Food addiction in Bulimia Nervosa: Analysis of body composition, psychological and problematic foods profile
IntroductionFood Addiction (FA) has been related with eating disorders (ED), especially Bulimia Nervosa (BN). BN + FA may have different physical characteristics than patients with BN without the comorbidity, such as body mass index (BMI) or body composition, and psychological as emotion regulation....
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Frontiers Media S.A.
2022-10-01
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| Series: | Frontiers in Psychiatry |
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| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1032150/full |
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| author | Lucero Munguía Lucero Munguía Lucero Munguía Lucía Camacho-Barcia Lucía Camacho-Barcia Lucía Camacho-Barcia Anahí Gaspar-Pérez Anahí Gaspar-Pérez Roser Granero Roser Granero Roser Granero Carla Galiana Susana Jiménez-Murcia Susana Jiménez-Murcia Susana Jiménez-Murcia Susana Jiménez-Murcia Carlos Dieguez Carlos Dieguez Ashley Nicole Gearhardt Fernando Fernández-Aranda Fernando Fernández-Aranda Fernando Fernández-Aranda Fernando Fernández-Aranda |
| author_facet | Lucero Munguía Lucero Munguía Lucero Munguía Lucía Camacho-Barcia Lucía Camacho-Barcia Lucía Camacho-Barcia Anahí Gaspar-Pérez Anahí Gaspar-Pérez Roser Granero Roser Granero Roser Granero Carla Galiana Susana Jiménez-Murcia Susana Jiménez-Murcia Susana Jiménez-Murcia Susana Jiménez-Murcia Carlos Dieguez Carlos Dieguez Ashley Nicole Gearhardt Fernando Fernández-Aranda Fernando Fernández-Aranda Fernando Fernández-Aranda Fernando Fernández-Aranda |
| author_sort | Lucero Munguía |
| collection | DOAJ |
| description | IntroductionFood Addiction (FA) has been related with eating disorders (ED), especially Bulimia Nervosa (BN). BN + FA may have different physical characteristics than patients with BN without the comorbidity, such as body mass index (BMI) or body composition, and psychological as emotion regulation. However, the relationship between psychological and physical aspects, connected by problematic food and its influence on body composition, has been barely studied. Therefore, the aims of the present study are:Aims(a) To explore the differences in body composition between FA positive (FA+) and negative (FA–) in women with BN; (b) to identify problematic relationship with certain food types, according with the foods mentioned in the YFAS scale questionnaire, between FA+ and FA– patients; (c) to know the psychological characteristic differences between FA+ and FA– patients, considering emotion regulation, personality traits and general psychopathological state; (d) to identify the relationship between physical and psychological traits, and the identified problematic foods, in patients with BN and FA.MethodologyN = 81 BN women patients, with a mean age of 29.73 years ± 9.80 SD, who completed the questionnaires: Yale Food Addiction Scale V 1.0 (YFAS 1.0), Eating Disorder Inventory-2 (EDI-2), Symptom Checklist-90 Items-Revised (SCL-90-R), and Difficulties in Emotion Regulation Strategies (DERS). YFAS problematic foods were grouped considering their principal nutrients sources. Body composition and difference in metabolic age was determined using bioimpedance analyzer.ResultsThe 88% of patients with BN presented FA+. Patients with BN who were FA+ self-reported more problematic relationships with sweets and starches. Also presented higher emotion regulation difficulties, general psychopathology and eating symptomatology severity, than those without FA. Finally, emotional regulation difficulties were positively associated with higher eating disorder symptomatology and more types of foods self-reported as problematic, which increased indirectly fat mass.ConclusionThe results suggest that BN + FA presented more eating and psychopathology symptomatology and higher problems with specific food types. As well, the path analysis emphasized that emotion regulation difficulties might be related with problematic food relationship in BN, impacting over the ED severity.ImplicationsThe results may impact the development of precise therapies for patients with BN + FA. |
| first_indexed | 2024-04-12T16:13:34Z |
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| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-12T16:13:34Z |
| publishDate | 2022-10-01 |
| publisher | Frontiers Media S.A. |
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| series | Frontiers in Psychiatry |
| spelling | doaj.art-4e915bba8fc241a09898f4d017d1ed102022-12-22T03:25:48ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402022-10-011310.3389/fpsyt.2022.10321501032150Food addiction in Bulimia Nervosa: Analysis of body composition, psychological and problematic foods profileLucero Munguía0Lucero Munguía1Lucero Munguía2Lucía Camacho-Barcia3Lucía Camacho-Barcia4Lucía Camacho-Barcia5Anahí Gaspar-Pérez6Anahí Gaspar-Pérez7Roser Granero8Roser Granero9Roser Granero10Carla Galiana11Susana Jiménez-Murcia12Susana Jiménez-Murcia13Susana Jiménez-Murcia14Susana Jiménez-Murcia15Carlos Dieguez16Carlos Dieguez17Ashley Nicole Gearhardt18Fernando Fernández-Aranda19Fernando Fernández-Aranda20Fernando Fernández-Aranda21Fernando Fernández-Aranda22Department of Psychiatry, University Hospital of Bellvitge, Barcelona, SpainPsychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Program, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, SpainCIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Barcelona, SpainDepartment of Psychiatry, University Hospital of Bellvitge, Barcelona, SpainPsychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Program, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, SpainCIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Barcelona, SpainDepartment of Psychiatry, University Hospital of