Department of Medical Epidemiology and Biostatistics, Center for Eating Disorders Innovation, Karolinska Institutet, Stockholm, Sweden.
Department of Clinical Neuroscience, Centre for Psychiatry Research, Karolinska Institutet, Stockholm, Sweden; Stockholm Health Care Services, Stockholm County Council, Stockholm, Sweden.
Psychol Rep. 2022 Feb;125(1):148-166. doi: 10.1177/0033294120971750. Epub 2020 Nov 11.
Binge eating is a common behaviour that is strongly linked to both obesity and eating disorder. There is evidence that binge eating commonly co-occurs with other problematic and addictive-like behaviours; however, this has not been explored systematically. The present study aimed to examine the relationship between binge eating, body weight, disordered eating behaviours and associated addictive-like behaviours, with particular attention paid to gender differences.
A community sample ( = 500; 75% female, = 32.5 years) reported disordered eating behaviours (i.e. binge eating, purging, restriction of eating, compulsive exercise), body mass index (BMI), food addiction, starvation addiction, exercise dependence, tobacco use and alcohol consumption.
42% of females and 21% of males reported binge eating during the past four weeks. Binge eating was significantly associated with all investigated behaviours in females, and with purging, compulsive exercise and overweight/obesity in males. Controlling for BMI, self-starvation predicted binge eating in males (OR = 1.07), while food addiction (OR = 1.73) and alcohol dependence (OR = 1.11) predicted binge eating in females.
The multiple associations between binge eating and addictive-like behaviors supports broad screening and generalized prevention efforts. Prevention efforts should reflect gender differences.
暴食是一种常见的行为,与肥胖和饮食失调密切相关。有证据表明,暴食通常与其他问题行为和类似成瘾的行为共同发生;然而,这并没有被系统地探索过。本研究旨在探讨暴食、体重、饮食失调行为和相关类似成瘾行为之间的关系,特别关注性别差异。
一个社区样本( = 500;75%为女性, = 32.5 岁)报告了饮食失调行为(即暴食、催吐、饮食限制、强迫性运动)、体重指数(BMI)、食物成瘾、饥饿成瘾、运动依赖、吸烟和饮酒。
42%的女性和 21%的男性报告在过去四周内暴食。暴食与女性所调查的所有行为显著相关,与男性的催吐、强迫性运动和超重/肥胖相关。在控制 BMI 后,自我饥饿预测男性暴食(OR = 1.07),而食物成瘾(OR = 1.73)和酒精依赖(OR = 1.11)预测女性暴食。
暴食与类似成瘾行为之间的多种关联支持广泛的筛查和普遍的预防工作。预防工作应反映性别差异。