Changes in Eating Behaviors and Their Relation to Weight Change 6 and 12 Months After Bariatric Surgery
Introduction Identifying eating behaviors associated with suboptimal weight loss following bariatric surgery remains important. This study assessed the relationship between eating behaviors and weight loss following bariatric surgery in a racially diverse sample. Methods Participants were assessed b...
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| Veröffentlicht in: | Obesity surgery 2023-03, Vol.33 (3), p.733-742 |
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| creator | Allison, Kelly C. Wu, Jingwei Spitzer, Jacqueline C. McCuen-Wurst, Courtney Ashare, Rebecca L. Tewksbury, Colleen LaGrotte, Caitlin A. Wadden, Thomas A. Williams, Noel N. Sarwer, David B. |
| description | Introduction
Identifying eating behaviors associated with suboptimal weight loss following bariatric surgery remains important. This study assessed the relationship between eating behaviors and weight loss following bariatric surgery in a racially diverse sample.
Methods
Participants were assessed before surgery and 6 and 12 months postoperatively, with the Structured Clinical Interview for DSM-5, the Eating Disorder Examination-Bariatric Surgery Version, and validated measures assessing a range of eating behaviors. Linear mixed effect models were used to test the impact of eating behaviors on percent weight loss (%WL) at 6 and 12 months.
Results
We enrolled 300 participants (mean age 40.1 years; BMI 45.9 kg/m
2
; 87% women; 62% Black and 30% White). The majority (82%) underwent sleeve gastrectomy (SG). Mean %WL was 23.0 ± 5.1% at 6 months and 26.2 ± 7.6% at 12 months. Subjective binge episodes prior to surgery predicted greater %WL over the first 12 postoperative months (
p
= 0.028). Postoperative disinhibition, hunger, night eating symptoms, objective binge episodes, global disordered eating attitudes and behaviors, and snacks per day were associated with smaller %WL over 12 months (all
p’s
|
| doi_str_mv | 10.1007/s11695-022-06442-w |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9870778</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>2769373494</sourcerecordid><originalsourceid>FETCH-LOGICAL-c474t-758cc81675949e45f77734ba7690c641fd4932e7aff8449f9aa0e82b8fffb67b3</originalsourceid><addsrcrecordid>eNp9kU1PFTEYhRujkevVP-DCNHHDZrBf04-NCdygkEBMFOOy6cxtZ0rmtth2IPx7C4OgLlx1cZ5zet4cAN5idIAREh8yxly1DSKkQZwx0tw8AysskGwQI_I5WCHFUSMVoXvgVc6XCBHMCXkJ9ijnCknersCwGU0YbIY-wGNTfBjgkR3NtY8pQxO28GK0PsGvdqpiDLBE-MP6YSxwMUJ-T2ECz2MoY4aHrtgEj0zypiTfw29zGmy6fQ1eODNl--bhXYPvn44vNifN2ZfPp5vDs6ZngpVGtLLvJeaiVUxZ1johBGWdEbVvzxl2W6YoscI4JxlTThmDrCSddM51XHR0DT4uuVdzt7Pb3oaSzKSvkt-ZdKuj8fpvJfhRD_FaKymQELIG7D8EpPhztrnonc-9nSYTbJyzJrUKrZ0Uq-j7f9DLOKdQz6uUpC2lpLZdA7JQfYo5J-sey2Ck73bUy4667qjvd9Q31fTuzzMeLb-HqwBdgFylukN6-vs_sb8Aqn2o3g</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>2783533249</pqid></control><display><type>article</type><title>Changes in Eating Behaviors and Their Relation to Weight Change 6 and 12 Months After Bariatric Surgery</title><source>MEDLINE</source><source>SpringerNature Journals</source><creator>Allison, Kelly C. ; Wu, Jingwei ; Spitzer, Jacqueline C. ; McCuen-Wurst, Courtney ; Ashare, Rebecca L. ; Tewksbury, Colleen ; LaGrotte, Caitlin A. ; Wadden, Thomas A. ; Williams, Noel N. ; Sarwer, David B.</creator><creatorcontrib>Allison, Kelly C. ; Wu, Jingwei ; Spitzer, Jacqueline C. ; McCuen-Wurst, Courtney ; Ashare, Rebecca L. ; Tewksbury, Colleen ; LaGrotte, Caitlin A. ; Wadden, Thomas A. ; Williams, Noel N. ; Sarwer, David B.</creatorcontrib><description>Introduction
Identifying eating behaviors associated with suboptimal weight loss following bariatric surgery remains important. This study assessed the relationship between eating behaviors and weight loss following bariatric surgery in a racially diverse sample.
