Associated features of pediatric loss-of-control eating severity during a laboratory-based feeding paradigm
Eat Behav. 2023 Jul 27;50:101790. doi: 10.1016/j.eatbeh.2023.101790. Online ahead of print.ABSTRACTLaboratory-based loss-of-control eating (LOC-eating; i.e., feeling like one cannot stop eating) paradigms have provided inconsistent evidence that the features of pediatric LOC-eating are consistent with those of DSM-5-TR binge-eating episodes. Thus, this study investigated whether recent LOC-eating (in the prior month) and/or greater LOC-eating severity during a meal are positively associated with faster eating rate, energy intake when adjusting for hunger, post-meal stomachache and sickness (a proxy for eating until uncomfortably full), depression, and guilt. Recent LOC-eating was assessed via interview. Participants were presented with a buffet-type meal and instructed to "Let yourself go and eat as much as you want." Immediately following, youth reported on their experience of LOC-eating during the meal (LOC-eating severity). Eating rate (kcal/min) was computed by dividing total energy intake by the duration of the meal. Prior to and following the meal, youth reported hunger, sickness, and stomachache via sliding Visual Analog Scales, depression via the Brunel Mood Scale and guilt via the PANAS-X. Three-hundred-ten youth participated (61.2 % Female; 46.3 % non-Hispanic White, 12.96 ± 2.72 y). Recent LOC-eating was not significantly associated with any DSM-5-TR binge-eating feature during the laboratory meal (ps = 0.07-0.85). However, LOC-eating severity during the meal was ...
Source: Eating Behaviors - Category: Eating Disorders & Weight Management Authors: Megan N Parker Sarah LeMay-Russell Lucy K Loch Bess F Bloomer Jennifer Te-Vazquez Nasreen A Moursi Ejike E Nwosu Julia Lazareva Natasha A Schvey Sheila M Brady Shanna B Yang Sara A Turner Marian Tanofsky-Kraff Jack A Yanovski Source Type: research
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