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Loss-of-Control Eating and Cardiometabolic Health in Relation to Overweight and Obesity

  • Obesity (KM Gadde and P Singh, Section Editors)
  • Published:
Current Diabetes Reports Aims and scope Submit manuscript

Abstract

Purpose of Review

Loss-of-control (LOC) eating, the subjective feeling of being unable to control what or how much is being consumed, is common. The purpose of this review was to examine the relationships among LOC eating, cardiometabolic health, and weight management intervention outcomes.

Recent Findings

In youth and adults, LOC eating is associated with and predictive of psychological symptoms, high weight, and worsened cardiometabolic health. While LOC eating pre-intervention does not appear to impact outcomes, LOC eating during or following is associated with worsened outcomes from behavioral and surgical weight management interventions.

Summary

When individuals are undergoing weight management interventions, it may be important to regularly assess for LOC eating. There is limited research on the examined relationships in diverse populations (e.g., males, individuals of a lower socio-economic status, racial/ethnic minority groups). Future research should examine these relationships across the lifespan in diverse populations, with a focus on how these relationships can be impacted through targeted interventions.

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Abbreviations

LOC:

Loss-of-control

BED:

Binge-eating disorder

EDE:

Eating Disorder Examination

EDE-Q:

Eating Disorder Examination Questionnaire

SES:

Socioeconomic status

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Authors and Affiliations

  1. Department of Medical and Clinical Psychology, Uniformed Services University of the Health Sciences (USU), 4301 Jones Bridge Road, Bethesda, MD, 20814, USA

    Lisa M. Shank, Nasreen A. Moursi & Marian Tanofsky-Kraff

  2. Section on Growth and Obesity, Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD), Division of Intramural Research, National Institutes of Health (NIH), 10 Center Drive, Bethesda, MD, 20892, USA

    Lisa M. Shank & Marian Tanofsky-Kraff

  3. Department of Medicine, Military Cardiovascular Outcomes Research (MiCOR) Program, USU, 4301 Jones Bridge Road, Bethesda, MD, 20814, USA

    Lisa M. Shank & Marian Tanofsky-Kraff

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  1. Lisa M. Shank
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Shank, L.M., Moursi, N.A. & Tanofsky-Kraff, M. Loss-of-Control Eating and Cardiometabolic Health in Relation to Overweight and Obesity. Curr Diab Rep 22, 257–266 (2022). https://doi.org/10.1007/s11892-022-01466-z

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