Medical comorbidity and medical complications associated with binge-eating disorder

ObjectiveThe purpose of this review is to provide an overview of possible medical complications of binge-eating disorder (BED). MethodLiterature on BED, both in obese and nonobese patients, was reviewed. ResultsA growing literature suggests that BED independently may increase the likelihood of developing components of the metabolic syndrome, and that LOC eating in children may contribute to weight gain and metabolic disturbances. Limited evidence suggests that other organ systems may be affected by BED as well. DiscussionAdditional prospective studies are needed. Although the results of the available studies are not definitive and provide somewhat mixed results, there does appear to be a clear suggestion of an increased risk for the development of components of the metabolic syndrome in adults and children. RESUMEN ObjetivoEl proposito de esta revision es proveer un panorama de las posibles complicaciones medicas en el trastorno por atracon (TpA). MetodoSe reviso la literatura acerca de Trastorno por Atracon en pacientes obesos y no obesos. ResultadosUn creciente numero de articulos sugiere que el trastorno por atracon por si mismo, puede incrementar la probabilidad de desarrollar sindrome metabolico y que la perdida de control al comer en ninos, puede contribuir a ganar peso y a trastornos metabolicos. Una limitada evidencia sugiere que tambien otros sistemas organicos pueden ser afectados por el trastorno por atracon. DiscusionSe necesitan mas estudios prospectivos. Aunque los resultados de los estudios disponibles no son definitivos y proveen resultados mezclados, parece haber una clara sugerencia de riesgo incrementado para desarrollar los componentes del sindrome metabolico en adultos y ninos. (c) 2015 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:319-323).