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1.
Med Clin North Am ; 103(4): 669-680, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31078199

RESUMO

Binge eating disorder (BED) is the most common eating disorder and an important public health problem. Lifetime prevalence of BED in the United States is 2.6%. In contrast to other eating disorders, the female to male ratio in BED is more balanced. BED co-occurs with a plethora of psychiatric disorders, most commonly mood and anxiety disorders. BED is also associated with obesity and its numerous complications. Although BED is similar in men and women in presentation and treatment outcomes, there are some key neurobiological differences that should be taken in consideration when personalizing treatment.


Assuntos
Transtorno da Compulsão Alimentar/diagnóstico , Transtorno da Compulsão Alimentar/epidemiologia , Transtornos do Humor/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Transtornos de Ansiedade/epidemiologia , Transtorno da Compulsão Alimentar/terapia , Bulimia/epidemiologia , Comorbidade , Feminino , Humanos , Masculino , Obesidade/epidemiologia , Prevalência , Fatores de Risco , Autoimagem , Fatores Sexuais , Estados Unidos
2.
Arch Pediatr ; 26(3): 138-144, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30898314

RESUMO

PURPOSE: Binge eating disorder (BED) is associated with higher psychopathology, including emotional and personality disorders, in the adult population, whether or not they are obese; although few data are available on adolescents, particularly among obese adolescents. OBJECTIVE: To explore the association of both emotional disorders and personality dimensions with BED in obese adolescents. METHODS: The sample consisted of 115 French adolescents enrolled at a clinical unit for the multidisciplinary care of their overweight or obesity. BED was defined using the Binge Eating Scale (BES). Emotional disorders and personality dimensions were assessed using the following tools: Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Junior Temperament and Character Inventory (JTCI); impulsivity was determined by the Barratt Impulsiveness Scale (BIS) and the Toronto Alexithymia Scale (TAS). Associations between emotional disorders (BDI/BAI) and personality dimensions (TAS/BIS/JTCI), considered first separately and then jointly with BED were determined with multivariate analysis. RESULTS: More severe depression (ß=0.27, CI [0.06; 0.48], P=0.011), a higher level of excess weight (ß=1.91, CI [0.22; 3.59], P=0.027), older age (ß=1.28, CI [0.43; 2.14], P=0.003), and greater cooperativeness (ß=0.36, CI [0.07; 0.66], P=0.017) were independently significantly associated with the presence of BED. CONCLUSIONS: This cross-sectional study underlines the co-occurrence of emotional and personality disorders with BED. This points out the importance of a multidisciplinary approach and the relevance of a joint diagnosis of binge eating, emotional disorders, and personality dimensions in obese adolescents, for better prevention and treatment of pediatric obesity.


Assuntos
Transtorno da Compulsão Alimentar/epidemiologia , Depressão/epidemiologia , Obesidade/epidemiologia , Transtornos da Personalidade/epidemiologia , Adolescente , Transtorno da Compulsão Alimentar/psicologia , Estudos Transversais , Depressão/psicologia , Feminino , França/epidemiologia , Humanos , Masculino , Obesidade/psicologia , Transtornos da Personalidade/psicologia , Escalas de Graduação Psiquiátrica , Inquéritos e Questionários
3.
Psychiatry Res ; 274: 138-145, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30784782

RESUMO

Executive functions are a set of cognitive processes that are necessary for the cognitive control of behavior. They play a role in mediating self-control, self-regulation and decision-making. It has been suggested that the inability to control eating behavior in binge eating disorder (BED) may indicate deficits in executive functioning. This may be worsened by depressive symptoms. The aim of the present study was to compare executive functioning of patients with BED and no-to-mild depressive symptoms (n = 25), patients with BED and moderate-to-severe depressive symptoms (n = 66), and healthy controls (Body Mass Index <30) (n = 56), matched on age, educational level and gender. The participants were assessed by means of neuropsychological tests and questionnaires. The neuropsychological tests did not show significant differences in executive functioning between the groups. However, eating disorder psychopathology and depressive symptoms are associated with self-reported difficulties in executive functioning in daily life. A self-report questionnaire which evaluates the functional, real-world impact of executive dysfunction expressed in everyday activities seems to be more useful in this population than neuropsychological tests. This study highlights the importance of taking depressive symptoms into account when studying executive functioning in patients with (binge) eating disorders.


Assuntos
Transtorno da Compulsão Alimentar/fisiopatologia , Disfunção Cognitiva/fisiopatologia , Depressão/fisiopatologia , Transtorno Depressivo/fisiopatologia , Função Executiva/fisiologia , Adulto , Transtorno da Compulsão Alimentar/epidemiologia , Disfunção Cognitiva/epidemiologia , Disfunção Cognitiva/etiologia , Comorbidade , Depressão/complicações , Depressão/epidemiologia , Transtorno Depressivo/complicações , Transtorno Depressivo/epidemiologia , Feminino , Humanos , Pessoa de Meia-Idade
4.
Rev. cuba. endocrinol ; 29(2): 1-15, mayo.-ago. 2018.
Artigo em Espanhol | LILACS | ID: biblio-978388

