title: Biopsychosocial Correlates of Binge Eating Disorder in Caucasian and African American Women with Obesity in Primary Care Settings.
abstract: This study examined racial differences in eating-disorder psychopathology, eating/weight-related histories, and biopsychosocial correlates in women (n = 53 Caucasian and n = 56 African American) with comorbid binge eating disorder (BED) and obesity seeking treatment in primary care settings. Caucasians reported significantly earlier onset of binge eating, dieting, and overweight, and greater number of times dieting than African American. The rate of metabolic syndrome did not differ by race. Caucasians had significantly elevated triglycerides whereas African Americans showed poorer glycaemic control (higher glycated haemoglobin A1c [HbA1c]), and significantly higher diastolic blood pressure. There were no significant racial differences in features of eating disorders, depressive symptoms, or mental and physical health functioning. The clinical presentation of eating-disorder psychopathology and associated psychosocial functioning differed little by race among obese women with BED seeking treatment in primary care settings. Clinicians should assess for and institute appropriate interventions for comorbid BED and obesity in both African American and Caucasian patients.
authors.affiliation: School of Public Health, University at Albany, State University of New York, USA.
authors.forename: Tomoko
authors.initials: T
authors.lastname: Udo
authors.affiliation: Yale University School of Medicine, USA.
authors.forename: Marney A
authors.initials: MA
authors.lastname: White
authors.affiliation: Yale University School of Medicine, USA.
authors.forename: Janet L
authors.initials: JL
authors.lastname: Lydecker
authors.affiliation: Yale University School of Medicine, USA.
authors.forename: Rachel D
authors.initials: RD
authors.lastname: Barnes
authors.affiliation: Yale University School of Medicine, USA.
authors.forename: Inginia
authors.initials: I
authors.lastname: Genao
authors.affiliation: Yale University School of Medicine, USA.
authors.forename: Rina
authors.initials: R
authors.lastname: Garcia
authors.affiliation: Yale University School of Medicine, USA.
authors.forename: Robin M
authors.initials: RM
authors.lastname: Masheb
authors.affiliation: Yale University School of Medicine, USA.
authors.forename: Carlos M
authors.initials: CM
authors.lastname: Grilo
mesh_terms: D000328:Adult; D001741:Black or African American / Q000523:psychology* / Q000706:statistics & numerical data; D056912:Binge-Eating Disorder / Q000208:ethnology* / Q000523:psychology* / Q000628:therapy; D015897:Comorbidity; D005260:Female; D054624:Health Status Disparities; D006801:Humans; D008875:Middle Aged; D009765:Obesity / Q000208:ethnology*; D011320:Primary Health Care; D012307:Risk Factors; D044465:White People / Q000523:psychology* / Q000706:statistics & numerical data
keywords: binge eating disorder; metabolic syndrome; obesity; race; women