Abstract
Objective
Several studies demonstrated an association between alcohol consumption and unhealthy food habits. Particularly, in young adults it has been observed the tendency to use extreme forms of weight control as a way to compensate planned binge drinking.
Method
A questionnaire was administered to a sample of 4275 healthy subjects (43.9% males; 56.1% females), aged between 18 and 26 (mean age 22.04). The survey investigated socio-economic characteristics, drinking habits with a specific focus on binge consumption, abnormal eating behaviours and psychoactive substance use.
Results
34.1% of the overall sample reported to limit their calorie intake before drinking, with no significant gender difference. A significant correlation was found between drunkorexic attitudes and, respectively, binge drinking behaviours (p < .01), use of cocaine (p < .01), and use of Novel Psychoactive Substances (p < .01).
Discussion
Our data identified drunkorexia as a common behaviour among Italian young adults. Raising awareness on drunkorexia may help health care providers to timely address and approach its possible short- and long-term consequences.
Level of evidence
Level V (descriptive study).
Similar content being viewed by others
References
Burke SC, Cremeens J, Vail-Smith K, Woolsey C (2010) “Drunkorexia: calorie restriction prior to alcohol consumption among college freshman. J Alcohol Drug Educ 54(2):17–35
Eisenberg MH, Fitz CC (2014) “Drunkorexia”: exploring the who and why of a disturbing trend in college students’ eating and drinking behaviors. J Am Coll Health 62(8):570–577. doi:10.1080/07448481.2014.947991
Roosen KM, Mills JS (2015) Exploring the motives and mental health correlates of intentional food restriction prior to alcohol use in university students. J Health Psychol 20(6):875–886. doi:10.1177/1359105315573436
Barry AE, Piazza-Gardner AK (2012) Drunkorexia: understanding the co-occurrence of alcohol consumption and eating/exercise weight management behaviors. J Am Coll Health 60(3):236–243. doi:10.1080/07448481.2011.587487
Lupi M, Acciavatti T, Santacroce R, Cinosi E, Martinotti G, Di Giannantonio M (2015) “Drunkorexia”: a pilot study in an italian sample. Res Adv Psychiatry 2(1):28–32
Knight A, Simpson S (2013) Drunkorexia: an empirical investigation of disordered eating in direct response to saving calories for alcohol use amongst Australian female university students. J Eat Disord 1(Suppl 1):P6. doi:10.1186/2050-2974-1-S1-P6
Wechsler H, Nelson TF (2001) Binge drinking and the American college student: what’s five drinks? Psychol Addict Behav 15(4):287–291
National Institute on Alcohol Abuse and Alcoholism (2004) NIAAA Council Approves Definition of Binge Drinking, NIAAA Newsletter, No. 3. National Institute on Alcohol Abuse and Alcoholism, Bethesda
Chambers RA (2008) Drunkorexia. J Dual Diagn 4(4):414–416. doi:10.1080/15504260802086677
Hunt TK, Forbush KT (2016) Is “drunkorexia” an eating disorder, substance use disorder, or both? Eat Behav 22:40–45. doi:10.1016/j.eatbeh.2016.03.034
Osborne VA, Sher KJ, Winograd RP (2011) Disordered eating patterns and alcohol misuse in college students: evidence for “drunkorexia? Compr Psychiatry 52(6):12. doi:10.1016/j.comppsych.2011.04.038
Martinotti G, Lupi M, Carlucci L, Santacroce R, Cinosi E, Acciavatti T, Sarchione F, Verrastro V, Diotaiuti P, Petruccelli I, Ferrari S, Nanni MG, Pinna F, Volpe U, Saggino A, Janiri L, Leggio L, Di Giannantonio M (2016) Alcohol drinking patterns in young people: a survey-based study. J Health Psychol. doi:10.1177/1359105316667795
Goodman LA (1961) Snowball sampling. Ann Math Stat 32(1):148–170
Kline P (2000) The Handbook of Psychometric Testing, 2nd edn. Routledge, London
Ramchandani VA, Kwo PY, Li TK (2001) Effect of food and food composition on alcohol elimination rates in healthy men and women. J Clin Pharmacol 41(12):1345–1350
Alonso-Alonso M, Woods SC, Pelchat M, Grigson PS, Stice E, Farooqi S, Khoo CS, Mattes RD, Beauchamp GK (2015) Food reward system: current perspectives and future research needs. Nutr Rev 73(5):296–307. doi:10.1093/nutrit/nuv002
National Center on Addiction and Substance Abuse (CASA) at Columbia University (2001) Food for thought: substance abuse and eating disorders. New York
Barbarich-Marsteller NC, Foltin RW, Walsh BT (2011) Does anorexia nervosa resemble an addiction? Curr Drug Abuse Rev 4(3):197–200
Umberg EN, Shader RI, Hsu LK, Greenblatt DJ (2012) From disordered eating to addiction: the “food drug” in bulimia nervosa. J Clin Psychopharmacol 32(3):376–389. doi:10.1097/JCP.0b013e318252464f
Martinotti G, Lupi M, Acciavatti T, Cinosi E, Santacroce R, Signorelli MS, Bandini L, Lisi G, Quattrone D, Ciambrone P, Aguglia A, Pinna F, Calò S, Janiri L, di Giannantonio M (2014) Novel psychoactive substances in young adults with and without psychiatric comorbidities. Biomed Res Int 2014:815424. doi:10.1155/2014/815424
Bersani FS, Corazza O, Albano G, Valeriani G, Santacroce R, Bolzan Mariotti Posocco F, Cinosi E, Simonato P, Martinotti G, Bersani G, Schifano F (2014) 25C-NBOMe: preliminary data on pharmacology, psychoactive effects, and toxicity of a new potent and dangerous hallucinogenic drug. Biomed Res Int 2014:73474. doi:10.1155/2014/734749
Martinotti G, Lupi M, Carlucci L, Cinosi E, Santacroce R, Acciavatti T, Chillemi E, Bonifaci L, Janiri L, Di Giannantonio M (2015) Novel psychoactive substances: use and knowledge among adolescents and young adults in urban and rural areas. Hum Psychopharmacol 30(4):295–301. doi:10.1002/hup.2486
Parrott AC, Drayson R, Henry L (2016) Alcohol: drink less and live more. J Alcohol Drug Depend Subst Abus 2:004
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
This manuscript was entirely funded by the authors, and no pharmaceutical companies were informed of or were involved in the review. All authors contributed to this review with equal efforts. The authors have no potential conflict of interest directly relevant to the contents of the manuscript.
Ethical standards
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Rights and permissions
About this article
Cite this article
Lupi, M., Martinotti, G. & Di Giannantonio, M. Drunkorexia: an emerging trend in young adults. Eat Weight Disord 22, 619–622 (2017). https://doi.org/10.1007/s40519-017-0429-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s40519-017-0429-2