Intermittent excessive behaviors: differences in alcohol consumption and binge eating between young adults of rural and urban areas
DOI:
https://doi.org/10.21134/haaj.v23i1.742Keywords:
alcohol, binge eating, university, rural, nutrition, studentsAbstract
Introduction: Drug abuse and binge eating have been characterized as part of the so-called intermittent excessive behaviors, which share common neurobiological pathways. University students come from very different areas to access higher education, for example, rural environments, where some habits, education, and recreational options differ from those of people who grew up in the city. Contextual cues are crucial in the development of drug addic- tion, but little is known about the role that the living area where individuals grew up has on the development of intermittent excessive behaviors, such as binge eating and binge drinking. Objective: The main aim of this study was to explore the prevalence and comorbidity of alcohol consumption and binge eating behaviors in young adults (18-30 years), considering the living area where they grew up. Method: For this purpose, the AUDIT and the Binge Eating Scale were employed in a sample of 2461 undergraduates. Results: The results showed a significant propor- tion presenting a risky alcohol consumption pattern and a reduced proportion of people presenting binge eating behaviors. Interestingly, in both cases, there was a significant difference between groups, where rural students were more vulnerable to risky alcohol consumption and to developing maladaptive eating patterns.
Downloads
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing. https://doi.org/10.1176/appi.books.9780890425596
Babor, T. F., Higgins-Biddle, J. C., Saunders, J. B., & Monteiro, M. G. (2001). AUDIT: the Alcohol Use Disorders Identi- fication Test: guidelines for use in primary health care (2nd ed.). World Health Organization. http://www.who.int/ iris/handle/10665/67205
Barson, J. R., Karatayev, O., Chang, G. Q., Johnson, D. F., Bocarsly, M. E., Hoebel, B. G., & Leibowitz, S. F. (2009). Po- sitive relationship between dietary fat, ethanol intake, triglycerides, and hypothalamic peptides: counteraction by lipid-lowering drugs. Alcohol, 43(6), 433-441. https://doi.org/10.1016/j.alcohol.2009.07.003
Bava, S., & Tapert, S. F. (2010). Adolescent brain development and the risk for alcohol and other drug problems.
Neuropsychology Review, 20(4), 398-413. http://doi.org/10.1007/s11065-010-9146-6
Blanco-Gandía, M.C., Ledesma, J.C., Aracil-Fernández, A., Navarrete, F., Montagud-Romero, S., Aguilar, M.A., Man- zanares, J., Miñarro, J., & Rodríguez-Arias, M. (2017). The rewarding effects of ethanol are modulated by binge eating of a high-fat diet during adolescence. Neuropharmacology, 121, 219–230. https://doi.org/10.1016/j.neuro- pharm.2017.04.040
Blanco-Gandia, M. C., Montagud-Romero, S., & Rodríguez-Arias, M. (2021a). Binge eating and psychostimulant ad- diction. World Journal of Psychiatry, 11(9), 517–529. https://doi.org/10.5498/wjp.v11.i9.517
Blanco-Gandia, M. C., Gonzalez-Portilla, M., & Rodriguez-Arias, M. (2021b). Diet, drugs, and the brain: Is ultra-pro- cessed food a gateway to addiction?. Mètode Science Studies Journal-Annual Review, 11, 138-145. https://doi. org/10.7203/metode.11.16195
Blüher, M. (2019). Obesity: global epidemiology and pathogenesis. Nature Reviews Endocrinology, 15(5), 288-298.
