Obesity with Comorbid Eating Disorders: Associated Health Risks and Treatment Approaches

Nutrients. 2018 Jun 27;10(7):829. doi: 10.3390/nu10070829.

Abstract

Obesity and eating disorders are each associated with severe physical and mental health consequences, and individuals with obesity as well as comorbid eating disorders are at higher risk of these than individuals with either condition alone. Moreover, obesity can contribute to eating disorder behaviors and vice-versa. Here, we comment on the health complications and treatment options for individuals with obesity and comorbid eating disorder behaviors. It appears that in order to improve the healthcare provided to these individuals, there is a need for greater exchange of experiences and specialized knowledge between healthcare professionals working in the obesity field with those working in the field of eating disorders, and vice-versa. Additionally, nutritional and/or behavioral interventions simultaneously addressing weight management and reduction of eating disorder behaviors in individuals with obesity and comorbid eating disorders may be required. Future research investigating the effects of integrated medical, psychological and nutritional treatment programs addressing weight management and eating disorder psychopathology in individuals with obesity and comorbid eating disorder behaviors—such as binge eating—is necessary.

Keywords: binge eating; dieting; eating disorders; obesity; treatment.

Publication types

  • Review

MeSH terms

  • Comorbidity
  • Feeding Behavior*
  • Feeding and Eating Disorders / epidemiology
  • Feeding and Eating Disorders / physiopathology
  • Feeding and Eating Disorders / psychology
  • Feeding and Eating Disorders / therapy*
  • Humans
  • Nutritional Status
  • Obesity / epidemiology
  • Obesity / physiopathology
  • Obesity / psychology
  • Obesity / therapy*
  • Risk Factors
  • Treatment Outcome
  • Weight Loss