Binge Eating Disorder (BED)
Binge eating disorder (BED) is the newest clinically recognized eating disorder. BED is primarily identified by repeated episodes of uncontrolled eating. The overeating or bingeing does not typically stop until the person is uncomfortably full. Unlike anorexia nervosa and bulimia nervosa, however, BED is not associated with inappropriate behaviors such as vomiting or excessive exercise to rid the body of extra food. The illness usually begins in late adolescence or in the early 20s, often coming soon after significant weight loss from dieting. Some researchers believe that BED is the most common eating disorder, affecting 15% - 50% of participants in weight control programs. In these programs, women are more likely to have BED than males. Current findings suggest that BED affects 0.7% - 4% of the general population.1
To the lay person, BED can be difficult to distinguish from other causes of obesity. However, the overeating in individuals with BED is often accompanied by feeling out of control and followed by feelings of depression, guilt, or disgust.
Complications
People with BED are often overweight because they maintain a high calorie diet without expending a similar amount of energy. Medical problems for this disorder are similar to those found with obesity such as increased cholesterol levels, high blood pressure, and diabetes, as well as increased risk for gallbladder disease, heart disease, and some types of cancer. Researchers have shown that individuals with BED also have high rates of depression.
Footnotes
1. American Psychiatric Association: Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition. Washington, DC, American Psychiatric Association, 1994.