https://doi.org/10.1038/s41574-019-0176-8
Caton, S.J., Nolan, L. J., & Hetherington, M.M. (2015). Alcohol, Appetite and Loss of Restraint. Current Obesity Re- ports, 4, 99–105. https://doi.org/10.1007/s13679-014-0130-y
Conason, A. H., & Sher, L. (2006). Alcohol use in adolescents with eating disorders. International journal of adoles- cent medicine and health, 18(1), 31-36. https://doi.org/10.1515/ijamh.2006.18.1.31
Cortés-Tomás, M. T., Tort, B. E., Del Río, B. M., & Iñíguez, C. G. (2010). Tipologías de consumidores de alcohol dentro de la práctica del botellón en tres ciudades españolas. Psicothema, 22(3), 363-368. http://www.psicothema.com/ psicothema.asp?id=3738
Corwin, R. L. (2006). Bingeing rats: a model of intermittent excessive behavior? Appetite, 46(1), 11-15. https://doi. org/10.1016/j.appet.2004.09.002
Donath, C., Gräßel, E., Baier, D., Pfeiffer, C., Karagülle, D., Bleich, S., & Hillemacher, T. (2011). Alcohol consumption and binge drinking in adolescents: comparison of different migration backgrounds and rural vs. urban residence-a representative study. BMC Public Health, 11(1), 1-14. https://doi.org/10.1186/1471-2458-11-84
EMCDDA. European Monitoring Center for Drugs and Drug Addiction. (2020). European Drug Report. https://www. emcdda.europa.eu/system/files/publications/13238/TD0420439ESN.pdf
Observatorio Español de las Drogas y las Adicciones. (2021). Informe 2021. Alcohol, tabaco y drogas ilegales en España. Ministerio de Sanidad. Delegación del Gobierno para el Plan Nacional sobre Drogas. https://pnsd.sanidad. gob.es/profesionales/sistemasInformacion/informesEstadisticas/pdf/2021OEDA-INFORME.pdf
Escrivá-Martínez, T., Galiana, L., Herrero, R., Rodríguez-Arias, M., & Baños, R. M. (2020b). Understanding the Influ- ence of Eating Patterns on Binge Drinking: A Mediation Model. International Journal of Environmental Research and Public Health, 17(24), 9451. https://doi.org/10.3390/ijerph17249451
Escrivá-Martínez, T., Galiana, L., Rodríguez-Arias, M., & Baños, R. M. (2019). The binge eating scale: structural equa- tion competitive models, invariance measurement between sexes, and relationships with food addiction, impulsivi- ty, binge drinking, and body mass index. Frontiers in Psychology, 10, 530. https://doi.org/10.3389/fpsyg.2019.00530
Escrivá-Martínez, T., Herrero, R., Molinari, G., Rodríguez-Arias, M., Verdejo-García, A., & Baños, R. M. (2020a). Binge Eating and Binge Drinking: A Two-Way Road? An Integrative Review. Current Pharmaceutical Design, 26(20), 2402- 2415. https://doi.org/10.2174/1381612826666200316153317
Espejo, B., Cortés, M. T., del Río, B. M., Giménez, J. A., & Gómez, C. (2012). Traits that define the different alcohol in- tensive consume type during the practice of “Botellon”. The Spanish Journal of Psychology, 15(1), 256-264. https:// doi.org/10.5209/rev_sjop.2012.v15.n1.37318
Field, A.E., Sonneville, K.R., Micali, N., Crosby, R.D., Swanson, S.A., Laird, N.M., Treasure, J., Solmi, F., & Horton, N.J. (2012). Prospective association of common eating disorders and adverse outcomes. Pediatrics, 130(2), e289–e295. https://doi.org/10.1542/peds.2011-3663d
Flores-Fresco, M.J., Blanco-Gandía, M.C., & Rodríguez-Arias, M. (2018). Alteraciones de la conducta alimentaria en pacientes con trastorno por abuso de sustancias. Clínica y salud, 29(3), 125-132. http://dx.doi.org/10.5093/cly- sa2018a18
Font-Ribera, L., Garcia-Continente, X., Pérez, A., Torres, R., Sala, N., Espelt, A., & Nebot, M. (2013). Driving under the influence of alcohol or drugs among adolescents: The role of urban and rural environments. Accident Analysis & Prevention, 60, 1-4. https://doi.org/10.1016/j.aap.2013.07.031
Fouladi, F., Mitchell, J. E., Crosby, R. D., Engel, S. G., Crow, S., Hill, L., Le Grange, D., Powers, P., & Steffen, K. J. (2015). Prevalence of alcohol and other substance use in patients with eating disorders. European Eating Disorders Re- view, 23(6), 531–536. https://doi.org/10.1002/erv.2410
Franco, A. J. M., San Agustín, A. B., Baile, A. M., Valero, P. G., & de la Puerta, I. N. (2009). Consumo de drogas en es- tudiantes universitarios de primer curso. Adicciones, 21(1), 21-28. https://doi.org/10.20882/adicciones.248
Galán, I., González, M., & Valencia-Martín, J. L. (2014). Patrones de consumo de alcohol en España: un país en
transición. Revista Española de Salud Pública, 88(4), 529-540. https://doi.org/10.4321/S1135-57272014000400007
Gallego, M. O., Jiménez, S. M., López, C. M., & Tricio, A. M. (2005). Alcohol consumption in Toledo schoolchildren: reasons and alternatives. Atención Primaria, 36(6), 297-302. https://doi.org/10.1157/13079862
García-Carretero, M. A., Novalbos Ruiz, J. P., Martínez Delgado, J. M., & 0’Ferrall González, C. (2016). Validación del test para la identificación de trastornos por uso de alcohol en población universitaria: AUDIT y AUDIT-C. Adicciones, 28(4), 194-204. https://doi/10.20882/adicciones.775
Gold, M. S. (2011). From bedside to bench and back again: a 30-year saga. Physiology & behavior, 104(1), 157-161.
