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Responses to weight loss treatment among obese individuals with and without BED: A matched-study meta-analysis

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Abstract

The moderating influence of binge eating status on obese individuals’ responses to weight loss treatment was evaluated with a meta-analysis of 36 tests of weight loss treatment (n=792) that were matched to control key background variables. After controlling for pre-treatment weight, treatment produced more weight loss in samples of obese non-BED compared with obese BED participants. Weight loss treatment produced large posttreatment reductions in depression in both obese BED and non-BED samples. The results indicate that BED status moderated post-treatment weight loss among people in weight treatment programs. Obese BED (average weight loss= 1.3 kg) samples lost negligible weight compared to obese non-BED (average weight loss= 10.5 kg) samples. BED status did not moderate psychological responses to treatment: both BED and non-BED samples experienced large post-treatment reductions in depression. The clinical implications of these findings are discussed.

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References

  1. Centers for Disease Control: http://www.cdc.gov/nccdphp/anpa/obesity. 2006.

  2. National Statistics: Body mass, by sex, 2001: Social trends 33. http://www.statistics.gov.uk/default.asp.

  3. Uauy R., Albala C., Kain J.: Obesity trends in Latin America: Transiting from Under- to Overweight. J. Nutr., 131, 893S–899S, 2001.

    PubMed  CAS  Google Scholar 

  4. British Heart Foundation: Prevalence of and trends in overweight and obesity in Europe. http://www.heartstats.org. 2004.

  5. Miller W.: Fitness and fatness in relation to health: Implications for a paradigm shift. J. Soc. Issues, 55, 207–219, 1999.

    Article  Google Scholar 

  6. Jeffery R., Epstein L., Wilson G.T.: Long term maintenance of weight loss: Current status. Health Psychol., 19, 5–16, 2000.

    Article  PubMed  CAS  Google Scholar 

  7. Blaine B., Rodman J., Newman J.: Weight loss treatment and psychological well-being: A meta-analytic review. J. Health Psychol., 12, 66–82, 2007.

    Article  PubMed  Google Scholar 

  8. Bruce B., Wilfley D.: Binge eating among the overweight population: A serious and prevalent problem. J. Am. Diet. Assoc., 96, 58–61, 1996.

    Article  PubMed  CAS  Google Scholar 

  9. Stunkard A.: Binge-eating Disorder and the Night Eating Syndrome. In: Fairburn C., Brownell K. (Eds.), Eating Disorders and Obesity: A Comprehensive Handbook. New York, Guilford Press, 2002, pp. 107–121.

    Google Scholar 

  10. American Psychiatric Association. Diagnostic and statistical manual of mental disorders, 4th ed. Washington, DC, APA, 2000.

    Google Scholar 

  11. Spitzer R., Devlin M., Walsh T., Hasin D., Wing R., Marcus M., Stunkard A., Wadden T., Yanovski S., Agras S., Mathcell J., Nonas C.: Binge eating disorder: A multisite field trial of the diagnostic criteria. Int. J. Eat. Disord., 11, 191–203, 1992.

    Article  Google Scholar 

  12. Grillo C.: Binge eating disorder. In: Fairburn C., Brownell K. (Eds.), Eating Disorders and Obesity: A Comprehensive Handbook. New York, Guilford Press, 2002, pp. 178–182.

    Google Scholar 

  13. Dingemans A., Bruna M., van Furth E.: Binge eating disorder: a review. Int. J. Eat. Disord., 26, 299–307, 2002.

    CAS  Google Scholar 

  14. Allison K., Stunkard A.: Obesity and eating disorders. Psychiatr. Clin. North Am., 28, 55–67, 2005.

    Article  PubMed  Google Scholar 

  15. Yanovski S., Nelson J., Dubbert B., Spitzer R.: Association of binge eating disorder and psychiatric comorbidity in obese subjects. Am. J. Psychiatry., 150, 1472–1479, 1993.

    PubMed  CAS  Google Scholar 

  16. Specker S., deZwaan M., Raymond N., Mitchell J.: Psychopathology in subgroups of obese women with and without binge eating disorder. Compr. Psychiatry, 35, 185–190, 1994.

    Article  PubMed  CAS  Google Scholar 

  17. Telch C., Stice E.: Psychiatric comorbidity in women with binge eating disorder: Prevalence rates from a non-treatment-seeking sample. J. Consult. Clin. Psychol., 66, 768–776, 1998.

    Article  PubMed  CAS  Google Scholar 

  18. Jirik-Babb P., Geliebter A.: Comparison of psychological characteristics of binging and nonbinging obese, adult, female outpatients. Eat. Weight Disord., 8, 173–177, 2003.

    Article  PubMed  CAS  Google Scholar 

  19. Streigel-Moore R., Wilson G.T., Wilfley D., Elder K., Brownell K.: Binge eating in an obese community sample. Int. J. Eat. Disord., 23, 27–37, 1998.

    Article  Google Scholar 

  20. Kuehnel R., Wadden T.: Binge eating disorder, weight cycling, and psychopathology. Int. J. Eat. Disord., 15, 321–329, 1994.

