The metabolic syndrome and behavioral correlates in obese patients with binge eating disorder

Obesity (Silver Spring). 2009 Mar;17(3):481-6. doi: 10.1038/oby.2008.560. Epub 2008 Dec 11.

Abstract

This study examined the frequency of the metabolic syndrome (MetSyn) and explored behavioral eating- and weight-related correlates in obese patients with binge eating disorder (BED). Ninety-three treatment-seeking obese BED patients (22 men and 71 women) with and without the MetSyn were compared on demographic features and a number of current and historical eating and weight variables. Sixty percent of the obese patients with BED met criteria for the MetSyn, with men and whites having significantly higher rates than women and African Americans, respectively. Patients with vs. without coexisting MetSyn did not differ significantly in self-reported frequency of binge eating or severity of eating disorder psychopathology. Multivariate hierarchical logistic regression analysis revealed that, after controlling for gender, ethnicity, and BMI, fewer episodes of weight cycling and regular meal skipping were significant predictors of the MetSyn. These findings suggest that lifestyle behaviors including weight loss attempts and regular meal consumption may be potential targets for prevention and/or treatment of the MetSyn in obese patients with BED.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Adult
  • Black or African American / ethnology
  • Black or African American / psychology
  • Bulimia Nervosa / ethnology
  • Bulimia Nervosa / physiopathology
  • Bulimia Nervosa / psychology*
  • Eating / ethnology
  • Eating / physiology
  • Eating / psychology
  • Feeding Behavior / ethnology
  • Feeding Behavior / physiology
  • Feeding Behavior / psychology*
  • Female
  • Health Surveys
  • Humans
  • Life Style / ethnology
  • Male
  • Metabolic Syndrome / ethnology
  • Metabolic Syndrome / physiopathology
  • Metabolic Syndrome / psychology*
  • Middle Aged
  • Obesity / ethnology
  • Obesity / physiopathology
  • Obesity / psychology*
  • Racial Groups
  • Regression Analysis
  • Sex Factors
  • White People / ethnology
  • White People / psychology
  • Young Adult