title: [Eating disorders associated with obesity and diabetes].
abstract: Binge eating disorder is one of the most frequent comorbid mental disorders associated with overweight and obesity. Binge eating disorder patients often suffer from other mental disorders and longitudinal studies indicate a continuous weight gain during the long-term course. As in other eating disorders gender is a risk factor, but the proportion of male binge eating disorder patients is surprisingly high.In young women with type 1 diabetes the prevalence of subclinical types of bulimia nervosa is increased. In addition, insulin purging as a characteristic compensatory behavior in young diabetic women poses a considerable problem. In patients with type 1 diabetes, disturbed eating and eating disorders are characterized by insufficient metabolic control and early development of late diabetic sequelae. Patients with type 2 diabetes are often overweight or obese. Binge eating disorder does not occur more frequently in patients with type 2 diabetes compared to healthy persons. However, the comorbidity of binge eating disorder and diabetes type 2 is associated with weight gain and insulin resistance. Especially in young diabetic patients a screening procedure for disturbed eating or eating disorders seems to be necessary. Comorbid patients should be offered psychotherapy.
authors.affiliation: Institute of Psychology, Clinical Child and Adolescent Psychology, University of Lausanne, Lausanne, Schweiz.
authors.forename: S
authors.initials: S
authors.lastname: Munsch
authors.forename: S
authors.initials: S
authors.lastname: Herpertz
mesh_terms: D000293:Adolescent; D000328:Adult; D056912:Binge-Eating Disorder / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D052018:Bulimia Nervosa / Q000175:diagnosis / Q000453:epidemiology / Q000523:psychology / Q000628:therapy; D002648:Child; D003131:Combined Modality Therapy; D015897:Comorbidity; D003922:Diabetes Mellitus, Type 1 / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D001068:Feeding and Eating Disorders / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D008403:Mass Screening; D009765:Obesity / Q000175:diagnosis / Q000453:epidemiology* / Q000523:psychology / Q000628:therapy; D011613:Psychotherapy; D015430:Weight Gain; D055815:Young Adult