Evidence map›Paper›PMID 35044479›Full record

ArticleSocial psychiatry and psychiatric epidemiology2022

Correlates and impact of DSM-5 binge eating disorder, bulimia nervosa and recurrent binge eating: a representative population survey in a middle-income country.

Jose C Appolinario, Rosely Sichieri, Claudia S Lopes, Carlos E Moraes, Gloria V da Veiga, Silvia Freitas, Maria A A Nunes, Yuan-Pang Wang, Phillipa Hay

Abstract read
In one paragraph

Article in Social psychiatry and psychiatric epidemiology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 48 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
48citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

48 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
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  6. Article
  7. Bulimia nervosa.Nature reviews. Disease primers · 2026
    Review
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  9. Article
  10. Article
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  12. Review
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  14. Article
  15. Article
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  19. Autism, ADHD, and Their Traits in Adults With Bulimia Nervosa and Binge Eating Disorder: A Scoping Review.European eating disorders review : the journal of the Eating Disorders Association · 2025
    Article
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Jose C AppolinarioObesity and Eating Disorders Group, Institute of Psychiatry, Federal University of Rio de Janeiro, Av. Professor Gastão Bahiana, 496 ap1809, Rio de Janeiro, 22071-030, Brazil. jotappo@gmail.com.ORCID http://orcid.org/0000-0002-6089-4400
Rosely SichieriSocial Medicine Institute, State University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0001-5286-5354
Claudia S LopesSocial Medicine Institute, State University of Rio de Janeiro, Rio de Janeiro, Brazil.ORCID http://orcid.org/0000-0002-0401-689X
Carlos E MoraesObesity and Eating Disorders Group, Institute of Psychiatry, Federal University of Rio de Janeiro, Av. Professor Gastão Bahiana, 496 ap1809, Rio de Janeiro, 22071-030, Brazil.ORCID http://orcid.org/0000-0002-8724-8652
Gloria V da VeigaNutrition Institute, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil.
Silvia FreitasState Institute of Diabetes and Endocrinology, Rio de Janeiro, Brazil.
Maria A A NunesFederal University of Rio Grande do Sul, Porto Alegre, Brazil.ORCID http://orcid.org/0000-0002-9077-7774
Yuan-Pang WangInstituto de Psiquiatria (LIM-23), Universidade de São Paulo, São Paulo, Brazil.ORCID http://orcid.org/0000-0001-7076-8312
Phillipa HayTranslational Health Research Institute, Western Sydney University, Penrith, Australia.ORCID http://orcid.org/0000-0003-0296-6856

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeBinge eating disorder (BED), bulimia nervosa (BN) and recurrent binge eating (RBE) are binge eating spectrum conditions causing a significant impact in individual's health and functioning. Information regarding those conditions came mostly from high-income countries. The objective of this study was to assess the prevalence of DSM-5 BED, BN and RBE and correlates in a representative sample from a metropolitan area of a middle-income country.

methodsThe data were obtained from a cross-sectional population-based household survey in two stages in Rio de Janeiro, Brazil. Noninstitutionalized residents aged 18-60 years were assessed by lay interviewers using the Questionnaire of Eating and Weight Patterns-5 (QEWP-5). Positive cases and a paired sample screen-negative cases were reassessed by phone with the Eating Disorders Section of SCID-I-P (adapted for DSM-5). The data were collected from September 2019 to February 2020.

resultsOverall, 2297 individuals were interviewed. Prevalence of BED was 1.4%, BN 0.7%, RBE 6.2%. Psychiatric comorbidities, such as depression, anxiety and ADHD were significantly more prevalent in people with BED, BN and RBE than in people without these eating problems. Several medical conditions, when controlling for body mass index, were significantly more prevalent in people with BED, BN and RBE. People with BED and BN had marked impairments in work/school, social and family life, reduced mental and physical HRQoL and under half had sought treatment.

conclusionAs in high income countries, in Rio de Janeiro, Brazil, BED, BN and RBE are prevalent conditions and are associated with elevated BMI, functional impairment, psychiatric and medical comorbidity and poorer HRQoL.

Indexed as

Binge-Eating DisorderBulimiaBulimia NervosaFeeding and Eating DisordersBrazilCross-Sectional StudiesHumansBinge eating disorderBulimia nervosaMiddle-income countryPrevalenceRecurrent binge eating

Identifiers

PMID35044479
PMCPMC9246799

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.