Eva Conceição1, James E Mitchell2, Ana R Vaz3, Ana P Bastos3, Sofia Ramalho3, Cátia Silva3, Li Cao2, Isabel Brandão4, Paulo P P Machado3. 1. University of Minho, School of Psychology, Campus Gualtar, 4710-057 Braga, Portugal. Electronic address: econceicao@psi.uminho.pt. 2. University of North Dakota, School of Medicine and Health Sciences, Fargo, ND, United States; Neuropsychiatric Research Institute, 120 Eighth Street South, Fargo, ND 58103, United States. 3. University of Minho, School of Psychology, Campus Gualtar, 4710-057 Braga, Portugal. 4. University of Porto, Faculty of Medicine, Hospital de São João, Alameda Prof. Hernâni Monteiro, 4200-319 Porto, Portugal.
Abstract
BACKGROUND: Maladaptive eating behaviors after bariatric surgery are thought to compromise weight outcomes, but little is known about their frequency over time. OBJECTIVE: This study investigates the presence of subjective binge eating (SBE), objective binge eating (OBE) and picking and nibbling (P&N) before surgery and at different time periods postoperative, and their association with weight outcomes. METHODS: This cross-sectional study assessed a group of patients before surgery (n=61), and three post-operative groups: 1) 90 patients (27 with laparoscopic adjustable gastric band (LAGB) and 63 with Laparoscopic Roux-en-Y Gastric Bypass (LRYGB)) assessed during their 6month follow-up medical appointment; 2) 96 patients (34 LAGB and 62 LRYGB) assessed during their one year follow-up medical appointment; and 3) 127 patients (62 LAGB and 55 LRYGB) assessed during their second year follow-up medical appointment. Assessment included the Eating Disorders Examination and a set of self-report measures. RESULTS: In the first ten months after surgery fewer participants reported maladaptive eating behaviors. No OBEs were reported at 6months. SBE episodes were present in all groups. P&N was the most frequently reported eating behavior. Eating behavior (P&N) was significantly associated with weight regain, and non-behavioral variables were associated with weight loss. CONCLUSIONS: This study is cross-sectional study which greatly limits the interpretation of outcomes and no causal association can be made. However, a subgroup of postoperative patients report eating behaviors that are associated with greater weight regain. The early detection of these eating behaviors might be important in the prevention of problematic outcomes after bariatric surgery.
BACKGROUND:Maladaptive eating behaviors after bariatric surgery are thought to compromise weight outcomes, but little is known about their frequency over time. OBJECTIVE: This study investigates the presence of subjective binge eating (SBE), objective binge eating (OBE) and picking and nibbling (P&N) before surgery and at different time periods postoperative, and their association with weight outcomes. METHODS: This cross-sectional study assessed a group of patients before surgery (n=61), and three post-operative groups: 1) 90 patients (27 with laparoscopic adjustable gastric band (LAGB) and 63 with Laparoscopic Roux-en-Y Gastric Bypass (LRYGB)) assessed during their 6month follow-up medical appointment; 2) 96 patients (34 LAGB and 62 LRYGB) assessed during their one year follow-up medical appointment; and 3) 127 patients (62 LAGB and 55 LRYGB) assessed during their second year follow-up medical appointment. Assessment included the Eating Disorders Examination and a set of self-report measures. RESULTS: In the first ten months after surgery fewer participants reported maladaptive eating behaviors. No OBEs were reported at 6months. SBE episodes were present in all groups. P&N was the most frequently reported eating behavior. Eating behavior (P&N) was significantly associated with weight regain, and non-behavioral variables were associated with weight loss. CONCLUSIONS: This study is cross-sectional study which greatly limits the interpretation of outcomes and no causal association can be made. However, a subgroup of postoperative patients report eating behaviors that are associated with greater weight regain. The early detection of these eating behaviors might be important in the prevention of problematic outcomes after bariatric surgery.
Authors: M S Morseth; S E Hanvold; Ø Rø; H Risstad; T Mala; J Šaltytė Benth; M Engström; T Olbers; S Henjum Journal: Obes Surg Date: 2016-03 Impact factor: 4.129
Authors: Paul R Burton; Geraldine J Ooi; Cheryl Laurie; Margaret Anderson; Katrina Parker; Eldho Paul; Geoff Hebbard; Paul E O'Brien; Wendy A Brown Journal: Obes Surg Date: 2017-05 Impact factor: 4.129
Authors: Andrea B Goldschmidt; Eva M Conceição; J Graham Thomas; James E Mitchell; Hollie A Raynor; Dale S Bond Journal: Surg Obes Relat Dis Date: 2016-09-15 Impact factor: 4.734
Authors: Eva M Conceição; Marta de Lourdes; Ana P Peixoto; Ana Pinto-Bastos; Andrea B Goldschmidt; Ana R Vaz Journal: Eur Eat Disord Rev Date: 2020-04-03
Authors: Andrea E Kass; Erin C Accurso; Andrea B Goldschmidt; Seeba Anam; Catherine E Byrne; Kate Kinasz; Alexandria Goodyear; Setareh O'Brien; Daniel Le Grange Journal: Int J Eat Disord Date: 2015-08-18 Impact factor: 4.861