Solmi F, Moreno AB, Lewis G, et al. - People who binge eat are more likely to develop metabolic syndrome as their body mass index (BMI) rises, as well as hypertriglyceridemia and hypertension independently of BMI. Effective interventions for binge eating could also have beneficial effects on metabolic health outcomes if these are causal relationships.

• The Brazilian Longitudinal Study of Adult Health (ELSA-Brasil, N = 15,105) provided the data for this study.

• A total of 13,388 candidates (54.8% female; 52.2% white) had complete data on all variables of interest.

• Binge eating was linked to an increased risk of metabolic syndrome at the follow-up.

• The magnitude of this association, however, was reduced after including the number of metabolic syndrome components at baseline, and it was no longer present after controlling for baseline BMI.

• After adjusting for all variables, binge eating was also linked to a greater risk of hypertension and hypertriglyceridemia in the follow-up evaluation.