Elise L Coker1, Astrid von Lojewski2, Georgina M Luscombe3, Suzanne F Abraham4. 1. Department of Obstetrics and Gynaecology, University of Sydney, Royal North Shore Hospital, St Leonards, NSW 2065, Australia. Electronic address: elisecoker@gmail.com. 2. Department of Obstetrics and Gynaecology, University of Sydney, Royal North Shore Hospital, St Leonards, NSW 2065, Australia; Life Weight Loss Centre, Suite 2, Level 4, 171 Bigge Street, Liverpool, NSW 2170, Australia. 3. The School of Rural Health, The University of Sydney, PO Box 1191, Orange, NSW 2800, Australia. 4. Department of Obstetrics and Gynaecology, University of Sydney, Royal North Shore Hospital, St Leonards, NSW 2065, Australia.
Abstract
OBJECTIVE: We aim to determine how increasing the specificity of binge eating criteria affects the prevalence of self-reported binge eating among presurgical bariatric patients. METHOD: 197 women ages 20 to 65 being assessed for bariatric surgery with a BMI greater than 30kg/m(2) were interviewed and completed the Eating and Exercise Examination. RESULTS: The prevalence of self-reported binge eating was 55% (n=109). The addition of the criterion 'more than a little loss of control/distress' reduced the rate to 23% (n=45), a minimum of six servings of food reduced the rate to 34% (n=67). The addition of a minimum frequency of twice per week for six months (DSM-VI) reduced the rate to 22% (n=43), or once per week for three months (DSM-5) reduced the rate to 53% (n=104). DISCUSSION: More precise definitions and diagnostic criteria for binge eating may result in more consistent reports of prevalence levels of BED.
OBJECTIVE: We aim to determine how increasing the specificity of binge eating criteria affects the prevalence of self-reported binge eating among presurgical bariatric patients. METHOD: 197 women ages 20 to 65 being assessed for bariatric surgery with a BMI greater than 30kg/m(2) were interviewed and completed the Eating and Exercise Examination. RESULTS: The prevalence of self-reported binge eating was 55% (n=109). The addition of the criterion 'more than a little loss of control/distress' reduced the rate to 23% (n=45), a minimum of six servings of food reduced the rate to 34% (n=67). The addition of a minimum frequency of twice per week for six months (DSM-VI) reduced the rate to 22% (n=43), or once per week for three months (DSM-5) reduced the rate to 53% (n=104). DISCUSSION: More precise definitions and diagnostic criteria for binge eating may result in more consistent reports of prevalence levels of BED.