Associations among binge eating behavior patterns and gastrointestinal symptoms

A population-based study

F. Cremonini, M. Camilleri, M. M. Clark, T. J. Beebe, G. R. Locke, A. R. Zinsmeister, Linda M Herrick, N. J. Talley

Research output: Contribution to journalArticle

39 Citations (Scopus)

Abstract

Background: The psychological symptoms associated with binge eating disorder (BED) have been well documented. However, the physical symptoms associated with BED have not been explored. Gastrointestinal (GI) symptoms such as heartburn and diarrhea are more prevalent in obese adults, but the associations remain unexplained. Patients with bulimia have increased gastric capacity. The objective of the study was to examine if the severity of binge eating episodes would be associated with upper and lower GI symptoms. Methods: Population-based survey of community residents through a mailed questionnaire measuring GI symptoms, frequency of binge eating episodes and physical activity level. The association of GI symptoms with frequency of binge eating episodes was assessed using logistic regression models adjusting for age, gender, body mass index (BMI) and physical activity level. Results: In 4096 subjects, BED was present in 6.1%. After adjusting for BMI, age, gender, race, diabetes mellitus, socioeconomic status and physical activity level, BED was independently associated with the following upper GI symptoms: acid regurgitation (P<0.001), heartburn (P<0.001), dysphagia (P<0.001), bloating (P<0.001) and upper abdominal pain (P<0.001). BED was also associated with the following lower GI symptoms: diarrhea (P<0.001), urgency (P<0.001), constipation (P<0.01) and feeling of anal blockage (P=0.001). Conclusion: BED appears to be associated with the experience of both upper and lower GI symptoms in the general population, independent of the level of obesity. The relationship between increased GI symptoms and physiological responses to increased volume and calorie loads, nutritional selections and rapidity of food ingestion in individuals with BED deserves further study.

Original languageEnglish (US)
Pages (from-to)342-353
Number of pages12
JournalInternational Journal of Obesity
Volume33
Issue number3
DOIs
StatePublished - Jan 1 2009

Fingerprint

Binge-Eating Disorder
Bulimia
Feeding Behavior
Population
Heartburn
Exercise
Diarrhea
Body Mass Index
Logistic Models
Food Preferences
Constipation
Deglutition Disorders
Social Class
Abdominal Pain
Stomach
Diabetes Mellitus
Emotions
Obesity
Eating
Psychology

Keywords

  • Binge eating
  • Exercise
  • GI symptoms

ASJC Scopus subject areas

  • Medicine (miscellaneous)
  • Endocrinology, Diabetes and Metabolism
  • Nutrition and Dietetics

Cite this

Cremonini, F., Camilleri, M., Clark, M. M., Beebe, T. J., Locke, G. R., Zinsmeister, A. R., ... Talley, N. J. (2009). Associations among binge eating behavior patterns and gastrointestinal symptoms: A population-based study. International Journal of Obesity, 33(3), 342-353. https://doi.org/10.1038/ijo.2008.272

Associations among binge eating behavior patterns and gastrointestinal symptoms : A population-based study. / Cremonini, F.; Camilleri, M.; Clark, M. M.; Beebe, T. J.; Locke, G. R.; Zinsmeister, A. R.; Herrick, Linda M; Talley, N. J.

In: International Journal of Obesity, Vol. 33, No. 3, 01.01.2009, p. 342-353.

Research output: Contribution to journalArticle

Cremonini, F, Camilleri, M, Clark, MM, Beebe, TJ, Locke, GR, Zinsmeister, AR, Herrick, LM & Talley, NJ 2009, 'Associations among binge eating behavior patterns and gastrointestinal symptoms: A population-based study', International Journal of Obesity, vol. 33, no. 3, pp. 342-353. https://doi.org/10.1038/ijo.2008.272
Cremonini, F. ; Camilleri, M. ; Clark, M. M. ; Beebe, T. J. ; Locke, G. R. ; Zinsmeister, A. R. ; Herrick, Linda M ; Talley, N. J. / Associations among binge eating behavior patterns and gastrointestinal symptoms : A population-based study. In: International Journal of Obesity. 2009 ; Vol. 33, No. 3. pp. 342-353.
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