Several factors may contribute to binge eating behaviors in PCOS. However, findings are contradictory and studies in the adolescence are limited. We aimed to evaluate the eating attitudes of adolescents with PCOS and the possible etiological factors underlying the association between PCOS and binge eating symptomology. Between 2019 and 2022, 46 newly diagnosed adolescents with PCOS and 56 controls matched for age and BMI z-score were included. The Eating Disorder Examination Questionnaire, Three Factor Eating Questionnaire-R18, and a questionnaire assessing postprandial reactive hypoglycemia symptom severity were given. Binge eating symptomology, in terms of over, uncontrolled, and emotional eating, were more prevalent in the PCOS group. Uncontrolled, emotional, and binge eating were positively correlated with postprandial reactive hypoglycemia symptom score. Overeating was also associated with clinical hyperandrogenism. Improving the disease outcome and reducing the future complications requires early recognition and management of emotional and uncontrolled eating behaviors in adolescents with PCOS.

中文翻译：

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青少年多囊卵巢综合征暴食症状

有几个因素可能导致多囊卵巢综合症患者的暴饮暴食行为。然而，研究结果是矛盾的，并且对青春期的研究是有限的。我们的目的是评估患有 PCOS 的青少年的饮食态度以及 PCOS 与暴食症状之间关联的可能病因。 2019 年至 2022 年间，纳入了 46 名新诊断患有 PCOS 的青少年和 56 名年龄和 BMI z 分数匹配的对照者。给出了饮食失调检查问卷、三因素饮食问卷-R18和评估餐后反应性低血糖症状严重程度的问卷。暴食症状，即过度、不受控制和情绪化饮食，在 PCOS 组中更为普遍。不受控制、情绪化和暴食与餐后反应性低血糖症状评分呈正相关。暴饮暴食也与临床雄激素过多症有关。改善疾病结果并减少未来的并发症需要及早识别和管理多囊卵巢综合征青少年的情绪和不受控制的饮食行为。