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Eating attitudes of anorexia nervosa, bulimia nervosa, binge eating disorder and obesity without eating disorder female patients: differences and similarities.
Physiol Behav. 2014 May 28; 131:99-104.PB

Abstract

The objective was to compare eating attitudes, conceptualized as beliefs, thoughts, feelings, behaviors and relationship with food, of anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED) patients and a group of obese (OBS) without eating disorders (ED). Female patients from an Eating Disorder (ED) Unit with AN (n=42), BN (n=52) and BED (n=53) and from an obesity service (n=37) in Brazil answered the Disordered Eating Attitude Scale (DEAS) which evaluate eating attitudes with 5 subscales: relationship with food, concerns about food and weight gain, restrictive and compensatory practices, feelings toward eating, and idea of normal eating. OBS patients were recruited among those without ED symptoms according to the Binge Eating Scale and the Questionnaire on Eating and Weight Patterns. ANOVA was used to compare body mass index and age between groups. Bonferroni test was used to analyze multiple comparisons among groups. AN and BN patients presented more dysfunctional eating attitudes and OBS patients less dysfunctional (p<0.001). For DEAS total score, AN and BN patients were similar and all other were different (p<0.001). Similarities suggested between BN and BED were true just for the "Relationship with food" and "Idea of normal eating." BED patients were worst than OBS for "Relationship with food" and as dysfunctional as AN patients - besides their behavior could be considered the opposite. Differences and similarities support a therapeutic individualized approach for ED and obese patients, call attention for the theoretical differences between obesity and ED, and suggest more research focused on eating attitudes.

Authors+Show Affiliations

Department of Nutrition, Public Health School, University of Sao Paulo, Avenida Doutor Arnaldo, 715, São Paulo/SP 01246-904, Brazil; AMBULIM, Eating Disorders Unit of Clinics Hospital, Department of Psychiatry, Institute of Psychiatry, University of Sao Paulo, R. Dr. Ovídeo Pires de Campos, 785, São Paulo/SP 01060-970, Brazil. Electronic address: marlealv@usp.br.Department of Nutrition, Public Health School, University of Sao Paulo, Avenida Doutor Arnaldo, 715, São Paulo/SP 01246-904, Brazil; AMBULIM, Eating Disorders Unit of Clinics Hospital, Department of Psychiatry, Institute of Psychiatry, University of Sao Paulo, R. Dr. Ovídeo Pires de Campos, 785, São Paulo/SP 01060-970, Brazil.AMBULIM, Eating Disorders Unit of Clinics Hospital, Department of Psychiatry, Institute of Psychiatry, University of Sao Paulo, R. Dr. Ovídeo Pires de Campos, 785, São Paulo/SP 01060-970, Brazil.Obesity and Metabolic Syndrome/Endocrinology and Metabology Service of Clinics Hospital, University of Sao Paulo, R. Dr. Ovídeo Pires de Campos, 225, 7° Andar, Cerqueira César, São Paulo/SP 05403-010, Brazil.AMBULIM, Eating Disorders Unit of Clinics Hospital, Department of Psychiatry, Institute of Psychiatry, University of Sao Paulo, R. Dr. Ovídeo Pires de Campos, 785, São Paulo/SP 01060-970, Brazil.Federal University of São Paulo, Campus Baixada Santista, Av. Ana Costa, 95, Santos/SP 11060-001, Brazil.

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

24768646

Citation

Alvarenga, M S., et al. "Eating Attitudes of Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder and Obesity Without Eating Disorder Female Patients: Differences and Similarities." Physiology & Behavior, vol. 131, 2014, pp. 99-104.
Alvarenga MS, Koritar P, Pisciolaro F, et al. Eating attitudes of anorexia nervosa, bulimia nervosa, binge eating disorder and obesity without eating disorder female patients: differences and similarities. Physiol Behav. 2014;131:99-104.
Alvarenga, M. S., Koritar, P., Pisciolaro, F., Mancini, M., Cordás, T. A., & Scagliusi, F. B. (2014). Eating attitudes of anorexia nervosa, bulimia nervosa, binge eating disorder and obesity without eating disorder female patients: differences and similarities. Physiology & Behavior, 131, 99-104. https://doi.org/10.1016/j.physbeh.2014.04.032
Alvarenga MS, et al. Eating Attitudes of Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder and Obesity Without Eating Disorder Female Patients: Differences and Similarities. Physiol Behav. 2014 May 28;131:99-104. PubMed PMID: 24768646.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Eating attitudes of anorexia nervosa, bulimia nervosa, binge eating disorder and obesity without eating disorder female patients: differences and similarities. AU - Alvarenga,M S, AU - Koritar,P, AU - Pisciolaro,F, AU - Mancini,M, AU - Cordás,T A, AU - Scagliusi,F B, Y1 - 2014/04/24/ PY - 2014/01/19/received PY - 2014/03/28/revised PY - 2014/04/15/accepted PY - 2014/4/29/entrez PY - 2014/4/29/pubmed PY - 2015/1/8/medline KW - anorexia nervosa KW - binge eating disorder KW - bulimia nervosa KW - eating attitude KW - obesity SP - 99 EP - 104 JF - Physiology & behavior JO - Physiol Behav VL - 131 N2 - The objective was to compare eating attitudes, conceptualized as beliefs, thoughts, feelings, behaviors and relationship with food, of anorexia nervosa (AN), bulimia nervosa (BN) and binge eating disorder (BED) patients and a group of obese (OBS) without eating disorders (ED). Female patients from an Eating Disorder (ED) Unit with AN (n=42), BN (n=52) and BED (n=53) and from an obesity service (n=37) in Brazil answered the Disordered Eating Attitude Scale (DEAS) which evaluate eating attitudes with 5 subscales: relationship with food, concerns about food and weight gain, restrictive and compensatory practices, feelings toward eating, and idea of normal eating. OBS patients were recruited among those without ED symptoms according to the Binge Eating Scale and the Questionnaire on Eating and Weight Patterns. ANOVA was used to compare body mass index and age between groups. Bonferroni test was used to analyze multiple comparisons among groups. AN and BN patients presented more dysfunctional eating attitudes and OBS patients less dysfunctional (p<0.001). For DEAS total score, AN and BN patients were similar and all other were different (p<0.001). Similarities suggested between BN and BED were true just for the "Relationship with food" and "Idea of normal eating." BED patients were worst than OBS for "Relationship with food" and as dysfunctional as AN patients - besides their behavior could be considered the opposite. Differences and similarities support a therapeutic individualized approach for ED and obese patients, call attention for the theoretical differences between obesity and ED, and suggest more research focused on eating attitudes. SN - 1873-507X UR - https://www.unboundmedicine.com/medline/citation/24768646/Eating_attitudes_of_anorexia_nervosa_bulimia_nervosa_binge_eating_disorder_and_obesity_without_eating_disorder_female_patients:_differences_and_similarities_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0031-9384(14)00223-6 DB - PRIME DP - Unbound Medicine ER -