The morbid obesity group had significantly higher rates of current BED (25.0%) and night eating syndrome (27.5%) diagnoses, as assessed by the DSM-5 criteria (p < 0.001). The total and sub-scale scores of the EDEQ were not normally distributed. A Kruskal-Wallis assessment revealed that the total and sub-scale scores of different BMI categories differed significantly, showing that higher BMI was associated with higher EDEQ scores. When the FA and non-FA groups were compared, FA was significantly associated with more severe eating symptomatology as assessed by EDEQ (Table 5).
When morbid obesity, FA, and BED diagnoses were examined together, although comorbidities were present, the majority of FA diagnoses (75%) did not meet the diagnostic criteria for BED. In the morbid obesity group, 22.5% had both FA and BED diagnoses. The comorbid group differed from the FA-only group with greater tolerance (? 2 = 6.10, p = 0.01), failure to fulfill major role obligations (? 2 = 9.93, p < 0.01), and higher attentional impulsivity scores (z = ?2.08, p = 0.04). On the other hand, the FA-only group differentiated from the comorbid FA and BED group, as they met the two following BED criteria significantly less frequently: (i) repetitive binge eating episodes and a sense of lack of control over eating during the episode, and (ii) feeling disgusted with oneself, depressed, or very guilty after overeating (p = 0.02, p = 0.06, respectively).
Finally, a logistic regression was performed to ascertain the effects of age, gender, sociodemographic characteristics, eating disorders and impulsivity on the likelihood that participants had FA. The logistic regression model was statistically significant, [? ( 11 ) 2 = , p < 0.05]. The model explained 45.7% (Nagelkerke R 2 ) of the variance in FA. Women were 6.7 times more likely to exhibit FA than men. The presence of BED (OR: 8.33 %95CI [1.96–]; p < 0.05) and higher BIS-11 scores (OR = 1.09 %95CI [1.02–1.23]; p = 0.03) independently predicted the diagnosis of FA.
Talk
In this instance-handle study determining the brand new the amount away from and related circumstances having FA in various Body mass index categories, it had been found that FA is associated with a higher Body mass index, an early start of diet and more regular diet plan-weight gain schedules; along with higher attentional and you can motor impulsivity. Furthermore, the new FA warning sign count is actually surely coordinated having Bmi. Our very own results suggest that FA you are going to play an important role during the being obese, as a consequence of loss of control of dining practices during the an addictive manner. Thus, dealing with FA might possibly be a helpful method in terms of pounds losses.
The newest Frequency of FA Having fun with DSM-IV and DSM-5 Tips
This new incidence off FA from the morbid carrying excess fat classification since the reviewed of the YFAS (fifteen.0%) is comparable thereupon in 2 studies on the planet, where 15 and you may 16.9% out-of bariatric businesses applicants was indeed clinically determined to have FA (forty-five, 46). However, there are more knowledge used certainly one of anybody undergoing weight-losings operations where higher rates such as for instance 21.1% (47), twenty five.8% (48), 41.7% (49), 53.7% (50), 57.8 (38) was indeed discovered. So it large version would be due to the thinking-report characteristics from YFAS, which is reduced-purpose than just a standard scientific review and therefore our very own sample got a reduced imply Bmi as compared to aforementioned knowledge. People say you to DSM-IV compound reliance medical diagnosis corresponds to big substance explore disease of the latest DSM-5 (51). Given this, this new frequency away from FA in the morbid carrying excess fat class appears to end up being 40.0%, implying you to DSM-5 standards would-be significantly more permissive regarding deciding FA, whereas YFAS might overlook some cases. Moreover, once the YFAS, that is randki mousemingle according to research by the DSM-IV substance dependency conditions does not include urge, that could donate to below actual prices.