https://doi.org/10.1016/j.physbeh.2011.04.027
Gómez, P., Moure-Rodríguez, L., López-Caneda, E., Rial, A., Cadaveira, F., & Caamaño-Isorna, F. (2017). Patterns of alcohol consumption in Spanish university alumni: nine years of follow-up. Frontiers in Psychology, 8, 756. https:// doi.org/10.3389/fpsyg.2017.00756
Gormally, J., Black, S., Daston, S., & Rardin, D. (1982). The assessment of binge eating severity among obese persons.
Addictive behaviors, 7(1), 47-55. https://doi.org/10.1016/0306-4603(82)90024-7
Hayes, A. F. (2018). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach (2nd ed.). Guilford Press.
Iniesta, C. G., Taravilla, E. R. E., Marcos, L. T., Marcos, F. M., Albero, J. S., & López, P. J. T. (2019). Consumo de alcohol en el medio rural. Journal of Negative and No Positive Results, 4(11), 1085-1111. https://doi.org/10.19230/jonn- pr.3200
Kessler, R. C., Berglund, P. A., Chiu, W. T., Deitz, A. C., Hudson, J. I., Shahly, V., Aguilar-Gaxiola, S., Alonso, J., Anger- meyer, M. C., Benjet, C., Bruffaerts, R., de Girolamo, G., de Graaf, R., Haro, J. M., Kovess-Masfety, V., O’Neill, S., Posa- da-Villa, J., Sasu, C., Scott, K., Viana, M. C., & Xavier, M. (2013). The prevalence and correlates of binge eating disor- der in the world health organization world mental health surveys. Biological Psychiatry, 73(9), 904–914. https://doi. org/10.1016/J.BIOPSYCH.2012.11.020
Laghi, F., Baiocco, R., Liga, F., Lonigro, A., & Baumgartner, E. (2014). Binge eating and binge drinking behaviors: individual differences in adolescents’ identity styles. Journal of Health Psychology, 19(3), 333–343. https://doi. org/10.1177/1359105312470851
Lee, G. Y., & Um, Y. J. (2021). Factors Affecting Obesity in Urban and Rural Adolescents: Demographic, Socioeconomic Characteristics, Health Behavior and Health Education. International Journal of Environmental Research and Public Health, 18(5), 2405. https://doi.org/10.3390/ijerph18052405
Marzilli, E., Cerniglia, L., & Cimino, S. (2018). A narrative review of binge eating disorder in adolescence: prevalence, impact, and psychological treatment strategies. Adolescent health, medicine and therapeutics, 9, 17-30. https://doi. org/10.2147/AHMT.S148050
Mason, T. B., Smith, K. E., Lavender, J. M., & Lewis, R. J. (2018). Independent and interactive associations of negative affect, restraint, and impulsivity in relation to binge eating among women. Appetite, 121, 147–153. https://doi. org/10.1016/j.appet.2017.11.099
Merchán Clavellino, A., Ribeiro do Couto, B. R., & Alameda Bailén, J. R. (2014). Hábitos de consumo de drogas y percepción sobre los efectos en salud y rendimiento académico en estudiantes de Psicología en la Universidad de Huelva. Revista Española de Drogodependencias, 39(2), 59-73. https://www.aesed.com/upload/files/v42n4_amer- chan-etal.pdf
Micali, N., Solmi, F., Horton, N.J., Crosby, R.D., Eddy, K.T., Calzo, J.P., Sonneville, K.R., Swanson, S.A., & Field, A.E. (2015). Adolescent Eating Disorders Predict Psychiatric, High-Risk Behaviors and Weight Outcomes in Young Adult- hood. Journal of the American Academy of Child & Adolescent Psychiatry, 54(8), 652–659.https://doi.org/10.1016/j. jaac.2015.05.009
Montagud-Romero, S., Ferrer-Pérez, C., & Blanco-Gandía, M.C. (2021), “Binge drinking and binge eating in unde- graduates from rural vs. urban areas”, Mendeley Data, http://doi.org/10.17632/m2sgb7zcz6.1
