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Cited by 420

The DOI matches its Crossref record; 53 of the 53 references it cites were found in a registry or an index.

Grazing and Loss of Control Related to Eating: Two High‐risk Factors Following Bariatric Surgery

Open access
Colles, Susan L., Dixon, John B., O'Brien, Paul E.·2008·Obesity

Abstract

Background: Gastric restrictive surgery induces a marked change in eating behavior. However, the relationship between preoperative and postoperative eating behavior and weight loss outcome has received limited attention. Objective: This study assessed a range of eating behaviors before and 1 year after laparoscopic adjustable gastric banding (LAGB) and explored the nature and extent of change in eating patterns, their clinical associates, and impact on weight loss. Methods and Procedures: A 12‐month observational study assessed presurgical and postsurgical binge eating disorder (BED), uncontrolled eating, night eating syndrome (NES), grazing, nutrient intake and eating‐related behaviors, and markers of psychological distress. A total of 129 subjects (26 male and 103 female, mean age 45.2 ± 11.5 and BMI 44.3 ± 6.8) participated in this study. Results: Presurgical BED, uncontrolled eating, and NES occurred in 14%, 31%, and 17.1% of subjects, which reduced after surgery to 3.1%, 22.5%, and 7.8%, respectively (P = 0.05 for all). Grazing was prevalent before (26.3%) and after surgery (38.0%). Preoperative BED most frequently became grazers (P = 0.029). The average percentage weight loss (%WL) was 20.8 ± 8.5%; range −0.67 to 50.0% and percentage of excess weight loss (%EWL) 50.0 ± 20.7%; range −1.44 to 106.9% (P < 0.001). Uncontrolled eating and grazing after surgery showed high overlap and were associated with poorer %WL (P = 0.008 and P < 0.001, respectively) and elevated psychological distress. Discussion: Consistent with recent studies, uncontrolled eating and grazing were identified as two high‐risk eating patterns after surgery. Clearer characterization of favorable and unfavorable postsurgical eating behaviors, reliable methods to assess their presence, and empirically tested postsurgical intervention strategies are required to optimize weight loss outcomes and facilitate psychological well‐being in at‐risk groups.

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Crossref · 10.1038/oby.2007.101

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Metadata

Authors
Colles, S. L., Dixon, J. B., & O'Brien, P. E.
Venue
Obesity
Publisher
Wiley
Published
2008-03
Volume
16
Issue
3
Pages
615-622
ISSN
  • 1930-7381 (ISSN-L)
  • 1930-739X
OpenAlex
W2088103527
Cited by
420
References
53
FWCI
17.13
Type
journal article
Language
en
Open access
bronze

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