The difficulty in defining binge eating in obese women: How it affects prevalence levels in presurgical bariatric patients

The difficulty in defining binge eating in obese women: How it affects prevalence levels in presurgical bariatric patients
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DOI:
10.1016/j.eatbeh.2015.01.014
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发表时间:
2015-04-01
期刊:
影响因子:
2.8
通讯作者:
Abraham, Suzanne F.
Abraham, Suzanne F.
中科院分区:
医学3区
文献类型:
--
作者:
Coker, Elise L.;von Lojewski, Astrid;Abraham, Suzanne F.

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目的:我们旨在确定提高暴食标准的特异性如何影响术前减肥患者自我报告暴食的患病率。方法:对 197 名 20 至 65 岁接受减肥手术评估且 BMI 大于 30 kg/m(2) 的女性进行访谈,并完成饮食和运动检查。结果:自我报告暴食的患病率为 55% (n = 109)。增加“超过一点点失控/痛苦”的标准将这一比例降低至 23% (n = 45),至少吃六份食物将这一比例降低至 34% (n = 67)。增加六个月每周两次的最低频率 (DSM-VI) 将暴食率降低至 22% (n = 43),或三个月每周一次 (DSM-5) 将暴食率降低至 53% (n = 104)。 讨论:暴食症的更精确的定义和诊断标准可能会导致 BED 患病率报告更加一致。 (C) 2015 Elsevier Ltd. 保留所有权利。
Objective: We aim to determine how increasing the specificity of binge eating criteria affects the prevalence of self-reported binge eating among presurgical bariatric patients.Method: 197 women ages 20 to 65 being assessed for bariatric surgery with a BMI greater than 30 kg/m(2) were interviewed and completed the Eating and Exercise Examination.Results: The prevalence of self-reported binge eating was 55% (n = 109). The addition of the criterion 'more than a little loss of control/distress' reduced the rate to 23% (n = 45), a minimum of six servings of food reduced the rate to 34% (n = 67). The addition of a minimum frequency of twice per week for six months (DSM-VI) reduced the rate to 22% (n = 43), or once per week for three months (DSM-5) reduced the rate to 53% (n = 104).Discussion: More precise definitions and diagnostic criteria for binge eating may result in more consistent reports of prevalence levels of BED. (C) 2015 Elsevier Ltd. All rights reserved.