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Eating pathology and experience and weight loss in a prospective study of bariatric surgery patients: 3-year follow-up
| Content Provider | Scilit |
|---|---|
| Author | Devlin, Michael J. King, Wendy C. Kalarchian, Melissa A. White, Gretchen E. Marcus, Marsha D. Garcia, Luis Yanovski, Susan Z. Mitchell, James E. |
| Copyright Year | 2016 |
| Description | Journal: International Journal of Eating Disorders Bariatric surgery results in significant long-term weight loss, albeit with considerable variability. This study examines the prognostic significance of eating pathology as determined by a structured interview, the Eating Disorder Examination-Bariatric Surgery Version (EDE-BSV). Participants (N = 183) in this substudy of the Longitudinal Assessment of Bariatric Surgery (LABS) Research Consortium were assessed using the EDE-BSV, independent of clinical care, presurgery and annually postsurgery. We examined eating pathology and experiences at several frequency thresholds (present, ≥ monthly, ≥ weekly) over 3 years, and utilized mixed models to test their associations with percentage weight loss from baseline at years 1, 2, and 3. The prevalence of several forms of eating pathology declined pre- to 1-year postsurgery, including ≥weekly objective bulimic episodes (11.6-1.3%), loss of control (LOC) eating (18.3-6.2%) and picking/nibbling (36.0-20.2%) (P for all <0.01), and regular evening hyperphagia (16.5-5.0%, P = 0.01), but not cravings (P = 0.93). Mean EDE global score, and hunger and enjoyment scores, also declined (P for all <0.01). These metrics remained lower than baseline through year-3 (P for all <0.01). Presurgery eating variables were not related to weight loss (P for all ≥0.05). However, postsurgery higher EDE global score and greater hunger were independently associated with less weight loss postsurgery (P for both ≤0.01), while cravings were associated with greater weight loss (P = 0.03). Pathological eating behaviors and experiences are common presurgery and improve markedly following surgery. Postsurgery pathological eating-related experiences and attitudes and hunger may contribute to suboptimal weight loss. © 2016 Wiley Periodicals, Inc. (Int J Eat Disord 2016; 49:1058-1067). |
| Related Links | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5161707/pdf |
| Ending Page | 1067 |
| Page Count | 10 |
| Starting Page | 1058 |
| e-ISSN | 1098108X |
| DOI | 10.1002/eat.22578 |
| Journal | International Journal of Eating Disorders |
| Issue Number | 12 |
| Volume Number | 49 |
| Language | English |
| Publisher | Wiley-Blackwell |
| Publisher Date | 2016-07-18 |
| Access Restriction | Open |
| Subject Keyword | Journal: International Journal of Eating Disorders Nutrition and Dietetics Bariatric Surgery Binge Eating Disordered Eating Loss of Control Eating |
| Content Type | Text |
| Resource Type | Article |
