Cited by 102Eating Disorders and BehaviorsBariatric Surgery and OutcomesNutrition, Health and Food Behavior

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Binge Eating, Loss of Control over Eating, Emotional Eating, and Night Eating After Bariatric Surgery: Results from the Toronto Bari-PSYCH Cohort Study

Nasirzadeh, Yasmin, Kantarovich, Karin, Wnuk, Susan, Okrainec, Allan, Cassin, Stephanie E., Hawa, Raed, Sockalingam, Sanjeev·2018·Obesity Surgery

DOI 10.1007/s11695-018-3137-8

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Abstract

Objectives We explored the severity of binge eating, loss of control over eating, emotional eating, and night eating before bariatric surgery and annually for 3 years following surgery. We also assessed the impact of post-operative eating psychopathology on weight outcomes.Methods Eight hundred forty-four patients participated in this prospective cohort study. Demographic factors, self-report measures of eating pathology (BES, NEQ, EES, EDE-Q), and weights (kg) were collected pre-surgery and annually for 3 years after surgery.Results The severity of problematic eating behaviors decreased after surgery and remained lower than baseline throughout follow-up. An increase was noted in binge eating scores (change in mean score ± SD = 0.85 ± 4.71; p = 0.002), emotional eating scores (2.00 ± 13.63; p = 0.033), and loss of control eating scores (1.11 ± 7.01; p < 0.001) after the first post-operative year that continued to the third post-operative year. There was also an increase in night eating scores between 2 and 3 years post-surgery (2.52 ± 8.00; p = 0.01). Higher 1-year post-operative binge eating scores were a significant predictor of lower 2-year % total weight loss (β = - 0.39, confidence interval (CI) - 1.23, - 0.16, p = 0.012).Conclusions The severity of problematic eating behaviors decrease after bariatric surgery, but increase significantly between the first and third post-operative years. Binge Eating Scale score at 1 year post-surgery was the only significant predictor of reduced percent total weight loss at 2 years. Additional prospective studies with adequate power are required to assess the progression of these eating pathologies beyond 3 years and their impact on weight outcomes beyond 2 years.

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Authors: Nasirzadeh, Y., Kantarovich, K., Wnuk, S., Okrainec, A., Cassin, S. E., Hawa, R., & Sockalingam, S.
Affiliations: University of Toronto (CA)
Toronto Western Hospital (CA)
University Health Network (CA)
Corresponding author: Sockalingam, Sanjeev
ORCID: Wnuk, Susan
Okrainec, Allan
Hawa, Raed
Sockalingam, Sanjeev
Venue: Obesity Surgery
Publisher: Springer Science and Business Media LLC
Published: 2018-02-06
Volume: 28
Issue: 7
Pages: 2032-2039
ISSN: 0960-8923 (ISSN-L)
1708-0428
DOI: 10.1007/s11695-018-3137-8
OpenAlex: W2792431776
Semantic Scholar: 13961c29c763fe898c268699c6bdd737570222f1
Cited by: 102
References: 35
Citations by year: 2026: 8 · 2025: 10 · 2024: 8 · 2023: 12 · 2022: 19 · 2021: 15 · 2020: 14 · 2019: 13 · 2018: 2
FWCI: 12.90
Type: journal article
Language: en
Open access: closed
Licence: www.springer.com/tdm (tdm)
www.springer.com/tdm (vor)
Locations: Obesity Surgery (publishedVersion)
PubMed (publishedVersion)
Topics: Social Sciences › Psychology › Clinical Psychology › Eating Disorders and Behaviors
Health Sciences › Medicine › Surgery › Bariatric Surgery and Outcomes
Health Sciences › Nursing › Nutrition and Dietetics › Nutrition, Health and Food Behavior
Keywords: binge eating, loss of control eating
MeSH terms: Adult, Bulimia, Emotions, Feeding Behavior, Female, Humans, Hyperphagia, Male, Middle Aged, Obesity, Morbid, Postoperative Period, Prospective Studies, Regression Analysis, Time Factors, Cohort Studies, Weight Loss, Bariatric Surgery, Binge-Eating Disorder, Self Report

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Binge Eating, Loss of Control over Eating, Emotional Eating, and Night Eating After Bariatric Surgery: Results from the Toronto Bari-PSYCH Cohort Study

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