RESUMO

Antecedentes: el trastorno por atracón frecuentemente se asocia con enfermedades psiquiátricas asociadas, dentro de las cuales se encuentra la obesidad y sus consecuencias. Objetivo: describir aspectos clínicos y epidemiológicos del trastorno por atracón, en particular, su prevalencia, sus factores de riesgo, etiología, elementos desencadenantes, diagnóstico y sus consecuencias. Método: se utilizó como buscador de información científica a Google Académico. Se utilizaron como palabras clave: trastorno por atracón, trastornos de la conducta alimentaria y obesidad. Fueron evaluados artículos de revisión, de investigación, y distintas páginas web, que en general, tenían menos de 10 años de publicados, en idioma español, portugués o inglés. Esto permitió el estudio de 70 artículos, de los cuales 45 fueron referenciados. Conclusión: la prevalencia del trastorno por atracón es variable y en relación con la muestra estudiada. Los factores de riesgo causales son multifactoriales, y resultan de la compleja interacción de factores psicológicos, físicos y socioculturales que interfieren en el comportamiento del individuo, que dificultan la comprensión de su etiología, en la que intervienen varios elementos, y puede ser desencadenado por diferentes situaciones de la vida cotidiana. Su diagnóstico se realiza aplicando los criterios del Manual Diagnóstico y Estadístico de Enfermedades Mentales, Edición 5. Como consecuencia pueden aparecer obesidad, estados de culpa, tristeza, auto-rechazo, problemas al relacionarse con el entorno, dificultades laborales, e incluso, autolesiones e ideación suicida(AU)


Background: binge eating disorder is frequently related with associated psychiatric illnesses, among which obesity and its consequences are. Objective: to describe clinical and epidemiological aspects of binge eating disorder, in particular its prevalence, risk factors, etiology, triggers, diagnosis and its consequences. Method: Google Scholar was used as a scientific information search engine. The following were used as key words: binge eating disorder, eating disorders and obesity. Review articles, research articles and different web pages were evaluated, which in general were less than 10 years old and in Spanish, Portuguese or English languages. This allowed the study of 70 articles, of which 45 were referenced. Conclusions: the prevalence of binge eating disorder is variable and in relation to the sample studied. The causal risk factors are multifactorial, and result from the complex interaction of psychological, physical and sociocultural factors that interfere in the behavior of the individual, which hinder the understanding of their etiology, in which several elements intervene, and can be triggered by different situations of daily life. Its diagnosis is made applying the criteria of the Diagnostic and Statistical Manual of Mental Illnesses, Edition 5. As a consequence, obesity, guilt, sadness, self-rejection, problems relating to the environment, labor difficulties, and even self-injury and suicidal ideation may appear(AU)


Assuntos
Humanos , Transtornos da Alimentação e da Ingestão de Alimentos/etiologia , Fatores de Risco , Transtorno da Compulsão Alimentar/diagnóstico , Transtorno da Compulsão Alimentar/epidemiologia , Obesidade/epidemiologia , Fenômenos Psicológicos , Literatura de Revisão como Assunto
5.
Eat Behav ; 30: 120-124, 2018 08.
Artigo em Inglês | MEDLINE | ID: mdl-30012278

RESUMO

OBJECTIVE: Higher degrees of sensation seeking (SS) are reported in community and clinical samples of individuals with eating disorders with binge-type features (BTEDs), but no reports exist in representative probability samples of adult women. Additionally, SS has been linked to victimization and PTSD, also associated with BTEDs, yet interrelationships between these variables are unexplored. METHODS: A national, probability sample of 3006 adult women (≥18 y/o) completed structured telephone interviews including assessments for victimization, PTSD, bulimia nervosa (BN) and binge eating disorder (BED). The survey included the 6 items of the Disinhibition-Intentions for the Future (DIF) subscale of Zuckerman's Sensation Seeking Scale-VI, which asks how likely participants would be to engage in given activities. Total SS score (TSSS-DIFS) was the sum of the 6 items' scores. Differences among the 3 groups (BN, BED, non-BN/BED) were compared using ANOVA covaried by age and post-hoc t-tests. Multiple regression tested the effects of age, number of victimization experiences (NVE), lifetime PTSD, and BTEDs on TSSS-DIFS. RESULTS: There were significant differences in TSSS-DIFS across BTED diagnoses (p ≤ .001). Participants with BN (p ≤ .002) and those with BED (p ≤ .01) had significantly higher scores than those without BTEDs. These findings persisted in both groups after correcting for NVE and lifetime PTSD. TSSS-DIFS was significantly higher in participants with BTED with PTSD versus those without (p ≤ .025). DISCUSSION: SS traits related to disinhibition occur more commonly in U.S. adult women with BN and BED, even after controlling for NVE and PTSD, which were also associated with higher TSSS-DIFS.


