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NRFi Research: Binge Eating Disorder

What is Binge Eating Disorder (BED)?

  • Binge eating disorder (BED) is a psychiatric diagnosis characterized by: 
    • Rapid consumption of objectively large amounts of food
    • ...that occurs in a discrete, 2-hour time period.
    • Without compensation (e.g., purging).
    • Associated with loss of control and distress.
    • Often accompanied by feeling of guilt or shame.
  • Binge eating disorder (BED) has: 
    • High lifetime prevalence rates (5%–31%) 
    • High comorbidity with anxiety, depression, obesity, cardiovascular disease, diabetes.
    • Significantly impaired quality of life.

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Binge Eating Disorder Treatment Barriers

  • Standard-of-care treatments for binge eating (BED) have: 
    • Low treatment rates (38.3%–43.6%). 
    • High recurrence rates (49%–64%).
    • High rates of treatment dissatisfaction. 
    • High rates of early discontinuation of care (dropout).
  • Studies find that 55 - 95% of individuals with BED: 
    • Don't know they have an eating disorder (95%).
    • Never receive a formal diagnosis (95%). 
    • Don't recognize the need for treatment (95%).
    • Never receive or pursue standard treatment (56%–87%).
    • Do not have access to healthcare (~85%).

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NRFi Research Agenda I

  • NRFi seeks to raise awareness about BED and test new treatment options that are: 
    • Free or low cost.
    • Remote or community-based.
    • Socioculturally/demographically sensitive and inclusive.
    • Easily accessible to those in need.
  • At NRFi, we are dedicated to advancing research that supports treatment solutions for eating disorders, for everyone, especially those who are under-resourced and historically overlooked by research often.

Support NRFi Research

Paradigm Shifts in Binge Eating Disorder

  • Outdated "SWAG" stereotype ascribes eating disorders to thin/Skinny, White, Affluent, [cis-gendered] Girls [females] with restriction-type eating disorders.
  • This demographic has traditionally saturated treatment-seeking populations (and research samples in turn) but does not accurately represent binge eating disorder.
  • Emerging data find disproportionately high prevalence rates of BED in minority, marginalized, and under-resourced populations historically overlooked in the field.
  • Emerging data finds high prevalence/comorbidity rates of adverse childhood experiences (ACEs) and trauma (abuse, neglect, invalidating environments, PTSD) in BED.
  • These findings suggest a different pathology than that associated with the "SWAG" stereotype.

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Binge Eating Disorder is a Social Justice Issue

  • Black, Indigenous, & People of Color (BIPOC):
    • Higher prevalence rates of BED vs. white peers.
    • Make up <10% of participants in BED research.
    • Less likely to be diagnosed or receive care.
  • Sex & Gender Minorities (LGBTQ2+):
    • Increased risk for eating disorders & BED.
    • 2.75 times greater prevalence of adult BED in non-heterosexual U.S. Survey respondents (2.2% vs. 0.8%).
    • Higher BED prevalence in agender, transgender, and non-binary young adults vs. cis-gendered counterparts (females: 28%; males: 64%; non-binary: 73%).
    • Higher eating disorder pathology scores in transgender males vs. transgender females.

Learn more
https://spectrumlocalnews.com/tx/san-antonio/news/2021/04/06/san-antonio-food-bank-launces-new-curbs

Binge Eating Disorder is a Social Justice Issue

  • Food Insecurity & Binge Eating Disorder
    • 1.65 times greater BED prevalence in food insecure vs. food secure participants (8.6% vs. 5.2%; p = 0.02).
    • Use of government assistance at <18 yrs (e.g., welfare, food stamps, SNAP) increases BED risk 3-fold.
  • Food Pantry Studies (San Antonio, TX; 2015-16):
    • 52% of respondents report deliberately trying to limit food or going >8 hours without food.
    • Which significantly correlates with eating disorder pathology severity (r = 0.25, p = 0.0001).
    • And higher BMI.

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NRFi Research Agenda II

  • NRFi is dedicated to catalyzing breakthroughs in understanding, preventing, treating, and living with eating disorders and related issues of justice, equity, diversity, inclusion, access, oppression, and invalidation.
  • This is achieved through prioritizing community-based research, patient narratives, and equal-access treatment options for eating disorders, for everyone.

Support NRFi

Volunteer Opportunities

Volunteers are the backbone of our organization. We offer a variety of opportunities for individuals and groups to get involved and make a difference in the lives of those we serve.

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Explore Our NourishED Research Projects

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The NourishED Research Foundation (NRFi) is a nonprofit, tax-exempt charitable organization (tax ID number: 99-2669462) under Section 501(c)(3) of the Internal Revenue Code. Donations are tax-deducatble as allowed by law.

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Welcome to NourishED! We're a 501(c)(3) non-profit research organization that uses uses research to improve awareness, prevention, treatment outcomes, and lived experiences of eating disorders and other mental health disparities. We're so glad you're here!

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