Binge Size Increases with Body Mass Index in Women with Binge‐Eating Disorder

Abstract

GUSS, JANET L., HARRY R. KISSILEFF, MICHAEL J. DEVLIN, ELLEN ZIMMERLI, AND B. TIMOTHY WALSH. Binge size increases with body mass index in women with binge-eating disorder. Obes Res. 2002;10: 1021-1029. Objective: To determine whether meal size is related to body mass index (BMI) in obese subjects with binge-eating disorder (BED). Research Methods and Procedures:Five groups of subjects each consumed two laboratory-test meals on nonconsecutive days. Forty-two women, categorized by BMI and BED diagnosis, were instructed to "binge" during one meal and to eat "normally" during another. Eighteen women had BMI values Ͼ38 kg/m 2 (more-obese) and 17 had BMI values between 28 to 32 kg/m 2 (less-obese). Twelve of the more-obese and nine of the less-obese individuals met Diagnostic and Statistical Manual (DSM)-IV criteria for BED. Seven normal-weight women also participated as controls. Results: Subjects with BED ate significantly more in both meals than subjects without BED. Binge meals were significantly larger than normal meals only among subjects with BED. The more-obese subjects with BED ate significantly more than the less-obese subjects with BED, but only when they were asked to binge. Intake of the binge meal was significantly, positively correlated with BMI among subjects with BED. Subjects with BED reported significantly higher satiety ratings after the binge than after the normal meal, but subjects without BED reported similar ratings after both meals. Regardless of instructions and diagnosis, obese subjects consumed a significantly higher percentage of energy from fat (38.5%) than did normal-weight subjects (30.8%).Discussion: During binge meals, the energy intake of subjects with BED is greater than that of individuals of similar body weight without BED and is positively correlated with BMI.

A comparison of energy intake and food selection during laboratory binge eating episodes in obese women with and without a binge eating disorder diagnosis

“…Alternately, our study may not have had enough power to detect these differences given the small sample size and the variability of the data. The finding, that there were no differences in the proportion of any of the macronutrients consumed by BED and non-BED obese in the laboratory, is consistent with the results reported by Goldfein et al 4 and Guss et al 7 The study by Yanovksi et al, 8 however, found that the BED group consumed a significantly higher proportion of energy from fat (38.9% vs. 33.5%) and lower proportion of energy from protein (11.4% vs. 15.4%) during the binge meal than the non-BED control group. Finally, one difference was found in the types of foods consumed by BED and obese control participants during the laboratory binge eating episodes.…”

“…The total energy intake for the BED group reported in this study (2178 kcal) falls within the range of previously reported measures of multiitem binge eating episodes, ranging from 1515 4 to 2963 kcal. 8 Guss et al 7 reported a positive correlation between food intake and BMI during binge eating episodes in BED, which may explain some of the variability in energy intake observed in the literature. The mean BMI of the BED group reported by Goldfein et al 4 was 33.4 kg/m 2 , while the mean BMI reported by Yanovksi et al 8 was 40.1 kg/m 2 .…”

“…Goldfein et al 4 also found that women with BED had greater total food intake than non-BED controls (1515 vs. 1115 kcal). Guss et al 7 found that women with BED consumed significantly more total kilocalories than BMI matched controls in both the more obese and less obese categories, 2388 vs. 1239 kcal and 1898 vs. 1109 kcal, respectively. The total energy intake for the BED group reported in this study (2178 kcal) falls within the range of previously reported measures of multiitem binge eating episodes, ranging from 1515 4 to 2963 kcal.…”

“…4,[6][7][8] There has been substantial variability between studies, depending in part on the paradigm used. Previous multiple item feeding studies in BED have utilized laboratory methodologies modeled after a design by Hadigan et al 9 to examine binge eating behaviors in BN.…”

Prevalência de compulsão alimentar entre universitárias de diferentes áreas de estudo

“…[1][2][3][4][5] When the BE episodes occur at least 2 days a week over a 6-month period, associated with some characteristics of loss of control, and are not followed by compensatory behaviors oriented to losing weight, recent studies indicate the presence of a syndrome called binge eating disorder (BED). 2,3,[6][7][8][9][10] Nevertheless, it should be highlighted that this status does not have a defined diagnosis and is described in the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV-TR) as an unspecified eating disorder (ED); therefore, more studies are needed to clarify this situation. 11 The association between body image and BE is not entirely clear.…”