[暴饮暴食症与肥胖症：流行病学、临床及精神病理学方面。对突尼斯斯法克斯肥胖人群的一项研究]
[Binge eating disorder and obesity: Epidemiological, clinical and psychopathological aspects. A study of an obese population in Sfax (Tunisia)].
作者信息
Ketata W, Aloulou J, Charfi N, Abid M, Amami O
机构信息
Service de psychiatrie B, CHU Hedi-Chaker, Sfax, Tunisie.
出版信息
Ann Endocrinol (Paris). 2009 Dec;70(6):462-7. doi: 10.1016/j.ando.2009.07.002. Epub 2009 Aug 15.
OBJECTIVES
To evaluate the prevalence of binge eating disorder (BED) in a population of obese patients, to appreciate the impact of obesity on BED through a comparison between the obese group and a control group, and to assess anxiety, depression and quality of life in obese patients with BED.
PATIENTS AND METHODS
A cross-sectional study including 60 obese patients and 60 controls. BED was diagnosed using the Binge Eating Scale. Quality of life was assessed by the Quality Of Life, Obesity and Dietetics Scale, and depression and anxiety symptoms by the Hospital Anxiety and Depression Scale.
RESULTS
The obese group had a higher prevalence of BED than the control group (40% versus 8.3%; p < 0.001; OR = 3.5). The average score of BES was also higher (p < 0.001). Obese patients with BED were younger (p = 0.034). BED was correlated with an early onset of obesity (p = 0.01; OR = 1.12), depression (p = 0.002), anxiety (p = 0.008) and a poorer quality of life.
CONCLUSION
This study confirms the relationship between obesity and BED, which is correlated with a high prevalence of anxiety and depression and with a poorer quality of life.
目的
评估肥胖患者群体中暴饮暴食症（BED）的患病率，通过肥胖组与对照组的比较了解肥胖对暴饮暴食症的影响，并评估患有暴饮暴食症的肥胖患者的焦虑、抑郁和生活质量。
患者与方法
一项横断面研究，纳入60名肥胖患者和60名对照者。使用暴饮暴食量表诊断暴饮暴食症。通过生活质量、肥胖与饮食量表评估生活质量，通过医院焦虑抑郁量表评估抑郁和焦虑症状。
结果
肥胖组的暴饮暴食症患病率高于对照组（40% 对8.3%；p < 0.001；OR = 3.5）。暴饮暴食量表的平均得分也更高（p < 0.001）。患有暴饮暴食症的肥胖患者更年轻（p = 0.034）。暴饮暴食症与肥胖的早发（p = 0.01；OR = 1.12）、抑郁（p = 0.002）、焦虑（p = 0.008）以及较差的生活质量相关。
结论
本研究证实了肥胖与暴饮暴食症之间的关系，这与高患病率的焦虑和抑郁以及较差的生活质量相关。
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