Background: Women with binge eating disorder (BED) and bulimia nervosa (BN) usually consume high-calorie meals with variable macro- and micronutrient compositions and have a disturbed perception of gastric fullness. The association of dietary intake with gastric interoception and gastric myoelectric activity (GMA) is poorly studied. This study examined the link between GMA/interoception and dietary intake in women with eating disorders (ED) compared to age/body mass index (BMI)-matched controls.
Methods: A total of 18 women diagnosed with BED (n = 9) or BN (n = 9) and 18 age/BMI-matched controls (MC) group were enrolled in this study. Interoception was measured by measuring the volume of ingested water until the feeling of maximal fullness within 5 minutes (5 min water load test; 5 min WL). GMA was measured using transcutaneous electrogastrography (EGG) before and after water ingestion. Dietary intake was recorded using the multipath 24-hour recall of the two proceeding days. Then, food processor software was used to analyze the macro- and micronutrient composition of their diets. The volume of water load (WL) and the EGG's average dominant frequency (ADF) were correlated with macro- and micronutrient intakes.
Results: Compared to the matched controls, women with ED had a significantly higher consumption of total calories, fat, saturated fat, carbohydrate (CHO), fibers, and sugar, with further higher intakes of total calories and trans-fat in the BED compared to the BN subgroup (p < 0.05). Moreover, the BED group showed higher vitamin B1, copper, and iron intakes than the MC group (p-values were <0.05). The volume of 5 min WL was higher in the BN group than in the control group (697.50 ± 186.45 vs. 466.67 ± 120.44 mL; p < 0.05) and the BED group (697.50 ± 186.45 vs. 488.75 ± 152.17 mL; p < 0.05). In the BED group, ADF showed a significant positive correlation with CHO, sugar, and vitamin B12 intakes (r = 0.700, 0.719, and 0.766, respectively; p < 0.05). Additionally, the 5 min WL volume was negatively correlated with the fiber and sodium intake in the BN group (r = -0.710 and -0.724, respectively; p < 0.05).
Conclusion: Specific dietary approaches might be effective for women with BN and BED. Women with BN may benefit from diets that are higher in fiber and sodium. In contrast, those with BED may find diets rich in simple carbohydrates and vitamin B12 helpful for regulating their eating habits and gastric mobility. Future research is encouraged to test this finding prospectively.
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http://dx.doi.org/10.62641/aep.v52i6.1734 | DOI Listing |
Diabet Med
December 2024
Department of Nutrition, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, USA.
Aims: We explored the prevalence of disordered eating behaviours (DEBs) and attitudes among older adults with type 1 diabetes (T1D) and associations with demographic and clinical variables.
Methods: Adults aged ≥65 years with T1D from a university-affiliated hospital system completed an electronic survey (September to November 2023) including the Diabetes Eating Problem Survey-Revised (DEPS-R). Clinical data were extracted from medical records.
Gut Microbes
December 2025
Hypertension Research Laboratory, School of Biological Sciences, Faculty of Science, Monash, Clayton, Australia.
The gut microbiota is a crucial link between diet and cardiovascular disease (CVD). Using fecal metaproteomics, a method that concurrently captures human gut and microbiome proteins, we determined the crosstalk between gut microbiome, diet, gut health, and CVD. Traditional CVD risk factors (age, BMI, sex, blood pressure) explained < 10% of the proteome variance.
View Article and Find Full Text PDFAm J Case Rep
December 2024
Department of Pediatric Otolaryngology, Head and Neck Surgery, Chair of Pediatric Surgery, Medical University of Silesia (SUM), Katowice, Poland.
BACKGROUND Ranulas are typical causes of sublingual cysts in children. However, our case was histopathologically confirmed to be a dermoid cyst. Epidermoid and dermoid cysts of the floor of the mouth account for <0.
View Article and Find Full Text PDFCardiovasc Diabetol
December 2024
Saw Swee Hock School of Public Heath, National University of Singapore, Singapore, 117549, Republic of Singapore.
Background: Data on the relationship between potassium intake and major cardiovascular events (MACE) in patients with diabetes are scarce. We aim to study the association between estimated potassium intake and risk of MACE in individuals with type 2 diabetes.
Methods: The discovery cohort consisted of 1572 participants with type 2 diabetes from a secondary hospital.
BMC Womens Health
December 2024
Nutrilite Health Institute, 720 Cailun Road, 201203, Shanghai, China.
Background: Primary ovarian insufficiency (POI) is a critical cause of infertility and is increasingly recognized as a complex metabolic disorder. Dietary factors may influence the risk of POI, but causal relationships remain unclear.
Methods: We conducted an MR study using genetic instrumental variables for 83 dietary preferences from the UK Biobank, with the Inverse Variance Weighted method as the primary analysis.
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