Abstract

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.

Details

Title
A case–control study investigating food addiction in Parkinson patients
Author
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 ; Llorca P M 6 

 CHU Clermont-Ferrand, EA7280, Université Clermont Auvergne, Service de Psychiatrie B, Clermont-Ferrand, France (GRID:grid.411163.0) (ISNI:0000 0004 0639 4151) 
 CHU Clermont-Ferrand, EA7280, Université Clermont Auvergne, Service de Neurologie A, Clermont-Ferrand, France (GRID:grid.411163.0) (ISNI:0000 0004 0639 4151) 
 CHU Clermont-Ferrand, Unité de Biostatistiques (DRCI), Clermont-Ferrand, France (GRID:grid.411163.0) (ISNI:0000 0004 0639 4151) 
 CHU Clermont-Ferrand, EA7280, Université Clermont Auvergne,, Explorations Fonctionnelles du Système Nerveux, Clermont-Ferrand, France (GRID:grid.411163.0) (ISNI:0000 0004 0639 4151) 
 CHU Clermont-Ferrand, Service de Nutrition Clinique, INRA, UMR 1019, UNH, CRNH Auvergne, Clermont-Ferrand, France (GRID:grid.411163.0) (ISNI:0000 0004 0639 4151); CHU Clermont-Ferrand, Centre Référent Troubles Des Conduites Alimentaires, Clermont-Ferrand, France (GRID:grid.411163.0) (ISNI:0000 0004 0639 4151) 
 CHU Clermont-Ferrand, EA7280, Université Clermont Auvergne, Service de Psychiatrie B, Clermont-Ferrand, France (GRID:grid.411163.0) (ISNI:0000 0004 0639 4151); CHU Clermont-Ferrand, EA7280, Université Clermont Auvergne, Service de Neurologie A, Clermont-Ferrand, France (GRID:grid.411163.0) (ISNI:0000 0004 0639 4151); CHU Clermont-Ferrand, Unité de Biostatistiques (DRCI), Clermont-Ferrand, France (GRID:grid.411163.0) (ISNI:0000 0004 0639 4151); CHU Clermont-Ferrand, EA7280, Université Clermont Auvergne,, Explorations Fonctionnelles du Système Nerveux, Clermont-Ferrand, France (GRID:grid.411163.0) (ISNI:0000 0004 0639 4151); CHU Clermont-Ferrand, Service de Nutrition Clinique, INRA, UMR 1019, UNH, CRNH Auvergne, Clermont-Ferrand, France (GRID:grid.411163.0) (ISNI:0000 0004 0639 4151); CHU Clermont-Ferrand, Centre Référent Troubles Des Conduites Alimentaires, Clermont-Ferrand, France (GRID:grid.411163.0) (ISNI:0000 0004 0639 4151) 
Publication year
2021
Publication date
2021
Publisher
Nature Publishing Group
e-ISSN
20452322
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2531843549
Copyright
© The Author(s) 2021. This work is published under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.