Binge Eating and Binge Drinking: A Two-Way Road? An Integrative Review

2020 ◽  
Vol 26 (20) ◽  
pp. 2402-2415 ◽  
Author(s):  
Tamara Escrivá-Martínez ◽  
Rocío Herrero ◽  
Guadalupe Molinari ◽  
Marta Rodríguez-Arias ◽  
Antonio Verdejo-García ◽  
...  

Unhealthy diet and alcohol are serious health problems, especially in adolescents and young adults. “Binge” is defined as the excessive and uncontrolled consumption of food (binge eating) and alcohol (binge drinking). Both behaviors are frequent among young people and have a highly negative impact on health and quality of life. Several studies have explored the causes and risk factors of both behaviors, and the evidence concludes that there is a relationship between the two behaviors. In addition, some research postulates that binge eating is a precipitating factor in the onset and escalation of excessive alcohol consumption, while other studies suggest that alcohol consumption leads to excessive and uncontrollable food consumption. Given that no review has yet been published regarding the directionality between the two behaviors, we have set out to provide an upto- date overview of binge eating and binge drinking problems, analyzing their commonalities and differences, and their uni- and bidirectional associations. In addition, we explore the reasons why young people tend to engage in both behaviors and consider directions for future research and clinical implications.

PLoS ONE ◽  
2021 ◽  
Vol 16 (5) ◽  
pp. e0250827
Author(s):  
Judith Jackson ◽  
David I. Donaldson ◽  
Benjamin Dering

Binge-drinking in adolescents and young adults is a widespread problem, however, an often unreported consequence of binge-drinking behaviour is an alcohol-induced memory blackout (MBO). An MBO is a transient amnesic event resulting from rapid, excessive alcohol consumption. Here, we examine the short-term impact of an alcohol-induced MBO event (testing < 20 hours after blackout) on memory performance in people who have experienced a high volume of MBOs. In addition, we aimed to test the hypothesis that people who experience a high volume of MBOs may have poorer recall than non-blackout controls in either sober or intoxicated states. Three episodic memory paradigms consisting of free recall, serial recall, and depth of encoding tasks, were conducted by a group of alcohol drinkers who had never experienced a memory blackout, and those who reported at least 9 in the preceding 12-months. Studies were completed sober and after alcohol by all participants, and sober but after blackout by the experimental group. Accuracy of recall was assessed with linear mixed effects modelling for all experiments and conditions. Recall rate both before and after alcohol consumption was similar between groups, with poorer recall after drinking alcohol by all participants in all three studies. After blackout, MBO participants showed no significant improvement from their intoxicated state in serial recall and depth of encoding tasks, but an improvement in free recall. Further analysis of these findings revealed that 10 out of 23 participants showed significantly impaired performance after blackout during free recall, extending up to 17 participants in serial recall. In general, alcohol reduced recall rate in both blackout and control participants similarly, but recall following MBO remained poor. Our evidence suggests that alcohol-induced blackouts impair memory functioning the next day, and future research should establish the duration of deficits after an acute alcohol-induced blackout episode.


2018 ◽  
Vol 69 (3) ◽  
pp. 703-706
Author(s):  
Cristina Pantea ◽  
Razvan Horhat ◽  
Salomeia Putnoky ◽  
Oana Suciu ◽  
Ioana Tuta Sas ◽  
...  

The present research aimed to assess some predictors for experiencing traveling in a car with a driver who has consumed alcohol, in a group of young people, aged between 18 and 20 years, residents of Timis County, Romania. The study group of 1606 young subjects, 18-20 years of age, 51.4% pupils and 48.6% students, with girls being significantly better represented, was applied a transversal population study. Percents of 29.8% of boys and 28.4% of girls got 1-3 times in a car with a drunk driver, and 10.1% of boys and 6.5% of girls traveled in such circumstances more than 4 times. Boys tend to accept the risks of traveling in a car with a drunk driver significantly more frequently than girls. We identified some predictors for traveling with a driver who has consumed alcohol, such as the binge drinking model and the model of mixed alcohol and drugs consumption, the practice of alcohol consumption associated with vehicle driving by the father, as well as by friends.


2018 ◽  
Author(s):  
Susanna Søberg ◽  
Emilie S. Andersen ◽  
Niels B. Dalgaard ◽  
Ida Jarlhelt ◽  
Nina L. Hansen ◽  
...  

