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.
Conversation
In cases like this-control study evaluating this new the quantity from and associated points with FA in various Bmi groups, it was found that FA is associated with a top Body mass index, an early start of diet and more regular eating plan-weight gain cycles; in addition to large attentional and you may engine impulsivity. More over, the latest FA danger signal matter try definitely synchronised having Bmi. All of our results advise that FA you are going to gamble a crucial role inside the carrying excess fat, due to death of power over dining practices for the an addictive trend. For this reason, dealing with FA was a good means with respect to pounds loss.
The new Incidence out-of FA Playing with DSM-IV and you may DSM-5 Steps
The new incidence regarding FA from the morbid carrying excess fat group as the examined from the YFAS (15.0%) is comparable with this in two knowledge on earth, where 15 and you can 16.9% out of bariatric businesses people had been identified as having FA (forty-five, 46). However, there are more education presented among some body in the process of lbs-losings operations in which higher rates particularly 21.1% (47), twenty five.8% (48), 41.7% (49), 53.7% (50), 57.8 (38) have been found. This higher adaptation would be as a result of the care about-declaration characteristics regarding YFAS, which is quicker-goal than a standardized logical assessment hence the sample got a lower life expectancy mean Bmi as compared to aforementioned degree. It is stated one to DSM-IV compound dependency analysis corresponds to significant compound explore ailment out-of the fresh DSM-5 przeglÄ…d secret benefits (51). With all this, the fresh new incidence off FA throughout the morbid being obese classification seems to feel forty.0%, implying you to DSM-5 criteria might be more permissive with regards to choosing FA, whereas YFAS might neglect some instances. Furthermore, because the YFAS, that is according to research by the DSM-IV substance dependency requirements does not include craving, that could donate to lower than actual cost.