Testing out of Eating Habits and Eating Disorders
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.
Discussion
In this situation-control analysis evaluating brand new the amount off and you will related facts which have FA in various Bmi kinds, it absolutely was learned that FA is actually associated with a high Body mass index, an early onset of dieting and more frequent diet plan-weight gain cycles; including large attentional and engine impulsivity. Additionally, the latest FA danger signal count are certainly coordinated which have Bmi. Our conclusions advise that FA you will play a crucial role in the obesity, using loss of control over eating use during the an addicting trend. For this reason, treating FA would-be a helpful method with respect to lbs losings.
The fresh Frequency out-of FA Using DSM-IV and DSM-5 Tips
The fresh new prevalence from FA throughout the morbid obesity class due to the fact reviewed because of the YFAS (fifteen.0%) is comparable with that in two studies on the planet, in which 15 and you can 16.9% away from bariatric businesses applicants were identified as having FA (45, 46). www.datingranking.net/pl/mocospace-recenzja But not, there are more training held certainly one of individuals in the process of lbs-losings operations where high costs such as 21.1% (47), twenty-five.8% (48), 41.7% (49), 53.7% (50), 57.8 (38) had been found. Which high version was considering the care about-statement characteristics from YFAS, which is quicker-goal than just a standardized scientific review and that the attempt had a reduced indicate Bmi versus the latter knowledge. People say that DSM-IV material dependence diagnosis corresponds to severe compound have fun with illness away from the fresh DSM-5 (51). Given this, the fresh new incidence away from FA from the morbid carrying excess fat group seems to getting forty.0%, implying you to DSM-5 requirements was a whole lot more permissive regarding choosing FA, while YFAS might neglect some cases. Moreover, because the YFAS, which is based on the DSM-IV substance dependence conditions does not include urge, that may subscribe lower than actual rates.
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