ABSTRACTObjectiveExcessive alcohol consumption is a leading cause of global morbidity and mortality. However, knowledge of the biological factors that influence adlibitumalcohol intake may be incomplete. Two large studies recently linked variants in theKLBlocus with levels of alcohol intake in humans.KLBencodes ß-klotho, co-receptor for the liver-derived hormone fibroblast growth factor 21 (FGF21). In mice, FGF21 reduces alcohol intake, and humanFgf21variants are enriched among heavy drinkers. Thus, the liver may limit alcohol consumption by secreting FGF21. However, whether full-length, active plasma FGF21 (FGF21 (1-181)) levels in humans increase acutely or sub-chronically in response to alcohol ingestion is uncertain.MethodsWe recruited 10 healthy, fasted male subjects to receive an oral water or alcohol bolus with concurrent blood sampling for FGF21 (1-181) measurement in plasma. In addition, we measured circulating FGF21 (1-181) levels, liver stiffness, triglyceride, and other metabolic parameters in three healthy Danish men before and after consuming an average of 22.6 beers/person/day (4.4 g/kg/day of ethanol) for three days during Oktoberfest 2017 in Munich, Germany. We further correlated fasting FGF21 (1-181) levels in 49 healthy, non-alcoholic subjects of mixed sex with self-reports of alcohol-related behaviors, emotional responses, and problems. Finally, we characterized the effect of recombinant human FGF21 injection on adlibitumalcohol intake in mice.ResultsWe show that alcohol ingestion (25.3 grams or ~2.5 standard drinks) acutely increases plasma levels of FGF21 (1-181) 3.4-fold in fasting humans. We also find that binge drinking for three days at Oktoberfest is associated with a 2.1-fold increase in baseline FGF21 (1-181) levels, in contrast to minor deteriorations in metabolic and hepatic biomarkers. However, basal FGF21 (1-181) levels were not correlated with differences in alcohol-related behaviors, emotional responses, or problems in our non-alcoholic subjects. Finally, we show that once-daily injection of recombinant human FGF21 reduces adlibitumalcohol intake by 21% in mice.ConclusionsFGF21 (1-181) is markedly increased in circulation by both acute and sub-chronic alcohol intake in humans, and reduces alcohol intake in mice. These observations are consistent with a role for FGF21 as an endocrine inhibitor of alcohol appetite in humans.


2019 ◽  
Vol 28 (7) ◽  
pp. 36-40
Author(s):  
Birutė Strukčinskienė ◽  
Neringa Strazdienė ◽  
Alona Rauckienė-Michaelsson ◽  
Vaiva Strukčinskaitė ◽  
Dileta Tervydytė ◽  
...  

Introduction. Alcohol consumption has a negative impact on the health of children, adolescents and young people, including students. Students’ alcohol consumption studies could help prevent the use of harmful psychoactive substances. Materials and Methods. 319 university students par­ticipated in the written survey. SPSS (version 24.0) programme has been used for statistical data analy­sis. The criterion χ2 has been applied and the data was considered to be statistically significant when p ≤ 0.05. Results. The study involved 143 (44.8%) boys and 176 (55.2%) girls. The majority of students (90.3%) have consumed alcohol in the period of the last 12 months. Half of the respondents (47%) indicated that they consume beer several times a month. 58% of the respondents consume wine, and low-alcohol beve­rages (Cider, Mix, Fizz, alcoholic cocktails) several times a month are consumed by 42% of students. 55 % of the respondents do not consume above mentio­ned low-alcohol beverages at all. Vodka and other strong alcoholic drinks are not consumed by 54% of the respondents at all, while 43% of the respondents consume these beverages several times a month. Half of the respondents (48%) have for several times been under the influence of alcohol after having drunk large amounts of alcohol, and 33% of the respon­dents have been under the influence of alcohol more than ten times. Both girls and boys consume vodka and other strong alcoholic beverages equally often. However, girls rather than boys consume wine signi­ficantly more often. Half of the respondents (50%) have noted that friends make major impact on the consumption of alcohol by young people, while 22% of the respondents be­lieve that it is the lack of employment and busyness. In the students’ opinion the key role in the preven­tion of smoking and alcohol drinking lies with pa­rents (37%), friends (27.9%) and the media (25.1%). 75.9% of the respondents said that they had enough knowledge about a healthy lifestyle, and 19.7% of the respondents said that they have doubts as regards their knowledge on healthy lifestyle. Conclusions. Over the last year and during the last month alcohol has been consumed by the majority of students that participated in the survey. Both girls and boys consume alcohol equally often. The key causes of alcohol consumption by students are the influence of friends and the lack of employment and busyness. The study has revealed that most students believe that they have enough knowledge about he­althy lifestyles. However, it is recommended to pay more attention to prevention of alcohol consumption by adolescents and young people. Reducing alcohol consumption should be a priority in health policy formulation at local and national levels.