Assuntos
Transtorno da Compulsão Alimentar/epidemiologia , Vítimas de Crime/estatística & dados numéricos , Comportamento Exploratório , Sensação , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Adulto , Transtorno da Compulsão Alimentar/psicologia , Feminino , Humanos , Fatores de Risco , Inquéritos e Questionários , Estados Unidos/epidemiologia
6.
MSMR ; 25(6): 18-25, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29952209

RESUMO

During 2013-2017, a total of 1,788 active component service members received incident diagnoses of one of the eating disorders: anorexia nervosa (AN), bulimia nervosa (BN) or "other/unspecified eating disorder" (OUED). The crude overall incidence rate of any eating disorder was 2.7 cases per 10,000 person-years. Of the case-defining diagnoses, OUED and BN accounted for 46.4% and 41.8% of the total incident cases, respectively. The overall incidence rate of any eating disorder among women was more than 11 times that among men. Overall rates were highest among service members in the youngest age groups (29 years or younger). Crude annual incidence rates of total eating disorders increased steadily between 2013 and 2016, after which rates decreased slightly. Results of the current study suggest that service members likely experience eating disorders at rates that are comparable to rates in the general population, and that rates of these disorders are potentially rising among service members. These findings underscore the need for appropriate prevention and treatment efforts in this population.


Assuntos
Anorexia Nervosa/epidemiologia , Transtorno da Compulsão Alimentar/epidemiologia , Bulimia Nervosa/epidemiologia , Militares/estatística & dados numéricos , Adulto , Estudos de Coortes , Feminino , Humanos , Incidência , Masculino , Prevalência , Distribuição por Sexo , Estados Unidos/epidemiologia , Adulto Jovem
7.
Eur Eat Disord Rev ; 26(4): 315-328, 2018 07.
Artigo em Inglês | MEDLINE | ID: mdl-29700895

RESUMO

We examined the association between parental characteristics and disordered eating among 11- to 12-year-olds within the Danish National Birth Cohort. Frequency of fasting, purging, and binge eating was obtained by self-report from 37,592 children and combined into a measure of disordered eating (no, monthly, and weekly). Information on parental characteristics was obtained during pregnancy, from the 7-year follow-up, and by linkage to population registers. Data were analysed using multinomial logistic regression models with robust standard errors. In total, 3.1% reported weekly and 4.1% reported monthly disordered eating. Parental young age, low educational level, and overweight/obesity were associated with disordered eating. The relative risk ratios for, respectively, weekly and monthly disordered eating according to maternal eating disorder were 1.01 [0.75, 1.37] and 1.09 [0.84, 1.42]. Disordered eating is common among children and is associated with several parental characteristics. We found social inequality in disordered eating, but our data did not support an association with maternal eating disorder.


Assuntos
Transtorno da Compulsão Alimentar/epidemiologia , Bulimia/epidemiologia , Obesidade/epidemiologia , Pais , Adulto , Transtorno da Compulsão Alimentar/psicologia , Bulimia/psicologia , Criança , Estudos de Coortes , Dinamarca/epidemiologia , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Feminino , Humanos , Modelos Logísticos , Masculino , Pessoa de Meia-Idade , Sobrepeso/epidemiologia , Gravidez , Estudos Prospectivos , Autorrelato , Adulto Jovem
8.
Nutr Hosp ; 35(Spec No1): 49-97, 2018 Mar 07.
Artigo em Espanhol | MEDLINE | ID: mdl-29565629

RESUMO

Bulimia nervosa and binge eating disorder are unique nosological entities. Both show a large variability related to its presentation and severity which involves different therapeutic approaches and the need to individualize the treatment, thus it is indispensable a multidisciplinary approach. Patients with bulimia nervosa may suffer from malnutrition and deficiency states or even excess weight, while in binge eating disorders, it is common overweight or obesity, which determine other comorbidities. Many of the symptoms and complications are associated with compensatory behaviors. There are many therapeutic tools available for the treatment of these patients. The nutritional approach contemplates the individualized dietary advice which guarantees an adequate nutritional state and nutritional education. Its objective is to facilitate the voluntary adoption of eating behaviors that promote health and allow the long-term modification of eating habits and the cessation of purgatory and bingeing behaviors. Psychological support is a first-line treatment and it must address the frequent disorder of eating behavior and psychiatric comorbidities. Psychotropic drugs are effective and widely used although these drugs are not essential. The management is carried out mainly at an outpatient level, being the day hospital useful in selected patients. Hospitalization should be reserved to correct serious somatic or psychiatric complications or as a measure to contain non-treatable conflict situations. Most of the guidelines' recommendations are based on expert consensus, with little evidence which evaluates clinical results and cost-effectiveness.


Assuntos
Transtorno da Compulsão Alimentar/terapia , Bulimia Nervosa/terapia , Avaliação Nutricional , Terapia Nutricional/métodos , Adulto , Transtorno da Compulsão Alimentar/diagnóstico , Transtorno da Compulsão Alimentar/epidemiologia , Transtorno da Compulsão Alimentar/psicologia , Bulimia Nervosa/complicações , Bulimia Nervosa/diagnóstico , Bulimia Nervosa/psicologia , Consenso , Feminino , Guias como Assunto , Humanos
9.
BMC Psychiatry ; 18(1): 13, 2018 01 17.
Artigo em Inglês | MEDLINE | ID: mdl-29343226

