Binge eating disorder in extreme obesity

L. K.G. Hsu, B. Mulliken, B. McDonagh, S. Krupa Das, W. Rand, C. G. Fairburn, B. Rolls, M. A. McCrory, E. Saltzman, S. Shikora, J. Dwyer, S. Roberts

Research output: Contribution to journalArticle

153 Citations (Scopus)

Abstract

OBJECTIVE: To determine whether extremely obese binge eating disorder (BED) subjects (BED defined by the Eating Disorder Examination) differ from their extremely obese non-BED counterparts in terms of their eating disturbances, psychiatric morbidity and health status. DESIGN: Prospective clinical comparison of BED and non-BED subjects undergoing gastric bypass surgery (GBP). SUBJECTS: Thirty seven extremely obese (defined as BMI ≥ 40kg/m2) subjects (31 women, six men), aged 22-58y. MEASUREMENTS: Eating Disorder Examination 12th Edition (EDE), Three Factor Eating Questionnaire (TFEQ), Structured Clinical Interview for the Diagnostic and Statistical Manual-IV (SCID-IV), Short-Form Health Status Survey (SF-36), and 24 h Feeding Paradigm. RESULTS: Twenty-five percent of subjects were classified as BED (11% met full and 14% partial BED criteria) and 75% of subjects were classified as non-BED. BED (full and partial) subjects had higher eating disturbance in terms of eating concern and shape concern (as found by the EDE), higher disinhibition (as found by the TFEQ), and they consumed more liquid meal during the 24 h feeding paradigm. No difference was found in psychiatric morbidity between BED and non-BED in terms of DSM-IV Axis I diagnosis. The health status scores of both BED and non-BED subjects were significantly lower than US norms on all subscales of the SF-36, particularly the BED group. CONCLUSION: Our findings support the validity of the category of BED within a population of extremely obese individuals before undergoing GBP. BED subjects differed from their non-BED counterparts in that they had a greater disturbance in eating attitudes and behavior, a poorer physical and mental health status, and a suggestion of impaired hunger/satiety control. However, in this population of extremely obese subjects, the stability of BED warrants further study.

Original languageEnglish (US)
Pages (from-to)1398-1403
Number of pages6
JournalInternational Journal of Obesity
Volume26
Issue number10
DOIs
StatePublished - Jan 1 2002

Fingerprint

Binge-Eating Disorder
Obesity
Eating
Health Status
Gastric Bypass
Psychiatry
Morbidity
Hunger
Feeding and Eating Disorders
Feeding Behavior
Health Surveys
Diagnostic and Statistical Manual of Mental Disorders
Population
Meals

All Science Journal Classification (ASJC) codes

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Hsu, L. K. G., Mulliken, B., McDonagh, B., Das, S. K., Rand, W., Fairburn, C. G., ... Roberts, S. (2002). Binge eating disorder in extreme obesity. International Journal of Obesity, 26(10), 1398-1403. https://doi.org/10.1038/sj.ijo.0802081
Hsu, L. K.G. ; Mulliken, B. ; McDonagh, B. ; Das, S. Krupa ; Rand, W. ; Fairburn, C. G. ; Rolls, B. ; McCrory, M. A. ; Saltzman, E. ; Shikora, S. ; Dwyer, J. ; Roberts, S. / Binge eating disorder in extreme obesity. In: International Journal of Obesity. 2002 ; Vol. 26, No. 10. pp. 1398-1403.
@article{5a7615feea354555b2ed9090a0c99d30,
title = "Binge eating disorder in extreme obesity",
abstract = "OBJECTIVE: To determine whether extremely obese binge eating disorder (BED) subjects (BED defined by the Eating Disorder Examination) differ from their extremely obese non-BED counterparts in terms of their eating disturbances, psychiatric morbidity and health status. DESIGN: Prospective clinical comparison of BED and non-BED subjects undergoing gastric bypass surgery (GBP). SUBJECTS: Thirty seven extremely obese (defined as BMI ≥ 40kg/m2) subjects (31 women, six men), aged 22-58y. MEASUREMENTS: Eating Disorder Examination 12th Edition (EDE), Three Factor Eating Questionnaire (TFEQ), Structured Clinical Interview for the Diagnostic and Statistical Manual-IV (SCID-IV), Short-Form Health Status Survey (SF-36), and 24 h Feeding Paradigm. RESULTS: Twenty-five percent of subjects were classified as BED (11{\%} met full and 14{\%} partial BED criteria) and 75{\%} of subjects were classified as non-BED. BED (full and partial) subjects had higher eating disturbance in terms of eating concern and shape concern (as found by the EDE), higher disinhibition (as found by the TFEQ), and they consumed more liquid meal during the 24 h feeding paradigm. No difference was found in psychiatric morbidity between BED and non-BED in terms of DSM-IV Axis I diagnosis. The health status scores of both BED and non-BED subjects were significantly lower than US norms on all subscales of the SF-36, particularly the BED group. CONCLUSION: Our findings support the validity of the category of BED within a population of extremely obese individuals before undergoing GBP. BED subjects differed from their non-BED counterparts in that they had a greater disturbance in eating attitudes and behavior, a poorer physical and mental health status, and a suggestion of impaired hunger/satiety control. However, in this population of extremely obese subjects, the stability of BED warrants further study.",
author = "Hsu, {L. K.G.} and B. Mulliken and B. McDonagh and Das, {S. Krupa} and W. Rand and Fairburn, {C. G.} and B. Rolls and McCrory, {M. A.} and E. Saltzman and S. Shikora and J. Dwyer and S. Roberts",
year = "2002",
month = "1",
day = "1",
doi = "10.1038/sj.ijo.0802081",
language = "English (US)",
volume = "26",
pages = "1398--1403",
journal = "International Journal of Obesity",
issn = "0307-0565",
publisher = "Nature Publishing Group",
number = "10",