Methods
Participants were assessed before surgery and 6 and 12 months postoperatively, with the Structured Clinical Interview for DSM-5, the Eating Disorder Examination-Bariatric Surgery Version, and validated measures assessing a range of eating behaviors. Linear mixed effect models were used to test the impact of eating behaviors on percent weight loss (%WL) at 6 and 12 months.
Results
We enrolled 300 participants (mean age 40.1 years; BMI 45.9 kg/m
2
; 87% women; 62% Black and 30% White). The majority (82%) underwent sleeve gastrectomy (SG). Mean %WL was 23.0 ± 5.1% at 6 months and 26.2 ± 7.6% at 12 months. Subjective binge episodes prior to surgery predicted greater %WL over the first 12 postoperative months (
p
= 0.028). Postoperative disinhibition, hunger, night eating symptoms, objective binge episodes, global disordered eating attitudes and behaviors, and snacks per day were associated with smaller %WL over 12 months (all
p’s
< 0.01). The presence of picking/nibbling and addictive-like eating behaviors was not associated with %WL at the end of the first postoperative year.
Conclusion
Among a diverse participant sample, problematic eating behaviors following surgery were associated with smaller %WL over 12 months. Postoperative assessment and treatment of eating behaviors are needed to address these issues as they arise and to prevent attenuation of early weight loss in some patients.
Graphical Abstract</description><identifier>ISSN: 0960-8923</identifier><identifier>ISSN: 1708-0428</identifier><identifier>EISSN: 1708-0428</identifier><identifier>DOI: 10.1007/s11695-022-06442-w</identifier><identifier>PMID: 36690865</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Bariatric Surgery ; Binge-Eating Disorder - complications ; Body mass index ; Eating behavior ; Eating disorders ; Employment ; Feeding Behavior ; Female ; Gastrointestinal surgery ; Hispanic Americans ; Humans ; Male ; Medicine ; Medicine & Public Health ; Obesity ; Obesity, Morbid - surgery ; Original Contributions ; Secondary schools ; Surgery ; Weight control ; Weight Loss - physiology</subject><ispartof>Obesity surgery, 2023-03, Vol.33 (3), p.733-742</ispartof><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023. Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><rights>2023. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.</rights><rights>The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature 2023, Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c474t-758cc81675949e45f77734ba7690c641fd4932e7aff8449f9aa0e82b8fffb67b3</citedby><cites>FETCH-LOGICAL-c474t-758cc81675949e45f77734ba7690c641fd4932e7aff8449f9aa0e82b8fffb67b3</cites><orcidid>0000-0002-9807-0220</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s11695-022-06442-w$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s11695-022-06442-w$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>230,314,780,784,885,27924,27925,41488,42557,51319</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/36690865$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Allison, Kelly C.</creatorcontrib><creatorcontrib>Wu, Jingwei</creatorcontrib><creatorcontrib>Spitzer, Jacqueline C.</creatorcontrib><creatorcontrib>McCuen-Wurst, Courtney</creatorcontrib><creatorcontrib>Ashare, Rebecca L.</creatorcontrib><creatorcontrib>Tewksbury, Colleen</creatorcontrib><creatorcontrib>LaGrotte, Caitlin A.</creatorcontrib><creatorcontrib>Wadden, Thomas A.</creatorcontrib><creatorcontrib>Williams, Noel N.</creatorcontrib><creatorcontrib>Sarwer, David B.</creatorcontrib><title>Changes in Eating Behaviors and Their Relation to Weight Change 6 and 12 Months After Bariatric Surgery</title><title>Obesity surgery</title><addtitle>OBES SURG</addtitle><addtitle>Obes Surg</addtitle><description>Introduction
Identifying eating behaviors associated with suboptimal weight loss following bariatric surgery remains important. This study assessed the relationship between eating behaviors and weight loss following bariatric surgery in a racially diverse sample.
Methods
Participants were assessed before surgery and 6 and 12 months postoperatively, with the Structured Clinical Interview for DSM-5, the Eating Disorder Examination-Bariatric Surgery Version, and validated measures assessing a range of eating behaviors. Linear mixed effect models were used to test the impact of eating behaviors on percent weight loss (%WL) at 6 and 12 months.
