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Compulsive eating behaviors in Parkinson’s disease

Abstract : PURPOSE: Eating disorders are common in Parkinson's disease (PD) patients and often class in Impulse control disorders, however, little is known about their phenomenology. Specific symptoms and comorbidities were described in a group of PD patients in this preliminary study. METHODS: Over a period of 6 months, 51 PD patients who experienced significant changes in eating habits following diagnosis of PD and were interviewed during regularly scheduled follow-up visits. We assessed each patient's height and weight, impulsivity, psychological distress, current eating disorder symptoms, food addiction, food habits and craving. RESULTS: Among the PD patients who experienced modified dietary habits following diagnosis, few exhibited binge eating disorders (BED) full criteria (3.9%). However, 21.6% of patients experienced episodes of out-of-control eating with a large quantity of food in short time and 39.2% satisfied food addiction (FA) criteria without binge eating disorder. Food cravings more than once a week were experienced in approximately half of the population including all FA patients. Regarding comorbidities, FA PD patients present impulsive features and anxiety. CONCLUSIONS: This study confirms the existence of FA profile in PD patients. Eating disorders even in PD are complex and have a cross-cutting criteria related to out-of-control eating, FA, and BED. The association of anxiety with PD-related food addiction, contrary to L-dopa equivalent daily dose mean score or the presence of dopamine agonists, underline the complex sustainability of the dopaminergic brainstem support. A study on their detailed prevalence in this population could be helpful to better understand unspecified feeding or eating disorder.
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https://hal.uca.fr/hal-02094216
Contributor : Marie-Laurence Douhairie <>
Submitted on : Tuesday, April 9, 2019 - 3:07:58 PM
Last modification on : Monday, May 25, 2020 - 2:30:11 PM

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Ingrid de Chazeron, Franck Durif, Isabelle Chereau-Boudet, Maria Livia Fantini, Ana Marques, et al.. Compulsive eating behaviors in Parkinson’s disease. Eating and Weight Disorders - Studies on Anorexia, Bulimia and Obesity, Springer Verlag, In press, 24 (3), pp.421-429. ⟨10.1007/s40519-019-00648-1⟩. ⟨hal-02094216⟩

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