Top

Open Access 05-03-2025 | Binge Eating Disorder | Research

The Impact of Preoperative Eating Habits on Weight Loss After Metabolic Bariatric Surgery

Authors: Muhammer Ergenç, Tevfik Kıvılcım Uprak, Hale Feratoğlu, Ömer Günal

Abstract

Background

Eating disorders and disordered eating habits are frequently identified among metabolic and bariatric surgery (MBS) patients. However, how these factors may affect postsurgical outcomes has not been adequately addressed. The aim of this study was to investigate the associations between patients’ eating habits and optimal clinical response after MBS.

Methods

The study analyzed data from patients who underwent MBS at Marmara University Hospital between 2015 and 2023. Patient demographics, body mass index, obesity-associated medical problems, follow-up periods, surgical procedures (laparoscopic sleeve gastrectomy-SG, laparoscopic Roux-en-Y gastric bypass-RYGB), and eating habits (binge eating, carbohydrate craving, night eating, and sweet eating) were analyzed. Patients were divided into two groups: the optimal clinical response group (%TWL ≥ 20) and the suboptimal clinical response group (%TWL < 20) after surgery, and the groups were compared.

Results

A total of 426 patients, including 197 patients who underwent SG and 229 patients who underwent RYGB, were included. The mean age of all patients was 40.9 ± 10.7 years. During the preoperative period, binge eating, carbohydrate craving, night eating, and sweet eating habits were detected in 55.9%, 67.6%, 47.7%, and 60.6% of the patients, respectively. The mean follow-up period was 24 months (1–60 months). Eighty percent of the patients achieved an optimal clinical response. The preoperative eating habits and %TWL values of the patients were analyzed. There was no statistically significant effect of eating habits on the optimal clinical response in all patients or in the SG vs RYGB groups.

Conclusions

This study investigated the effect of preoperative disordered eating habits on weight loss after MBS and revealed no significant difference between those with these habits and those without these habits. It is difficult to predict weight loss after MBS on the basis of preoperative eating behavior. However, further studies are needed to evaluate this factor in combination with other factors before or after surgery.

Bond DS, Heinberg LJ, Crosby RD, Laam L, Mitchell JE, Schumacher LM, Gunstad J, Steffen KJ. Associations between changes in activity and dietary behaviors after metabolic and bariatric surgery. Obes Surg. 2023;33(10):3062–8. https://doi.org/10.1007/s11695-023-06682-4.CrossRefPubMed

Lüscher A, Vionnet N, Amiguet M, Chartoumpekis D, Mantziari S, Frantz J, Favre L. Impact of preoperative psychiatric profile in bariatric surgery on long-term weight outcome. Obes Surg. 2023;33(7):2072–82. https://doi.org/10.1007/s11695-023-06595-2.CrossRefPubMedPubMedCentral

Sogg S, Lauretti J, West-Smith L. Recommendations for the presurgical psychosocial evaluation of bariatric surgery patients. Surg Obes Relat Dis. 2016;12(4):731–49. https://doi.org/10.1016/j.soard.2016.02.008.CrossRefPubMed

Tolvanen L, Christenson A, Bonn SE, Surkan PJ, Lagerros YT. Patients’ perspectives on dietary patterns and eating behaviors during weight regain after gastric bypass surgery. Obes Surg. 2023;33(8):2517–26. https://doi.org/10.1007/s11695-023-06718-9.CrossRefPubMedPubMedCentral

Wadden TA, Sarwer DB. Behavioral assessment of candidates for bariatric surgery: a patient-oriented approach. Surg Obes Relat Dis. 2006;2(2):171–9. https://doi.org/10.1016/j.soard.2006.03.011.CrossRefPubMed

Ben-Porat T, Košir U, Peretz S, Sherf-Dagan S, Stojanovic J, Sakran N. Food addiction and binge eating impact on weight loss outcomes two years following sleeve gastrectomy surgery. Obes Surg. 2022;32(4):1193–200. https://doi.org/10.1007/s11695-022-05917-0.CrossRefPubMed

Günal Ö, Uprak K, Ergenç M, Erdim A. Can gastric specimen measurements defines the laparoscopic sleeve gastrectomy outcome? Surg Gastroenterol Oncol. 2018;23(5):336–41. https://doi.org/10.21614/sgo-23-5-336.CrossRef

