battezzati, Alberto

doi:10.1017/s1368980015001068

Cited by 46 publications

(37 citation statements)

References 39 publications

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“…Our study confirms that BE is common in patients seeking a weight loss or maintenance programme, with higher prevalence in women than in men (2) . Moreover, we found an increased risk of MS, high blood pressure and high glucose with increasing BES scores in the sex-and age-adjusted model.…”

Section: Discussionsupporting

confidence: 84%

Contribution of binge eating behaviour to cardiometabolic risk factors in subjects starting a weight loss or maintenance programme

et al. 2016

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The contribution of binge eating (BE) behaviour to cardiometabolic risk factors has been scarcely investigated so far. Previous studies have not considered the nutritional status and lifestyle of subjects suffering from BE. The aim of this study was to evaluate the contribution of BE to the metabolic syndrome (MS), its components, high total cholesterol and high LDL in a large sample of subjects, taking into account nutritional status, dietary habits, smoking status and physical activity. For this purpose, 5175 adults seeking a weight loss or maintenance programme were recruited. Anthropometrical measurements and blood parameters were measured. BE was evaluated using the Binge Eating Scale (BES). A fourteen-item questionnaire was used to evaluate the adherence to the Mediterranean diet. Smoking status and physical activity were investigated by interview. BE prevalence was 0·16 (95 % CI 0·15, 0·17). A sex- and age-adjusted Poisson regression model showed a higher prevalence of MS in binge eaters (0·33; 95 % CI 0·28, 0·37) compared with non-binge eaters (0·27; 95 % CI 0·25, 0·28, P=0·011). However, the statistical difference was lost after inclusion of BMI and lifestyle parameters in the multiple-adjusted model. We also evaluated the association between the continuous outcomes of interest and the BES score using a multivariable median regression model. We observed a positive, but clinically irrelevant, association between BES score and HDL levels (P<0·001). In conclusion, BE does not seem to be independently related to cardiometabolic risk factors. However, the screening and treatment of BE are of clinical relevance in order to reduce the risk of developing obesity.

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Section: Discussionsupporting

confidence: 84%

Contribution of binge eating behaviour to cardiometabolic risk factors in subjects starting a weight loss or maintenance programme

et al. 2016

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“…Valores similares fueron reportados en un estudio realizado en estudiantes de la Universidad de Alabama sobre la ingesta de alimentos muy palatables y su relación con el binge eating, donde la prevalencia fue del 16,0% (8). En cambio, encontramos prevalencias más elevadas, del 44,0% y del 26,0%, cuando la población de estudio son pacientes incluidos en programas de pérdidas de peso, como evidencian dos estudios realizados en pacientes con exceso de peso (2,5).…”

Section: Discussionunclassified

“…Según la última versión del Manual Diagnóstico y Estadístico de los Trastornos Mentales DSM-5, el BED se caracteriza por el consumo de grandes cantidades de comida en un breve periodo de tiempo acompañado de una sensación de falta de control sobre la ingesta (1). Este comportamiento se manifiesta en ausencia de conductas compensatorias orientadas a evitar la ganancia de peso como el uso de laxantes, la provocación de vómitos o el exceso de actividad física (2). Los individuos que manifiestan este patrón de comportamiento, refieren síntomas similares a los que manifiestan los consumidores de sustancias, ambos trastornos cursan con la presencia de alteraciones en los sistemas neurales implicados en la regulación del autocontrol y los mecanismos de la recompensa (1).…”

Section: Introductionunclassified

¿Se relaciona el trastorno por atracón con la adherencia a la dieta mediterránea en estudiantes universitarios?