RESUMO

BACKGROUND: Most studies regarding the relationship between binge eating disorder (BED) and depression have targeted obese populations. However, nurses, particularly female nurses, are one of the vocations that face these issues due to various reasons including high stress and shift work. This study investigated the prevalence of BED and the correlation between BED and severity of self-reported depressive symptoms among female nurses in South Korea. METHODS: Participants were 7,267 female nurses, of which 502 had symptoms of BED. Using the propensity score matching (PSM) technique, 502 nurses with BED and 502 without BED were included in the analyses. Data were analyzed using descriptive statistics, Spearman's correlation, and multivariable ordinal logistic regression analysis. RESULTS: The proportion of binge eating disorder was 6.90% among the nurses, and 81.3% of nurses displayed some levels of depressive symptoms. Multivariable ordinal logistic regression analysis revealed that age (40 years old and older), alcohol consumption (frequent drinkers), self-rated health, sleep problems, and stress were associated with self-reported depression symptoms. Overall, after adjusting for confounders, nurses with BED had 1.80 times the risk (95% CI = [1.41-2.30]; p-value < 0.001) of experiencing a greater severity of self-reported depression symptoms. CONCLUSIONS: Korean female nurse showed a higher prevalence of both binge eating disorder and depressive symptoms, and the association between the two factors was proven in the study. Therefore, hospital management and health policy makers should be alarmed and agreed on both examining nurses on such problems and providing organized and systematic assistance.


Assuntos
Transtorno da Compulsão Alimentar/complicações , Depressão/etiologia , Adulto , Transtorno da Compulsão Alimentar/epidemiologia , Estudos de Casos e Controles , Depressão/diagnóstico , Depressão/epidemiologia , Feminino , Inquéritos Epidemiológicos , Humanos , Modelos Logísticos , Pessoa de Meia-Idade , Prevalência , Pontuação de Propensão , Estudos Prospectivos , República da Coreia/epidemiologia , Fatores de Risco , Autorrelato , Índice de Gravidade de Doença
10.
Eat Behav ; 28: 8-15, 2018 01.
Artigo em Inglês | MEDLINE | ID: mdl-29202335

RESUMO

Research suggests that individuals with high liking for sweets are at increased risk for binge eating, which has been minimally investigated in individuals with binge-eating disorder (BED). Forty-one adults (85% female, 83% white) with binge eating concerns completed a sweet taste test and measures of eating disorder behaviors and food cravings. A subset of participants with BED completed an oral glucose tolerance test (OGTT; N=21) and a 24-hour dietary recall (N=26). Regression models were used to compare highest sweet preferers (HSP [N=18]) to other sweet preferers (OSP [N=23]) and were used to assess associations between sweet taste preference and outcome variables. Effect sizes (ηp2) for differences between HSP and OSP ranged from small (≤0.01) to large (≥0.24); group differences were statistically nonsignificant except for 24-hour caloric intake (ηp2=0.16, p=0.04), protein intake (ηp2=0.16, p=0.04), and insulin sensitivity index (ηp2=0.24, p=0.04), which were higher in HSP, and postprandial insulin, which was smaller in HSP (ηp2=0.27, p=0.03). Continuous analyses replicated postprandial insulin response. Compared with OSP, HSP reported numerically higher binge-eating frequency (ηp2=0.04), over-eating frequency (ηp2=0.06), and carbohydrate intake (ηp2=0.14), and they exhibited numerically smaller postprandial glucose AUC (ηp2=0.16). Sweet taste preference may have implications for glucose regulation, binge-eating frequency, and nutrient intake in BED.


Assuntos
Transtorno da Compulsão Alimentar/psicologia , Preferências Alimentares , Edulcorantes , Paladar , Adolescente , Adulto , Transtorno da Compulsão Alimentar/epidemiologia , Fissura , Inquéritos sobre Dietas , Ingestão de Energia , Feminino , Teste de Tolerância a Glucose , Humanos , Masculino , Pessoa de Meia-Idade , Adulto Jovem
11.
Nutr. clín. diet. hosp ; 38(3): 34-39, 2018. tab
Artigo em Português | IBECS | ID: ibc-175575

RESUMO

Introdução: O Transtorno de Compulsão Alimentar Periódica é caracterizado pela ingestão de uma grande quantidade de alimentos, em um curto período de tempo, e ocorre com frequência em pacientes obesos e principalmente naqueles submetidos à cirurgia bariátrica. Obesos com compulsão alimentar apresentam mais sintomas psicopatológicos, que interferem na adesão ao tratamento quando não diagnosticados adequadamente. Objetivo: Avaliar a frequência do transtorno de compulsão periódica em pacientes obesos e naqueles submetidos à cirurgia bariátrica. Métodos: Participaram do estudo indivíduos de ambos os sexos, atendidos numa clínica particular de cirurgia bariátrica, em Caruaru, Pernambuco. Foi avaliado a presença desse transtorno nos pacientes obesos candidatos ou submetidos a cirurgia, através da Escala de Compulsão Alimentar Periódica, um questionário autoaplicável, que tem como finalidade discriminar indivíduos obesos de acordo com a gravidade da compulsão alimentar. Além disso, também foi avaliado o estilo de vida (tabagismo, etilismo e prática de atividade física) dos pacientes. Resultados: A amostra foi composta por 45 pacientes, sendo 82,2% mulheres, 73,3% pacientes pós-cirúrgico e 26,7% pré-cirúrgicos. Verificou-se que 43,2% dos pacientes apresentavam compulsão alimentar, sendo observado uma frequência maior entre os candidatos à cirurgia bariátrica (75%). Conclusão: A frequência do transtorno foi superior nos pacientes pré-cirúrgicos, quando comparados naqueles que realizaram a cirurgia bariátrica. Diante do exposto torna-se essencial investigar a presença desse transtorno em obesos candidatos ou não a cirurgia bariátrica, tendo em vista a maior efetividade e adesão do tratamento adequado destes pacientes


