Background
Binge eating is a marker of weight gain and obesity, and a hallmark feature of eating disorders. Yet, its component constructs—overeating and loss of control (LOC) while eating—are poorly understood and difficult to measure.
Objective
To critically review the human literature concerning the validity of LOC and overeating across the age and weight spectrum.
Data sources
English-language articles addressing the face, convergent, discriminant, and predictive validity of LOC and overeating were included.
Results
LOC and overeating appear to have adequate face validity. Emerging evidence supports the convergent and predictive validity of the LOC construct, given its unique cross-sectional and prospective associations with numerous anthropometric, psychosocial, and eating behavior-related factors. Overeating may be best conceptualized as a marker of excess weight status.
Limitations
Binge eating constructs, particularly in the context of subjectively large episodes, are challenging to measure reliably. Few studies addressed overeating in the absence of LOC, thereby limiting conclusions about the validity of the overeating construct independent of LOC. Additional studies addressing the discriminant validity of both constructs are warranted.
Discussion
Suggestions for future weight-related research and for appropriately defining binge eating in the eating disorders diagnostic scheme are presented.