A case-control study investigating food addiction in Parkinson patients

被引:11
作者
de Chazeron, Ingrid [1 ]
Durif, F. [2 ]
Lambert, C. [3 ]
Chereau-Boudet, I [1 ]
Fantini, M. L. [4 ]
Marques, A. [2 ]
Derost, P. [2 ]
Debilly, B. [2 ]
Brousse, G. [1 ]
Boirie, Y. [5 ,6 ]
Llorca, P. M. [1 ,2 ,3 ,4 ,5 ,6 ]
机构
[1] Univ Clermont Auvergne, CHU Clermont Ferrand, EA7280, Serv Psychiat B, F-63003 Clermont Ferrand, France
[2] Univ Clermont Auvergne, CHU Clermont Ferrand, EA7280, Serv Neurol A, Clermont Ferrand, France
[3] CHU Clermont Ferrand, Unite Biostat DRCI, Clermont Ferrand, France
[4] Univ Clermont Auvergne, EA7280, CHU Clermont Ferrand, Explorat Fonct Syst Nerveux, Clermont Ferrand, France
[5] CHU Clermont Ferrand, CRNH Auvergne, UNH, Serv Nutr Clin,INRA,UMR 1019, Clermont Ferrand, France
[6] CHU Clermont Ferrand, Ctr Referent Troubles Conduites Alimentaires, Clermont Ferrand, France
关键词
IMPULSE-CONTROL DISORDERS; BINGE-EATING DISORDER; SUBTHALAMIC STIMULATION; DISEASE; DOPAMINE; PREVALENCE; SCALE; VALIDATION; PHENOMENOLOGY; DEPRESSION;
D O I
10.1038/s41598-021-90266-8
中图分类号
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号
07 ; 0710 ; 09 ;
摘要
Eating disorders (EDs) in patients with Parkinson's disease (PD) are mainly described through impulse control disorders but represent one end of the spectrum of food addiction (FA). Although not formally recognized by DSM-5, FA is well described in the literature on animal models and humans, but data on prevalence and risk factors compared with healthy controls (HCs) are lacking. We conducted a cross-sectional study including 200 patients with PD and 200 age- and gender-matched HCs. Characteristics including clinical data (features of PD/current medication) were collected. FA was rated using DSM-5 criteria and the Questionnaire on Eating and Weight Patterns-Revised (QEWP-R). Patients with PD had more EDs compared to HCs (27.0% vs. 13.0%, respectively, p<0.001). They mainly had FA (24.5% vs. 12.0%, p=0.001) and night eating syndrome (7.0% vs. 2.5% p=0.03). In PD patients, FA was associated with female gender (p=0.04) and impulsivity (higher attentional non-planning factor) but not with the dose or class of dopaminergic therapy. Vigilance is necessary, especially for PD women and in patients with specific impulsive personality traits. Counterintuitively, agonist dopaminergic treatment should not be used as an indication for screening FA in patients with PD.
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页数:10
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