    Article  PubMed  CAS  Google Scholar 

  21. Mitchell J., Mussell M.: Comorbidity and binge eating disorder. Addict. Behav., 20, 725–732, 1995.

    Article  PubMed  CAS  Google Scholar 

  22. Wadden T., Foster D., Letizia K.: One-year behavioral treatment of obesity: Comparison of moderate and severe caloric restriction and the effects of weight maintenance therapy. J. Consult. Clin. Psychol., 62, 165–171, 1994.

    Article  PubMed  CAS  Google Scholar 

  23. Goodman E., Whitaker R.: A prospective study of the role of depression in the development and persistence of adolescent obesity. Pediatrics, 109, 497–504, 2002.

    Article  Google Scholar 

  24. Pine D., Goldstein R., Wolk S., Weissman M.: The association between childhood depression and adulthood body mass index. Pediatrics, 107, 1049–1056, 2001.

    Article  PubMed  CAS  Google Scholar 

  25. Ogden J., Wardle J.: Control of eating and attributional style. Br. J. Clin. Psychol., 29, 445–446, 1990.

    Article  PubMed  Google Scholar 

  26. Gormally J., Black S., Dastin S., Rardin D.: The assessment of binge eating severity among obese persons. Addict. Behav., 7, 47–55, 1982.

    Article  PubMed  CAS  Google Scholar 

  27. Schwarzer R.: http://www.fu-berlin.de/gesund/gesu_engl/meta_e.htm, 1989.

  28. Porzelius L., Houston C., Smith M., Arfken C., Fisher E.: Comparison of a standard behavioral weight loss treatment and a binge eating weight loss treatment. Behav. Ther., 26, 119–134, 1995.

    Article  Google Scholar 

  29. Malone M., Alger-Mayer S.: Binge status and quality of life after gastric bypass surgery: A one-year study. Obes. Res., 12, 473–481, 2004.

    Article  PubMed  Google Scholar 

  30. Alger S., Malone M., Cerulli J., Fein S., Howard L.: Beneficial effects of pharmacotherapy on weight loss, depressive symptoms, and eating patterns in obese binge eaters and non-binge eaters. Obes. Res., 7, 469–475, 1999.

    Article  PubMed  CAS  Google Scholar 

  31. Marcus M., Wing R., Hopkins J.: Obese binge eaters: Affect, cognitions, and responses to behavioral weight control. J. Consult. Clin. Psychol., 56, 433–439, 1988.

    Article  PubMed  CAS  Google Scholar 

  32. Agras S., Telch C., Arnow B., Eldredge K., Marnell M.: One-year follow-up of cognitive-behavioral therapy for obese individuals with binge eating disorder. J. Consult. Clin. Psychol., 65, 343–347, 1997.

    Article  PubMed  CAS  Google Scholar 

  33. Gladdis M., Wadden T., Vogt R., Foster G., Kuehnel R., Bartlett S.: Behavioral treatment of obese binge eaters: Do they need different care? J. Psychosom. Res., 44, 375–384, 1998.

    Article  Google Scholar 

  34. Sbrocco T., Nedegaard R., Stone J., Lewis E.: Behavioral choice treatment promotes continuing weight loss: Preliminary results of a cognitive-behavioral decision-based treatment for obesity. J. Consult. Clin. Psychol., 67, 260–266, 1999.

    Article  PubMed  CAS  Google Scholar 

  35. Fossati M., Amati F., Painot D., Reiner M., Haenni C., Golay A.: Cognitive-behavioral therapy with simultaneous nutritional and physical activity education in obese patients with binge eating disorder. Eat. Weight Disord., 9, 134–138, 2004.

    Article  PubMed  CAS  Google Scholar 

  36. Rippe J., Price J., Hess S., Kline G., DeMers K., Damitz S., Kreidieh I., Freedson P.: Improved psychological well-being, quality of life, and health practices in moderately overweight women participating in a 12-week structured weight loss program. Obes. Res., 6, 208–218, 1988.

    Google Scholar 

  37. Guisado J., Vaz F., Alarcon J., Lopez-Ibor J., Rubio M., Gaite L.: Psychopathological status and interpersonal functioning following weight loss in morbidly obese patients undergoing bariatric surgery. Obes. Surg., 12, 835–840, 2002.

    Article  PubMed  Google Scholar 

  38. Nauta H., Hospers H., Jansen A., Kok G.: Cognitions in obese binge eaters and obese non-binge eaters. Cogn. Ther. Res., 24, 521–531, 2000.

    Article  Google Scholar 

  39. Hayward L., Sullivan A., Libonati J.: Group exercise reduces depression on obese women without weight loss. Percept. Mot. Skills, 90, 204–208, 2000.

    Article  PubMed  CAS  Google Scholar 

  40. Byrne S., Cooper Z., Fairburn C.: Psychological predictors of weight gain in obesity. Behav. Res. Ther., 42, 1341–1356, 2004.

    Article  PubMed  Google Scholar 

  41. Grissett N., Fitzgibbon M.: The clinical significance of binge eating in an obese population: support for BED and questions regarding its criteria. Addict. Behav., 21, 57–66, 1996.

    Article  PubMed  CAS  Google Scholar 

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Blaine, B., Rodman, J. Responses to weight loss treatment among obese individuals with and without BED: A matched-study meta-analysis. Eat Weight Disord 12, 54–60 (2007). https://doi.org/10.1007/BF03327579

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