Jessica L Lawson1, Ashley A Wiedemann2, Meagan M Carr2, Valentina Ivezaj2, Andrew J Duffy3, Carlos M Grilo2,3. 1. Program for Obesity, Weight, and Eating Research, Psychiatry Department, Yale School of Medicine, 301 Cedar Street, New Haven, CT, 06519, USA. jessica.lawson@yale.edu. 2. Program for Obesity, Weight, and Eating Research, Psychiatry Department, Yale School of Medicine, 301 Cedar Street, New Haven, CT, 06519, USA. 3. Yale University, New Haven, CT, USA.
Abstract
BACKGROUND: Sleep is associated with post-bariatric surgical outcomes; however, little is known about sleep in bariatric patients with loss-of-control (LOC) eating, a consistent predictor of poorer weight outcomes. This study examined sleep quality and clinical correlates in sleeve gastrectomy patients with LOC eating. METHODS:Participants (N = 145) were treatment-seeking post-operative sleeve gastrectomy patients with LOC eating. Eating-disorder features were assessed with the Eating Disorder Examination-Bariatric Surgery Version Interview (EDE-BSV) and participants completed established measures assessing sleep, health-related quality of life, perceived stress, depression, and night eating. RESULTS: 58.6% of participants were characterized with "poor" sleep. Poor sleep quality was significantly associated with greater eating-disorder psychopathology, physical and mental functioning, night eating, perceived stress, and less % excess weight loss (EWL); these findings remained significant after controlling for %EWL and race. Regression analyses, adjusting for correlated variables, revealed that sleep quality significantly predicted mental functioning. CONCLUSIONS:Poor sleep quality was common among post-operative sleeve gastrectomy patients with LOC eating. Sleep quality was significantly associated with eating-disorder psychopathology, less post-operative weight loss, and psychosocial and physical functioning problems. These findings suggest the importance of assessment and treatment of sleep problems following sleeve gastrectomy. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT02259322.
RCT Entities:
BACKGROUND: Sleep is associated with post-bariatric surgical outcomes; however, little is known about sleep in bariatric patients with loss-of-control (LOC) eating, a consistent predictor of poorer weight outcomes. This study examined sleep quality and clinical correlates in sleeve gastrectomy patients with LOC eating. METHODS:Participants (N = 145) were treatment-seeking post-operative sleeve gastrectomy patients with LOC eating. Eating-disorder features were assessed with the Eating Disorder Examination-Bariatric Surgery Version Interview (EDE-BSV) and participants completed established measures assessing sleep, health-related quality of life, perceived stress, depression, and night eating. RESULTS: 58.6% of participants were characterized with "poor" sleep. Poor sleep quality was significantly associated with greater eating-disorder psychopathology, physical and mental functioning, night eating, perceived stress, and less % excess weight loss (EWL); these findings remained significant after controlling for %EWL and race. Regression analyses, adjusting for correlated variables, revealed that sleep quality significantly predicted mental functioning. CONCLUSIONS: Poor sleep quality was common among post-operative sleeve gastrectomy patients with LOC eating. Sleep quality was significantly associated with eating-disorder psychopathology, less post-operative weight loss, and psychosocial and physical functioning problems. These findings suggest the importance of assessment and treatment of sleep problems following sleeve gastrectomy. CLINICAL TRIAL REGISTRATION: ClinicalTrials.gov identifier NCT02259322.
Authors: Nancy Puzziferri; Thomas B Roshek; Helen G Mayo; Ryan Gallagher; Steven H Belle; Edward H Livingston Journal: JAMA Date: 2014-09-03 Impact factor: 56.272
Authors: Valentina Ivezaj; Erin E Kessler; Janet A Lydecker; Rachel D Barnes; Marney A White; Carlos M Grilo Journal: Surg Obes Relat Dis Date: 2016-10-01 Impact factor: 4.734
Authors: Marney A White; Melissa A Kalarchian; Robin M Masheb; Marsha D Marcus; Carlos M Grilo Journal: J Clin Psychiatry Date: 2009-10-20 Impact factor: 4.384