Introduction: Binge Eating Disorder is characterize by the ingestion of alarge amount of food in a short period and occurs with frequency in obese patients, mainly in those undergoing bariatric surgery. Obese with eating disorder present such psychopathological symptoms that interferes on the adhesion to treatment when undiagnosed properly. Objective: Evaluate the frequency of Binge Eating Disorder in obese patients and those undergoing bariatric surgery. Methods: Individuals of both genders participated in the study attended on a particular clinic of bariatric surgery, in Caruaru, Pernambuco. It was evaluated the presence of this disorder on obese patients candidates or submitted to surgery, ath wart the Binge-Eating Scale (BES), a self-administered questionnaire whose purpose is to discriminate obese individuals according to the severity of Binge Eating. Furthermore was also evaluated the lifestyle (Smoking, alcoholism and physical activity practice) of the patients. Results: The sample was composed by 45 patients, being 82,2% women, 73,3% post -surgical patient and 26,7% presurgical patients. It was verified that 43,2% of the patients have Binge Eating, being observed alarge frequency between the candidates for bariatric surgery (75 %). Conclusion: The frequency of Binge Eating was superior in pre-surgical patients, when compared in those who performed the bariatric surgery. In the view of the above, it is essential to investigate the presence of this disorder in obese, candidates or not to the bariatric surgery, with a view to greater effectiveness and adherence of the adequate treatment of these patients


Introducción: El trastorno de la compulsión alimentaria periódica se caracteriza por la ingestión de una gran cantidad de alimentos en un corto período de tiempo, y ocurre con frecuencia en pacientes obesos y principalmente en aquellos sometidos a la cirugía bariátrica. Obesos con compulsión alimentaria presentan más síntomas psicopatológicos, que interfieren en la adhesión al tratamiento cuando no se diagnostica adecuadamente. Objetivo: Evaluar la frecuencia del trastorno de compulsión periódica en pacientes obesos y en aquellos sometidos a la cirugía bariátrica. Métodos: Participaron del estudio individuos de ambos sexos, atendidos en una clínica privada de cirugía bariátrica, en la ciudad de Caruaru, Pernambuco. Se evaluó la presencia de este trastorno en los pacientes obesos candidatos o sometidos a la cirugía a través de la Escala de Compulsión Alimentaria Periódica, un cuestionario auto aplicable, que tiene como finalidad discriminar individuos obesos de acuerdo con la gravedad de la compulsión alimentaria. Además, también se evaluó el estilo de vida (tabaquismo, etilismo y práctica de actividad física) de los pacientes. Resultados: La muestra fue compuesta por 45 pacientes, siendo 82,2% mujeres, 73,3% pacientes postoperatorio y 26,7% preoperatorios. Se verificó que el 43,2% de los pacientes presentaban compulsión alimentaria, siendo observado una frecuencia mayor entre los candidatos a la cirugía bariátrica (75%). Conclusión: La frecuencia del trastorno fue superior en los pacientes preoperatorios cuando comparados en aquellos que realizaron la cirugía bariátrica. Ante lo expuesto se hace esencial investigar la presencia de ese trastorno en obesos candidatos o no la cirugía bariátrica, teniendo en vista la mayor efectividad y adhesión del tratamiento adecuado de estos pacientes


Assuntos
Humanos , Masculino , Feminino , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Transtorno da Compulsão Alimentar/epidemiologia , Obesidade/complicações , Cirurgia Bariátrica/estatística & dados numéricos , Psicometria/instrumentação , Complicações Pós-Operatórias/epidemiologia , Cooperação do Paciente/estatística & dados numéricos , Fatores de Risco , Estudos Transversais , Consumo de Bebidas Alcoólicas/epidemiologia
12.
Rev. Soc. Bras. Clín. Méd ; 15(2): 75-79, 20170000. tab
Artigo em Português | LILACS | ID: biblio-875547

RESUMO

Objetivo: Avaliar a prevalência de compulsão alimentar periódica. Métodos: Estudo descritivo transversal, com 49 pacientes candidatos à cirurgia bariátrica, em acompanhamento pré-cirúrgico, submetidos à anamnese direcionada e aos quais foi aplicada a Escala de Compulsão Alimentar Periódica. Resultados: A média de idade foi de 39,18±10,38 anos, sendo a maioria do sexo feminino (79,59%). O peso e o índice de massa corporal médios da amostra foram respectivamente 131,89±25,78kg e 49,72±6,79kg/m². As comorbidades mais prevalentes foram hipertensão arterial sistêmica (55,10%) e diabetes mellitus (30,61%). Dos 49 entrevistados, 10 (20,40%) apresentaram pontuação compatível com compulsão alimentar periódica, sendo moderada em 8 (16,32%) e grave em 2 pacientes (4,08%). Houve relação entre a presença de compulsão alimentar periódica e menor tempo de obesidade. Conclusão: A prevalência de compulsão alimentar periódica nos pacientes candidatos à cirurgia bariátrica analisados foi semelhante ao descrito na literatura e parece haver relação inversa entre compulsão alimentar e velocidade de ganho de peso. São necessários estudos maiores para confirmar nossos achados.


