Recorded food intake of obese women with binge eating disorder before and after weight loss

• Published in: The International journal of eating disorders 1994-03, Vol.15 (2), p.135-150
• Main Authors: Yanovski, S.Z, Sebring, N.G
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Adult and adolescent clinical studies; Behavior Therapy; Biological and medical sciences; Combined Modality Therapy; Diet, Reducing - psychology; Eating behavior disorders; Energy Intake; Energy Metabolism; Exercise - psychology; FACTEUR PSYCHOLOGIQUE; FACTORES PSICOLOGICOS; Feeding Behavior - psychology; Female; Follow-Up Studies; Food, Formulated; Humans; Hyperphagia - diet therapy; Hyperphagia - psychology; INGESTION DE ALIMENTOS; INGESTION DE NUTRIENTES; INGESTION DE SUBSTANCES NUTRITIVES; MARYLAND; Medical sciences; Middle Aged; Miscellaneous; Obesity - diet therapy; Obesity - psychology; PRISE ALIMENTAIRE (HOMME); Psychology. Psychoanalysis. Psychiatry; Psychopathology. Psychiatry; REDUCCION DEL PESO; REGIME POUR REDUCTION DE POIDS; SOBREPESO; SURPOIDS; TRASTORNOS DEL APETITO; TROUBLE DE L'APPETIT; Weight Loss
• ISSN: 0276-3478; 1098-108X
• DOI: 10.1002/1098-108X(199403)15:2<135::AID-EAT2260150205>3.0.CO;2-I

Because binge eating in obese individuals has been postulated to be a reaction to dietary restriction, we examined the recorded food intake of 17 obese women with and 16 obese women without binge eating disorder (BED) during 1-week periods before and 3 months after a very low calorie diet program in order to determine the effects of dietary restriction on binge eating frequency and severity. Before weight loss, rather than reporting severe caloric restriction, women with BED reported greater average energy intake than nonbinge eaters on both a total (2707 vs. 1869 kcal/day, p 0.01) and weight-adjusted (25.1 vs. 18.1 kcal/kg, p 0.01) basis, with both higher intake on nonbinge days and an increased frequency of binge days. After weight loss, there was no significant difference in energy intake, on either a total or weight-adjusted basis, between subjects with and without BED. Although average daily energy intake fell for both groups after weight loss, only subjects with BED reported significantly decreased energy intake when adjusted for change in body weight. This resulted from decreased intake on nonbinge days and a decreased frequency of binge days. Before weight loss, subjects with BED reported an average energy intake equivalent to 94% of their predicted energy expenditure. Whereas subjects without BED reported intake only 64% of predicted (p