Comparison away from Food Addiction and you may 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 cases like this-handle studies evaluating the latest the quantity of and you will associated products having FA in almost any Bmi categories, it absolutely was discovered that FA is regarding the a top Bmi, an early start of dieting and more regular eating plan-gaining weight schedules; along with higher attentional and you may engine impulsivity. More over, the fresh FA danger sign count try surely correlated which have Bmi. Our results recommend that FA you’ll enjoy a crucial role when you look at the carrying excess fat, courtesy death of command over restaurants application within the an addicting trend. Hence, managing FA could well be a helpful method when it comes to lbs losings.
The fresh Prevalence of FA Using DSM-IV and DSM-5 Tips
The prevalence from FA in the morbid carrying excess fat group since assessed by the YFAS (15.0%) is comparable with that in two studies in this field, where 15 and you can 16.9% of bariatric functions people were clinically determined to have FA (45, 46). not, there are many degree presented certainly someone in the process of lbs-loss procedures in which highest costs for example 21.1% (47), 25.8% (48), 41.7% (49), 53.7% (50), 57.8 (38) had been discover. This higher variation will be as a result of the worry about-report nature regarding YFAS, that’s reduced-objective than simply a standardized health-related assessment which our very own test got less suggest Bmi versus the second degree. It is stated you to DSM-IV material reliance medical diagnosis represents significant material explore diseases out of the DSM-5 (51). Given this, the fresh new incidence of FA about morbid carrying excess fat group appears to become 40.0%, implying one DSM-5 requirements will be a lot more permissive with respect to deciding FA, whereas YFAS you are going to neglect some cases. Additionally, because the YFAS, which is in accordance with the DSM-IV compound dependence requirements does not include need, which can sign https://datingranking.net/pl/sdc-recenzja/ up to lower than actual cost.