Exploring personalized diagnosis and intervention in binge eating disorder: Five case reports

Background: Binge Eating Disorder (BED) has gained attention in recent years due to its complexity and the challenges it poses in diagnosis and treatment. Unlike other eating disorders such as anorexia nervosa and bulimia, BED has been less researched, particularly regarding the influence of genetic factors and biomechanical on eating behaviors. This study introduces a novel approach by individually analyzing how genetic predisposition and biomechanical factors impacts the diagnosis of BED. The primary objective of this research was to demonstrate the diagnostic variability and intervention possibilities in patients with BED, highlighting the importance of an interdisciplinary approach that integrates biomechanical principles. Additionally, it aimed to identify individual factors—clinical, psychosocial, biomechanical and genetic—that influence the presence of the disorder, and to evaluate the efficacy of personalized treatments that include psychological, psychiatric, and nutritional interventions tailored to each patient’s unique needs. Case presentation: The main concerns of the patients were how to manage their food-related anxiety, which was often exacerbated by biomechanical stressors. Many felt stigmatized by their weight and guilty for being unable to control their binge eating, which they initially attributed to a lack of self-control. However, upon learning about their genetic profile and the biomechanical underpinnings of their condition, patients began to better understand their eating behaviors, allowing them to reduce the associated guilt. Clinically, it was observed that after receiving interdisciplinary treatment, which included both psychological interventions and precision nutritional management, and biomechanical modulation, binge eating episodes significantly decreased. In four out of five cases, episodes disappeared. Conclusions: This reinforces the importance of tailoring treatments to the genetic and psychosocial, and biomechanical specifics of each patient. By incorporating biomechanical insights into therapeutic strategies, new research opportunities are opened, and the therapeutic approach for BED is significantly improved. This interdisciplinary framework not only addresses the psychological and nutritional aspects of BED but also leverages biomechanical principles to optimize treatment outcomes, offering a more holistic and effective approach to managing this complex disorder.