Binge Eating Disorder & Obesity

Question 1

Essence

Answer 1

Binge-eating with associated subjective loss of control and distress but without purging

Typically leading to obesity (BMI > 30)

Question 2

Aetiology of obesity

Answer 2

• Weight controlling genes
• Family and cultural influences
• High availability of cheap calorific foods
• Sedentary lifestyle

Question 3

Management

Answer 3

• CBT
• Exercise
• Educational programmes
• Pharmacology
  
  • Anti-obesity medicine like orlistat are of short-term benefit
• Surgery
  
  • Gastric banding or bypass surgery in severe cases