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Obesity Surgery

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01-06-2019 | Bariatric Surgery | Original Contributions

Loss of Control Eating and Binge Eating in the 7 Years Following Bariatric Surgery

Authors: Kathryn E. Smith, Molly Orcutt, Kristine J. Steffen, Ross D. Crosby, Li Cao, Luis Garcia, James E. Mitchell

Published in: Obesity Surgery | Issue 6/2019

Abstract

Background

Although bariatric surgery is an effective intervention for severe obesity, a subset of patients demonstrates suboptimal weight outcomes. Postoperative loss of control eating (LOCE) and binge eating may influence weight outcomes, though research has not examined differences by surgical procedure, or factors that predict postoperative LOCE. This study aimed to [1] characterize LOCE and binge eating disorder (BED) over a 7-year period following bariatric surgery; [2] examine concurrent, prospective, and cumulative relationships between LOCE and weight loss; [3] assess whether these associations are moderated by surgery type; and [4] evaluate predictors of LOCE.

Methods

Participants were 2156 patients who underwent laparoscopic adjustable gastric banding (LAGB) or Roux-n-Y gastric bypass (RYGB) in the multi-center Longitudinal Assessment of Bariatric Surgery-2 (LABS-2) study. Generalized linear mixed models examined relationships between LOCE and percent weight loss and predictors of LOCE.

Results

LOCE and BED initially declined then increased after surgery, with a notable number of de-novo cases (25.6% and 4.8%, respectively). LOCE was related to less concurrent but not prospective or cumulative percent weight loss. Self-monitoring of eating, higher daily eating frequency, older age, male gender, and higher self-esteem were associated with a lower likelihood of LOCE.

Conclusions

Results suggest that LOCE and binge eating are clinically relevant behaviors that may impede weight loss, and findings highlight the importance of ongoing assessment of maladaptive eating following surgery.

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Title: Loss of Control Eating and Binge Eating in the 7 Years Following Bariatric Surgery
Authors: Kathryn E. Smith
Molly Orcutt
Kristine J. Steffen
Ross D. Crosby
Li Cao
Luis Garcia
James E. Mitchell
Publication date: 01-06-2019
Publisher: Springer US
Keywords: Bariatric Surgery
Psychiatric Treatment
Bariatric Surgery
Eating Disorder
Eating Disorder
Published in: Obesity Surgery / Issue 6/2019
Print ISSN: 0960-8923
Electronic ISSN: 1708-0428
DOI: https://doi.org/10.1007/s11695-019-03791-x

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Loss of Control Eating and Binge Eating in the 7 Years Following Bariatric Surgery

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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