Associations between meal patterns, binge eating, and weight for Latinas

• Published in: The International journal of eating disorders 2017-01, Vol.50 (1), p.32-39
• Main Authors: Cachelin, Fary M., Thomas, Colleen, Vela, Alyssa, Gil‐Rivas, Virginia
• Format: Article
• Language: English
• Subjects: Adolescent; Adult; Binge eating; Binge-Eating Disorder - ethnology; Body Mass Index; Body Weight; Bulimia Nervosa - ethnology; Eating; eating disorder; Eating disorders; Feeding Behavior - ethnology; Female; Hispanic Americans; Hispanic people; Humans; Latina; meal patterns; Meals; Middle Aged; weight; Women; Young Adult
• ISSN: 0276-3478; 1098-108X
• DOI: 10.1002/eat.22580

ABSTRACT Establishing a regular pattern of eating is a core element of treatment for binge eating, yet no research to date has examined meal patterns of Latina women. Objective Compare eating patterns of Latinas who binge eat and those who do not, and examine associations between meal patterns and binge episodes, associated distress and concerns, and body mass index (BMI). Method One‐hundred fifty‐five Latinas [65 Binge Eating Disorder (BED), 22 Bulimia Nervosa (BN), 68 with no eating disorder] were assessed with the Eating Disorder Examination. Results There were no significant differences in eating patterns between groups. Breakfast was the least and dinner the most consumed meal. For the BED group: greater frequency of lunch consumption was associated with higher BMI while more frequent evening snacking was associated with lower BMI and with less weight importance; more frequent breakfast consumption, mid‐morning snack consumption and total meals were associated with greater distress regarding binge eating. For the BN group, evening snack frequency was associated with less dietary restriction and more weight and shape concern; total snack frequency was associated with more weight concern. Regular meal eaters reported more episodes of binge eating than those who did not eat meals regularly. Discussion Associations with meal patterns differed by eating disorder diagnosis. Study findings mostly are not consistent with results from prior research on primarily White women. CBT treatments may need to be tailored to address the association between binge eating and regular meal consumption for Latinas. Culturally, appropriate modifications that address traditional eating patterns should be considered. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2017; 50:32–39)