Skip to main content

Thank you for visiting nature.com. You are using a browser version with limited support for CSS. To obtain the best experience, we recommend you use a more up to date browser (or turn off compatibility mode in Internet Explorer). In the meantime, to ensure continued support, we are displaying the site without styles and JavaScript.

  • Paper
  • Published:

Relationship between dietary restraint, binge eating, and leptin in obese women

Abstract

OBJECTIVE: To describe some biological, behavioural and psychological correlates of the Three-Factor Eating Questionnaire, and to determine the relationship between dietary restraint, binge eating, and leptin among obese women seeking treatment.

DESIGN: Consecutive series of obese women enrolled in a clinical program for weight reduction treatment.

SUBJECTS: Forty-two obese women. Eight participants met the criteria for ‘severe binge eating’ as measured by the Binge Eating Scale.

MEASUREMENTS: Energy intake, resting energy expenditure, body composition, leptin, restraint, disinhibition, hunger and binge eating were assessed before starting the treatment.

RESULTS: In this sample both higher disinhibition and hunger scores were associated with greater binge eating severity. Obese women with severe binge eating had lower restraint, higher disinhibition and hunger scores, as well as higher daily fat intake, when compared with obese non-binge-eaters. Interestingly, restraint scores were negatively associated with leptin levels among subjects with severe binge eating.

CONCLUSION: In obese women with severe binge eating, the negative relationship between dietary restraint and serum leptin concentrations seems mediated by a greater fat intake. These findings need to be verified in further human studies.

This is a preview of subscription content, access via your institution

Access options

Buy this article

USD 39.95

Prices may be subject to local taxes which are calculated during checkout

Similar content being viewed by others

References

  1. Stunkard AJ, Messick S . The Three-Factor Eating Questionnaire to measure dietary restraint, disinhibition, and hunger J Psychosom Res 1985 29: 71–83.

    Article  CAS  Google Scholar 

  2. Stunkard AJ, Wadden TA . Restrained eating and human obesity Nutr Rev 1990 48: 78–86.

    Article  CAS  Google Scholar 

  3. Pirke KM, Laessle RG . Restrained eating. In: Stunkard AJ, Wadden TA (eds). Obesity: theory and therapy Raven Press: New York 1993 151–162.

  4. Lindros AK, Lissner L, Mathiassen ME, Karlsson J, Sullivan M, Bengsson C, Sjostrom L . Dietary intake in relation to restrained eating, disinhibition and hunger in obese and non-obese Swedish women Obes Res 1997 5: 175–182.

    Article  Google Scholar 

  5. Foster GD, Wadden TA, Swain RM, Stunkard AJ, Platte P, Vogt RA . The eating inventory in obese women: clinical correlates and relationship to weight loss Int J Obes Relat Metab Disord 1998 22: 778–785.

    Article  CAS  Google Scholar 

  6. Marcus MD, Wing RR, Lamparski DM . Binge eating and dietary restraint in obese patients Addict Behav 1985 10: 163–168.

    Article  CAS  Google Scholar 

  7. Lowe MR, Caputo GC . Binge eating in obesity: toward the specification of predictors Int J Eat Disord 1991 10: 49–55.

    Article  Google Scholar 

  8. Wadden TA, Foster GD, Letizia KA, Wilk JE . Metabolic, anthropometric and psychological characteristics of binge eaters Int J Eat Disord 1993 14: 17–25.

    Article  CAS  Google Scholar 

  9. Ruderman AJ . Dietary restraint: a theoretical and empirical review Psychol Bull 1986 99: 247–262.

    Article  CAS  Google Scholar 

  10. Wardle J, Beinart H . Binge eating: a theoretical review Brit J Clin Psychol 1981 20: 97–109.

    Article  CAS  Google Scholar 

  11. Polivy J, Herman CP . Dieting and bingeing: a causal analysis Am Psychol 1985 40: 193–201.

    Article  CAS  Google Scholar 

  12. Tuschl RJ . From dietary restraint to binge eating: some theoretical considerations Appetite 1990 14: 105–109.

    Article  CAS  Google Scholar 

  13. Goodrick GK, Foreyt JP . Why treatments for obesity don't last? J Am Diet Assoc 1991 91: 1243–1247.

    CAS  PubMed  Google Scholar 

  14. Polivy J . Psychological consequences of food restriction J Am Diet Assoc 1996 96: 589–592.

    Article  CAS  Google Scholar 

  15. Marcus MD . Binge eating in obesity. In: Fairburn CG and Wilson GT (eds). Binge eating: nature, assessment and treatment Guilford Press: London 1993 77–96.

  16. Bruce B, Wilfley D . Binge eating among the overweight population: a serious and prevalent problem J Am Diet Assoc 1996 96: 58–61.

    Article  CAS  Google Scholar 

  17. Kuehnel RH, Wadden TA . Binge eating disorder, weight cycling, and psychopathology Int J Eat Disord 1994 15: 321–329.

    Article  CAS  Google Scholar 

  18. Kensinger GJ, Murtaugh MA, Reichmann SK, Tangney CC . Psychological symptoms are greater among weight cycling women with severe binge eating behavior J Am Diet Assoc 1998 98: 863–868.

    Article  CAS  Google Scholar 

  19. Heatherton TF, Polivy J, Herman CP . Restraint, weight loss, and variability of body weight J Abnorm Psychol 1991 100: 78–83.

    Article  CAS  Google Scholar 

  20. Striegel-Moore RH, Silberstein LR, Rodin J . Toward an understanding of risk factors for bulimia Am Psychol 1986 41: 246–263.

