Linsey M Utzinger1,2, Marissa A Gowey3, Meg Zeller3, Todd M Jenkins3, Scott G Engel4,5, Dana L Rofey6, Thomas H Inge3, James E Mitchell4,5. 1. Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota. lmutzinger@nrifargo.com. 2. Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine & Health Sciences, Fargo, North Dakota. lmutzinger@nrifargo.com. 3. Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio. 4. Department of Clinical Research, Neuropsychiatric Research Institute, Fargo, North Dakota. 5. Department of Psychiatry and Behavioral Science, University of North Dakota School of Medicine & Health Sciences, Fargo, North Dakota. 6. University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.
Abstract
OBJECTIVE: This study assessed loss of control (LOC) eating and eating disorders (EDs) in adolescents undergoing bariatric surgery for severe obesity. METHOD: Preoperative baseline data from the Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS) multisite observational study (n = 242; median BMI = 51 kg/m2 ; mean age= 17; 76% female adolescents; 72% Caucasian) included anthropometric and self-report questionnaires, including the Questionnaire of Eating and Weight Patterns-Revised (QEWP-R), the Night Eating Questionnaire (NEQ), the Beck Depression Inventory (BDI-II), and the Impact of Weight on Quality of Life-Kids (IWQOL-Kids) RESULTS: LOC eating (27%) was common and ED diagnoses included binge-eating disorder (7%), night eating syndrome (5%), and bulimia nervosa (1%). Compared to those without LOC eating, those with LOC eating reported greater depressive symptomatology and greater impairment in weight-related quality of life. DISCUSSION: Before undergoing bariatric surgery, adolescents with severe obesity present with problematic disordered eating behaviors and meet diagnostic criteria for EDs. LOC eating, in particular, was associated with several negative psychosocial factors. Findings highlight targets for assessment and intervention in adolescents before bariatric surgery.
OBJECTIVE: This study assessed loss of control (LOC) eating and eating disorders (EDs) in adolescents undergoing bariatric surgery for severe obesity. METHOD: Preoperative baseline data from the Teen Longitudinal Assessment of Bariatric Surgery (Teen-LABS) multisite observational study (n = 242; median BMI = 51 kg/m2 ; mean age= 17; 76% female adolescents; 72% Caucasian) included anthropometric and self-report questionnaires, including the Questionnaire of Eating and Weight Patterns-Revised (QEWP-R), the Night Eating Questionnaire (NEQ), the Beck Depression Inventory (BDI-II), and the Impact of Weight on Quality of Life-Kids (IWQOL-Kids) RESULTS: LOC eating (27%) was common and ED diagnoses included binge-eating disorder (7%), night eating syndrome (5%), and bulimia nervosa (1%). Compared to those without LOC eating, those with LOC eating reported greater depressive symptomatology and greater impairment in weight-related quality of life. DISCUSSION: Before undergoing bariatric surgery, adolescents with severe obesity present with problematic disordered eating behaviors and meet diagnostic criteria for EDs. LOC eating, in particular, was associated with several negative psychosocial factors. Findings highlight targets for assessment and intervention in adolescents before bariatric surgery.
Authors: Ellen E Fitzsimmons-Craft; Anna C Ciao; Erin C Accurso; Emily M Pisetsky; Carol B Peterson; Catherine E Byrne; Daniel Le Grange Journal: Eur Eat Disord Rev Date: 2014-05-23
Authors: Meg H Zeller; Thomas H Inge; Avani C Modi; Todd M Jenkins; Marc P Michalsky; Michael Helmrath; Anita Courcoulas; Carroll M Harmon; Dana Rofey; Amy Baughcum; Heather Austin; Karin Price; Stavra A Xanthakos; Mary L Brandt; Mary Horlick; Ralph Buncher Journal: J Pediatr Date: 2014-12-30 Impact factor: 4.406
Authors: Deirdre C Kelleher; Chaya T Merrill; Linda T Cottrell; Evan P Nadler; Randall S Burd Journal: JAMA Pediatr Date: 2013-02 Impact factor: 16.193
Authors: Lauren B Shomaker; Marian Tanofsky-Kraff; Camden Elliott; Laura E Wolkoff; Kelli M Columbo; Lisa M Ranzenhofer; Caroline A Roza; Susan Z Yanovski; Jack A Yanovski Journal: Int J Eat Disord Date: 2010-12 Impact factor: 4.861
Authors: David B Sarwer; Rebecca J Dilks; Jacqueline C Spitzer; Robert I Berkowitz; Thomas A Wadden; Renee H Moore; Jesse L Chittams; Mary L Brandt; Mike K Chen; Anita P Courcoulas; Carroll M Harmon; Michael A Helmrath; Marc P Michalsky; Stavra A Xanthakos; Meg H Zeller; Todd M Jenkins; Thomas H Inge Journal: Obes Surg Date: 2017-12 Impact factor: 4.129
Authors: Andrea B Goldschmidt; Jane Khoury; Todd M Jenkins; Dale S Bond; J Graham Thomas; Linsey M Utzinger; Meg H Zeller; Thomas H Inge; James E Mitchell Journal: Pediatrics Date: 2017-12-13 Impact factor: 7.124
Authors: Meg H Zeller; Jennifer Reiter-Purtill; Todd M Jenkins; Katherine M Kidwell; Heather E Bensman; James E Mitchell; Anita P Courcoulas; Thomas H Inge; Sanita L Ley; Kathryn H Gordon; Eileen A Chaves; Gia A Washington; Heather M Austin; Dana L Rofey Journal: Surg Obes Relat Dis Date: 2019-12-24 Impact factor: 4.734
Authors: Sanita L Hunsaker; Beth H Garland; Dana Rofey; Jennifer Reiter-Purtill; James Mitchell; Anita Courcoulas; Todd M Jenkins; Meg H Zeller Journal: J Adolesc Health Date: 2018-04-30 Impact factor: 5.012
Authors: Janey S A Pratt; Allen Browne; Nancy T Browne; Matias Bruzoni; Megan Cohen; Ashish Desai; Thomas Inge; Bradley C Linden; Samer G Mattar; Marc Michalsky; David Podkameni; Kirk W Reichard; Fatima Cody Stanford; Meg H Zeller; Jeffrey Zitsman Journal: Surg Obes Relat Dis Date: 2018-03-23 Impact factor: 4.734
Authors: Janey S A Pratt; Sebastian S Roque; Ruben Valera; Kathryn S Czepiel; Deborah D Tsao; Fatima Cody Stanford Journal: Semin Pediatr Surg Date: 2020-01-20 Impact factor: 2.754