Objective: To evaluate the prevalence of binge eating disorder. Methods: Cross-sectional descriptive study with 49 patients that are candidates for bariatric surgery in the presurgical monitoring, who underwent directed anamnesis and then had the Binge Eating Scale (BES) applied. Results: The average age was 39.18±10.38 years, with most of them being female (79.59%). Average weight and body mass index (BMI) were respectively 131.89±25.78kg, and 49.72±6.79kg/m². The most prevalent comorbidities were hypertension (55.10%) and Diabetes Mellitus (30.61%). Of the 49 patients interviewed, 10 (20.40%) had a score that was consistent with binge eating disorder, moderate in 8 (16.32%), and severe in 2 patients (4.08%). There was a relation between the presence of binge eating disorder and shorter time of obesity. Conclusion: The prevalence of binge eating disorder in patients eligible for bariatric surgery in this study was similar to that described in the literature, and there seems to be an inverse relation between binge eating and weight gain velocity. Further, larger studies are necessary to confirm these findings.


Assuntos
Humanos , Masculino , Feminino , Adulto , Cirurgia Bariátrica/métodos , Transtorno da Compulsão Alimentar/epidemiologia , Obesidade Mórbida/complicações , Obesidade Mórbida/epidemiologia , Cuidados Pré-Operatórios , Obesidade Mórbida/cirurgia , Obesidade Mórbida/terapia
13.
Nutrients ; 9(8)2017 Aug 19.
Artigo em Inglês | MEDLINE | ID: mdl-28825608

RESUMO

Eating problems in adolescents with type 1 diabetes (T1D) can be divided into two groups. The first includes the diagnosed eating disorders (EDs), i.e., diseases specifically identified by defined signs and symptoms for which a degree of severity has been established, such as anorexia nervosa, bulimia nervosa, binge-eating disorder, pica, and rumination. The second is the group of disordered eating symptoms (DES), which include behaviors such as dieting for weight loss, binge eating, self-induced vomiting, excessive exercise, and laxative or diuretic use; these behaviors cannot be categorized as complete diseases, and, although apparently mild, they must be closely evaluated because they can evolve into true EDs. In this review, present knowledge about the clinical relevance of EDs and DES and the possible preventive and therapeutic measures used to reduce their impact on the course of T1D will be discussed. As adolescents with diabetes are at higher risk of eating disturbances and consequently for higher rates of disease complications, care providers should pay attention to clinical warning signs that raise suspicion of disturbed eating to refer these patients early to an expert in nutrition and mental health disorders. To ensure the best care for adolescents with T1D, diabetes teams should be multidisciplinary and include a pediatric diabetologist, a skilled nurse, a dietician, and a psychologist.


Assuntos
Anorexia Nervosa/epidemiologia , Transtorno da Compulsão Alimentar/epidemiologia , Bulimia Nervosa/epidemiologia , Diabetes Mellitus Tipo 1/complicações , Transtornos da Alimentação e da Ingestão de Alimentos/epidemiologia , Adolescente , Anorexia Nervosa/diagnóstico , Transtorno da Compulsão Alimentar/diagnóstico , Bulimia Nervosa/diagnóstico , Transtornos da Alimentação e da Ingestão de Alimentos/diagnóstico , Humanos , Prevalência , Fatores de Risco , Inquéritos e Questionários
14.
Appetite ; 117: 330-334, 2017 10 01.
Artigo em Inglês | MEDLINE | ID: mdl-28711610

RESUMO

The obesity rate is higher among veterans than the general population, yet few studies have examined their eating behaviors, and none have examined the presence of night eating and related comorbidities. This study examines night eating syndrome (NES) among veterans seeking weight management treatment, and relationships between NES and weight, insomnia, disordered eating, and psychological variables. The sample consisted of 110 veterans referred to a weight management program at VA Connecticut Healthcare System. More than one out of ten veterans screened positive for NES, and one-third screened positive for insomnia. Most individuals screening positive for NES also screened positive for insomnia. Night eating was associated with higher BMI, and with higher scores on measures of binge eating, emotional overeating, and eating disorder symptomatology. Veterans screening positive for NES were also significantly more likely to screen positive for depression and PTSD. When controlling for insomnia, only the relationships between night eating and binge and emotional eating remained significant. Those screening positive for PTSD were more likely to endorse needing to eat to return to sleep. Findings suggest that both NES and insomnia are common among veterans seeking weight management services, and that NES is a marker for additional disordered eating behavior, specifically binge eating and overeating in response to emotions. Additional studies are needed to further delineate the relationships among NES, insomnia, and psychological variables, as well as to examine whether specifically addressing NES within behavioral weight management interventions can improve weight outcomes and problematic eating behaviors.


