title: Binge eating behavior among a national sample of overweight and obese veterans.
abstract: Despite the high prevalence of overweight and obesity in US military veterans, binge eating has not been examined in this population. Using a secondary data analysis approach, we examined the prevalence and correlates of self-reported binge eating among 45,477 overweight or obese veterans receiving care in Veterans Health Administration (VHA) facilities. Participants completed a 23-item survey that assessed demographics, weight history, physical and mental health comorbidities, and eating habits during routine medical clinic visits. Chi square and logistic regression analyses were used to examine relationships among binge eating and demographic variables and medical and psychiatric comorbidities. Nearly three-quarters of the sample reported any binge eating. Binge-eaters were more likely to report higher BMI,depression, anxiety, and type 2 diabetes (p<.0001). After controlling for potentially confounding variables, male veterans were significantly more likely to report any binge eating than female veterans (p<.001). These results have important implications for modifying weight management programs and highlight the need for assessment and treatment to address binge eating, particularly among men and patients with type 2 diabetes [corrected].
authors.affiliation: VA Connecticut Healthcare System, West Haven, Connecticut, USA. diana.higgins2@va.gov
authors.forename: Diana M
authors.initials: DM
authors.lastname: Higgins
authors.forename: Lindsey
authors.initials: L
authors.lastname: Dorflinger
authors.forename: Kristin L
authors.initials: KL
authors.lastname: MacGregor
authors.forename: Alicia A
authors.initials: AA
authors.lastname: Heapy
authors.forename: Joseph L
authors.initials: JL
authors.lastname: Goulet
authors.forename: Christopher
authors.initials: C
authors.lastname: Ruser
mesh_terms: D001007:Anxiety / Q000150:complications; D056912:Binge-Eating Disorder / Q000150:complications / Q000453:epidemiology* / Q000523:psychology; D015992:Body Mass Index; D002032:Bulimia / Q000150:complications / Q000453:epidemiology* / Q000523:psychology; D003863:Depression / Q000150:complications; D003924:Diabetes Mellitus, Type 2 / Q000150:complications*; D005247:Feeding Behavior / Q000523:psychology; D005260:Female; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D008889:Military Personnel; D009765:Obesity / Q000150:complications* / Q000523:psychology; D050177:Overweight; D057566:Self Report; D012737:Sex Factors; D014481:United States / Q000453:epidemiology