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Biopsychosocial Correlates of Binge Eating Disorder in Caucasian and African American Women with Obesity in Primary Care Settings

机译：在基层医疗机构中患有肥胖症的白种人和非洲裔美国妇女暴食饮食障碍的生物社会社会相关性

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This study examined racial differences in eating-disorder psychopathology, eating/weight-related histories, and biopsychosocial correlates in women (n=53 Caucasian and n=56 African American) with comorbid binge-eating disorder (BED) and obesity seeking treatment in primary care settings. Caucasians reported significantly earlier onset of binge eating, dieting, and overweight, and greater number of times dieting than African American. The rate of metabolic syndrome did not differ by race. Caucasians had significantly elevated triglycerides whereas African Americans showed poorer glycemic control (higher glycated hemoglobin A1c [HbA1c]), and significantly higher diastolic blood pressure. There were no significant racial differences in features of eating disorders, depressive symptoms, or mental and physical health functioning. The clinical presentation of eating-disorder psychopathology and associated psychosocial functioning differed little by race among obese women with BED seeking treatment in primary care settings. Clinicians should assess for and institute appropriate interventions for comorbid BED and obesity in both African American and Caucasian patients.
机译：这项研究检查了患有饮食暴食症（BED）和肥胖症的原发性合并症的女性（n = 53的白种人和n = 56的非洲裔美国人）的饮食失调心理病理学，饮食/体重相关历史以及生物心理社会相关因素的种族差异。护理设置。高加索人报告说，暴饮暴食，节食和超重的发作明显较早，而且节食的次数比非裔美国人多。代谢综合征的发生率因种族而异。高加索人的甘油三酸酯明显升高，而非洲裔美国人的血糖控制较差（糖化血红蛋白A1c [HbA1c]较高），舒张压也明显升高。在饮食失调，抑郁症状或心理和身体健康功能方面，种族没有显着差异。在基层医疗机构寻求治疗的肥胖妇女中，饮食异常的精神病理学和相关的社会心理功能的临床表现差异不大。对于非裔美国人和白种人患者，临床医生应评估并针对合并症的BED和肥胖症采取适当的干预措施。

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