Frequent consumption of unusually large amounts of food associated with the feeling of being unable to stop eating.
Binge eating disorder is described as eating excessively, or uncontrollably, between periodic time intervals.
A process with excessive overeating and feeling of being out of control becomes a regular recurrence.
Individuals with binge eating disorder, do not engage in inappropriate behaviors to avoid waking such as purging or excessive exercise, findings in bulimia nervosa.
1-5% of persons have a binge eating disorder.
Most patients with being eating disorder are overweight, but some are normal weight.
Characteristics of binge eating disorder:
must engage in binge eating at least once weekly for three months or more, and have at least three indicators of loss of control over eating such as eating until uncomfortably full, eating more rapidly than normal, and eating alone because of embarrassment of their behavior.
Eating unusually large amounts of food in a specific amount of time
Feeling that eating behavior is out of control
Eating when full or not hungry
Eating rapidly during binge episodes
Eating until uncomfortably full
Frequent eating alone or in secret
Feeling depressed, guilty, or upset about eating
Frequently dieting.
The risk for BED can be present in children and most commonly manifests during adulthood.
About 1.2% of individuals, adolescent, develop binge eating disorder in a two year follow up study.
Studies suggest that the heritability of BED in adults is approximately 50%.
Similarly to bulimia, some people may be involved in purging and binging.
Patients might vomit after food intake or take purgatives.
Binge eating disorder is associated with overweight and obesity (71% with obesity).
With BED the development of type two diabetes is is common at greater than 13% and 31.2% report, hypertension.
Binge eating disorder is associated with food insecurity.
Binge eating disorder can be treated with stimulant lisdexamfetamine reducing the number of days of binge eating episodes.
Topiramate and antidepressants, including selective, serotonin, reuptake, inhibitors, have reported reduction in binge eating.