Results
We enrolled 300 participants (mean age 40.1 years; BMI 45.9 kg/m
2
; 87% women; 62% Black and 30% White). The majority (82%) underwent sleeve gastrectomy (SG). Mean %WL was 23.0 ± 5.1% at 6 months and 26.2 ± 7.6% at 12 months. Subjective binge episodes prior to surgery predicted greater %WL over the first 12 postoperative months (
p
= 0.028). Postoperative disinhibition, hunger, night eating symptoms, objective binge episodes, global disordered eating attitudes and behaviors, and snacks per day were associated with smaller %WL over 12 months (all
p’s
< 0.01). The presence of picking/nibbling and addictive-like eating behaviors was not associated with %WL at the end of the first postoperative year.
Conclusion
Among a diverse participant sample, problematic eating behaviors following surgery were associated with smaller %WL over 12 months. Postoperative assessment and treatment of eating behaviors are needed to address these issues as they arise and to prevent attenuation of early weight loss in some patients.
Graphical Abstract</description><subject>Adult</subject><subject>Bariatric Surgery</subject><subject>Binge-Eating Disorder - complications</subject><subject>Body mass index</subject><subject>Eating behavior</subject><subject>Eating disorders</subject><subject>Employment</subject><subject>Feeding Behavior</subject><subject>Female</subject><subject>Gastrointestinal surgery</subject><subject>Hispanic Americans</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Obesity</subject><subject>Obesity, Morbid - surgery</subject><subject>Original Contributions</subject><subject>Secondary schools</subject><subject>Surgery</subject><subject>Weight control</subject><subject>Weight Loss - physiology</subject><issn>0960-8923</issn><issn>1708-0428</issn><issn>1708-0428</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2023</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><recordid>eNp9kU1PFTEYhRujkevVP-DCNHHDZrBf04-NCdygkEBMFOOy6cxtZ0rmtth2IPx7C4OgLlx1cZ5zet4cAN5idIAREh8yxly1DSKkQZwx0tw8AysskGwQI_I5WCHFUSMVoXvgVc6XCBHMCXkJ9ijnCknersCwGU0YbIY-wGNTfBjgkR3NtY8pQxO28GK0PsGvdqpiDLBE-MP6YSxwMUJ-T2ECz2MoY4aHrtgEj0zypiTfw29zGmy6fQ1eODNl--bhXYPvn44vNifN2ZfPp5vDs6ZngpVGtLLvJeaiVUxZ1johBGWdEbVvzxl2W6YoscI4JxlTThmDrCSddM51XHR0DT4uuVdzt7Pb3oaSzKSvkt-ZdKuj8fpvJfhRD_FaKymQELIG7D8EpPhztrnonc-9nSYTbJyzJrUKrZ0Uq-j7f9DLOKdQz6uUpC2lpLZdA7JQfYo5J-sey2Ck73bUy4667qjvd9Q31fTuzzMeLb-HqwBdgFylukN6-vs_sb8Aqn2o3g</recordid><startdate>20230301</startdate><enddate>20230301</enddate><creator>Allison, Kelly C.</creator><creator>Wu, Jingwei</creator><creator>Spitzer, Jacqueline C.</creator><creator>McCuen-Wurst, Courtney</creator><creator>Ashare, Rebecca L.</creator><creator>Tewksbury, Colleen</creator><creator>LaGrotte, Caitlin A.</creator><creator>Wadden, Thomas A.</creator><creator>Williams, Noel N.</creator><creator>Sarwer, David B.</creator><general>Springer US</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>K9.</scope><scope>M0S</scope><scope>M1P</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>7X8</scope><scope>5PM</scope><orcidid>https://orcid.org/0000-0002-9807-0220</orcidid></search><sort><creationdate>20230301</creationdate><title>Changes in Eating Behaviors and Their Relation to Weight Change 6 and 12 Months After Bariatric Surgery</title><author>Allison, Kelly C. ; Wu, Jingwei ; Spitzer, Jacqueline C. ; McCuen-Wurst, Courtney ; Ashare, Rebecca L. ; Tewksbury, Colleen ; LaGrotte, Caitlin A. ; Wadden, Thomas A. ; Williams, Noel N. ; Sarwer, David B.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c474t-758cc81675949e45f77734ba7690c641fd4932e7aff8449f9aa0e82b8fffb67b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2023</creationdate><topic>Adult</topic><topic>Bariatric Surgery</topic><topic>Binge-Eating Disorder - complications</topic><topic>Body mass index</topic><topic>Eating behavior</topic><topic>Eating disorders</topic><topic>Employment</topic><topic>Feeding Behavior</topic><topic>Female</topic><topic>Gastrointestinal surgery</topic><topic>Hispanic Americans</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Obesity</topic><topic>Obesity, Morbid - surgery</topic><topic>Original Contributions</topic><topic>Secondary schools</topic><topic>Surgery</topic><topic>Weight control</topic><topic>Weight Loss - physiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Allison, Kelly C.