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- Title
Eating behavior and eating disorders in adults before bariatric surgery.
- Authors
Mitchell, James E.; King, Wendy C.; Courcoulas, Anita; Dakin, George; Elder, Katherine; Engel, Scott; Flum, David; Kalarchian, Melissa; Khandelwal, Saurabh; Pender, John; Pories, Walter; Wolfe, Bruce
- Abstract
ABSTRACT Objective To describe eating patterns, prevalence of problematic eating behaviors, and determine factors associated with binge eating disorder (BED), before bariatric surgery. Method Before surgery, 2,266 participants (median age 46 years; 78.6% female; 86.9% white; median body mass index 45.9 kg/m2) of the Longitudinal Assessment of Bariatric Surgery-2 (LABS-2) study completed eating behavior survey items in the self-administered LABS-2 Behavior form. Other measures included the Alcohol Use Disorder Identification Test, the LABS-2 Psychiatric and Emotional Test Survey, the Beck Depression Inventory, the Interpersonal Support Evaluation List-12, the Short Form-36 Health Survey, and Impact of Weight Quality of Life-Lite Survey. Results The majority (92.1%) of participants reported eating dinner regularly, whereas just over half (54.0%) reported eating breakfast regularly. Half of the participants reported eating at least four meals/week at restaurants; two meals/week were fast food. Loss of control eating was reported by 43.4%, night eating syndrome by 17.7%; 15.7% satisfied criteria for binge eating disorder (BED), 2% for bulimia nervosa. Factors that independently increased the odds of BED were being a college graduate, eating more times per day, taking medication for psychiatric or emotional problems, and having symptoms of alcohol use disorder, lower self-esteem and greater depressive symptoms. Discussion Before undergoing bariatric surgery a substantial proportion of patients report problematic eating behaviors. Several factors associated with BED were identified, most suggesting other mental health problems, including higher levels of depressive symptomotology. The strengths of this study include the large sample size, the multi-center design and use of standardized assessment practices. © 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:215-222)
- Subjects
QUALITY of life; CONTROL (Psychology); CLINICAL trials; CONFIDENCE intervals; EATING disorders; FOOD habits; SMALL intestine; LONGITUDINAL method; CLASSIFICATION of mental disorders; BARIATRIC surgery; PSYCHOLOGICAL tests; RESEARCH funding; STATISTICS; SURVEYS; LOGISTIC regression analysis; DATA analysis; BODY mass index; SURGICAL anastomosis; DATA analysis software; ODDS ratio
- Publication
International Journal of Eating Disorders, 2015, Vol 48, Issue 2, p215
- ISSN
0276-3478
- Publication type
Article
- DOI
10.1002/eat.22275