Long-term interdisciplinary therapy decreases symptoms of binge eating disorder and prevalence of metabolic syndrome in adults with obesity

Long-term interdisciplinary therapy decreases symptoms of binge eating disorder and prevalence of metabolic syndrome in adults with obesity

Author Leite, Paula Bresciani Autor UNIFESP Google Scholar
Damaso, Ana Raimunda Autor UNIFESP Google Scholar
Poli, Vanessa Schoenardie Autor UNIFESP Google Scholar
Sanches, Ricardo Badan Google Scholar
Andrade Silva, Stephan Garcia Google Scholar
Novo Fidalgo, Joao Pedro Autor UNIFESP Google Scholar
Nascimento, Maythe Amaral Autor UNIFESP Google Scholar
Machado de Oliveira, Camila Aparecida Autor UNIFESP Google Scholar
Caranti, Danielle Arisa Autor UNIFESP Google Scholar
Abstract Obesity-associated comorbidities greatly impact the quality and expectancy of life. Binge eating disorder (BED) is the most prevalent eating disorder and it is an important risk factor for obesity and metabolic syndrome (MetS). For these reasons, we aimed to assess the effect of an interdisciplinary therapy on the symptoms of BED and the prevalence of MetS in obese adults. It was hypothesized that the interdisciplinary therapy would decrease symptoms of BED and markers of MetS. Twenty-four volunteers (BMI 34.80 +/- 3.17 kg/m(2)

41.21 +/- 6.28 years old) completed a 32-week intervention. Biochemical characteristics, body composition, the degree of symptoms of binge eating, and macronutrients, and sodium consumption pre- and post-treatment were determined. The prevalence of MetS dropped from 75% to 45.8%, post-therapy. Among the markers of MetS, waist circumference and systolic blood pressure decreased significantly, whereas high-density lipoprotein levels increased. Fasting plasma glucose, diastolic blood pressure, and triglycerides did not change. Based on binge-eating scale (BES) scores, before therapy, 33.3% of volunteers were classified as moderate bingers, and after therapy all volunteers were classified as having no BED symptoms. No difference in the prevalence of MetS between individuals classified as normal or moderate bingers was observed, but we found a positive post-therapy correlation between the BES score and body fat, gynoid fat and trunk fat. Sodium, fat, and carbohydrate consumption decreased. Protein intake did not change. In conclusion, the interdisciplinary approach was efficient in reducing symptoms of BED and MetS prevalence in this population. (C) 2017 Elsevier Inc. All rights reserved.
Keywords Obesity
Intervention
Interdisciplinary therapy
Eating disorders
Binge eating
xmlui.dri2xhtml.METS-1.0.item-coverage Oxford
Language English
Sponsor Sao Paulo Research Foundation (FAPESP) [11/51723-7]
Brazilian National Council for Scientific and Technological Development (CNPq) [471108/2011-1]
national funds
Sao Paulo Research Foundation (FAPESP) [11/51723-7]
Brazilian National Council for Scientific and Technological Development (CNPq) [471108/2011-1]
national funds
Date 2017
Published in Nutrition Research. Oxford, v. 40, p. 57-64, 2017.
ISSN 0271-5317 (Sherpa/Romeo, impact factor)
Publisher Pergamon-Elsevier Science Ltd
Extent 57-64
Origin http://dx.doi.org/10.1016/j.nutres.2017.03.006
Access rights Closed access
Type Article
Web of Science ID WOS:000401216600006
URI https://repositorio.unifesp.br/handle/11600/54798

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