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Gonadal Hormone Influences on Sex Differences in Binge Eating Across Development

  • SEX AND GENDER ISSUES IN BEHAVIORAL HEALTH (CN EPPERSON AND L HANTSOO, SECTION EDITORS)
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Abstract

Purpose of Review

Binge eating is a transdiagnostic symptom that disproportionately affects females. Sexually dimorphic gonadal hormones (e.g., estradiol, testosterone) substantially impact eating behavior and may contribute to sex differences in binge eating. We examine recent evidence for the role of gonadal hormones in binge eating risk across development.

Recent Findings

Both organizational (long-lasting impact on the central nervous system (CNS)) and activational (transient influences on the CNS) hormone effects may contribute to sex differences in binge eating. Gonadal hormones also impact within-sex variability in binge eating, with higher estradiol levels in females and higher testosterone levels in males protective across development. Emerging evidence suggests that the impact of gonadal hormones may be greatest for people with other risk factors, including genetic, temperamental (e.g., high negative affect), and psychosocial (e.g., exposure to weight-based teasing) risk.

Summary

Gonadal hormones contribute to sex differences and within-sex variability in binge eating across development.

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Acknowledgements

This work was supported by a grant from the National Institute of Mental Health (R01 MH111715-03S1]. The content of the manuscript is solely the responsibility of the authors and does not necessarily represent the official views of the National Institute of Mental Health.

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Mikhail, M.E., Anaya, C., Culbert, K.M. et al. Gonadal Hormone Influences on Sex Differences in Binge Eating Across Development. Curr Psychiatry Rep 23, 74 (2021). https://doi.org/10.1007/s11920-021-01287-z

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