Psychosocial and metabolic function by smoking status in individuals with binge eating disorder and obesity

Tomoko Udo; Marney A. White; Rachel D. Barnes; Valentina Ivezaj; Peter Morgan; Robin M. Masheb; Carlos M. Grilo

doi:10.1016/j.addbeh.2015.09.018

Psychosocial and metabolic function by smoking status in individuals with binge eating disorder and obesity

Tomoko Udo, Marney A. White, Rachel D. Barnes, Valentina Ivezaj, Peter Morgan, Robin M. Masheb, Carlos M. Grilo

Research output: Contribution to journal › Article › peer-review

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Abstract

Individuals with binge eating disorder (BED) report smoking to control appetite and weight. Smoking in BED is associated with increased risk for comorbid psychiatric disorders, but its impact on psychosocial functioning and metabolic function has not been evaluated. Participants were 429 treatment-seeking adults (72.4% women; mean age 46.2. ±. 11.0. years old) with BED comorbid with obesity. Participants were categorized into current smokers (. n=. 66), former smokers (. n=. 145), and never smokers (. n=. 218). Smoking status was unrelated to most historical eating/weight variables and to current eating disorder psychopathology. Smoking status was associated with psychiatric, psychosocial, and metabolic functioning. Compared with never smokers, current smokers were more likely to meet lifetime diagnostic criteria for alcohol (OR. =. 5.51 [95% CI. =. 2.46-12.33]) and substance use disorders (OR. =. 7.05 [95% CI. =. 3.37-14.72]), poorer current physical quality of life, and increased risk for metabolic syndrome (OR. =. 1.80 [95% CI. =. 0.97-3.35]) and related metabolic risks (reduced HDL, elevated total cholesterol). On the other hand, the odds of meeting criteria for lifetime psychiatric comorbidity or metabolic abnormalities were not significantly greater in former smokers, relative to never smokers. Our findings suggest the importance of promoting smoking cessation in treatment-seeking patients with BED and obesity for its potential long-term implications for psychiatric and metabolic functioning.

Original language	English (US)
Pages (from-to)	46-52
Number of pages	7
Journal	Addictive Behaviors
Volume	53
DOIs	https://doi.org/10.1016/j.addbeh.2015.09.018
State	Published - Feb 1 2016
Externally published	Yes

Bibliographical note

Funding Information:
This research was supported, in part, by grants from the National Institutes of Health ( K24 DK070052 , R01 DK49587 , K12 DA031050 , K23 DK092279 ); Dr. Grilo was also supported, in part, by CASA Columbia. The funding agencies and sources had no role in the preparation or the content of this paper.

Funding Information:
This research was supported, in part, by grants from the National Institutes of Health (K24 DK070052, R01 DK49587, K12 DA031050, K23 DK092279); Dr. Grilo was also supported, in part, by CASA Columbia. The funding agencies and sources had no role in the preparation or the content of this paper.

Publisher Copyright:
© 2015 Published by Elsevier Ltd.

Keywords

Binge eating disorder
Comorbidity
Metabolic syndrome
Obesity
Smoking

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1016/j.addbeh.2015.09.018

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title = "Psychosocial and metabolic function by smoking status in individuals with binge eating disorder and obesity",

abstract = "Individuals with binge eating disorder (BED) report smoking to control appetite and weight. Smoking in BED is associated with increased risk for comorbid psychiatric disorders, but its impact on psychosocial functioning and metabolic function has not been evaluated. Participants were 429 treatment-seeking adults (72.4% women; mean age 46.2. ±. 11.0. years old) with BED comorbid with obesity. Participants were categorized into current smokers (. n=. 66), former smokers (. n=. 145), and never smokers (. n=. 218). Smoking status was unrelated to most historical eating/weight variables and to current eating disorder psychopathology. Smoking status was associated with psychiatric, psychosocial, and metabolic functioning. Compared with never smokers, current smokers were more likely to meet lifetime diagnostic criteria for alcohol (OR. =. 5.51 [95% CI. =. 2.46-12.33]) and substance use disorders (OR. =. 7.05 [95% CI. =. 3.37-14.72]), poorer current physical quality of life, and increased risk for metabolic syndrome (OR. =. 1.80 [95% CI. =. 0.97-3.35]) and related metabolic risks (reduced HDL, elevated total cholesterol). On the other hand, the odds of meeting criteria for lifetime psychiatric comorbidity or metabolic abnormalities were not significantly greater in former smokers, relative to never smokers. Our findings suggest the importance of promoting smoking cessation in treatment-seeking patients with BED and obesity for its potential long-term implications for psychiatric and metabolic functioning.",

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note = "Funding Information: This research was supported, in part, by grants from the National Institutes of Health ( K24 DK070052 , R01 DK49587 , K12 DA031050 , K23 DK092279 ); Dr. Grilo was also supported, in part, by CASA Columbia. The funding agencies and sources had no role in the preparation or the content of this paper. Funding Information: This research was supported, in part, by grants from the National Institutes of Health (K24 DK070052, R01 DK49587, K12 DA031050, K23 DK092279); Dr. Grilo was also supported, in part, by CASA Columbia. The funding agencies and sources had no role in the preparation or the content of this paper. Publisher Copyright: {\textcopyright} 2015 Published by Elsevier Ltd.",

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AU - Morgan, Peter

AU - Masheb, Robin M.

AU - Grilo, Carlos M.

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Psychosocial and metabolic function by smoking status in individuals with binge eating disorder and obesity

Abstract

Bibliographical note

Keywords

UN SDGs

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