Abstract：
BACKGROUND:Investigations on the relationship between obesity, binge eating and the function of hypothalamic-pituitary-adrenal (HPA) axis have led to inconsistent results. General psychopathology affects HPA axis function. The present study aims to examine correlations between binge eating, general psychopathology and HPA axis function in obese binge eaters. METHODS:Twenty-four hour urinary free cortisol (UFC/24 h) was measured in 71 obese binge eating women. The patients were administered psychometric tests investigating binge eating, psychopathology and clinical variables. The relationship between binge eating, psychopathology and urinary cortisol was investigated, controlling for age and BMI. RESULTS:We found an inverse correlation between UFC/24 h and binge eating, depression, obsessive-compusive symptoms, somatization and sensitivity. In a regression model a significant inverse correlation between urinary cortisol and psychopathology was confirmed. CONCLUSIONS:Urinary cortisol levels in obese patients with binge eating disorder show an inverse correlation with several dimensions of psychopathology which are considered to be typical of a cluster of psychiatric disorders characterized by low HPA axis function, and are very common in obese binge eating patients. If these results are confirmed, UFC/24 h might be considered a biomarker of psychopathology in obese binge eaters.
journal_name
Appetitejournal_title
Appetiteauthors
Lavagnino L,Amianto F,Parasiliti Caprino M,Maccario M,Arvat E,Ghigo E,Abbate Daga G,Fassino Sdoi
10.1016/j.appet.2014.08.020subject
Has Abstractpub_date
2014-12-01 00:00:00pages
112-6eissn
0195-6663issn
1095-8304pii
S0195-6663(14)00417-6journal_volume
83pub_type
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