</creatorcontrib><creatorcontrib>Wu, Jingwei</creatorcontrib><creatorcontrib>Spitzer, Jacqueline C.</creatorcontrib><creatorcontrib>McCuen-Wurst, Courtney</creatorcontrib><creatorcontrib>Ashare, Rebecca L.</creatorcontrib><creatorcontrib>Tewksbury, Colleen</creatorcontrib><creatorcontrib>LaGrotte, Caitlin A.</creatorcontrib><creatorcontrib>Wadden, Thomas A.</creatorcontrib><creatorcontrib>Williams, Noel N.</creatorcontrib><creatorcontrib>Sarwer, David B.</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Public Health Database</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Obesity surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Allison, Kelly C.</au><au>Wu, Jingwei</au><au>Spitzer, Jacqueline C.</au><au>McCuen-Wurst, Courtney</au><au>Ashare, Rebecca L.</au><au>Tewksbury, Colleen</au><au>LaGrotte, Caitlin A.</au><au>Wadden, Thomas A.</au><au>Williams, Noel N.</au><au>Sarwer, David B.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Changes in Eating Behaviors and Their Relation to Weight Change 6 and 12 Months After Bariatric Surgery</atitle><jtitle>Obesity surgery</jtitle><stitle>OBES SURG</stitle><addtitle>Obes Surg</addtitle><date>2023-03-01</date><risdate>2023</risdate><volume>33</volume><issue>3</issue><spage>733</spage><epage>742</epage><pages>733-742</pages><issn>0960-8923</issn><issn>1708-0428</issn><eissn>1708-0428</eissn><abstract>Introduction
Identifying eating behaviors associated with suboptimal weight loss following bariatric surgery remains important. This study assessed the relationship between eating behaviors and weight loss following bariatric surgery in a racially diverse sample.
Methods
Participants were assessed before surgery and 6 and 12 months postoperatively, with the Structured Clinical Interview for DSM-5, the Eating Disorder Examination-Bariatric Surgery Version, and validated measures assessing a range of eating behaviors. Linear mixed effect models were used to test the impact of eating behaviors on percent weight loss (%WL) at 6 and 12 months.
Results
We enrolled 300 participants (mean age 40.1 years; BMI 45.9 kg/m
2
; 87% women; 62% Black and 30% White). The majority (82%) underwent sleeve gastrectomy (SG). Mean %WL was 23.0 ± 5.1% at 6 months and 26.2 ± 7.6% at 12 months. Subjective binge episodes prior to surgery predicted greater %WL over the first 12 postoperative months (
p
= 0.028). Postoperative disinhibition, hunger, night eating symptoms, objective binge episodes, global disordered eating attitudes and behaviors, and snacks per day were associated with smaller %WL over 12 months (all
p’s
< 0.01). The presence of picking/nibbling and addictive-like eating behaviors was not associated with %WL at the end of the first postoperative year.
Conclusion
Among a diverse participant sample, problematic eating behaviors following surgery were associated with smaller %WL over 12 months. Postoperative assessment and treatment of eating behaviors are needed to address these issues as they arise and to prevent attenuation of early weight loss in some patients.
Graphical Abstract</abstract><cop>New York</cop><pub>Springer US</pub><pmid>36690865</pmid><doi>10.1007/s11695-022-06442-w</doi><tpages>10</tpages><orcidid>https://orcid.org/0000-0002-9807-0220</orcidid><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0960-8923 |
| ispartof | Obesity surgery, 2023-03, Vol.33 (3), p.733-742 |
| issn | 0960-8923 1708-0428 1708-0428 |
| language | eng |
| recordid | cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_9870778 |
| source | MEDLINE; SpringerNature Journals |
| subjects | Adult Bariatric Surgery Binge-Eating Disorder - complications Body mass index Eating behavior Eating disorders Employment Feeding Behavior Female Gastrointestinal surgery Hispanic Americans Humans Male Medicine Medicine & Public Health Obesity Obesity, Morbid - surgery Original Contributions Secondary schools Surgery Weight control Weight Loss - physiology |
| title | Changes in Eating Behaviors and Their Relation to Weight Change 6 and 12 Months After Bariatric Surgery |
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