Evidence For A Possible Link Between Obesity And BED

Abstract Obesity is traditionally a medical condition; Binge Eating Disorder (BED) is instead considered a psychiatric disease, described by the DSM-5 between eating disorders (ED) and nutrition. In the clinical reality obesity and BED are often associated and it is necessary to recognize them: during obesity, identify the possible BED, during BED, treat obesity. In the history of evolution the problem of obesity in recent decades is unpublished. Ancient men were selected to store reserves for moments of energy shortage, in periods of scarce and intermittent availability. The obese patients, in the testimonies of the Egyptian papyrus (1500 BC), of Hippocrates (IV century BC) and of Aulus Cornelius Census who first spoke of "obesitas" 2000 years ago, were few, noble and rich, with great availability of food and no need to work. In recent decades the evolution of millennia has been displaced by new standards of living. Access to food easier and mechanization of work and transport with less and less waste of energy cause a positive energy balance, while the phylogenetically ancient tendency to accumulate energy rather than to consume it persists. The result is the current global epidemic of obesity ("globesity"). On the other hand, in modern man, ancestral, phylogenetically ancient behaviors persist: among these, compulsively eating large quantities of food in the shortest possible time, which allows the body to take in and conserve energy, when available, in a greater quantity than that necessary to balance the balance of the moment, signaled by the feeling of satiety: the resulting binge eating, induced by states of emotional stress, psychological disorders and by the same dieting, the perennially dieting that favors the ED: known paradox, for which diets, in the end, make you fat