Abordagens nutricionais para o manejo da compulsão alimentar: uma revisão da literatura

Abstract

The objective of this study was to evaluate nutritional approaches in managing binge eating through reviews of clinical trials and cross-sectional studies. The research was conducted via a narrative literature review in electronic databases such as Scielo, Capes Periodicals, and PubMed, using keywords related to the topic. Articles from 2018 to 2024 were included, with the exclusion of materials outside the topic or those with superficial coverage. The results highlight that Cognitive Behavioral Therapy (CBT) proved effective in reducing binge episodes, especially when combined with anxiety control. Combined interventions, such as behavioral weight loss with medication, showed significant improvement in binge remission and weight loss compared to placebo. Studies also indicated that multidisciplinary approaches, such as Mindful Eating and Intuitive Eating, have been promising in improving patients' relationships with food. Additionally, intermittent energy restriction diets and psychosocial support, like tele-CBT, showed lasting benefits for mental health and dietary control, although with no significant short-term effect on weight loss. It is concluded that integrative and personalized nutritional approaches offer promising strategies for treating binge eating and its comorbidities.