Binge eating disorder and night eating syndrome in adults with type 2 diabetes.
OBJECTIVE
To determine the prevalence of binge eating disorder (BED) and night eating syndrome (NES) among applicants to the Look AHEAD (Action for Health in Diabetes) study.


METHODS
The Eating Disorders Examination-Questionnaire (EDE-Q) and the Night Eating Questionnaire (NEQ) were used to screen patients. Phone interviews were conducted using the EDE for those who reported at least eight episodes of objective binge eating in the past month and using the Night Eating Syndrome History and Interview for those who scored > or =25 on the NEQ. Recruitment at four sites (Birmingham, n = 200; Houston, n = 259; Minneapolis, n = 182; and Philadelphia, n = 204) yielded 845 participants (58% women; mean age = 60.1 +/- 6.7 years; mean BMI = 36.2 +/- 6.3 kg/m(2)).


RESULTS
Screening scores were met by 47 (5.6%) applicants on the EDE-Q and 71 (8.4%) on the NEQ. Of the 85% (40/47) who completed the EDE interview, 12 were diagnosed with BED, representing 1.4% of the total sample. Of the 72% (51/71) who completed the Night Eating Syndrome History and Interview, 32 were diagnosed with NES, equal to 3.8% of the total sample. Three participants had both BED and NES. Participants with eating disorders were younger, heavier, and reported more eating pathology than those without eating disorders.


CONCLUSIONS
Among obese adults with type 2 diabetes, NES was reported more frequently than BED, which, in turn, was less common than expected.
Allison
Kelly C
KC
Department of Psychiatry, University of Pennsylvania School of Medicine, 3535 Market Street, Suite 3021, Philadelphia, PA 19104-3309, USA. kca@mail.med.upenn.edu
Crow
Scott J
SJ
Reeves
Rebecca R
RR
West
Delia Smith
DS
Foreyt
John P
JP
Dilillo
Vicki G
VG
Wadden
Thomas A
TA
Jeffery
Robert W
RW
Van Dorsten
Brent
B
Stunkard
Albert J
AJ
D000328:Adult; D000339:Affect; D000368:Aged; D015992:Body Mass Index; D052018:Bulimia Nervosa / Q000453:epidemiology / Q000523:psychology* / Q000534:rehabilitation; D002940:Circadian Rhythm; D003863:Depression / Q000453:epidemiology; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005006:Ethnicity; D005247:Feeding Behavior / Q000523:psychology*; D005260:Female; D006801:Humans; D007407:Interviews as Topic; D008297:Male; D008875:Middle Aged; D011594:Psychometrics; D044469:Racial Groups; D011795:Surveys and Questionnaires; D015431:Weight Loss