Wadden T A, Foster G D, Letizia K A, Wilk J E
Syracuse University, Center for Health and Behavior, NY 13244.
Int J Eat Disord. 1993 Jul;14(1):17-25. doi: 10.1002/1098-108x(199307)14:1<17::aid-eat2260140103>3.0.co;2-l.
This study examined the relationship of binge eating to a variety of metabolic, anthropometric, and psychological characteristics in 132 obese women seeking weight reduction. Contrary to findings of a reduced resting metabolic rate (RMR) in persons with bulimia nervosa, no significant differences were observed between obese bingers and nonbingers in RMR or thyroid hormones. Nor did the two groups differ significantly in weight, percentage body fat, body fat distribution, or serum lipid levels. Consistent with previous findings, however, binge eaters did score significantly higher in depression and other measures of psychopathology, as assessed by the Minnesota Multiphasic Personality Inventory. They also scored significantly higher in disinhibition and hunger but significantly lower in cognitive restraint. All of these findings await confirmation in subjects diagnosed according to criteria proposed for a new binge eating disorder. The present results, however, provide little support for the hypothesis that binge eating in obese individuals is related to reduced resting energy requirements.
本研究调查了132名寻求减肥的肥胖女性中暴饮暴食与各种代谢、人体测量和心理特征之间的关系。与神经性贪食症患者静息代谢率（RMR）降低的研究结果相反，肥胖的暴饮暴食者与非暴饮暴食者在RMR或甲状腺激素方面未观察到显著差异。两组在体重、体脂百分比、体脂分布或血脂水平上也无显著差异。然而，与之前的研究结果一致，通过明尼苏达多相人格问卷评估，暴饮暴食者在抑郁及其他精神病理学指标上的得分显著更高。他们在去抑制和饥饿方面的得分也显著更高，但在认知抑制方面的得分显著更低。所有这些发现都有待根据新提出的暴饮暴食症诊断标准确诊的受试者来证实。然而，目前的结果几乎没有支持肥胖个体的暴饮暴食与静息能量需求降低有关这一假设。
