VA Connecticut Healthcare System, West Haven, Connecticut, USA.
Obesity (Silver Spring). 2013 May;21(5):900-3. doi: 10.1002/oby.20160.
Despite the high prevalence of overweight and obesity in US military veterans, binge eating has not been examined in this population. Using a secondary data analysis approach, we examined the prevalence and correlates of self-reported binge eating among 45,477 overweight or obese veterans receiving care in Veterans Health Administration (VHA) facilities. Participants completed a 23-item survey that assessed demographics, weight history, physical and mental health comorbidities, and eating habits during routine medical clinic visits. Chi square and logistic regression analyses were used to examine relationships among binge eating and demographic variables and medical and psychiatric comorbidities. Nearly three-quarters of the sample reported any binge eating. Binge-eaters were more likely to report higher BMI,depression, anxiety, and type 2 diabetes (p<.0001). After controlling for potentially confounding variables, male veterans were significantly more likely to report any binge eating than female veterans (p<.001). These results have important implications for modifying weight management programs and highlight the need for assessment and treatment to address binge eating, particularly among men and patients with type 2 diabetes [corrected].
尽管超重和肥胖在美国退伍军人中很普遍,但暴食行为尚未在这一人群中进行研究。本研究采用二次数据分析方法,调查了在退伍军人健康管理局(VHA)医疗机构接受治疗的 45477 名超重或肥胖退伍军人中,自我报告的暴食行为的流行率及其相关因素。参与者在常规医疗诊所就诊期间完成了一份 23 项的调查,评估了人口统计学、体重史、身体和心理健康合并症以及饮食习惯。卡方检验和逻辑回归分析用于检查暴食行为与人口统计学变量以及医学和精神科合并症之间的关系。近四分之三的样本报告了任何暴食行为。暴食者更有可能报告更高的 BMI、抑郁、焦虑和 2 型糖尿病(p<.0001)。在控制了潜在的混杂变量后,男性退伍军人报告任何暴食行为的可能性显著高于女性退伍军人(p<.001)。这些结果对修改体重管理计划具有重要意义,并强调需要评估和治疗暴食行为,尤其是针对男性和 2 型糖尿病患者。