Loss-of-Control Eating and Cardiometabolic Health in Relation to Overweight and Obesity

Curr Diab Rep. 2022 Jun;22(6):257-266. doi: 10.1007/s11892-022-01466-z. Epub 2022 Apr 11.

Abstract

Purpose of review: Loss-of-control (LOC) eating, the subjective feeling of being unable to control what or how much is being consumed, is common. The purpose of this review was to examine the relationships among LOC eating, cardiometabolic health, and weight management intervention outcomes.

Recent findings: In youth and adults, LOC eating is associated with and predictive of psychological symptoms, high weight, and worsened cardiometabolic health. While LOC eating pre-intervention does not appear to impact outcomes, LOC eating during or following is associated with worsened outcomes from behavioral and surgical weight management interventions. When individuals are undergoing weight management interventions, it may be important to regularly assess for LOC eating. There is limited research on the examined relationships in diverse populations (e.g., males, individuals of a lower socio-economic status, racial/ethnic minority groups). Future research should examine these relationships across the lifespan in diverse populations, with a focus on how these relationships can be impacted through targeted interventions.

Keywords: Assessment; Cardiometabolic health; Interventions; Loss-of-control eating; Overweight/obesity; Treatment outcomes.

Publication types

  • Review

MeSH terms

  • Adolescent
  • Adult
  • Cardiovascular Diseases* / etiology
  • Eating / psychology
  • Ethnicity
  • Feeding Behavior / psychology
  • Humans
  • Male
  • Minority Groups
  • Obesity / complications
  • Obesity / psychology
  • Overweight* / complications