title: Medication Use and Metabolic Syndrome Among Overweight/Obese Patients With and Without Binge-Eating Disorder in a Primary Care Sample.
abstract: OBJECTIVE
  To examine metabolic factors among overweight/obese individuals with binge-eating disorder (BED) and non-binge-eating overweight/obese (NBO) patients recruited from primary care and to examine and compare medication use by these groups.
  
  
  METHODS
  Participants were 102 adults recruited for a weight loss study within primary care centers who were assessed for BED (28 [38%] met DSM-5 BED criteria). Participants completed a medication log, had physiologic measurements taken, and were evaluated for the presence of metabolic syndrome using 2 methods. Data were collected between February 2012 and October 2012.
  
  
  RESULTS
  The BED group had a higher mean body mass index (BMI), a higher pulse, and a larger waist circumference than the NBO group. Of the sample, 65% reported current medication use (prescription and/or over-the-counter medications): 19.6% took 3 to 4 medications and 15.7% took ≥ 5 medications. Aside from vitamin and over-the-counter allergy pill use, there were no differences in medication use between BED and NBO patients. Full metabolic syndrome (≥ 3 criteria met) was present in 31.5% of the sample when using objective measurement alone, and 39.1% of the sample when defined by objective measurement and pharmacologic management. No significant differences were observed regardless of definition.
  
  
  CONCLUSIONS
  Despite higher BMI, pulse, and waist circumference, the current sample of BED patients in primary care did not present with poorer metabolic health than NBO patients.
authors.affiliation: Department of Psychology, VA Connecticut Healthcare System, West Haven; Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut.
authors.forename: Jessica A
authors.initials: JA
authors.lastname: Barber
authors.affiliation: Department of Psychology, VA Connecticut Healthcare System, West Haven; Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut.
authors.forename: Kristina P
authors.initials: KP
authors.lastname: Schumann
authors.affiliation: Department of Psychology, VA Connecticut Healthcare System, West Haven; Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut.
authors.forename: Kelly A
authors.initials: KA
authors.lastname: Foran-Tuller
authors.affiliation: Department of Psychology, VA Connecticut Healthcare System, West Haven; Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut; Department of Psychiatry, University of Maryland School of Medicine, Baltimore, Maryland.
authors.forename: Leila Z
authors.initials: LZ
authors.lastname: Islam
authors.affiliation: Department of Psychiatry, Yale School of Medicine, New Haven, Connecticut.
authors.forename: Rachel D
authors.initials: RD
authors.lastname: Barnes
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