Zaragoza-Martí¹,

Sánchez‐SanSegundo²,

Ferrer‐Cascales³

2016

Nutr Hosp

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Zaragoza-Martí A, Sánchez-SanSegundo M, Ferrer-Cascales R. ¿Se relaciona el trastorno por atracón con la adherencia a la dieta mediterránea en estudiantes universitarios ? Nutr Hosp 2016;33:1385-1390 AbstractIntroduction: Binge eating disorder (BED) is characterized by the consumption of large amounts of food in short time accompanied by a feeling of lack of control over eating. The BED is associated with a little balanced diet, contributing to the development of several pathologies. Food and lifestyle play a key factor in the prevention of these diseases, being the Mediterranean diet (DM) one of the standards of healthy food. Objective: To evaluate the relationship between DM and BED in a sample of university students. Method: A cross-sectional descriptive study was conducted on a sample of 120 students of the University of Alicante. To establish the relationship between the pattern of binge eating and the degree of adherence to the DM correlation coeffi cient r Pearson was determined. The results were expressed as odds ratios (OR) and confi dence interval (CI) at 95%. Results: Subjects with a pattern of BED, had lower adherence to the DM (OR = 4.03; 95% CI, 1.80 to 18.69), higher rates of overweight (OR = 5.31, 95% CI, 1.81 to 15.64), and more sedentary lives (OR = 1.4; 95% CI, 0.52 to 4.12). The BED is negatively correlated with the degree of adherence DM (r = -0.3, p < 0.01). Conclusion: The pattern of DM is associated inversely with the risk for binge eating disorder and also such a pattern of binge eating is significantly associated with the risk of overweight in university students. They are necessary studies that confi rm that the DM reduces the risk for binge eating disorder.

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“…Prevalência de compulsão alimentar similar foi observada em estudo realizado no Ambulatório de Cirurgia Bariátrica da Universidade de Tocantins com 96 pacientes adultos obesos (80,2% mulheres), o qual obteve prevalência de 44,2% de compulsão alimentar de acordo com a ECAP 34 . Apesar de mulheres apresentarem maior prevalência de compulsão alimentar 35 , pessoas que possuem diagnóstico de compulsão alimentar tendem a apresentar maior peso 21 , o que pode justificar a grande prevalência observada no presente trabalho, cuja realização se deu apenas com indivíduos com excesso de peso.…”

Section: ▄ Discussãounclassified

“…Bertoli et al 35 , em um estudo realizado com 6.930 adultos e idosos (73% mulheres) que buscaram tratamento para perda ponderal em uma Clínica de Nutrição na Universidade de Milão, na Itália, também encontraram resultado semelhante com relação ao sexo. A prevalência de compulsão alimentar de acordo com a ECAP na versão italiana foi 2,49 vezes maior na população feminina.…”

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Compulsão alimentar em indivíduos com excesso de peso na Atenção Primária à Saúde: prevalência e fatores associados

Klobukoski

Höfelmann

2017

Cad. saúde colet.

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Cad. Saúde Colet., 2017, Rio de Janeiro, 25 (4) Compulsão alimentar foi identificada em 41,6% da amostra. Verificou-se que, na análise bruta, a prevalência do desfecho foi maior entre mulheres, em indivíduos que declararam não trabalhar de forma remunerada, em pessoas com obesidade e com circunferência da cintura muito aumentada. Após análise ajustada, apenas a variável sexo permaneceu significativamente associada ao desfecho (RP=2,43; IC95% 1,33-4,44). Conclusão: Conclui-se que houve elevada prevalência de compulsão alimentar, principalmente entre mulheres. Não houve associação entre compulsão alimentar e demais variáveis socioeconômicas, comportamentais relacionadas à saúde e antropométricas. Palavras-chave: transtorno da compulsão alimentar; Atenção Primária à Saúde; obesidade; sobrepeso; estudos transversais. AbstractObjective: This study aimed to verify the prevalence of binge eating and associated factors among overweight users of the primary health care. Method: This is a cross-sectional study including 360 overweight adults, both sexes, who attended five different health care centers covered by one Family Health Care Center in the city of Curitiba/Paraná. We used the Binge Eating Scale along with a questionnaire containing demographic, socioeconomic and health-related behavior, in addition to anthropometric measurements. The prevalence ratios (PR) and 95% confidence intervals (95%CI) were estimated through Poisson Regression. Results: The outcome was identified in 41.6% of the sample. Crude analysis revealed higher prevalence of the binge eating among women, unemployed individuals, with obesity and increased waist circumference. After adjusted analysis, only the gender remained significantly associated with the outcome (PR = 2.43; 95%CI 1.33-4.44). Conclusion: In conclusion, we observed elevated prevalence of binge eating specially among women. There was no association between binge eating and the socioeconomic, health-related behavior and anthropometric variables.

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Prevalence of and risk factors for binge eating behaviour in 6930 adults starting a weight loss or maintenance programme

Cited by 46 publications

References 39 publications

Contribution of binge eating behaviour to cardiometabolic risk factors in subjects starting a weight loss or maintenance programme

Contribution of binge eating behaviour to cardiometabolic risk factors in subjects starting a weight loss or maintenance programme

¿Se relaciona el trastorno por atracón con la adherencia a la dieta mediterránea en estudiantes universitarios?

Compulsão alimentar em indivíduos com excesso de peso na Atenção Primária à Saúde: prevalência e fatores associados

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