Assuntos
Transtorno da Compulsão Alimentar/fisiopatologia , Hiperfagia/fisiopatologia , Síndrome do Comer Noturno/fisiopatologia , Obesidade/etiologia , Distúrbios do Início e da Manutenção do Sono/fisiopatologia , Saúde dos Veteranos , Idoso , Transtorno da Compulsão Alimentar/epidemiologia , Transtorno da Compulsão Alimentar/psicologia , Índice de Massa Corporal , Comorbidade , Connecticut/epidemiologia , Depressão/epidemiologia , Depressão/fisiopatologia , Depressão/psicologia , Registros Eletrônicos de Saúde , Feminino , Humanos , Hiperfagia/epidemiologia , Hiperfagia/psicologia , Masculino , Programas de Rastreamento , Pessoa de Meia-Idade , Síndrome do Comer Noturno/epidemiologia , Síndrome do Comer Noturno/psicologia , Obesidade/epidemiologia , Obesidade/psicologia , Obesidade/terapia , Aceitação pelo Paciente de Cuidados de Saúde , Prevalência , Índice de Gravidade de Doença , Distúrbios do Início e da Manutenção do Sono/epidemiologia , Distúrbios do Início e da Manutenção do Sono/psicologia , Transtornos de Estresse Pós-Traumáticos/epidemiologia , Transtornos de Estresse Pós-Traumáticos/fisiopatologia , Transtornos de Estresse Pós-Traumáticos/psicologia , Programas de Redução de Peso
15.
Psychiatr Pol ; 51(2): 247-259, 2017 Apr 30.
Artigo em Inglês, Polonês | MEDLINE | ID: mdl-28581535

RESUMO

OBJECTIVES: To establish the differential criteria for Binge Eating Disorder (BED) and Food Addiction (FA). METHODS: We performed a detailed analysis of comparative diagnostic criteria for BED and Substance use disorder contained in the Diagnostic and Statistical Manual of Mental Disorders DSM-V. We applied the diagnostic criteria for both disorders to scientific publications on the issue of excessive eating in obese people, during the years 2005-2016, available on PubMed. We isolated specific similarities and differences between Binge Eating Disorder and Food Addiction. We formulated differential criteria for BED and FA. RESULTS: In BED as well as FA the following characteristics are apparent: preoccupation with food, excessive eating, loss of control over the amount of food and manner of eating, inability to change behavior, continuing behavior despite negative consequences, increased impulsiveness and emotional imbalance. Differences between BED and FA relate to the function of food, reaction to omitted food, psychological mechanisms of coping with excessive eating and body image, the issue of tolerance, withdrawal syndrome and the correlation between excessive eating and other areas of life. CONCLUSIONS: The criteria of differentiation between BED and FA concern the following: function of food, eating circumstances, reaction to the unavailability of food, awareness of the problem. Appropriate diagnosis of these disorders and their differentiation increases the chances of adequate treatment of obese patients.


Assuntos
Transtorno da Compulsão Alimentar/classificação , Transtorno da Compulsão Alimentar/terapia , Obesidade/classificação , Obesidade/terapia , Fármacos Antiobesidade/uso terapêutico , Antidepressivos/uso terapêutico , Transtorno da Compulsão Alimentar/epidemiologia , Terapia Cognitivo-Comportamental/métodos , Terapia Combinada , Comorbidade , Humanos , Obesidade/epidemiologia , Atenção Primária à Saúde , Autoimagem
16.
Psychol Med ; 47(16): 2866-2878, 2017 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-28578734

RESUMO

BACKGROUND: Prior research demonstrated that attention-deficit hyperactivity disorder (ADHD) is associated with binge-eating behavior, binge-eating disorder (BED), and bulimia nervosa (BN). The aim of this study was to investigate these associations in an adult twin population, and to determine the extent to which ADHD symptoms and binge-eating behavior share genetic and environmental factors. METHODS: We used self-reports of current ADHD symptoms and lifetime binge-eating behavior and associated characteristics from a sample of over 18 000 adult twins aged 20-46 years, from the population-based Swedish Twin Registry. Mixed-effects logistic regression was used to examine the association between ADHD and lifetime binge-eating behavior, BED, and BN. Structural equation modeling was used in 13 773 female twins to determine the relative contribution of genetic and environmental factors to the association between ADHD symptoms and binge-eating behavior in female adult twins. RESULTS: ADHD symptoms were significantly associated with lifetime binge-eating behavior, BED, and BN. The heritability estimate for current ADHD symptoms was 0.42 [95% confidence interval (CI) 0.41-0.44], and for lifetime binge-eating behavior 0.65 (95% CI 0.54-0.74). The genetic correlation was estimated as 0.35 (95% CI 0.25-0.46) and the covariance between ADHD and binge-eating behavior was primarily explained by genetic factors (91%). Non-shared environmental factors explained the remaining part of the covariance. CONCLUSIONS: The association between adult ADHD symptoms and binge-eating behavior in females is largely explained by shared genetic risk factors.


