Are Eating Disorders Risk Factors for Type 2 Diabetes? A Systematic Review and Meta-analysis

  title={Are Eating Disorders Risk Factors for Type 2 Diabetes? A Systematic Review and Meta-analysis},
  author={Ramfis Nieto-Mart{\'i}nez and Juan P. Gonz{\'a}lez-Rivas and Jose R. Medina-Inojosa and Hermes Jose Florez},
  journal={Current Diabetes Reports},
Recent FindingsEating disorders (ED) affect energy intake modifying body fat depots. Prior evidence suggests that binge eating disorder (BED) and bulimia nervosa (BN) could increase the risk for type 2 diabetes (T2D), while anorexia nervosa (AN) could reduce it.Purpose of ReviewA systematic review and meta-analysis were conducted to evaluate if ED are risk factors for T2D.SummaryTen studies were selected out of 1057 screened. Meta-analysis of six studies with T2D as outcome is reported. Among… 

Binge Eating Disorder in Patients with Type 2 Diabetes: Diagnostic and Management Challenges

Current perspectives on BED in the context of T2DM with implications for screening and management of these highly comorbid conditions are discussed.

Managing Risk of Non-Communicable Diseases in Women with Bulimia Nervosa or Binge Eating Disorders: A Randomized Trial with 12 Months Follow-Up

Results showed that PED-t improved more than CBT on mean (99% CI) absolute Vo2peak; 57,2 (84.4, 198.8) mL (g = 0.22, p < 0.001) post-treatment, and there were small to medium long-term differences in 1RM after P ED-t compared to CBT.

Dysfunctional eating in type 2 diabetes mellitus: A multicenter Italian study of socio-demographic and clinical associations.

Eating behavior and metabolic syndrome over time

Higher restrained and external EB, and an increase in external EB in men; and higher restrained and emotionalEB, and a increase in emotional EB in women may be associated with increased risk of concurrent, incident, or persistent MetS.

Psychological and metabolic risk factors in older adults with a previous history of eating disorder: A cross-sectional study from the Predimed-Plus study.

The results showed that previous ED was associated with greater affective and cognitive impairment, but also with higher BMI, later in life, than those without lifetime ED.

Obsessed with Healthy Eating: A Systematic Review of Observational Studies Assessing Orthorexia Nervosa in Patients with Diabetes Mellitus

In conclusion, patients with DM often exhibit ON tendencies, although research is still limited regarding the etiology or mechanistic drivers behind ON and the characteristics of patients with a dual ON–DM diagnosis.

Binge Eating Disorder and Type 2 Diabetes Mellitus

The relationship between Binge Eating Disorder and Type 2 Diabetes Mellitus, their incidence, metabolic effects and diagnostic tools were examined.

Managing type 2 diabetes or prediabetes and binge eating disorder: a qualitative study of patients’ perceptions and lived experiences

Binge eating made diabetes management harder, but when diabetes and BED treatment were aligned, participants experienced improvements in binge symptoms and diabetes outcomes.

Psychiatric disorders as risk factors for the development of type 2 diabetes mellitus: an umbrella review protocol

A comprehensive systematic search of published systematic reviews and meta-analyses of observational longitudinal studies investigating whether a psychiatric disorder is associated with the risk of developing type 2 diabetes mellitus is conducted.



Highly increased risk of type 2 diabetes in patients with binge eating disorder and bulimia nervosa.

Findings provide strong support for the association between T2D and clinically significant binge eating and disturbed glucose metabolism may contribute to the onset and maintenance of BED and BN.

Longitudinal study of the diagnosis of components of the metabolic syndrome in individuals with binge-eating disorder.

Binge-eating disorder may confer a risk of components of the metabolic syndrome over and above the risk attributable to obesity alone over and over.

Binge eating and other psychopathology in patients with type II diabetes mellitus.

Although glycosylated hemoglobin levels were similar in patients with and without BED, the presence of BED was associated with greater obesity, and assessment for BED is an important aspect of the management of patients with Type II DM.

Disordered Eating Behavior in Individuals With Diabetes

This review was conducted to examine disordered eating behavior (DEB), including diagnosable eating disorders, in the context of diabetes. The use of criteria and assessment methods standardized on

Binge eating disorder and medical comorbidities in bariatric surgery candidates.

The results suggest the possibility of a contribution of BED to risk of specific medical comorbidities in severely obese adults.