title: Epidemiology, health-related quality of life and economic burden of binge eating disorder: a systematic literature review.
abstract: OBJECTIVE
  To perform a systematic review on the epidemiology, the health-related quality of life (HRQoL) and economic burden of binge eating disorder (BED).
  
  
  METHODS
  A systematic literature search of English-language articles was conducted using Medline, Embase, PsycINFO, PsycARTICLES, Academic Search Complete, CINAHL Plus, Business Source Premier and Cochrane Library. Literature search on epidemiology was limited to studies published between 2009 and 2013. Cost data were inflated and converted to 2012 US$ purchasing power parities. All of the included studies were assessed for quality.
  
  
  RESULTS
  Forty-nine articles were included. Data on epidemiology were reported in 31, HRQoL burden in 16, and economic burden in 7 studies. Diagnosis of BED was made using 4th Edition of The Diagnostic and Statistical Manual of Mental Disorders (DSM-IV) criteria in 46 studies. Lifetime prevalence of BED was 1.1-1.9% in the general population (DSM-IV). BED was associated with significant impairment in aspects of HRQoL relating to both physical and mental health; the Short Form 36 Physical and Mental Component Summary mean scores varied between 31.1 to 47.3 and 32.0 to 49.8, respectively. Compared to individuals without eating disorder, BED was related to increased healthcare utilization and costs. Annual direct healthcare costs per BED patient ranged between $2,372 and $3,731.
  
  
  CONCLUSIONS
  BED is a serious eating disorder that impairs HRQoL and is related to increased healthcare utilization and healthcare costs. The limited literature warrants further research, especially to better understand the long-term HRQoL and economic burden of BED.
authors.affiliation: Syreon Research Institute, Thököly Street 119, 1146, Budapest, Hungary, tamas.agh@syreon.eu.
authors.forename: Tamás
authors.initials: T
authors.lastname: Ágh
authors.forename: Gábor
authors.initials: G
authors.lastname: Kovács
authors.forename: Manjiri
authors.initials: M
authors.lastname: Pawaskar
authors.forename: Dylan
authors.initials: D
authors.lastname: Supina
authors.forename: András
authors.initials: A
authors.lastname: Inotai
authors.forename: Zoltán
authors.initials: Z
authors.lastname: Vokó
mesh_terms: D056912:Binge-Eating Disorder / Q000191:economics* / Q000453:epidemiology* / Q000523:psychology; D017281:Cost of Illness; D017048:Health Care Costs; D006304:Health Status; D006801:Humans; D015995:Prevalence; D011788:Quality of Life / Q000523:psychology*