9/01/2018

Eating Disorders


Eating disorders closely related to obesity are binge-eating disorder and bulimia nervosa.

Typical of binge-eating disorder is uncontrolled, fast eating of large amounts of food without feeling hungry. Diagnosis requires at least one eating attack per week over 3 months. Eating attacks are also typical of bulimia nervosa, which, unlike binge-eating disorders, includes subsequent vomiting, the consumption of laxatives or arbitrary periods of hunger.



The binge eating disorder occurs in the general population with a frequency of 1 - 3 %, but in the obese collective with up to 50 %. In contrast to anorexia and bulimia, binge eating disorder occurs in about 30% of men. Studies have shown that 33% of all patients with bulimia and 42% of all patients with binge-eating disorders are obese at the same time.

Other eating disorders that are related to the development of obesity:

  • night-eating syndrome, where large amounts of food are consumed in the evening or at night,
  • sweet-eating syndrome, which is characterised by the consumption of predominantly sweet foods,
  • grazing with frequent consumption of small amounts of food between main meals.


Bilbiography sources:

Gerlach G, Herpertz S, Loeber S (2015) Personality traits and obesity: a systematic review. Obes Rev 16: 32–63

Kessler RC, Berglund PA, Chiu, WT, et al. (2013) The prevalence and correlates of binge eating disorder in the World Health Organization World Mental Health Surveys. Biol Psychiatry 73: 904–914

Malik S, Mitchell JE, Engel S, Crosby R, Wonderlich S (2014) Psychopathology in bariatric surgery candidates: a review of studies using structured diagnostic interviews. Compr Psychiatry 55: 248–259

Moore CJ, Cunningham SA (2012) Social position, psychological stress, and obesity: a systematic review. J Acad Nutr Diet 112: 518–526 

Mühlhans B, Horbach T, de Zwaan M (2009) Psychiatric disorders in bariatric surgery candidates: a review of the literature and results of a German prebariatric surgery sample. Gen Hosp Psychiatry 31: 414–421