Is binge eating associated with poor weight loss outcomes in people with a high body weight? A systematic review with meta-analyses.
Eat Weight Disord
; 28(1): 89, 2023 Oct 27.
Article
en En
| MEDLINE
| ID: mdl-37889364
ABSTRACT
OBJECTIVES:
This systematic review aimed to compare the weight change in people with or without binge eating who underwent various weight loss treatments.METHODS:
We searched for studies in PubMed, American Psychological Association, and Embase from inception to January 2022. The studies selected included assessment of binge eating and body weight before and after weight loss treatment in people of any age. The meta-analyses were conducted using Comprehensive Meta-Analysis (CMA). We used Egger's regression test, the funnel plot, and the Trim and Fill test to assess the risk of publication bias.RESULTS:
Thirty-four studies were included in the systematic review, with a total of 10.184 participants. The included studies were divided into three categories according to types of weight loss treatments, namely, (1) bariatric surgery; (2) pharmacotherapy isolated or combined with behavioral interventions; and (3) behavioral and/or nutritional interventions. The meta-analyses showed no significant difference in weight loss between people with or without binge eating engaged in weight loss treatments, with an overall effect size of - 0.117 (95% CI - 0.405 to 0.171; P = 0.426).CONCLUSIONS:
Our findings showed no difference in weight loss in people with or without pre-treatment binge eating who received various weight loss treatments. Weight loss treatments should not be withheld on the basis that they will not be effective in people with pre-treatment binge eating, albeit their safety and longer term impacts are unclear. LEVEL OF EVIDENCE Level I, at least one properly designed randomized controlled trials; systematic reviews and meta-analyses; experimental studies.Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Bulimia
/
Trastorno por Atracón
Tipo de estudio:
Systematic_reviews
Límite:
Humans
Idioma:
En
Revista:
Eat Weight Disord
Asunto de la revista:
GASTROENTEROLOGIA
/
METABOLISMO
Año:
2023
Tipo del documento:
Article
País de afiliación:
Brasil