Salud Mental

Binge eating disorder in men. A review of the relevant variables in the literature


Héctor Julián Velázquez López
Rosalía Vázquez Arévalo
Juan Manuel Mancilla Díaz


Background. Although binge eating disorder (BED) formally appeared in the fourth edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-IV), after nearly two decades of research, it is still considered understudied in men. Objective. To carry out a literature review with the variables that have been relevant in research on BED in men, from 1994 to 2015.

Method. The article search was conducted in Medline and PsycINFO databases.

Results. Twenty-eight articles were analyzed, none specifically investigated male population. Men engage less in restrictive dieting than women (29.8% and 57.3%, respectively). Regarding body image, both men and women are prone to body dissatisfaction, although the ideal body is not necessarily the same. Regarding comorbidity, anxiety disorders are the most common ones in men with BED, in addition to the fact that they are more susceptible to substance abuse.

Discussion and conclusion. Investigation on BED has mainly been conducted on female population, which suggests the need for more research on men that provides more empirical evidence.

Binge eating disorder, feeding behavior, body image, anxiety, depression


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American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders (DSM-5). A.P.A. Press:Washington, D.C;2013.

American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-IV). A.P.A. Press:Washington, D.C;1994.

Stunkard AJ. Eating patterns and obesity. Psychiatr Q 1959;33(2):284-292.

Castro AL. Ramírez AL. Prevalencia de manifestaciones del trastorno por atracón en adultos con sobrepeso y obesidad. Revista Costarricense de Salud Pública 2013;22(1): 20-26.

Hudson JI. Hiripi E. Pope HG. Kessler RC. The Prevalence and Correlates of Eating Disorders in the National Comorbidity Survey Replication. Biological Psychiatry 2012;72(2):348–358.

Litwack SD, Mitchell KS, Sloan DM, Reardon AF, Miller MW. Eating disorder symptoms and comorbid psychopathology among male and female veterans. Gen Hosp Psychiatry 2014:36(4):406-10.

Neumark-Sztainer D. Sherwood NE. French SA. Jeffery RW. Weight control behaviors among adult men and women:cause for concern? Obesity Research 1999;7(2):179-188.

Spitzer RL, Yanovski S, Wadden T, Wing R, Marcus M, Stunkard A,… Horne RL. Binge eating disorders:Its further validation in a multisite study. Int J Eat Disord 1993;13(2):137-153.

Fitzgibbon ML, Sánchez-Johnsen L, Martinovich Z. A test for the continuity perspective across bulimic and binge eating pathology. Int J Eat Disord 2003;34(1):83-97.

Gormally J, Black S, Datson S, Rardin D. The assessment of binge eating severity among obese persons. Addict Behav 1982;7(1):47-55.

Hsu LKG. Mulliken B. McDonagh B. Krupa S. Rand W. Fairburn CG. Rolls B. McCrory MA. Saltzman E. Shikora S. Dwyer J. Roberts S. Binge eating disorder in extreme obesity. International Journal of Eating Disorders 2002;26(10):1398-1403.

Johnsen L. Gorin A. Stone A. Grange D. Characteristics of binge eating among women in the community seeking treatment for binge eating or weight loss. Eating Behaviors 2003;3:295-305.

Spitzer RL, Devlin M, Walsh BT, Hasin D, Wing R, Marcus M,… Nonas C. Binge eating disorder:A multisite field trial of the diagnostic criteria. Int J Eat Disord 1992;11(3):191-203.

Villagómez L, Cortés J, Barrera E, Saucedo D, Alcocer L. Comorbilidad de la obesidad con los trastornos de la conducta alimentaria. Revista de Investigación Clínica 2003,55(5):535-545.

Williamson DA, Martin CK. Binge eating disorder:A review of the literature after publication of DSM-IV. Eating and Weight Disorders 1999;4(3):103-114.

Ramacciotti CE. Coli E. Paoli R. Gabriellini G. Schulte F. Castrogiovanni S. Dell’Osso L. Garfinkel PE. The relationship between binge eating disorder and non-purging bulimia nerviosa. Eating and Weight Disorders2005;10:8-12.

Vervaet M. van Heeringen C. Audenaert K. Binge Eating Disorder and Non-purging Bulimia:More Similar than Different? European Eating Disorders Review 2004;12:27-33.

García-Camba E. Avances en trastornos de la conducta alimentaria. Anorexia nerviosa, bulimia nerviosa y obesidad. Masson:España;2001.