Assuntos
Transtorno do Deficit de Atenção com Hiperatividade/etiologia , Transtorno da Compulsão Alimentar/etiologia , Bulimia/etiologia , Sistema de Registros , Adulto , Transtorno do Deficit de Atenção com Hiperatividade/epidemiologia , Transtorno do Deficit de Atenção com Hiperatividade/genética , Transtorno da Compulsão Alimentar/epidemiologia , Transtorno da Compulsão Alimentar/genética , Bulimia/epidemiologia , Bulimia/genética , Comorbidade , Suscetibilidade a Doenças , Meio Ambiente , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Suécia/epidemiologia , Adulto Jovem
17.
Appetite ; 116: 184-195, 2017 09 01.
Artigo em Inglês | MEDLINE | ID: mdl-28465183

RESUMO

Binge eating disorder (BED) is characterized by recurrent overeating episodes, accompanied by loss of control (LOC), in the absence of compensatory behaviors. The literature supports that men overeat as often or more often than do women, but they are less likely to endorse LOC and other BED symptoms. Thus, rates of BED are lower among men. However, differences in prevalence rates may reflect gender bias in current conceptualizations of eating disorders and BED diagnostic criteria, not necessarily truly lower rates of disordered eating among men. The purpose of this study was to gather detailed information about how men experience overeating and related body image concerns, to identify common themes. The grounded theory approach was utilized to examine narratives from 11 overweight/obese male college students about their experiences with overeating, with results suggesting that overeating is consistent with male gender role, but LOC is not. Other overeating themes included mindless eating, emotional antecedents, negative consequences, unintentional dietary restriction, and social encouragement to overeat. Participants also reported dissatisfaction with their bodies, a desire for their bodies to be both muscular and thin, concerns related to their physical functioning and health, and a distinction between body image and self-worth. Collectively, these themes suggest further study to more fully explore the features and consequences of how disordered eating and body image concerns may manifest among men.


Assuntos
Transtorno da Compulsão Alimentar/epidemiologia , Transtorno da Compulsão Alimentar/psicologia , Hiperfagia/epidemiologia , Hiperfagia/psicologia , Obesidade/epidemiologia , Sobrepeso/epidemiologia , Adulto , Imagem Corporal , Índice de Massa Corporal , Ingestão de Alimentos/psicologia , Emoções , Estudos de Avaliação como Assunto , Humanos , Masculino , Pessoa de Meia-Idade , Obesidade/psicologia , Sobrepeso/psicologia , Prevalência , Autocontrole , Estudantes , Adulto Jovem
18.
Psychiatr Clin North Am ; 40(2): 255-266, 2017 06.
Artigo em Inglês | MEDLINE | ID: mdl-28477651

RESUMO

Binge eating disorder (BED) is the most common eating disorder and an important public health problem. Lifetime prevalence of BED in the United States is 2.6%. In contrast to other eating disorders, the female to male ratio in BED is more balanced. BED co-occurs with a plethora of psychiatric disorders, most commonly mood and anxiety disorders. BED is also associated with obesity and its numerous complications. Although BED is similar in men and women in presentation and treatment outcomes, there are some key neurobiological differences that should be taken in consideration when personalizing treatment.


Assuntos
Transtorno da Compulsão Alimentar , Transtornos Mentais/epidemiologia , Transtorno da Compulsão Alimentar/tratamento farmacológico , Transtorno da Compulsão Alimentar/epidemiologia , Transtorno da Compulsão Alimentar/terapia , Comorbidade , Humanos , Dimesilato de Lisdexanfetamina/uso terapêutico , Psicoterapia , Caracteres Sexuais
20.
Eat Behav ; 26: 163-166, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28402901

RESUMO

OBJECTIVE: Binge eating disorder (BED) is associated with medical and psychiatric issues commonly seen and managed in primary care; however, the disorder typically goes undetected as there are no assessment tools feasible for use in primary care. The objective was to examine the validity of the VA Binge Eating Screener (VA-BES), a single-item screening measure for binge eating. METHOD: The sample consisted of 116 veterans referred to a primary care-based weight management program. Participants had a mean age of 61.66years (SD=8.73) and average BMI of 37.90 (SD=7.35). Frequency of binge eating ranged from zero to 21 episodes per week. The prevalence of BED was 7.76%. All participants completed the Questionnaire of Eating and Weight Patterns - Revised (QEWP-R) to assess for BED. They also completed the VA-BES, and measures of disordered eating and depressive symptoms. RESULTS: The VA-BES was compared to the QEWP-R to determine the sensitivity, specificity, positive predictive value, and negative predictive value for each cutpoint. Analyses revealed one cutpoint (≥2 binge eating episodes per week) maximized these values, demonstrated excellent agreement with the QEWP-R (χ2=24.79, p<0.001), and had significant associations with other variables commonly associated with binge eating. DISCUSSION: This study demonstrates the utility and validity of a single-item measure to screen for binge eating in primary care. The item can quickly and easily identify binge eating, thus facilitating referral to treatment and potentially subsequent improvements in related medical and mental health comorbidities treated in primary care.


Assuntos
Transtorno da Compulsão Alimentar/diagnóstico , Programas de Rastreamento/instrumentação , Atenção Primária à Saúde , Inquéritos e Questionários , Veteranos/psicologia , Idoso , Transtorno da Compulsão Alimentar/epidemiologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Prevalência , Reprodutibilidade dos Testes , Veteranos/estatística & dados numéricos
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