Motos-Selles, P., Cortés-Tomas, M. T., & Costa, J. A. G. (2016). Age of onset, motives and amount of alcohol con- sumed in the determination of consequences in college binge drinkers/Edad de inicio en el consumo, motivos y cantidad de alcohol en la determinacion de consecuencias en consumidores intensivos universitarios. Universitas Psychologica, 15(2), 243-255. https://doi.org/10.11144/Javeriana.upsy15-2.edcm
Motos-Sellés, P., Cortés-Tomás, M. T., & Giménez-Costa, J. A. (2019). Evaluación de la adaptación de los ítems de consumo del AUDIT para mejor el cribado de Binge Drinking en universitarios. Adicciones, 32(4), 255-264. http:// doi.org/10.20882/adicciones.1145
NIAAA. National Institute on Alcohol Abuse and Alcoholism. (2016). Drinking Levels Defined. https://www.niaaa.nih. gov/alcohol-health/overview-alcohol-consumption/moderate-binge-drinking
Obradors-Rial, N., Ariza, C., & Muntaner, C. (2014). Risky alcohol consumption and associated factors in adolescents aged 15 to 16 years in Central Catalonia (Spain): differences between rural and urban areas. Gaceta Sanitaria, 28(5), 381-385. https://doi.org/10.1016/j.gaceta.2014.04.004
Ocampo, R., Bojorquez, L., & Unikel, C. (2012). Disordered eating behaviors and binge drinking in female high-school students: the role of impulsivity. Salud Mental, 35(2), 83–89. https://www.scielo.org.mx/pdf/sm/v35n2/v35n2a1. pdf
Oliva, R., Morys, F., Horstmann, A., Castiello, U., & Begliomini, C. (2019). The impulsive brain: Neural underpinnings of binge eating behavior in normal-weight adults. Appetite, 136, 33-49. https://doi.org/10.1016/j.appet.2018.12.043
OECD. Organisation for Economic Co-operation and Development (1994). Tourism Strategies and rural development.
https://www.oecd.org/cfe/tourism/2755218.pdf
Patrick, M.E., Terry-McElrath, Y.M., Lanza, S.T., Jager, J., Schulenberg, J.E., & O’Malley, P.M. (2019). Shifting age of peak binge drinking prevalence: Historical changes in normative trajectories among young adults aged 18 to 30. Al- coholism: Clinical and Experimental Research, 43(2), 287–298. https://doi.org/10.1111/acer.13933
Pinilla, V., & Sáez, L. A. (2017). La despoblación rural en España: génesis de un problema y políticas innovadoras. Cen- tro de Estudios sobre Despoblación y Desarrollo de Áreas Rurales. http://sspa-network.eu/wp-content/uploads/ Informe-CEDDAR-def-logo.pdf
Preacher, K.J., Rucker, D.D., & Hayes, A.F. (2007). Addressing moderated mediation hypotheses: theory, methods, and prescriptions. Multivariate Behavioral Research, 42(1), 185-227 https://doi.org/10.1080/00273170701341316
Rodríguez, J., Agulló, E., & Agulló, M. S., (2003). Jóvenes, fin de semana y uso recreativo de drogas: evolución y ten- dencias del ocio juvenil. Adicciones, 15(5), 7-34. https://doi.org/10.20882/adicciones.451
Root, T. L., Pinheiro, A. P., Thornton, L., Strober, M., Fernandez-Aranda, F., Brandt, H., & Kaplan, A. S. (2010). Sub- stance use disorders in women with anorexia nervosa. International Journal of Eating Disorders, 43(1), 14-21. https://doi.org/10.1002/eat.20670
Saunders, J.B., Aasland, O.G., Babor, T.F., De la Fuente, J.R., & Grant, M. (1993). Development of the Alcohol Use Disorders Identification Test (AUDIT): WHO collaborative project on early detection of persons with harmful alcohol consumption II. Addiction, 88(6), 791–804 https://doi.org/10.1111/j.1360-0443.1993.tb02093.x
Schulte, E. M., Grilo, C. M., & Gearhardt, A. N. (2016). Shared and unique mechanisms underlying binge eating dis- order and addictive disorders. Clinical Psychology Review, 44, 125-139. http://doi.org/10.1016/j.cpr.2016.02.001
Sonneville, K. R., Horton, N. J., Micali, N., Crosby, R. D., Swanson, S. A., Solmi, F., & Field, A. E. (2013). Longitudinal as- sociations between binge eating and overeating and adverse outcomes among adolescents and young adults: does loss of control matter?. JAMA Pediatrics, 167(2), 149-155. http://doi.org/10.1001/2013.jamapediatrics.12
