Binge Eating Disorder and Quality of Life of Candidates to Bariatric Surgery

Abstract

Background : Obesity decreases the quality of life, which is aggravated by the association of comorbidities, and the binge eating disorder is directly related to body image and predisposes to overweight. Aim: Evaluate association between the presence and the level of binge eating disorder and the quality of life of the obese candidates for bariatric surgery. Methods : Cross-sectional study analyzing anthropometric data (weight and height) and socioeconomics (age, sex, marital status, education and income). The application of Binge Eating Scale was held for diagnosis of Binge Eating Disorder and the Medical Outcomes Study 36-item Short-From Health Survey to assess the quality of life. Results : Total sample studied was 96 patients, mean age 38.15±9.6 years, 80.2% female, 67.7% married, 41% with complete and incomplete higher education, 77.1% with lower income or equal to four the minimum salary, 59.3% with grade III obesity. Binge eating disorder was observed in 44.2% of patients (29.9% moderate and 14.3% severe), and these had the worst scores in all domains of quality of life SF36 scale; however, this difference was not statistically significant. Only the nutritional status presented significant statistically association with the presence of binge eating disorder. Conclusion : High prevalence of patients with binge eating disorder was found and they presented the worst scores in all domains of quality of life.

Bariatric Surgery and Binge Eating Disorder: Should Surgeons Care About It? A Literature Review of Prevalence and Assessment Tools

“…Several studies found that BED may jeopardize weight loss or increase the risk of weight regain (5) . Furthermore, some studies have reported that BED-obese individuals need specialized interventions since they tend to have more severe obesity (38,39) , poorer surgical outcomes (40) , higher rates of mental disorders (such as depression, bipolar, and anxiety) and worse quality of life (41)(42)(43) than non-BED-obese people. As a treatable disorder, early identification of BED, together with the treatment of abnormal eating habits must be integrated into routine medical encounters before weight-loss surgery is considered.…”

Eating disorders in bariatric surgery candidates admitted to Haydarpasa Numune Training and Research Hospital

“…Prevalence rates of BED (27-49%) were high for patients undergoing bariatric surgery. [17][18][19] According to a new meta-analysis, the prevalence of BED (based on random effects) among patients seeking and undergoing bariatric surgery was 17%. 20 The prevalence of BED in our study was 11.1%.…”

“…It was higher for women as in the literature. 17 Prevalence rates of BED change widely depending on assessment methods.…”

Perfil do paciente obeso e portador de síndrome metabólica candidato à cirurgia bariátrica em uma clínica particular de Porto Alegre, Rio Grande do Sul

“…Ademais, já foi encontrada relação entre gastrite e hiperlipidemia, doença coronária, infarto do miocárdio, terapia de hiperlipidemia e drogas hipotensoras em homens, sugerindo que a gastrite tem potencial associação com DCV nesse segmento da população [16,19]. Grande parte de amostra investigada apresentou também resultado positivo para esteatose hepática, o que indica risco para doença hepática não alcoólica (NASH).…”

“…Observou-se, também, que mais de 40% dos pacientes tinham histórico de transtorno de comer compulsivo, e 5,6% relataram já ter tido bulimia, podendo indicar uma relação entre transtornos alimentares e obesidade. A obesidade diminui a qualidade de vida, sendo agravada pela associação com comorbidades coexistentes, e o transtorno de compulsão alimentar está relacionado com imagem corporal e com excesso de peso [19]. O excesso de peso associado às comorbidades, que são parte do perfil do indivíduo obeso portador de SM, induz ao uso de muitos medicamentos, às vezes de diferentes classes, o que pode acarretar diferentes efeitos e riscos.…”