title: Eating behavior in obese patients with and without type 2 diabetes mellitus.
abstract: OBJECTIVE
  Aim of this study was the assessment of the prevalence of eating disorders, and of eating disorder symptoms, in obese patients with type 2 diabetes, compared to non-diabetic subjects.
  
  
  METHODS
  Three samples of individuals were studied: a series of 156 (76 male, 80 female) overweight and obese type 2 diabetic patients, aged 30-65 y, with a body mass index (BMI)>28 kg/m(2) (DM); a series of 192 (20 male, 172 female) obese (BMI>30 kg/m(2)) non-diabetic patients aged 30-65 y seeking treatment for weight loss (OC); and a non-clinical sample of 48 (22 male, 26 female) obese (BMI>30 kg/m(2)) subjects aged 30-65 y selected from the lists of two general practices (OP). Eating behavior was assessed using the Eating Disorder Examination (EDE 12.0D).
  
  
  RESULTS
  The prevalence of Binge Eating Disorder was lower than 5% in all the three samples. Median EDE scores in females were significantly higher in OC (3.0) and OP (3.4) than in DM (1.7), while diabetic patients showed higher scores on Restraint than both non-diabetic samples. Among diabetic patients, a significant correlation of EDE scores with HbA(1)c was observed.
  
  
  CONCLUSIONS
  Type 2 diabetes is unlikely to induce relevant eating disturbances in obese patients, apart from an increase in restraint. Abnormalities of eating attitudes and behavior are associated with an impairment of metabolic control.
authors.affiliation: Chair of Metabolic Diseases, Section of Endocrinology, Department of Clinical Pathophysiology, University of Florence Medical School, Florence, Italy.
authors.forename: E
authors.initials: E
authors.lastname: Mannucci
authors.forename: F
authors.initials: F
authors.lastname: Tesi
authors.forename: V
authors.initials: V
authors.lastname: Ricca
authors.forename: E
authors.initials: E
authors.lastname: Pierazzuoli
authors.forename: E
authors.initials: E
authors.lastname: Barciulli
authors.forename: S
authors.initials: S
authors.lastname: Moretti
authors.forename: M
authors.initials: M
authors.lastname: Di Bernardo
authors.forename: R
authors.initials: R
authors.lastname: Travaglini
authors.forename: S
authors.initials: S
authors.lastname: Carrara
authors.forename: T
authors.initials: T
authors.lastname: Zucchi
authors.forename: G F
authors.initials: GF
authors.lastname: Placidi
authors.forename: C M
authors.initials: CM
authors.lastname: Rotella
mesh_terms: D000328:Adult; D000368:Aged; D015992:Body Mass Index; D002032:Bulimia / Q000150:complications / Q000453:epidemiology; D048909:Diabetes Complications; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D001068:Feeding and Eating Disorders / Q000150:complications / Q000453:epidemiology*; D005260:Female; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D016014:Linear Models; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications*
chemical_list: D006442:Glycated Hemoglobin