Spear, L. P. (2013). Adolescent neurodevelopment. Journal of Adolescent Health, 52(2), S7-S13. http://doi. org/10.1016/j.jadohealth.2012.05.006
Spear, L. P., & Silveri, M. M. (2016). Special issue on the adolescent brain. Neuroscience and Biobehavioral Reviews, 70, 1-3. http://doi.org/10.1016/j.neubiorev.2016.08.004
Steward, T., Mestre-Bach, G., Vintró-Alcaraz, C., Agüera, Z., Jiménez-Murcia, S., Granero, R., & Fernández-Aranda,
F. (2017). Delay discounting of reward and impulsivity in eating disorders: from anorexia nervosa to binge eating
disorder. European Eating Disorders Review, 25(6), 601–606. https://doi.org/10.1002/erv.2543
Stice, E., Marti, C. N., & Rohde, P. (2013). Prevalence, incidence, impairment, and course of the proposed DSM-5 eating disorder diagnoses in an 8-year prospective community study of young women. Journal of Abnormal Psy- chology, 122(2), 445–457. https://doi.org/10.1037/a0030679
Swanson, S. A., Crow, S. J., Le Grange, D., Swendsen, J., & Merikangas, K. R. (2011). Prevalence and correlates of eat- ing disorders in adolescents: Results from the national comorbidity survey replication adolescent supplement. Ar- chives of general psychiatry, 68(7), 714-723. https://doi.org/10.1016/j.comppsych.2010.06.044
Toga, A. W., Thompson, P. M., & Sowell, E. R. (2006). Mapping brain maturation. Focus, 29(3), 148-390. http://doi. org/10.1016/j.tins.2006.01.007
Volkow, N. D., Wang, G. J., Tomasi, D., & Baler, R. D. (2013). Obesity and addiction: neurobiological overlaps. Obesity
Reviews, 14(1), 2-18. https://doi.org/10.1111/j.1467-789x.2012.01031.x
Wiederman, M. W., & Pryor, T. (1996). Substance use and impulsive behaviors among adolescents with eating disor- ders. Addictive Behaviors, 21(2), 269-272. https://doi.org/10.1016/0306-4603(95)00062-3
World Health Organization (2015). Guideline: Sugars intake for adults and children. https://www.who.int/publica- tions/i/item/9789241549028
World Health Organization. (2019). Global status report on alcohol and health 2018. https://apps.who.int/iris/han- dle/10665/274603.
World Medical Association (2013). World Medical Association Declaration of Helsinki: ethical principles for medical research involving human subjects. Jama, 310(20), 2191-2194.https://doi.org/10.1001/jama.2013.281053
Downloads
Published
Issue
Section
License
Copyright (c) 2023 Health and Addictions Journal/Revista Salud y Drogas

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
Authors publishing in this journal agree to the journal's statement of ethical principles and to the following terms:
The rights of the published material shall belong to their respective authors. Articles published in HAAJ may be used under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International license, and may be read, copied, distributed, printed, searched, or linked to in the full text of this journal without prior permission from the publisher or author, provided that HAAJ and the authors are acknowledged and not used for commercial purposes.
Authors may include the work in institutional repositories or other publications as long as this journal is acknowledged and properly cited.
The HAAJ editorial team encourages authors to disseminate their published work through any means (conferences, classes, lectures, talks, etc.) and/or platforms (social networks, repositories, websites, etc.).
HAAJ follows the Core Practices of COPE (Committee on Publication Ethics).