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. 2022 Jul 7;10(1):97.
doi: 10.1186/s40337-022-00621-x.

The clinical significance of binge eating among older adult women: an investigation into health correlates, psychological wellbeing, and quality of life

Lisa Smith Kilpela  1   2   3 , Victoria B Marshall  4   5 , Pamela K Keel  6 , Andrea Z LaCroix  7 , Sara E Espinoza  4   8 , Savannah C Hooper  4   5 , Nicolas Musi  4   8
Affiliations

The clinical significance of binge eating among older adult women: an investigation into health correlates, psychological wellbeing, and quality of life

Lisa Smith Kilpela et al. J Eat Disord. .

Erratum in

Abstract

Background: One type of overnutrition, binge eating (BE; eating an unusually large amount of food with loss of control), is prevalent among older adult women. Yet, little is known about the clinical significance of this eating disorder pathology in older adults, especially in relation to health outcomes used in geriatrics, while controlling for associations with body mass index (BMI).

Method: Women (N = 227) aged 60-94 completed two measures of BE and health/wellness questionnaires online. We used multivariable analyses to compare women with Clinical-frequency BE (≥ weekly frequency), Subclinical-frequency BE (< weekly), and No BE on health/wellness outcomes controlling for BMI. We conducted partial correlations controlling for BMI to examine associations between BE severity and health indices.

Results: Controlling for BMI, the Clinical-frequency BE group reported poorer health-related quality of life (physical function, role limitations due to both emotional and physical problems, vitality, emotional wellbeing, social function, and pain) and poorer psychological health (depression, body image) compared to both Subclinical-frequency BE and No BE. The Clinical-frequency BE group also reported poorer sleep, nutritious food consumption, general health, and positive affect compared to No BE. Associations between a separate measure of BE severity and health indices confirmed findings from group comparisons.

Conclusion: Weekly BE may offer a promising screening benchmark for identifying one type of overnutrition in older women that is associated with numerous indicators of poorer health, independent of the effects of BMI. More research is needed to understand risks for and consequences of BE unique to older adult women. Binge eating (BE; eating an unusually large amount of food with loss of control), is prevalent among older adult women and is associated with health problems in younger populations. Yet, little is known about how BE is related to other health problems in older adults. We compared health behaviors, physical health, health-related quality of life, and psychological health between older adult women who reported weekly or more frequent BE (i.e., Clinical BE), those with low frequency BE (i.e., Subclinical BE), and those with no BE, while accounting for BMI. Older women in the Clinical BE group reported poorer health-related quality of life, more depression symptoms, and worse body image compared to the Subclinical BE and No BE groups. Compared to the No BE group, the Clinical BE group also reported poorer sleep, less frequent consumption of nutritious foods, worse health, and less frequent positive emotions. Using a separate measure of BE severity, we found similar associations with these health outcomes. Engaging in weekly BE may represent one type of overnutrition behavior in older women that is associated with numerous indicators of poorer health. More research is needed to understand risks for and consequences of BE unique to older adult women.

Keywords: Binge eating; Health-related quality of life; Older adults; Women’s health.

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Conflict of interest statement

The authors declare that they have no conflicts of interest.

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References

    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5). 5th ed. Arlington, VA: American Psychiatric Association; 2013.
    1. Mangweth-Matzek B, Hoek HW, Pope HG., Jr Pathological eating and body dissatisfaction in middle-aged and older women. Curr Opin Psychiatry. 2014;27(6):431–435. doi: 10.1097/YCO.0000000000000102. - DOI - PubMed
    1. Maine MD, Samuels KL, Tantillo M. Eating disorders in adult women: Biopsychosocial, developmental, and clinical considerations. Adv Eat Disord Theory Res Pract. 2015;3(2):133–143.
    1. Gagne DA, Von Holle A, Brownley KA, et al. Eating disorder symptoms and weight and shape concerns in a large web-based convenience sample of women ages 50 and above: results of the gender and body image (GABI) study. Int J Eat Disord. 2012;45(7):832–844. doi: 10.1002/eat.22030. - DOI - PMC - PubMed
    1. Marcus MD, Bromberger JT, Wei HL, Brown C, Kravitz HM. Prevalence and selected correlates of eating disorder symptoms among a multiethnic community sample of midlife women. Ann Behav Med. 2007;33(3):269–277. doi: 10.1007/BF02879909. - DOI - PubMed

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