}

Hsu, LKG, Mulliken, B, McDonagh, B, Das, SK, Rand, W, Fairburn, CG, Rolls, B, McCrory, MA, Saltzman, E, Shikora, S, Dwyer, J & Roberts, S 2002, 'Binge eating disorder in extreme obesity', International Journal of Obesity, vol. 26, no. 10, pp. 1398-1403. https://doi.org/10.1038/sj.ijo.0802081

Binge eating disorder in extreme obesity. / Hsu, L. K.G.; Mulliken, B.; McDonagh, B.; Das, S. Krupa; Rand, W.; Fairburn, C. G.; Rolls, B.; McCrory, M. A.; Saltzman, E.; Shikora, S.; Dwyer, J.; Roberts, S.

In: International Journal of Obesity, Vol. 26, No. 10, 01.01.2002, p. 1398-1403.

Research output: Contribution to journalArticle

TY - JOUR

T1 - Binge eating disorder in extreme obesity

AU - Hsu, L. K.G.

AU - Mulliken, B.

AU - McDonagh, B.

AU - Das, S. Krupa

AU - Rand, W.

AU - Fairburn, C. G.

AU - Rolls, B.

AU - McCrory, M. A.

AU - Saltzman, E.

AU - Shikora, S.

AU - Dwyer, J.

AU - Roberts, S.

PY - 2002/1/1

Y1 - 2002/1/1

N2 - OBJECTIVE: To determine whether extremely obese binge eating disorder (BED) subjects (BED defined by the Eating Disorder Examination) differ from their extremely obese non-BED counterparts in terms of their eating disturbances, psychiatric morbidity and health status. DESIGN: Prospective clinical comparison of BED and non-BED subjects undergoing gastric bypass surgery (GBP). SUBJECTS: Thirty seven extremely obese (defined as BMI ≥ 40kg/m2) subjects (31 women, six men), aged 22-58y. MEASUREMENTS: Eating Disorder Examination 12th Edition (EDE), Three Factor Eating Questionnaire (TFEQ), Structured Clinical Interview for the Diagnostic and Statistical Manual-IV (SCID-IV), Short-Form Health Status Survey (SF-36), and 24 h Feeding Paradigm. RESULTS: Twenty-five percent of subjects were classified as BED (11% met full and 14% partial BED criteria) and 75% of subjects were classified as non-BED. BED (full and partial) subjects had higher eating disturbance in terms of eating concern and shape concern (as found by the EDE), higher disinhibition (as found by the TFEQ), and they consumed more liquid meal during the 24 h feeding paradigm. No difference was found in psychiatric morbidity between BED and non-BED in terms of DSM-IV Axis I diagnosis. The health status scores of both BED and non-BED subjects were significantly lower than US norms on all subscales of the SF-36, particularly the BED group. CONCLUSION: Our findings support the validity of the category of BED within a population of extremely obese individuals before undergoing GBP. BED subjects differed from their non-BED counterparts in that they had a greater disturbance in eating attitudes and behavior, a poorer physical and mental health status, and a suggestion of impaired hunger/satiety control. However, in this population of extremely obese subjects, the stability of BED warrants further study.

AB - OBJECTIVE: To determine whether extremely obese binge eating disorder (BED) subjects (BED defined by the Eating Disorder Examination) differ from their extremely obese non-BED counterparts in terms of their eating disturbances, psychiatric morbidity and health status. DESIGN: Prospective clinical comparison of BED and non-BED subjects undergoing gastric bypass surgery (GBP). SUBJECTS: Thirty seven extremely obese (defined as BMI ≥ 40kg/m2) subjects (31 women, six men), aged 22-58y. MEASUREMENTS: Eating Disorder Examination 12th Edition (EDE), Three Factor Eating Questionnaire (TFEQ), Structured Clinical Interview for the Diagnostic and Statistical Manual-IV (SCID-IV), Short-Form Health Status Survey (SF-36), and 24 h Feeding Paradigm. RESULTS: Twenty-five percent of subjects were classified as BED (11% met full and 14% partial BED criteria) and 75% of subjects were classified as non-BED. BED (full and partial) subjects had higher eating disturbance in terms of eating concern and shape concern (as found by the EDE), higher disinhibition (as found by the TFEQ), and they consumed more liquid meal during the 24 h feeding paradigm. No difference was found in psychiatric morbidity between BED and non-BED in terms of DSM-IV Axis I diagnosis. The health status scores of both BED and non-BED subjects were significantly lower than US norms on all subscales of the SF-36, particularly the BED group. CONCLUSION: Our findings support the validity of the category of BED within a population of extremely obese individuals before undergoing GBP. BED subjects differed from their non-BED counterparts in that they had a greater disturbance in eating attitudes and behavior, a poorer physical and mental health status, and a suggestion of impaired hunger/satiety control. However, in this population of extremely obese subjects, the stability of BED warrants further study.

UR - http://www.scopus.com/inward/record.url?scp=18644380400&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=18644380400&partnerID=8YFLogxK

U2 - 10.1038/sj.ijo.0802081

DO - 10.1038/sj.ijo.0802081

M3 - Article

C2 - 12355338

AN - SCOPUS:18644380400

VL - 26

SP - 1398

EP - 1403

JO - International Journal of Obesity

JF - International Journal of Obesity

SN - 0307-0565

IS - 10

ER -

Hsu LKG, Mulliken B, McDonagh B, Das SK, Rand W, Fairburn CG et al. Binge eating disorder in extreme obesity. International Journal of Obesity. 2002 Jan 1;26(10):1398-1403. https://doi.org/10.1038/sj.ijo.0802081