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Obese binge eaters: metabolic characteristics, energy expenditure and dieting

Published online by Cambridge University Press:  09 July 2009

G. F. Adami*
Affiliation:
Istituto di Clinica Chirurgica, Università di Genova, Divisione di Medicina I, Ospedale San Martino, Genova; Centro Didasco, Verona, Italy
P. Gandolfo
Affiliation:
Istituto di Clinica Chirurgica, Università di Genova, Divisione di Medicina I, Ospedale San Martino, Genova; Centro Didasco, Verona, Italy
A. Campostano
Affiliation:
Istituto di Clinica Chirurgica, Università di Genova, Divisione di Medicina I, Ospedale San Martino, Genova; Centro Didasco, Verona, Italy
F. Cocchi
Affiliation:
Istituto di Clinica Chirurgica, Università di Genova, Divisione di Medicina I, Ospedale San Martino, Genova; Centro Didasco, Verona, Italy
B. Bauer
Affiliation:
Istituto di Clinica Chirurgica, Università di Genova, Divisione di Medicina I, Ospedale San Martino, Genova; Centro Didasco, Verona, Italy
N. Scopinaro
Affiliation:
Istituto di Clinica Chirurgica, Università di Genova, Divisione di Medicina I, Ospedale San Martino, Genova; Centro Didasco, Verona, Italy
*
1Address for correspondence: Dr Gian Franco Adami, Istituto di Clinica Chirurgica, Università di Genova, Viale Benedetto XV, 8, 16132 Genova, Italy.

Synopsis

The study was carried out in two groups of massively obese women with BMI values who were to undergo bariatric surgery. The patients were evaluated for weight variability and for the presence and the frequency of binge eating. Body composition, resting energy expenditure (REE) and metabolic parameters were also measured. When non-bingeing individuals were compared with patients who met Binge Eating Disorder criteria, no differences in body composition, fat distribution, REE values and concentrations of serum lipids, insulin and thyroid hormones were found. On the other hand, weight variability due to reduced diet in the subjects' lifetime was significantly higher. This study does not support the hypothesis that in massively obese women binge eating is somehow induced by a reduced energy expenditure.

Type
Brief Report
Copyright
Copyright © Cambridge University Press 1995

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References

Bjorntorp, P. (1985). Regional patterns of fat distribution: health implications. Annals of Internal Medicine 103, 994995.CrossRefGoogle Scholar
Blackburn, G. L., Wilson, G. T., Kanders, B. S., Stein, L. J., Lavin, T. L., Adler, J. & Brownell, K. D. (1989). Weight cycling: the experience of human dieters. American Journal of Clinical Nutrition 49, 11051109.CrossRefGoogle ScholarPubMed
Jequier, E., Acheson, K. & Schultz, Y. (1987). Assessment of energy expenditure in man. Annal Review of Nutrition 7, 187208.CrossRefGoogle ScholarPubMed
Lukaski, H. C., Johnson, P. E., Bolonchuckm, W. W. & Lykken, G. I. (1985). Assessment of fat-free mass using bioelectric impedance measurements of the human body. American Journal of Clinical Nutrition 41, 810817.CrossRefGoogle Scholar
Obarzanek, E., Lesem, M. D., Goldstein, D. S. & Jimerson, D. C. (1991). Reduced resting metabolic rate in patients with bulimia nervosa. Archives of General Psychiatry 48, 456462.CrossRefGoogle ScholarPubMed
Rodin, J., Radke-Sharpe, N., Rebuffe-Scrive, M. & Greenwood, M. R. C. (1990). Weight cycling and fat distribution. International Journal of Obesity 14, 303310.Google ScholarPubMed
Spitzer, R. L., Devlin, M., Walsh, B. T., Hasin, D., Wing, R., Marcus, M., Stunkard, A. J., Wadden, T., Yanovski, S., Agras, S., Mitchell, J. & Nonas, C. (1992). Binge Eating Disorder: a multisite field trial of the diagnostic criteria. International Journal of Eating Disorders 11, 191203.3.0.CO;2-S>CrossRefGoogle Scholar
Steen, S. N., Opplinger, R. A. & Brownell, K. D. (1988). Metabolic effects of repeated weight loss and regain in adolescent wrestlers. Journal of the American Medical Association 260, 4751.CrossRefGoogle ScholarPubMed
Telch, C. F., Agras, W. S. & Rossiter, E. M. (1988). Binge eating increases adiposity. International Journal of Eating Disorders 7, 115119.3.0.CO;2-W>CrossRefGoogle Scholar
Wadden, T. A., Foster, G. D., Letizia, K. A. & Wilk, J. E. (1993). Metabolic, anthropometric, and psychological characteristics of obese binge eaters. International Journal of Eating Disorders 14, 1725.3.0.CO;2-L>CrossRefGoogle ScholarPubMed