Abstract

Background/Aims: Trait binge eating has been proposed as a “hedonic subtype” of obesity characterized by enhanced food liking and wanting, and a preference for high-fat sweet foods in the laboratory. The current study examined the influence of trait binge eating in overweight or obese women on eating behavior under laboratory and free-living conditions over a 48-h period.Methods: In a matched pairs design, 24 overweight or obese females (BMI: 30.30 ± 2.60 kg/m2; Age: 25.42 ± 3.65 years) with high or low scores on the Binge Eating Scale (BSE) were divided into one of two groups; Obese Binge (O-B) and Obese Non-binge (O-NB). Energy intake was assessed using combined laboratory energy intake measures and 24-h dietary recall procedures. Liking and wanting were assessed using the Leeds Food Preference Questionnaire (LFPQ).Results: There was a significant association between overall energy consumed, and energy consumed from snack foods under laboratory and free-living conditions. O-B exhibited a greater preference for sweet snack foods in their laboratory and free-living eating behavior. These findings were supported by greater laboratory-based measures of wanting and craving for this food type in O-B. In addition, O-B consumed significantly more energy than their estimated daily energy requirements in the laboratory suggesting that they over-consumed compared to O-NB.Conclusions: The measurement concordance between laboratory and free-living based energy intake supports the validity of laboratory-based test meal methodologies Variation in trait binge eating was associated with increased craving and wanting for high-fat sweet foods and overconsumption in the laboratory. These findings support the use of trait binge eating as a common hedonic subtype of obesity and extend the relevance of this subtype to habitual patterns of energy intake.

Highlights

  • In the recent publication of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) Binge Eating Disorder (BED) has been formally recognized as an eating disorder

  • The measurement concordance between laboratory and free-living based energy intake supports the validity of laboratory-based test meal methodologies Variation in trait binge eating was associated with increased craving and wanting for high-fat sweet foods and overconsumption in the laboratory. These findings support the use of trait binge eating as a common hedonic subtype of obesity and extend the relevance of this subtype to habitual patterns of energy intake

  • In an extension to these findings, we subsequently examined the influence of trait binge eating on food reward and energy intake under fed and fasted states, in age-matched lean and overweight or obese females (Dalton et al, 2013)

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Summary

Introduction

In the recent publication of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) Binge Eating Disorder (BED) has been formally recognized as an eating disorder. We found that those with high scores were characterized by an increased intake of highfat sweet foods and enhanced wanting for these foods compared to those with low scores; and that these differences were more pronounced when fasted Taken together, these findings suggest that the disposition to binge eat (termed here “trait binge eating”) is a functionally meaningful individual difference metric and can be used to identify a behavioral subtype of the population who are susceptible to overeating.

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