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 such a case-handle investigation examining the new extent away from and you can associated circumstances that have FA in numerous Bmi classes, it was learned that FA try of the a high Body mass index, a young start of dieting and more frequent diet plan-gaining weight schedules; also higher attentional and you may engine impulsivity. More over, the new FA warning sign number is positively correlated that have Body mass index. Our results recommend that FA you will gamble an important role when you look at the carrying excess fat, through loss of control of eating application in an addictive trends. Hence, managing FA would be a good approach when it comes to lbs loss.
This new Prevalence off FA Playing with DSM-IV and you will DSM-5 Ways
New frequency out of FA from the morbid carrying excess fat category as examined of the YFAS (15.0%) is comparable with that in two training worldwide, in which 15 and you will 16.9% of bariatric businesses individuals was in fact clinically determined to have FA (45, 46). not, there are many more training presented certainly one of some one undergoing weight-losings operations where higher cost such as for example 21.1% (47), 25.8% (48), 41.7% (49), 53.7% (50), 57.8 (38) were located. That it highest variation would-be because of the thinking-declaration characteristics out-of YFAS, that’s quicker-goal than just a standard logical evaluation which our very own shot had a reduced imply Bmi as compared to the second degree. It is said that DSM-IV material reliance analysis represents significant compound explore problems from brand new DSM-5 (51). With all this, the brand new incidence out https://datingranking.net/pl/spdate-recenzja/ of FA regarding the morbid obesity category generally seems to end up being 40.0%, implying one DSM-5 conditions would be much more permissive regarding choosing FA, whereas YFAS you will neglect some instances. Furthermore, since the YFAS, that’s in line with the DSM-IV substance dependence standards doesn’t come with craving, that may subscribe below real cost.
