Examining binge‐eating disorder and food addiction in adults with overweight and obesity

Valentina Ivezaj · Marney A. White · Carlos M. Grilo

104 citations0/0 files storedObesity

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Eating Disorders and Behaviors Nutrition, Health and Food Behavior Obesity, Physical Activity, Diet

Abstract

OBJECTIVE: To compare four subgroups of adults with overweight/obesity: those with binge-eating disorder (BED) only, food addiction (FA) only, both BED + FA, and neither. METHODS: For this study, 502 individuals with overweight/obesity (body mass index >25 kg/m(2) ) completed a Web-based survey with established measures of eating and health-related behaviors. Most were female (n = 415; 83.2%) and White (n = 404; 80.8%); mean age and body mass index were 38.0 (SD = 13.1) years and 33.6 (SD = 6.9) kg/m(2) , respectively. RESULTS: Among 502 participants with overweight/obesity, 43 (8.5%) met BED criteria, 84 (16.6%) met FA criteria, 51 (10.1%) met both BED + FA criteria, and 328 (64.8%) met neither (control). The three groups with eating pathology (BED, FA, and BED + FA) had significantly greater disturbances on most measures (eating disorder psychopathology, impulsivity, and self-control) than the control group, while the FA and BED + FA groups reported significantly higher depression scores relative to the control group. The three eating groups did not differ significantly from each other. CONCLUSIONS: In this online survey, of those with overweight/obesity, nearly one third met criteria for BED, FA, or BED + FA, and these forms of disordered eating were associated with greater pathology relative to individuals with overweight/obesity without BED and FA. Future research should examine whether the presence of BED, FA, or co-occurring BED + FA requires tailored interventions in individuals with overweight or obesity.

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References

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2017Validation of the Italian version of the Yale Food Addiction Scale 2.0 (I-YFAS 2.0) in a sample of undergraduate students 2022Disentangling binge eating disorder and food addiction: a systematic review and meta-analysis 2019Disordered Eating Among Individuals with Excess Weight: a Review of Recent Research 2016Prevalence and psychosocial correlates of food addiction in persons with obesity seeking weight reduction 2020Separating the Signal from the Noise: How Psychiatric Diagnoses Can Help Discern Food Addiction from Dietary Restraint

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