Sex Differences in Binge Eating: Gonadal Hormone Effects Across Development
Kelly L Klump1, Kristen M Culbert2, Cheryl L Sisk1,3
1Department of Psychology, Michigan State University, East Lansing, Michigan 48824;
Annual Review of Clinical Psychology
|March 17, 2017
Summary
Hormonal influences, particularly testosterone and ovarian hormones, significantly impact sex differences in binge eating disorder risk. Prenatal testosterone may protect males, while its absence and pubertal ovarian hormones may increase risk in females.
Area of Science:
- Neuroendocrinology
- Behavioral Biology
- Psychiatry
Background:
- Eating disorders display significant sex differentiation, with a higher prevalence in females.
- Existing theories predominantly emphasize psychosocial factors, often overlooking biological and genetic contributions.
- Gonadal hormones are implicated in various behavioral and physiological processes, yet their specific role in sex differences in binge eating requires further elucidation.
Purpose of the Study:
- To review and synthesize evidence from human and animal studies examining the influence of gonadal hormones on sex differences in binge eating.
- To explore the potential protective role of testosterone in males and the contributing factors to increased risk in females.
- To investigate the interplay between prenatal and pubertal hormonal exposures and genetic factors in shaping sex-specific vulnerability to binge eating.
Main Methods:
- Descriptive review of existing literature, including animal models and human observational studies.
- Analysis of findings related to prenatal and pubertal testosterone exposure in males and females.
- Examination of twin study data to assess the genetic basis of hormone influences on sex differences.
Main Results:
- Evidence suggests increased prenatal testosterone exposure may confer protection against binge eating in males.
- Pubertal testosterone might offer additional protective effects, but the prenatal period appears critical for reduced male risk.
- In females, a lack of prenatal testosterone combined with pubertal ovarian hormone effects may increase binge eating susceptibility.
- Twin data indicate that genetic risk factors may mediate hormonal influences on sex differences across development.
Conclusions:
- Gonadal hormones play a crucial role in the sex differentiation of binge eating disorder.
- Prenatal testosterone exposure is a key factor in reducing binge eating risk in males.
- Hormonal profiles, influenced by both prenatal and pubertal periods, contribute significantly to the higher prevalence of binge eating in females.
- Genetic factors likely interact with hormonal mechanisms to explain developmental changes in sex differences in binge eating vulnerability.
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