Miller-Matero LR, Bryce K, Saulino CK, Dykhuis KE, Genaw J, Carlin AM. Problematic eating behaviors predict outcomes after bariatric surgery. Obes Surg. 2018;28(7):1910–5. https://doi.org/10.1007/s11695-018-3124-0.CrossRefPubMed

Anbara T. The impacts of eating disorders on sleeve gastrectomy outcomes. Surg Pract Sci. 2023;13:100165. https://doi.org/10.1016/j.sipas.2023.100165.CrossRefPubMedPubMedCentral

10.

Ballardini D, Pozzi L, Dapporto E, Tomba E. Eating disorders and bariatric surgery. In: Manzato E, Cuzzolaro M, Donini LM, editors. Hidden and lesser-known disordered eating behaviors in medical and psychiatric conditions. Cham: Springer International Publishing; 2022. p. 129–45.

11.

Williams-Kerver GA, Steffen KJ, Mitchell JE. Eating pathology after bariatric surgery: an updated review of the recent literature. Curr Psychiatry Rep. 2019;21(9):86. https://doi.org/10.1007/s11920-019-1071-7.CrossRefPubMedPubMedCentral

12.

Salminen P, Kow L, Aminian A, Kaplan LM, Nimeri A, Prager G, Behrens E, White KP, et al. IFSO consensus on definitions and clinical practice guidelines for obesity management—an international Delphi study. Obes Surg. 2024;34(1):30–42. https://doi.org/10.1007/s11695-023-06913-8.CrossRefPubMed

13.

Wimmelmann CL, Dela F, Mortensen EL. Psychological predictors of weight loss after bariatric surgery: a review of the recent research. Obes Res Clin Pract. 2014;8(4):e299-313. https://doi.org/10.1016/j.orcp.2013.09.003.CrossRefPubMed

14.

Segura-Garcia C, Aloi M, Rania M, de Filippis R, Carbone EA, Taverna S, Papaianni MC, Liuzza MT, et al. Development, validation and clinical use of the Eating Behaviors Assessment for Obesity (EBA-O). Eat Weight Disord. 2022;27(6):2143–54. https://doi.org/10.1007/s40519-022-01363-0.CrossRefPubMedPubMedCentral

15.

Koball AM, Ames GE, Fitzsimmons AJ, Kallies KJ, Bennie BA. Food cravings after bariatric surgery: comparing laparoscopic sleeve gastrectomy and Roux-en-Y gastric bypass. Eat Weight Disord. 2024;29(1):7. https://doi.org/10.1007/s40519-023-01636-2.CrossRefPubMedPubMedCentral

16.

Leahey TM, Bond DS, Raynor H, Roye D, Vithiananthan S, Ryder BA, Sax HC, Wing RR. Effects of bariatric surgery on food cravings: do food cravings and the consumption of craved foods “normalize” after surgery? Surg Obes Relat Dis. 2012;8(1):84–91. https://doi.org/10.1016/j.soard.2011.07.016.CrossRefPubMed

17.

Özel İÇ, Yabancı Ayhan N, Çetiner Ö. Adaptation of Food Craving Inventory to Turkish culture: a validity and reliability study. J Eat Disord. 2022;10(1):144. https://doi.org/10.1186/s40337-022-00667-x.CrossRefPubMedPubMedCentral

18.

Ivezaj V, Lawson JL, Lydecker JA, Duffy AJ, Grilo CM. Examination of night eating and loss-of-control eating following bariatric surgery. Eat Weight Disord. 2022;27(1):207–13. https://doi.org/10.1007/s40519-021-01156-x.CrossRefPubMed

19.

Palacio A, Luna C, Maíz C, Blanco E. Nutritional and behavioral factors related to weight gain after bariatric surgery. Rev Med Chil. 2021;149(1):30–6. https://doi.org/10.4067/s0034-98872021000100030.CrossRefPubMed

20.

Lobo I, da Luz FQ, Hay P, Gaeta TL, Teixeira PC, Cordás TA, Sainsbury A, Salis Z. Is binge eating associated with poor weight loss outcomes in people with a high body weight? A systematic review with meta-analyses Eat Weight Disord. 2023;28(1):89. https://doi.org/10.1007/s40519-023-01613-9.CrossRefPubMed

21.