Marcus MD. Adapting treatment for patients with binge Eating Disorders. En:D. M. Garner & P. E. Garfinkel (Eds.), Handbook of treatment for eating disorders (2a Ed., pp. 484-483). New York:The Guilford Press;1997.

American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders (DSM-IV-TR). A.P.A. Press:Washington, D.C;2000.

Castonguay LG, Eldredge KL, Agras WS. Binge eating disorder:Current state and future directions. Clin Psychol Rev 1995;15(8):865-890.

Hoek HW, van Hoeken D. Review of the prevalence and incidence of eating disorders. Int J Eat Disord 2003;34(4):383-396.

Weltzin TE, Weisensel N, Franczyk D, Burnett K, Klitz C, Bean P. Eating disorders in men:Update. The Journal of Men's Health and Gender 2005;2(2):186-193

Womble LG, Williamson DA, Martin CK, Zucker NL, Thaw JM, Netemeyer R,… Greenway FL. Psychosocial variables associated whit binge eating in obese males and females. Int J Eat Disord 2001;30(2):217-221.

Cororve FM, Gleaves DH. Sociocultural, feminist, and psychological influences on women’s body satisfaction:A structural modeling analysis. Psychology of Women Quarterly 2004;28:370-380.

Hay P. The epidemiology of eating disorder behaviors:An Australian community-based survey. Int J Eat Disord 1998;23(4):371-382.

Hodges EL, Stellefson EJ, Jarrell MP, Cochrane CE, Brewerton TD. Eating disorder pathology in a culinary arts school. Eating Disorders:The Journal of Treatment y Prevention 1999;7(1):43-50.

Feldman MB, Meyer IH. Eating disorders in diverse lesbian, gay, and bisexual populations. Int J Eat Disord 2007;40(3):218-226.

Grucza RA, Przybeck TR, Cloninger CR. Prevalence and correlates of binge eating disorder in a community sample. Compr Psychiatry 2007;48(2):124-131.

Nicdao EG, Hong S, Takeuchi DT. Prevalence and correlates of eating disorders among Asian Americans:Results from the National Latino and Asian American Study. Int J Eat Disord 2007;40(S-3):S22-S26.

Lundgren JD, Rempfer MV, Brown CE, Goetz J, Hamera E. The prevalence of night eating syndrome and binge eating disorder among overweight and obese individuals with serious mental illness. Psychiatry Res 2010;175(3):233-236.

Reas DL, Masheb RM, Grilo CM. Appearance vs. Health Reasons for Seeking Treatment Among Obese Patients with Binge Eating Disorder. Obes Res 2004;12(5):758-760.

Colles SL, Dixon JB, O'Brien PE. Loss of control is central to psychological disturbance associated with binge eating disorder. Obesity 2008;16(3):608-614.

Reas DL, Grilo CM. Timing and Sequence of the Onset of Overweight, Dieting, and Binge Eating in Overweight Patients with Binge Eating Disorder. Int J Eat Disord 2007;40(2):165-170.

Tanofsky MB, Wilfley DE, Spurrell EB, Welch R, Brownell KD. Comparison of men and women with binge eating disorder. Int J Eat Disord 1997;21(1):49-54.

Barry DT, Grilo CM, Masheb RM. Gender differences in patients with binge eating disorder. Int J Eat Disord 2002;31(1):63-70.

Grilo CM, Masheb RM. Night-time eating in men and women with binge eating disorder. Behav Res Ther 2004;42(4):397-407.

Roehrig M, Masheb RM, White MA, Grilo CM. Dieting frequency in obese patients with binge eating disorder:Behavioral and metabolic correlates. Obesity 2009;17(4):689-697.

Masheb RM, Grilo CM. Eating patterns and breakfast consumption in obese patients with binge eating disorder. Behav Res Ther 2006a;44(11):1545-1553.

Leit RA, Gray JJ, Pope HG. The media’s representation of the ideal male body:A cause for muscle dysmorphia? Int J Eat Disord 2002;31(3):334-338.

Brownell KD, Napolitano MA. Distorting Reality for Children:Body Size Proportions of Barbie and Ken Dolls. Int J Eat Disord 1995;18(3):295-298.

Anderson AE. Gender related aspects of eating disorders:A guide to practice. The Journal of Gender-Specific Medicine 1999;2(1):47-54.

