Some people with binge eating problems are also overweight (a BMI of 25.0 or more; see Appendix II). The relationship between binge eating and obesity is complex: The two problems interact and exacerbate each other (see Chapter 6). Binge eating contributes to the maintenance of obesity, and it complicates its treatment. Conversely, those treatments for obesity that involve strict dieting tend to make binge eating problems worse. In general, if you have both a binge eating problem and a weight problem, it is best to address the eating problem first.
When it comes to addressing a weight problem, an important first step is to see a physician or other health care professional in order to discuss your health, your BMI, and your desire to lose weight. He or she will be able to comment on the advisability of losing weight and an appropriate weight loss goal.
The next step is to identify a weight loss program. Unfortunately, not all programs can be recommended. Some make unrealistic claims and some endorse unhealthy practices. It is therefore important to check out any program before committing yourself to it. It is possible that your physician or health care professional may be able to recommend one.
If you are unsure how to proceed, it is worth looking at the National Institutes of Health websites. They have a “Weight-Control Information Network” (http://win.niddk.nih.gov) that provides up-to-date information on weight control together with a large number of useful publications including an excellent one called Choosing a Safe and Successful Weight-Loss Program.
An important point to keep in mind when selecting a weight loss program is whether it is likely to worsen, or bring back, your binge eating problem. Discuss this matter with the people who run the program. You should certainly avoid weight loss programs that encourage strict dieting or forbid the consumption of particular foods.