2021 ◽  
Author(s):  
Rachel S Taylor ◽  
Nicola Cogan ◽  
Pamela Jenkins ◽  
Xi Liu ◽  
Paul S Flowers ◽  
...  

Background: Self-stigma (the internalisation of negative stereotypes) is known to reduce help-seeking behaviours and treatment adherence in people who have a mental illness, resulting in worsening health outcomes. Moreover, self-stigma diminishes self-esteem and self-efficacy, and leads to higher levels of depression. Half of all lifetime cases of mental illness have manifested by the age of 14, and therefore young people are vulnerable to the negative impact of suffering mental illness self-stigma. While literature in this field has been flourishing in recent years, mental illness self-stigma remains poorly understood in youth. It is important that we seek to understand what is currently known about mental illness self-stigma in young people, and subsequently use this information to guide future research to advance knowledge of this topic. To date, a scoping review which maps the available literature on mental illness self-stigma in young people has yet to be conducted. Here, we outline the protocol for a scoping review on mental illness self-stigma in young people. Methods: This protocol outlines the process of conducting a scoping review of primary research concerning mental illness self-stigma in young people. The Joanna Briggs Institute guidance on best practice for conducting a scoping review will utilised throughout. A systematic search of appropriate databases will be conducted which will allow for a two-step screening process and data charting. Inclusion criteria for this review dictates that eligible studies will i) include a population within the age range of 10-35 (or mean age within this range), ii) include the term self-stigma or internalised stigma relating to mental health/illness/disorder, iii) be primary research, iv) be published post-2009 (following the seminal study by Moses, 2009) and v) be published in English. Discussion: The findings of the scoping review outlined in this protocol will be used to inform future research which aims to explore self-stigmatising attitudes and beliefs of young people experiencing mental illness. This research will result in co-produced, impactful resources for young people on the topic of mental illness self-stigma with the aim of raising awareness and stigma reduction.


Author(s):  
Thomas Fankhaenel ◽  
Anna-Maria Mueller ◽  
Thomas Frese

Abstract Aims To treat excessive alcohol consumption, general practices (GPs) are recommended to use non-directive implementation strategies. Directive implementation, however, may be perceived by general practice patients as something positive because of possibly indicating higher GP engagement and a more consistent treatment. In our study, we aimed to assess the readiness of patients to be treated with BI in the hypothetical event of excessive alcohol consumption either by a GP using non-directive recommendations according to WHO or by a GP using directive instructions. Additionally, we assessed the patients’ dispositional readiness to disclose alcohol-associated personal information, termed alcohol consumption self-disclosure, in order to analyze its influence on their readiness to be treated with brief intervention (BI). Methods When consulting their GP, a convenience sample of general practice patients was asked by questionnaire. By means of a between-subject design, they were asked for the readiness to be treated either with non-directive BI or with directive BI. Repeated-measure ANCOVA was used to analyze the main- and interaction effects. Results A sample of 442 general practice patients preferred the non-directive BI, F(1, 423) = 5.56, P &lt; 0.05. We found moreover a two-way interaction between implementation and alcohol consumption self-disclosure, F(1, 423) = 18.89, P &lt; 0.001, showing that only patients with low self-disclosure preferred the non-directive BI, t(428) = 3.99, P &lt; 0.001. Conclusions Future research should investigate the reasons for the patients’ preference for the non-directive BI and may develop strategies to overcome the possibly low readiness of general practice patients to be treated with BI.


2005 ◽  
Vol 187 (6) ◽  
pp. 544-551 ◽  
Author(s):  
Jonathan C. Haynes ◽  
Michael Farrell ◽  
Nicola Singleton ◽  
Howard Meltzer ◽  
Ricardo Araya ◽  
...  

BackgroundLongitudinal studies have been inconclusive in identifying alcohol as a risk factor for anxiety and depression.AimsTo examine whether excessive alcohol consumption is a risk factor for anxiety and depression in the general population, and whether anxiety and depression are risk factors for excessive alcohol consumption.MethodData were analysed from the 18-month follow-up of the Psychiatric Morbidity Among Adults Living in Private Households, 2000 survey.ResultsHazardous and dependent drinking were not associated with onset of anxiety and depression at follow-up. Binge-drinking was non-significantly associated with incident anxiety and depression (adjusted OR= 1.36, 95% CI 0.74–2.50). Abstainers were less likely to have new-onset anxiety and depression at follow-up. Anxiety and depression or sub-threshold symptoms at baseline were not associated with incident hazardous or binge-drinking at follow-up, but there was weak evidence linking sub-threshold symptoms with onset of alcohol dependence (adjusted OR=2.04, 95% CI 0.84–4.97).ConclusionsExcessive alcohol consumption was not associated with the onset of anxiety and depression but abstinence was associated with a lower risk. Sub-threshold symptoms were weakly associated with new-onset alcohol dependence.


