Binge eating in surgical weight-loss treatments :Long-term associations with weight loss, health related quality of life (HRQL) and psychopathology
Objective. Previous studies that have investigated the relation between binge eating and long-term outcome of bariatric surgery have shown mixed results. Does binge eating before or after bariatric surgery affect long-term BMI, health related quality of life (HRQL) or psychopathology after surgery? The objective of the present study was to address these questions that might help decide to what extent binge eating needs to be addressed in the context of bariatric surgery. Method. We assessed 173 bariatric patients, pre- to 3 years after surgery, regarding weight, binge eating, HRQL and psychopathology.Results. Binge eating, pre- and post-treatment, were unrelated to long-term BMI outcome. Binge eating post-treatment was associated with more psychopathology, and lower HRQL.Conclusion. Pre- or post-treatment binge eating does not predict long-term BMI outcome, hence exclusions from surgery for only this reason is difficult to motivate. However, results show that binge eating post-surgery is common, and is associated to more psychopathology and lower HRQL. The poor psychological health status of post-surgical patients with binge eating also motivates studies with longer follow-ups, to investigate whether post-surgical binge eating might increase the vulnerability for future weight regain and complications, beyond three years. The high rate of binge eating after surgery and its negative association with HRQL and psychopathology indicates that we need to be observant of the occurrence and potential effects of binge eating in the context of bariatric surgery.
Source Type:Doctoral Dissertation
Keywords:MEDICINE; medicin; Medicine
Date of Publication:01/01/2009