Edwards S, Launder C. Investigating Muscularity Concerns in Male Body Image:Development of the Swansea Muscularity Attitudes Questionnaire. Int J Eat Disord 2000;28(1):120-124.

Cuzzolaro M, Donini L, Bellini M, Santomassimo C. Binge eating disorder and body uneasiness. Psihologijske Teme 2008;17(2):287-312.

Grilo CM & Masheb RM. Correlates of Body image dissatisfaction in treatment-seeking men and women with binge eating disorder. Int J Eat Disord 2005;38(2):162-166.

Reas DL, Grilo CM, Masheb RM, Wilson GT. Body Checking and Avoidance in Overweight Patients with Binge Eating Disorder. Int J Eat Disord 2005;37(4):342-346.

First MB, Spitzer RL, Gibbon M, Williams JBW. Structured Clinical Interview for DSM-IV Axis I Disorders:Patient Version (SCID-I/P). New York State Psychiatric Institute:New York;1996.

Grilo CM, White MA, Masheb RM. DSM-IV psychiatric disorder comorbidity and its correlates in binge eating disorder. Int J Eat Disord 2009;42(3):228-234.

Feldman MB, Meyer IH. Comorbidity and age of onset of eating disorders in gay men, lesbians, and bisexuals. Psychiatry Res 2010;180(2-3):126-131.

Beck AT. (1976). Depression:Clinical experimental and theoretical aspect. En:H. Leitenberg (Ed.). Handbook of behavior modification and Behav Therapy. Prentice-Hall:New York;1976.

Beck AT, Steer RA. (1993). Handbook of Beck depression inventory. The Psychological Corporation:E.U.A.;1993.

Beck AT, Epstein N, Brown G, Steer R. An inventory for measuring clinical anxiety psychometric properties. J Consult Clin Psychol 1988;56(6):893-897.

Amianto F, Lavagnino L, Leombruni P, Gastaldi F, Daga GA, Fassino S. Hypomania across the binge eating spectrum. A study on hypomanic symptoms in full criteria and sub-threshold binge eating subjects. J Affect Disord 2011;133(3):580-583.

Galanti K, Gluck ME, Geliebter A. (2007). Test meal intake in obese binge eaters in relation to impulsivity and compulsivity. Int J Eat Disord, 40(8):727-732.

Geliebter A, Hassid G, Hashim SA. Test meal intake in obese binge eaters in relation to mood and gender. Int J Eat Disord 2001;29(4):488-494.

Kolotkin RL, Westman EC, Ostbye T, Crosby RD, Eisenson HJ, Binks M. Does Binge Eating Disorder Impact Weight-Related Quality of Life? Obes Res 2004;12(6):999-1005.

Freeman AC. Eating disorders in males:A review. South African Psychiatry Review 2005;8(2):58-64.

Robertson DN, Palmer RL. The prevalence and correlates of binge eating in British community sample of women with history of obesity. Int J Eat Disord 1997;22(3):323-327.

Bulick CM, Sullivan PF, Kendler KS. Medical and psychiatric morbidity in obese women with and without binge eating. Int J Eat Disord 2002;32(1):72-78.

Telch CF, Agras WS. Obesity, binge eating and psychopathology:Are they related? Int J Eat Disord 1994;15(1):53-61.

Hefferman K. Sexual orientation as a factor in risk for binge eating and bulimia nervosa:a review. Int J Eat Disord 1994;16(4):335-347.

Hrabosky JI, White MA, Masheb RM, Grilo CM. Physical activity and its correlates in treatment-seeking obese patients with binge eating disorder. Int J Eat Disord 2007;40(1):72-76.

Linde JA, Jeffery RW, Levy RL, Sherwood NE, Utter J, Pronk NP, Boyle RG. Binge eating disorder, weight control self-efficacy, and depression in overweight men and women. Int J Obes 2004;28(3):418-425.

Neumark-Sztainer D, Wall M, Story M, Sherwood N. E. Five-year longitudinal predictive factors for disordered eating in a population-based sample of overweight adolescents: implications for prevention and treatment. Int J Eat Disord 2009;42(7):664-672.

Striegel-Moore RH, Wilson GT, Wilfley DE, Elder KA, Brownell KD. Binge eating in an obese community sample. Int J Eat Disord 1998;23(1):27-37.

Masheb RM, Grilo CM. Emotional overeating and its associations with eating disorder psychopathology among overweight patients with binge eating disorder. Int J Eat Disord 2006;39(2):141-146.