Current Diabetes Reports

, 17:138 | Cite as

Are Eating Disorders Risk Factors for Type 2 Diabetes? A Systematic Review and Meta-analysis

  • Ramfis Nieto-MartínezEmail author
  • Juan P. González-Rivas
  • José R. Medina-Inojosa
  • Hermes Florez
Lifestyle Management to Reduce Diabetes/Cardiovascular Risk (B Conway and H Keenan, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Lifestyle Management to Reduce Diabetes/Cardiovascular Risk


Recent Findings

Eating disorders (ED) affect energy intake modifying body fat depots. Prior evidence suggests that binge eating disorder (BED) and bulimia nervosa (BN) could increase the risk for type 2 diabetes (T2D), while anorexia nervosa (AN) could reduce it.

Purpose of Review

A systematic review and meta-analysis were conducted to evaluate if ED are risk factors for T2D.


Ten studies were selected out of 1057 screened. Meta-analysis of six studies with T2D as outcome is reported. Among cross-sectional studies, both BED (OR 3.69, 95% CI [1.12–12.12]) and BN (OR 3.45 [1.92–6.1]) increased the risk of T2D, while AN was not associated with lower risk (OR 0.87 [0.40–1.88]). Cohort studies showed increased risk of T2D with BN (RR 1.7 [1.2–2.5]), and decreased risk with AN (RR 0.71 [0.52–0.98]), but for BED the association was less clear (OR 3.34 [0.85–13.12]). Limitations of studies and recommendations for future research are presented.


Diabetes mellitus type 2 Bulimia nervosa Eating disorders Anorexia nervosa Binge eating disorder Night eating syndrome 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Human and Animal Rights and Informed Consent

This article does not contain any studies with human or animal subjects performed by any of the authors.

Supplementary material

11892_2017_949_MOESM1_ESM.docx (26 kb)
ESM 1 (DOCX 26 kb)


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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Copyright information

© Springer Science+Business Media, LLC 2017

Authors and Affiliations

  • Ramfis Nieto-Martínez
    • 1
    • 2
    • 3
    Email author
  • Juan P. González-Rivas
    • 4
  • José R. Medina-Inojosa
    • 5
  • Hermes Florez
    • 1
    • 6
  1. 1.Geriatric Research, Education, and Clinical Center (GRECC) and South Florida Veterans Affairs Foundation for Research & EducationMiami VA Healthcare SystemMiamiUSA
  2. 2.Department of Physiology, School of MedicineUniversity Centro-Occidental “Lisandro Alvarado” and Cardio-metabolic Unit 7BarquisimetoVenezuela
  3. 3.Miami Veterans Affairs Medical CenterMiamiUSA
  4. 4.The Andes Clinic of Cardio-Metabolic StudiesMéridaVenezuela
  5. 5.Division of Preventive Cardiology, Department of Cardiovascular Medicine. Mayo ClinicRochesterUSA
  6. 6.Departments of Public Health Sciences and MedicineUniversity of Miami Miller School of MedicineMiamiUSA

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