Sarwer DB, Heinberg LJ. A review of the psychosocial aspects of clinically severe obesity and bariatric surgery. Am Psychol. 2020;75(2):252–64. https://doi.org/10.1037/amp0000550.CrossRefPubMedPubMedCentral

22.

Kops NL, Vivan MA, Fülber ER, Fleuri M, Fagundes J, Friedman R. Preoperative binge eating and weight loss after bariatric surgery: a systematic review and meta-analysis. Obes Surg. 2021;31(3):1239–48. https://doi.org/10.1007/s11695-020-05124-9.CrossRefPubMed

23.

Blaine B, Rodman J. Responses to weight loss treatment among obese individuals with and without BED: a matched-study meta-analysis. Eat Weight Disord. 2007;12(2):54–60. https://doi.org/10.1007/bf03327579.CrossRefPubMed

24.

Chao AM, Wadden TA, Faulconbridge LF, Sarwer DB, Webb VL, Shaw JA, Thomas JG, Hopkins CM, et al. Binge-eating disorder and the outcome of bariatric surgery in a prospective, observational study: two-year results. Obesity. 2016;24(11):2327–33. https://doi.org/10.1002/oby.21648.CrossRefPubMed

25.

Wadden TA, Faulconbridge LF, Jones-Corneille LR, Sarwer DB, Fabricatore AN, Thomas JG, Wilson GT, Alexander MG, et al. Binge eating disorder and the outcome of bariatric surgery at one year: a prospective, observational study. Obesity. 2011;19(6):1220–8. https://doi.org/10.1038/oby.2010.336.CrossRefPubMed

26.

Mitchell JE, King WC, Courcoulas A, Dakin G, Elder K, Engel S, Flum D, Kalarchian M, et al. Eating behavior and eating disorders in adults before bariatric surgery. Int J Eat Disord. 2015;48(2):215–22. https://doi.org/10.1002/eat.22275.CrossRefPubMed

27.

Nikiforova I, Barnea R, Azulai S, Susmallian S. Analysis of the association between eating behaviors and weight loss after laparoscopic sleeve gastrectomy. Obes Facts. 2019;12(6):618–31. https://doi.org/10.1159/000502846.CrossRefPubMedPubMedCentral

28.

de Zwaan M, Marschollek M, Allison KC. The night eating syndrome (NES) in bariatric surgery patients. Eur Eat Disord Rev. 2015;23(6):426–34. https://doi.org/10.1002/erv.2405.CrossRefPubMed

29.

Opolski M, Chur-Hansen A, Wittert G. The eating-related behaviours, disorders and expectations of candidates for bariatric surgery. Clin Obes. 2015;5(4):165–97. https://doi.org/10.1111/cob.12104.CrossRefPubMed

Title: The Impact of Preoperative Eating Habits on Weight Loss After Metabolic Bariatric Surgery
Authors: Muhammer Ergenç
Tevfik Kıvılcım Uprak
Hale Feratoğlu
Ömer Günal
Publication date: 05-03-2025
Publisher: Springer US
Keywords: Binge Eating Disorder
Binge Eating Disorder
Binge Eating Disorder
Bariatric Surgery
Bariatric Surgery
Sleeve Gastrectomy
Obesity
Obesity
Eating Disorder
Eating Disorder
Eating Disorder
Published in: Obesity Surgery
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-025-07766-z

Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions

Chronic Pancreatitis
On-demand webinar

Severe pain is the most common symptom of chronic pancreatitis. In this webinar, experts share the latest insights in pain management for chronic pancreatitis patients. Experts from a range of disciplines discuss pertinent cases and provide practical suggestions for use within clinical practice.

Podcast | Sexual health in older age

Springer Medicine

The Impact of Preoperative Eating Habits on Weight Loss After Metabolic Bariatric Surgery

Abstract

Background

Methods

Results

Conclusions

Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions

Podcast | Sexual health in older age

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

Please log in to get access to this content

Mastering chronic pancreatitis pain: A multidisciplinary approach and practical solutions