Eating patterns and breakfast consumption in obese patients with binge eating disorder

ArticleinBehaviour Research and Therapy 44(11):1545-53 · December 2006
DOI: 10.1016/j.brat.2005.10.013 · Source: PubMed
This study examined eating patterns and breakfast consumption, and their relationships to weight and binge eating, in obese individuals with binge eating disorder (BED). One-hundred seventy-three consecutively evaluated men (n=46) and women (n=127) with BED were administered semi-structured interviews and self-report measures to assess the frequency of meals and snacks eaten, as well as binge eating and eating disorder features. Overall, those who consumed more frequent meals, particularly breakfast, and snacks, weighed less. Breakfast, which was eaten on a daily basis by less than half of participants (n=74; 43%), was the least frequently eaten meal of the day. Participants (n=56; 32%) who ate three meals per day weighed significantly less, and had significantly fewer binges, than participants (n=117; 68%) who did not regularly eat three meals per day. Thus, eating more frequently, having breakfast and consuming three meals every day, have potentially important clinical applications for the treatment of BED given that the effectiveness of specific interventions within treatments for BED are unknown, and that weight loss outcome for BED has been poor.
    • "Gorging is defined as eating a large amount of food three times a day. It determines a lower increase of Body Mass Index (BMI) than the other types and it is a more positive index for the therapeutic outcome [18]. Snacking is characterised by frequent assumption of snacks in between meals in a person who generally eats at fast foods [19, 20]. "
    [Show abstract] [Hide abstract] ABSTRACT: Purpose: The aim of this study is to show that the differences among eating behaviours are related to the emotional dysregulation connected to the mental dimensions being part of the obese psychopathology. Eating behaviours can be considered a diagnostic feature at the initial screening for determining the obesity treatment: nutritional or bariatric surgery. Methods: 1828 Obese subjects underwent psychiatric assessment before entering obesity nutritional treatment or bariatric surgery following the multidisciplinary programme. 1121 subjects were selected and enrolled in this study: 850 were inpatients visited or hospitalised at the Obesity Centre or at the Bariatric Surgery Units, 271 were outpatients visited at the Eating Disorder and Obesity Unit. Psychiatric examination was used to exclude psychiatric disorders and investigate eating behaviours distinguished on the basis of food intake rhythm in: gorging, snacking, grazing and binge. They are related to the mental dimensions: impulsiveness, body image, mood and anxiety, taking part in the emotional regulation system. Specific psychometric tools were used to investigate the different mental dimensions of the single eating behaviours and their differences. Statistical analysis of the psychopathological features was performed using ANOVA, ANCOVA, Levene test, Bonferroni's and Tamhane post hoc test. Significance was set at p < 0.05. Results: Data analysis shows significant differences of psychopathology among all the eating behaviours and an increase in the emotional dysregulation determining maladaptive behaviours. Discussion: Eating behaviours are connected to the balance of the different features of mental dimensions implicated in the emotional regulation system. They could provide significant clinical information and therefore be part of the obesity diagnostic criteria and therapeutic programme.
    Full-text · Article · Apr 2016
    • "Specifically , caloric restriction has been shown to increase caloric consumption during test meals (Telch & Agras, 1996 ) and has been linked to increased binge eating in ecological momentary assessment studies of individuals with bulimia nervosa (BN; Zunker et al., 2011). While restrictive eating has been shown to be related to bingeeating behavior, the consumption of regular meals has been demonstrated to serve as a protective factor against the development of binge eating, with regular meal consumption being negatively associated with eating disorder symptom severity (Godfrey, Rhodes, & Hunt, 2013) and the number of meals consumed being negatively associated with binge eating frequency (Elran-Barak et al., 2014; Masheb & Grilo, 2006; Masheb, Grilo, & White, 2011; Matheson et al., 2012). Treatment-oriented research has also examined the significance of meal consumption in eating disorder interventions. "
    [Show abstract] [Hide abstract] ABSTRACT: Objective: This study examined the relationship between changes in meal and snack consumption and eating disorder behaviors in a treatment sample of bulimic adults. Method: Eighty adults with bulimia nervosa (BN) were randomized to one of two treatments. Meal and snack consumption, binge eating frequency, and purging behavior frequency were assessed at baseline, end-of-treatment, and at four month follow-up using the Eating Disorder Examination (EDE). Results: Generalized linear models indicated that increased consumption of evening meals over the course of treatment was related to a significant decrease in the rate of binge eating and purging at four month follow-up; these results remained significant when controlling for changes in depression over the course of treatment. Conclusions: The findings support the importance of focusing efforts on developing a pattern of regular evening meal consumption among individuals in the treatment of BN.
    Full-text · Article · Nov 2015
    • "Por último debe señalarse que las correlaciones (marcadas por un arco de dos puntas) entre PPC y DCR son altas: México (.65), Argentina (.72) y España (.68) sin embargo, como el AS desglosa la participación de cada uno de estos factores en la predicción de PPC, puede verse, como ya se 4, 5 y 6 exhiben los modelos resultantes con valores estandarizados, y sus respectivas medidas de bondad de ajuste y alphas. las que se ha detectado que el estado de ánimo está estrechamente relacionado con la ingesta de alimentos y principalmente con CA (Gómez-Peresmitré, Pineda & Oviedo, 2008; Guertin & Conger, 1999; Masheb & Grilo, 2006; Ricca et al., 2009; Salinas & Gómez-Peresmitré, 2009; Telch & Agras, 1996). El segundo factor de riesgo predictor de CA fue el de Preocupación por el Peso y la Comida (PPC) compartido por los modelos mexicano y argentino . "
    [Show abstract] [Hide abstract] ABSTRACT: The increased frequency of binge eating behavior, and its relationship to overweight and obesity, expressed a national and international real health problem. The objective of this study was to explore, identify and describe the risk factors that interrelate and explain Binge Eating Behavior, paying special attention to the similarities and differences inherent to samples from three different Spanish-speaking countries (Mexico, Spain and Argentina). The total sample consisted of N = 258 women: Mexican (n = 85, Mage = 16.18, SD = 0.99); Argentine (n = 75, Mage = 17.00, SD = 1.24) and Spanish (n = 98, Mage = 17.00, SD = 1.36). The instruments used showed a good psychometrical properties. The eating for psychological compensation factor gets the highest β weight in the three groups and its intercultural relevance is confirmed by the Path Analysis. It is discussed the emotional nature of the eating for psychological compensation factor, its contribution to prevention, and its predictive power.
    Full-text · Article · Dec 2013
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