    Article  CAS  Google Scholar 

  21. Spitzer RL, Devlin M, Walsh BT, Hasin D, Wing R, Marcus M, Stunkard A, Wadden T, Yanovski S, Agras WS, Mitchell M, Nonas C . Binge eating disorder: a multisite field trial of the diagnostic criteria Int J Eat Disord 1992 11: 191–203.

    Article  Google Scholar 

  22. Campfield LA, Smith FJ . Overview: neurobiology of OB protein (leptin) Proc Nutr Soc 1998 57: 429–440.

    Article  CAS  Google Scholar 

  23. Lonnquist F, Arner P, Nordford L, Schalling M . Overexpression of the obese gene (Ob) in adipose tissue of human obese subjects Nature Med 1995 1: 950–953.

    Article  Google Scholar 

  24. Hamilton BS, Paglia D, Kwan AYM, Deitel M . Increased obese mRNA expression in omental fat cells from massively obese humans Nature Med 1995 1: 953–956.

    Article  CAS  Google Scholar 

  25. Considine RV, Sinha MK, Heiman ML, Kriauciunas A, Stephen TW, Nyce MR, Ohannesian JP, Marco CC, McKee LJ, Bauer TL, Caro JF . Serum immunoreactive-leptin concentrations in normal-weight and obese humans New Engl J Med 1996 334: 292–295.

    Article  CAS  Google Scholar 

  26. Rosenbaum M, Nicolson M, Hirsch J, Heymsfield SB, Gallagher D, Chu F, Leibel RL . Effects of gender, body composition, and menopause on plasma concentrations of leptin J Clin Endocrinol Metab 1996 81: 3424–3427.

    CAS  PubMed  Google Scholar 

  27. Van Gaal LF, Wauters MA, Mertens IL, Considine RV, Leeuw IH . Clinical endocrinology of human leptin Int J Obes Relat Metab Disord 1999 23 (Suppl 1): 529–536.

    Google Scholar 

  28. Kolaczynski JW, Ohannesian JP, Considine RV, Marco CC, Caro JF . Response of leptin to short-term and prolonged overfeeding in humans J Clin Endocrinol Metab 1996 81: 4162–4165.

    CAS  Google Scholar 

  29. Kolaczynski JW, Considine RV, Ohannesian JP, Marco CC, Opentanova I, Nyce MR, Myint M, Caro JF . Responses of leptin to short-term fasting and refeeding in humans: a link with ketogenesis but not ketones themselves Diabetes 1996 45: 1511–1515.

    Article  CAS  Google Scholar 

  30. Boden G, Chen X, Mozzoli M, Ryan I . Effect of fasting on serum leptin in normal human subjects J Clin Endocrinol Metab 1996 81: 3419–3423.

    CAS  PubMed  Google Scholar 

  31. Mantzoros CS . Obesity, eating disorders and restrained eating: is leptin the missing link Mol Psychiatry 1997 2: 377–380.

    Article  CAS  Google Scholar 

  32. Von Prittwitz S, Blum WF, Ziegler A, Scharmann S, Remschmidt H, Hebebrand J . Restrained eating, measure with the TFEQ is associated with low leptin levels in underweight females Mol Psychiatry 1997 2: 420–422.

    Article  CAS  Google Scholar 

  33. Goldman RF, Buskirk ER . Body volume measurement by underwater weighing: description of a method. In: Brozek J, Henshel A (eds). Techniques for measuring body composition National Academy of Sciences: Washington DC 1961 78–79.

  34. Gormally J, Black S, Daston S, Rardin D . The assessment of binge eating severity among obese persons Addict Behav 1982 7: 47–55.

    Article  CAS  Google Scholar 

  35. Yanovski SZ, Leet M, Yanovski JA, Flood M, Gold PW, Kissileff HR, Walsh BT . Food selection and intake of obese women with binge-eating disorder Am J Clin Nutr 1992 56: 975–980.

    Article  CAS  Google Scholar 

  36. Caro JF, Sinha MK, Kolaczynski JW, Zhang PL, Considine RV . Leptin: the tale of an obesity gene Diabetes 1996 45: 1455–1462.

    Article  CAS  Google Scholar 

  37. Cooling J, Barth J, Blundell J . The high-fat phenotype: is leptin involved in the adaptive response to a high fat (high energy) diet? Int J Obes Relat Metab Disord 1998 22: 1132–1135.

    Article  CAS  Google Scholar 

  38. Wang J, Liu R, Hawkins M, Barzilai N, Rossetti L . A nutrient-sensing pathway regulates leptin gene expression in muscle and fat Nature 1998 393: 984–988.

    Article  Google Scholar 

  39. Levine AS, Billington CJ . Do circulating leptin concentrations reflect body adiposity or energy flux? Am J Clin Nutr 1998 68: 761–762.

    Article  CAS  Google Scholar 

Download references

Acknowledgements

Thanks are due to Mr Paul Barker for the English revision of the manuscript.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to A d'Amore.

Rights and permissions

Reprints and permissions

About this article

Cite this article

d'Amore, A., Massignan, C., Montera, P. et al. Relationship between dietary restraint, binge eating, and leptin in obese women. Int J Obes 25, 373–377 (2001). https://doi.org/10.1038/sj.ijo.0801565

Download citation

  • Received:

  • Revised:

  • Accepted:

  • Published:

  • Issue date:

  • DOI: https://doi.org/10.1038/sj.ijo.0801565

Keywords

This article is cited by

Search

Quick links