Fabiana Salatino Fangueiro1, Carolina Nunes França1, Mônica Fernandez2, Elias Jirjoss Ilias1,2, Patrícia Colombo-Souza3. 1. Santo Amaro University. Post Graduation Program in Health Science, São Paulo, SP, Brazil. 2. School of Medical Sciences - Santa Casa of São Paulo - Obesity Ambulatory, São Paulo, SP, Brazil. 3. Santo Amaro University. Post Graduation Program in Health Science, São Paulo, SP, Brazil. colombo@greco.com.br.
Abstract
PURPOSE: Identify, 18 months after bariatric surgery, the binge eating variation and its relation with weight regain or loss. MATERIALS AND METHODS: Cross-sectional, retrospective study with 108 patients, assisted by an obesity walk-in clinic of a specialized hospital in São Paulo (Brazil), who had undergone bariatric surgery a minimum of 18 months previously. The anthropometric and clinic data were collected from medical records, and binge eating symptoms were evaluated with the application of the Binge Eating Scale (BES). Scale outcomes were related to weight regain and loss at the application moment. RESULTS: The average age (standard error) of the sample was 47 years (±0.91) and 93% were female. Patients had lost 52.2% of their body weight and regained 4.7% of their weight 18 months after the surgery. The elapsed surgical time (> 50 months) was associated with a higher gross weight (p<0.0001). CONCLUSIONS: Bariatric surgery has been shown to be effective for improving diabetes mellitus as well as for controlling obesity. The variation in binge eating intensity 18 months after bariatric surgery is a factor that interferes in the amount of weight regained. The presence of binge eating symptoms negatively affects the % total weight loss (%TWL).
PURPOSE: Identify, 18 months after bariatric surgery, the binge eating variation and its relation with weight regain or loss. MATERIALS AND METHODS: Cross-sectional, retrospective study with 108 patients, assisted by an obesity walk-in clinic of a specialized hospital in São Paulo (Brazil), who had undergone bariatric surgery a minimum of 18 months previously. The anthropometric and clinic data were collected from medical records, and binge eating symptoms were evaluated with the application of the Binge Eating Scale (BES). Scale outcomes were related to weight regain and loss at the application moment. RESULTS: The average age (standard error) of the sample was 47 years (±0.91) and 93% were female. Patients had lost 52.2% of their body weight and regained 4.7% of their weight 18 months after the surgery. The elapsed surgical time (> 50 months) was associated with a higher gross weight (p<0.0001). CONCLUSIONS: Bariatric surgery has been shown to be effective for improving diabetes mellitus as well as for controlling obesity. The variation in binge eating intensity 18 months after bariatric surgery is a factor that interferes in the amount of weight regained. The presence of binge eating symptoms negatively affects the % total weight loss (%TWL).