Michael J Devlin1, Wendy C King2, Melissa A Kalarchian3, Amanda Hinerman2, Marsha D Marcus4, Susan Z Yanovski5, James E Mitchell6. 1. Columbia University Vagelos College of Physicians and Surgeons, New York State Psychiatric Institute, New York, New York. 2. Epidemiology, University of Pittsburgh Graduate School of Public Health, Pittsburgh, Pennsylvania. 3. School of Nursing, Duquesne University, Pittsburgh, Pennsylvania. 4. Department of Psychiatry, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania. 5. National Institute of Diabetes and Digestive and Kidney Diseases, Bethesda, Maryland. 6. Neuropsychiatric Research Institute, Fargo, North Dakota.
Abstract
OBJECTIVE: This study examines the course of eating pathology and its associations with change in weight and health-related quality of life following bariatric surgery. METHOD: Participants (N = 184) completed the eating disorder examination-bariatric surgery version (EDE-BSV) and the medical outcomes study 36-Item short form health survey (SF-36) prior to and annually following Roux-en-Y gastric bypass (RYGB) or laparoscopic adjustable gastric banding (LAGB) for up to 7 years. RESULTS: The prevalence of ≥ weekly loss of control (LOC) eating, picking/nibbling, and cravings declined post-RYGB and remained lower through 7 years (LOC: 5.4% at Year-7 vs. 16.2% pre-RYGB, p = .03; picking/nibbling: 7.0% vs. 32.4%, p < .001; and cravings: 19.4% vs. 33.6%, p = .02). The prevalence of picking/nibbling was significantly lower 7 years following LAGB vs. pre-LAGB (29.4% vs 45.8%, p = .049), while cravings (p = .13) and LOC eating (p = .95) were not. EDE-BSV global score and ratings of hunger and enjoyment of eating were lower 7 years following both RYGB and LAGB versus pre-surgery (p's for all <.05). LOC eating following RYGB was associated with less long-term weight loss from surgery (p < .01) and greater weight regain from weight nadir (p < .001). Higher post-surgery EDE-BSV global score was associated with less weight loss/greater regain (both p < .001) and worsening/less improvement from surgery in the SF-36 mental component summary scores (p < .01). DISCUSSION: Initial improvements in eating pathology following RYGB and LAGB were sustained across 7 years of follow-up. Individuals with eating pathology post-RYGB, reflected by LOC eating and/or higher EDE-BSV global score, may be at risk for suboptimal long-term outcomes.
OBJECTIVE: This study examines the course of eating pathology and its associations with change in weight and health-related quality of life following bariatric surgery. METHOD:Participants (N = 184) completed the eating disorder examination-bariatric surgery version (EDE-BSV) and the medical outcomes study 36-Item short form health survey (SF-36) prior to and annually following Roux-en-Y gastric bypass (RYGB) or laparoscopic adjustable gastric banding (LAGB) for up to 7 years. RESULTS: The prevalence of ≥ weekly loss of control (LOC) eating, picking/nibbling, and cravings declined post-RYGB and remained lower through 7 years (LOC: 5.4% at Year-7 vs. 16.2% pre-RYGB, p = .03; picking/nibbling: 7.0% vs. 32.4%, p < .001; and cravings: 19.4% vs. 33.6%, p = .02). The prevalence of picking/nibbling was significantly lower 7 years following LAGB vs. pre-LAGB (29.4% vs 45.8%, p = .049), while cravings (p = .13) and LOC eating (p = .95) were not. EDE-BSV global score and ratings of hunger and enjoyment of eating were lower 7 years following both RYGB and LAGB versus pre-surgery (p's for all <.05). LOC eating following RYGB was associated with less long-term weight loss from surgery (p < .01) and greater weight regain from weight nadir (p < .001). Higher post-surgery EDE-BSV global score was associated with less weight loss/greater regain (both p < .001) and worsening/less improvement from surgery in the SF-36 mental component summary scores (p < .01). DISCUSSION: Initial improvements in eating pathology following RYGB and LAGB were sustained across 7 years of follow-up. Individuals with eating pathology post-RYGB, reflected by LOC eating and/or higher EDE-BSV global score, may be at risk for suboptimal long-term outcomes.
Authors: James E Mitchell; Wendy C King; Anita Courcoulas; George Dakin; Katherine Elder; Scott Engel; David Flum; Melissa Kalarchian; Saurabh Khandelwal; John Pender; Walter Pories; Bruce Wolfe Journal: Int J Eat Disord Date: 2014-04-09 Impact factor: 4.861
Authors: Steven H Belle; Paul D Berk; Anita P Courcoulas; David R Flum; Carolyn W Miles; James E Mitchell; Walter J Pories; Bruce M Wolfe; Susan Z Yanovski Journal: Surg Obes Relat Dis Date: 2007 Mar-Apr Impact factor: 4.734
Authors: Lars Sjöström; Anders Gummesson; C David Sjöström; Kristina Narbro; Markku Peltonen; Hans Wedel; Calle Bengtsson; Claude Bouchard; Björn Carlsson; Sven Dahlgren; Peter Jacobson; Kristjan Karason; Jan Karlsson; Bo Larsson; Anna-Karin Lindroos; Hans Lönroth; Ingmar Näslund; Torsten Olbers; Kaj Stenlöf; Jarl Torgerson; Lena M S Carlsson Journal: Lancet Oncol Date: 2009-06-24 Impact factor: 41.316
Authors: Lisa M Ranzenhofer; Kelli M Columbo; Marian Tanofsky-Kraff; Lauren B Shomaker; Omni Cassidy; Brittany E Matheson; Ronette L Kolotkin; Jenna M Checchi; Margaret Keil; Jennifer R McDuffie; Jack A Yanovski Journal: Nutrients Date: 2012-03-06 Impact factor: 5.717
Authors: Wendy C King; Amanda Hinerman; Melissa A Kalarchian; Michael J Devlin; Marsha D Marcus; James E Mitchell Journal: Surg Obes Relat Dis Date: 2019-04-17 Impact factor: 4.734
Authors: Valentina Ivezaj; Janet A Lydecker; Ashley A Wiedemann; Andrew J Duffy; Carlos M Grilo Journal: Obesity (Silver Spring) Date: 2020-07-29 Impact factor: 5.002
Authors: Melissa A Kalarchian; Wendy C King; Michael J Devlin; Amanda Hinerman; Marsha D Marcus; Susan Z Yanovski; James E Mitchell Journal: Surg Obes Relat Dis Date: 2019-02-01 Impact factor: 4.734
Authors: Gail A Williams-Kerver; Lauren M Schaefer; Misty A W Hawkins; Janis H Crowther; Jennifer Duncan Journal: Surg Obes Relat Dis Date: 2019-08-12 Impact factor: 4.734