Recorded food intake of obese women with binge eating disorder before and after weight loss.

Division of Digestive Diseases and Nutrition, National Institute of Diabetes and Digestive and Kidney Diseases, NIH, Bethesda, MD 20892.
International Journal of Eating Disorders (Impact Factor: 3.03). 04/1994; 15(2):135-50. DOI: 10.1002/1098-108X(199403)15:23.0.CO;2-I
Source: PubMed

ABSTRACT Because binge eating in obese individuals has been postulated to be a reaction to dietary restriction, we examined the recorded food intake of 17 obese women with and 16 obese women without binge eating disorder (BED) during 1-week periods before and 3 months after a very low calorie diet program in order to determine the effects of dietary restriction on binge eating frequency and severity. Before weight loss, rather than reporting severe caloric restriction, women with BED reported greater average energy intake than nonbinge eaters on both a total (2707 vs. 1869 k cal/day, p < .01) and weight-adjusted (25.1 vs. 18.1 kcal/kg, p < .01) basis, with both higher intake on nonbinge days and an increased frequency of binge days. After weight loss, there was no significant difference in energy intake, on either a total or weight-adjusted basis, between subjects with and without BED. Although average daily energy intake fell for both groups after weight loss, only subjects with BED reported significantly decreased energy intake when adjusted for change in body weight. This resulted from decreased intake on nonbinge days and a decreased frequency of binge days. Before weight loss, subjects with BED reported an average energy intake equivalent to 94% of their predicted energy expenditure. Whereas subjects without BED reported intake only 64% of predicted (p = .002). After weight loss, there was no significant difference between subjects with and without BED in the percentage of predicted energy expenditure reported as intake (64% vs. 58%). Restraint was similar in both groups before weight loss, but those with BED reported greater hunger and disinhibition. After weight loss treatment, restraint increased significantly, whereas disinhibition and hunger remained elevated in subjects with BED. Disinhibition, rather than restraint, appears to be a major contributor to the disordered eating of these individuals. Unlike normal-weight women with bulimia nervosa, dietary restriction does not appear to worsen symptoms of binge eating in obese women with BED. Over the short term, subjects with BED may respond to a standard weight loss treatment program with improvements in binge eating behaviors.

  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Binge eating disorder (BED) is a newly characterized eating disorder that encompasses individuals who have severe distress and dysfunction due to binge eating, but who do not regularly engage in inappropriate compensatory behaviors. While relatively uncommon in the general community, BED becomes more prevalent with increasing severity of obesity. BED is associated with early onset of obesity, frequent weight cycling, body shape disparagement, and psychiatric disorders. These associations occur independent of the degree of obesity. Although many individuals with BED have good short-term weight loss regardless of treatment modality, as a group they may be prone to greater attrition during weight-loss treatment and more rapid regain of lost weight. Current treatments geared toward binge eating behaviors include antidepressant medications, cognitive behavioral psychotherapy, and interpersonal psychotherapy; however, these treatments have little efficacy in promoting weight loss, and only modest success in long-term reduction of binge eating. As a significant proportion of obese individuals entering weight-loss treatment and research programs are likely to meet criteria for BED, those conducting clinical research should be aware of this distinct subgroup and determine the contribution of BED to outcome measures. (OBESITY RESEARCH 1993; 1:306–324)
    07/1993; 1(4). DOI:10.1002/j.1550-8528.1993.tb00626.x
  • Source
    [Show abstract] [Hide abstract]
    ABSTRACT: Emotion dysregulation has been found to be associated with specific eating attitudes and behavior in Eating Disorders (EDs) patients. The present study evaluated whether emotional eating profile of EDs patients changes over time and the possible effects of a psychotherapeutic intervention on the emotional eating dimension. One hundred and two EDs patients (28 with Anorexia Nervosa restricting type [AN-R], 35 with Anorexia Nervosa binge/purging subtype [AN-B/P] and 39 with Bulimia Nervosa [BN]) were evaluated at baseline, at the end of a Cognitive Behavioral Therapy, at 3 and 6 years follow-up. The Structured Clinical Interview for DSM IV Axis I Disorders, the Emotional Eating Scale (EES) and several self-reported questionnaires for eating specific and general psychopathology were applied. A control group of 86 healthy subjects was also studied, in order to compare psychopathological variables at baseline. A significant EES total score reduction was observed among AN-BP and BN patients, whereas no significant change was found in the AN-R group. Mixed Models analyses showed that a significant effect on EES total score variation was found for cocaine or amphetamine abuse (b = .25; p < .01). Patients who assumed these substances reported no significant EES reduction across time, unlike other patients. The present results suggest that EDs patients with a history of cocaine or amphetamine abuse represent a sub-population of patients with lasting dysfunctional mood modulatory mechanisms.
    Eating Behaviors 04/2014; 15(2). DOI:10.1016/j.eatbeh.2014.01.006 · 1.58 Impact Factor
  • [Show abstract] [Hide abstract]
    ABSTRACT: Binge eating disorder involves binging on food without purging afterwards, causing significant weight gain. These individuals often use consumption of food as a way to cope with stress and daily problems. One of common consequence of this disorder is low self-esteem. This study aimed to investigate the effectiveness of dialectical behavior therapy on increasing self-esteem in women with Binge Eating Disorder. The research method was quasi experimental with pre test-post test design and control group. A sample of 40 women in Nutrition Counseling Center in Tehran was selected by available sampling method. Results showed that dialectical behavior therapy had a positive effect on increasing of self-esteem in women with EBD.
    Procedia - Social and Behavioral Sciences 01/2012; 46:1091-1095. DOI:10.1016/j.sbspro.2012.05.253