2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
D Demant ◽  
B Saliba

Abstract Background Sexual Minority Young People (SMYP) use alcohol, tobacco and other drugs at disproportionate levels when compared to their heterosexual counterparts. Limited research has been conducted on dependency symptoms in this population as well as correlations between risky use of alcohol and minority stress including potential differences between identity subgroups. Methods A cross-sectional online survey was completed by 1,556 SMYPs (mean age: 22.6 years) from Australia. Variables include demographics, alcohol use, dependency symptoms and different dimensions of minority stress. Descriptive and correlational analyses, and binary logistic regressions were conducted. Results Most participants surveyed identified as gay or lesbian (59%) and as men (55%). Regular binge drinking (43%), as well as general high-risk alcohol use (52%), was prevalent in the sample. Dependency symptoms were also common in the sample including health, social, legal or financial problems as a result of alcohol consumption (17%). Meaningful differences in consumption and symptoms between subgroups were identified. Minority stress, including negative family reactions and homophobic harassment were significantly correlated with higher alcohol use and dependency symptoms. Conclusions High-risk alcohol consumption including binge drinking as well as dependency symptoms are highly prevalent in Australian SMYP but are not distributed equally across subgroups. Public health initiatives should consider targeting SMYP subgroups and concentrate on the role of alcohol as a potential maladaptive coping mechanism for minority stress. Key messages Risky alcohol consumption and dependency symptoms common in sexual minority young people but not equally distributed in subgroups. Minority stress likely to be linked to risky alcohol consumption and dependency symptoms.


Author(s):  
Tamara Edkins ◽  
Jason D. Edgerton ◽  
Lance W. Roberts

There is a lack of recent research exploring the differences between binge and non-binge drinkers among Canadian university students. The current study aims to address this gap in the literature through an exploratory statistical analysis. Univariate, bivariate, and multivariate (logistic regression) analyses were employed to identify the prevalence of binge drinking, as well as its various sociodemographic, behavioural, and mental health correlates. A large majority (83.1%) of the 507 respondents reported consuming alcohol in the previous 12 months; of these, 69.7% (67.0% of males, 70.9% of females) reported engaging in binge drinking (5 drinks in one session for males, 4 for females) at least once in the previous 30 days. Although there was no significant gender difference in the prevalence of binge drinking, there were several gender differences among the correlates. Compared to non-binge drinkers, male binge drinkers reported greater life satisfaction, and greater probability of smoking cigarettes and engaging in risky sex, while females reported greater impulsivity and lower religiosity. As expected, binge drinkers experienced more adverse consequences from alcohol consumption than did non-binge drinkers, but unexpectedly did not differ significantly in mental health and wellbeing. Limitations of the present study and future research directions are discussed with a view to improving our understanding of risk and protective factors related to unhealthy alcohol consumption among university students in Canada and abroad.


2017 ◽  
Vol 7 (2) ◽  
pp. 172-187 ◽  
Author(s):  
Sandra C. Jones ◽  
Simone Pettigrew ◽  
Nicole Biagioni ◽  
Mike Daube ◽  
Tanya Chikritzhs ◽  
...  

Purpose There is a growing body of research into the utilisation of social networking sites (SNS) by alcohol marketers, but less research into how young people utilise SNS to create their own meanings of, and interactions with, alcohol. The purpose of this study was to explore young adults’ perceptions of the nexus between alcohol and SNS. Design/methodology/approach In total, 60 adults aged 18-21 years took part in an intensive data collection process over six months. All references to social media in the interviews, focus groups and written introspections were compiled and analysed. Findings Results showed social media use stimulates alcohol consumption and alcohol consumption stimulates social media use. Four main themes emerged: social engagement, identity, drinking culture and distancing. Participants reported being constantly exposed to, and often influenced by, images of their peers enjoying themselves while consuming alcohol, with little representation of negative outcomes. Research limitations/implications The relationship between SNS, social norms and drinking behaviours is complex; there is a need for further research into the dynamics of this relationship to inform social marketing interventions. Originality/value While there is a body of research into commercial references to alcohol on SNS, there is less research into the ways young people utilise SNS to create their own meanings of, and interactions with, alcohol. The consumer research that has been conducted to date has focused on quantifying references to alcohol and drinking behaviours, observing profiles or surveying users. This study addresses a key gap in the literature that is needed to inform social marketing interventions to reduce excessive alcohol consumption: when, why and how do young people post about alcohol.


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