Bellvitge, Barcelona, SpainPsychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Program, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, SpainPsychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Program, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, SpainCIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Barcelona, SpainDepartment of Psychobiology and Methodology, Autonomous University of Barcelona, Barcelona, SpainPsychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Program, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, SpainDepartment of Psychiatry, University Hospital of Bellvitge, Barcelona, SpainPsychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Program, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, SpainCIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Barcelona, SpainDepartment of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, Barcelona, SpainCIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Barcelona, SpainDepartment of Physiology, Centro Singular de Investigación en Medicina Molecular y Enfermedades Crónicas (CIMUS), Instituto de Investigación Sanitaria, University of Santiago de Compostela, Santiago de Compostela, SpainDepartment of Psychology, University of Michigan, Ann Arbor, MI, United StatesDepartment of Psychiatry, University Hospital of Bellvitge, Barcelona, SpainPsychoneurobiology of Eating and Addictive Behaviors Group, Neurosciences Program, Bellvitge Biomedical Research Institute (IDIBELL), Barcelona, SpainCIBER Fisiopatología Obesidad y Nutrición (CIBERobn), Instituto de Salud Carlos III, Barcelona, SpainDepartment of Clinical Sciences, School of Medicine and Health Sciences, University of Barcelona, Barcelona, SpainIntroductionFood Addiction (FA) has been related with eating disorders (ED), especially Bulimia Nervosa (BN). BN + FA may have different physical characteristics than patients with BN without the comorbidity, such as body mass index (BMI) or body composition, and psychological as emotion regulation. However, the relationship between psychological and physical aspects, connected by problematic food and its influence on body composition, has been barely studied. Therefore, the aims of the present study are:Aims(a) To explore the differences in body composition between FA positive (FA+) and negative (FA–) in women with BN; (b) to identify problematic relationship with certain food types, according with the foods mentioned in the YFAS scale questionnaire, between FA+ and FA– patients; (c) to know the psychological characteristic differences between FA+ and FA– patients, considering emotion regulation, personality traits and general psychopathological state; (d) to identify the relationship between physical and psychological traits, and the identified problematic foods, in patients with BN and FA.MethodologyN = 81 BN women patients, with a mean age of 29.73 years ± 9.80 SD, who completed the questionnaires: Yale Food Addiction Scale V 1.0 (YFAS 1.0), Eating Disorder Inventory-2 (EDI-2), Symptom Checklist-90 Items-Revised (SCL-90-R), and Difficulties in Emotion Regulation Strategies (DERS). YFAS problematic foods were grouped considering their principal nutrients sources. Body composition and difference in metabolic age was determined using bioimpedance analyzer.ResultsThe 88% of patients with BN presented FA+. Patients with BN who were FA+ self-reported more problematic relationships with sweets and starches. Also presented higher emotion regulation difficulties, general psychopathology and eating symptomatology severity, than those without FA. Finally, emotional regulation difficulties were positively associated with higher eating disorder symptomatology and more types of foods self-reported as problematic, which increased indirectly fat mass.ConclusionThe results suggest that BN + FA presented more eating and psychopathology symptomatology and higher problems with specific food types. As well, the path analysis emphasized that emotion regulation difficulties might be related with problematic food relationship in BN, impacting over the ED severity.ImplicationsThe results may impact the development of precise therapies for patients with BN + FA.https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1032150/fullfood addictionBulimia Nervosaemotion regulationproblematic foodsbody composition |
| spellingShingle | Lucero Munguía Lucero Munguía Lucero Munguía Lucía Camacho-Barcia Lucía Camacho-Barcia Lucía Camacho-Barcia Anahí Gaspar-Pérez Anahí Gaspar-Pérez Roser Granero Roser Granero Roser Granero Carla Galiana Susana Jiménez-Murcia Susana Jiménez-Murcia Susana Jiménez-Murcia Susana Jiménez-Murcia Carlos Dieguez Carlos Dieguez Ashley Nicole Gearhardt Fernando Fernández-Aranda Fernando Fernández-Aranda Fernando Fernández-Aranda Fernando Fernández-Aranda Food addiction in Bulimia Nervosa: Analysis of body composition, psychological and problematic foods profile Frontiers in Psychiatry food addiction Bulimia Nervosa emotion regulation problematic foods body composition |
| title | Food addiction in Bulimia Nervosa: Analysis of body composition, psychological and problematic foods profile |
| title_full | Food addiction in Bulimia Nervosa: Analysis of body composition, psychological and problematic foods profile |
| title_fullStr | Food addiction in Bulimia Nervosa: Analysis of body composition, psychological and problematic foods profile |
| title_full_unstemmed | Food addiction in Bulimia Nervosa: Analysis of body composition, psychological and problematic foods profile |
| title_short | Food addiction in Bulimia Nervosa: Analysis of body composition, psychological and problematic foods profile |
| title_sort | food addiction in bulimia nervosa analysis of body composition psychological and problematic foods profile |
| topic | food addiction Bulimia Nervosa emotion regulation problematic foods body composition |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2022.1032150/full |
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