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Summary   Aim  This study compared functioning and productivity in individuals meeting  Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition  (  DSM ‐5 ) diagnostic criteria for binge eating disorder ( BED ) to those without  BED .    Methods  A sample of  US  adults from the National Health and Wellness Survey completed an Internet survey in October 2013. In addition to  BED  diagnostic criteria, the survey assessed functional impairment and productivity, respectively, using the Sheehan Disability Scale ( SDS ) and Work Productivity and Activity Impairment ( WPAI ) questionnaire. Differences between  BED  and non‐ BED  respondents were assessed using multivariate models controlling for factors, including age, sex and comorbidities.    Results  Of 22 397 respondents, 344 were categorised as  BED  respondents and 20 437 as non‐ BED  respondents. Compared with non‐ BED  respondents,  BED  respondents exhibited significantly (all  P &lt;.001) greater functional impairment on the  SDS , as measured by mean± SD  total (14.04±9.46 vs 3.41±6.36), work/school (3.86±3.62 vs 1.01±2.21), social life/leisure activities (5.29±3.49 vs 1.22±2.33) and family life/home responsibilities (4.89±3.44 vs 1.18±2.26) scores. Adjusted odds ratios (95%  CI s) indicated that  BED  respondents were more impaired than non‐ BED  respondents on the work/school (4.24 [3.33–5.40]), social life/leisure activities (6.37 [4.97–8.15]) and family life/home responsibilities (5.76 [4.51–7.34]) domains of the  SDS . On the  WPAI ,  BED  respondents reported significantly (all  P &lt;.001) higher percentages (mean± SD ) of absenteeism (9.59%±19.97% vs 2.90%±12.95%), presenteeism (30.00%±31.64% vs 10.86%±20.07%), work productivity loss (33.19%±33.85% vs 12.60%±23.22%) and activity impairment (43.52%±34.36% vs 19.94%±27.22%) than non‐ BED  respondents.    Conclusions  The findings suggest individuals with  BED  experience considerable impairment in functioning and work productivity compared with individuals without  BED .

Impact of binge eating disorder on functional impairment and work productivity in an adult community sample in the United States