Comparison of Dining Habits and Dining Conditions

The morbid obesity group had significantly higher rates of current BED (25.0%) and night eating syndrome (27.5%) diagnoses, as assessed by the DSM-5 criteria (p < 0.001). The total and sub-scale scores of the EDEQ were not normally distributed. A Kruskal-Wallis assessment revealed that the total and sub-scale scores of different BMI categories differed significantly, showing that higher BMI was associated with higher EDEQ scores. When the FA and non-FA groups were compared, FA was significantly associated with more severe eating symptomatology as assessed by EDEQ (Table 5).

When morbid obesity, FA, and BED diagnoses were examined together, although comorbidities were present, the majority of FA diagnoses (75%) did not meet the diagnostic criteria for BED. In the morbid obesity group, 22.5% had both FA and BED diagnoses. The comorbid group differed from the FA-only group with greater tolerance (? 2 = 6.10, p = 0.01), failure to fulfill major role obligations (? 2 = 9.93, p < 0.01), and higher attentional impulsivity scores (z = ?2.08, p = 0.04). On the other hand, the FA-only group differentiated from the comorbid FA and BED group, as they met the two following BED criteria significantly less frequently: (i) repetitive binge eating episodes and a sense of lack of control over eating during the episode, and (ii) feeling disgusted with oneself, depressed, or very guilty after overeating (p = 0.02, p = 0.06, respectively).

Finally, a logistic regression was performed to ascertain the effects of age, gender, sociodemographic characteristics, eating disorders and impulsivity on the likelihood that participants had FA. The logistic regression model was statistically significant, [? ( 11 ) 2 = , p < 0.05]. The model explained 45.7% (Nagelkerke R 2 ) of the variance in FA. Women were 6.7 times more likely to exhibit FA than men. The presence of BED (OR: 8.33 %95CI [1.96–]; p < 0.05) and higher BIS-11 scores (OR = 1.09 %95CI [1.02–1.23]; p = 0.03) independently predicted the diagnosis of FA.


In such a case-control analysis assessing the the total amount out-of and you will associated points that have FA in numerous Bmi groups, military cupid it absolutely was unearthed that FA was for the a high Bmi, an early on onset of diet and more regular diet-gaining weight cycles; together with higher attentional and you may system impulsivity. Moreover, the latest FA danger signal count is actually undoubtedly synchronised that have Body mass index. All of our results recommend that FA you will gamble an important role inside the obesity, by way of death of command over food practices into the an addicting style. Thus, dealing with FA would-be a helpful method with regards to lbs loss.

The fresh new Incidence out of FA Playing with DSM-IV and you can DSM-5 Methods

The fresh new frequency out-of FA regarding morbid obesity class since the reviewed from the YFAS (fifteen.0%) is comparable with this in two studies in this field, where 15 and 16.9% regarding bariatric procedures people have been diagnosed with FA (forty five, 46). But not, there are many training held certainly one of somebody in the process of weight-loss businesses where highest costs such 21.1% (47), twenty-five.8% (48), 41.7% (49), 53.7% (50), 57.8 (38) had been located. That it high adaptation was because of the mind-report nature regarding YFAS, that’s shorter-objective than simply a standard scientific investigations and that the try had a diminished mean Body mass index compared to the the second degree. People say one DSM-IV material reliance medical diagnosis corresponds to major compound fool around with sickness out-of the DSM-5 (51). Given this, the fresh new frequency off FA regarding morbid being obese group seems to end up being 40.0%, implying you to DSM-5 criteria will be a whole lot more permissive regarding deciding FA, whereas YFAS might overlook some instances. Moreover, since the YFAS, that’s based on the DSM-IV compound reliance requirements doesn’t come with desire, which might subscribe below genuine costs.


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