Eating disturbances before and after vertical banded gastroplasty: A pilot study

Hsu, Li-Yi; Betancourt, Sergio; Sullivan, Sean P.

doi:10.1002/(sici)1098-108x(199601)19:1<23::aid-eat4>3.3.co;2-g

Cited by 63 publications

(103 citation statements)

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“…However, as disordered eating patterns, psychological difficulties and coping problems are present in subgroups of surgically treated patients, [50][51][52][53] it is likely that the efficacy of surgical interventions may be enhanced by postoperative behavioral and nutritional counseling. Experiences from behavioral weight reduction programs indicate that long-term weight maintenance is facilitated by prolonged contact with the patient.…”

Section: Discussionmentioning

confidence: 99%

Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study

et al. 2007

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Objective: To examine trends and effects of weight loss treatment on health-related quality of life (HRQL) in the severely obese over 10 years. Design: Swedish obese subjects (SOS) intervention study is a controlled, longitudinal trial of the health effects of weight loss in the severely obese. Subjects: A total of 655 of 851 surgically treated and 621 of 852 conventionally treated obese men (body mass index, BMIX34) and women (BMIX38) who completed 10 years of the study. Measurements: HRQL was assessed before treatment and after 0.5, 1, 2, 3, 4, 6, 8 and 10 years. Results: HRQL change during the 10-year observation period largely followed phases of weight loss, weight regain and weight stability. Improvements and deteriorations in HRQL were associated with the magnitude of weight loss or regain, except regarding anxiety. Peak improvements in the surgical group were observed during the first year of weight loss, whereas the weight regain phase (mainly between 1-and 6-year follow-up) was accompanied by a gradual decline in HRQL. The period from 6-to 10-year follow-up was characterized by relatively stable observations in both weight and HRQL. At 10 years, net gains were noted in all HRQL domains compared to baseline. Comparisons of treatment effects on HRQL in the surgical vs conventional group after 10 years showed significantly better outcome in the surgical group on current health perceptions, social interaction, psychosocial functioning and depression, whereas no significant differences were found for overall mood and anxiety. Long-term results of the study suggest that a maintained weight loss of about 10% is sufficient for positive long-term effects on HRQL, a limit that was reached in about two-thirds of the surgically treated patients who completed 10 years of the study. Conclusion: Long-lasting weight reduction in the severely obese has a general long-standing positive outcome on HRQL. Bariatric surgery is a favorable option for the treatment of severe obesity, resulting in long-term weight loss and HRQL improvements in a majority of patients. However, difficulties among some surgical patients to control and maintain weight loss over time should not be ignored. Future research should study if the long-term efficacy of bariatric surgery may be further enhanced by implementing lifestyle modification techniques in the postoperative management of patients.

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Section: Discussionmentioning

confidence: 99%

Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study

et al. 2007

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“…This prevalence is within the range found in obesity clinics as well as among morbidly obese candidates to bariatic surgery. [4][5][6][7]27 The different diagnostic criteria and the methods of assessment explain the wide range of prevalence reported across studies. 28 Although the diagnostic criteria for NES are not definitely settled, 21 the semistructured NESHI interview is an accepted tool, and may be the basis for comparison among different studies.…”

Section: Discussionmentioning

confidence: 99%

“…3 Its prevalence among obese patients seeking weight loss treatment in medical units ranges from 6 4 to 14%, 5 whereas in those admitted for bariatric surgery it ranges from 8 6 to 42%. 7 An even greater prevalence (from 51 to 64%) has been reported among patients with severe obesity refractory to treatments. 8,9 The co-occurrence of NES and obesity is also confirmed by the observation that obesity is present in 57.1% of participants with night eating and overweight in 28.6% of outpatient psychiatric individuals with night eating.…”

Section: Introductionmentioning

confidence: 99%

Night eating syndrome in class II–III obesity: metabolic and psychopathological features

2009

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Objective: To investigate the relationship of metabolic disorders and psychological features with the night eating syndrome (NES) in individuals with moderate-to-severe obesity. Design: Cross-sectional observation. Subjects: A total of 266 consecutive participants with class II-III obesity, entering an inpatient weight loss program. Measurements: Participants who reported consuming either a large amount of their caloric intake after the evening meal (roughly self-assessed as X25% of daily calories) or the presence of nocturnal feeding at the Night Eating Questionnaire (NEQ) (N ¼ 49) were interviewed by the Night Eating Syndrome History and Inventory (NESHI). Assessment also included the clinical/ biochemical parameters of the metabolic syndrome and several questionnaires of psychopathology. NES was diagnosed by NESHI criteria (evening hyperphagia (X25% of daily food intake after the evening meal) and/or waking at night to eat at least three times a week) in the last 3 months. Results: Twenty-seven participants (10.1%) met NESHI criteria. Differences were not observed between participants with and without NES as to age, body mass index (BMI), prevalence of metabolic syndrome, Binge Eating Scale and Body Shape Questionnaire. NES participants had significantly higher scores of Beck Depression Inventory (BDI) and Impact of Weight on Quality of Life (IWQOL). Among NES cases, the BDI score was indicative of moderate depression in 18.5% of cases and of severe depression in 44.4%. Logistic regression analysis, adjusted for confounders, identified the BDI score as the only variable significantly associated with the diagnosis of NES. Conclusion: Diagnosing NES does not help identify obese individuals with specific medical complications, but indicates more severe psychological distress and depression.

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“…A different factor structure that may include previously omitted items should be evaluated at postsurgery to see whether it reveals a better fit, and consequently, perhaps is a better postoperative outcome measure of eating-related pathology in bariatric surgery patients. Overall, however, the continued development and refinement of psychometrically sound measures of eating-related pathology (e.g., binge eating, general loss of control, overeating) in the bariatric surgery population is critical in identifying both preoperative and postoperative indicators of weight and behavioral outcomes, as such disturbances have been found to persist postsurgically (59), potentially hindering weight loss (23,(60)(61)(62).…”

Section: Discussionmentioning

confidence: 99%

Psychometric Evaluation of the Eating Disorder Examination-Questionnaire for Bariatric Surgery Candidates

Hrabosky¹,

White²,

Masheb³

et al. 2008

Obesity

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Objective-Despite increasing use of the Eating Disorder Examination-Questionnaire (EDE-Q) in bariatric surgery patients, little is known about the utility and psychometric performance of this self-report measure in this clinical group. The primary purpose of the current study was to evaluate the factor structure and construct validity of the EDE-Q in a large series of bariatric surgery candidates.Methods and Procedures-Participants were 337 obese bariatric surgery candidates. Participants completed the EDE-Q and a battery of behavioral and psychological measures.Results-Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) produced a 12-item, 4-factor structure of the EDE-Q. The four factors, interpreted as Dietary Restraint, Eating Disturbance, Appearance Concerns, and Shape/Weight Overvaluation, were found to be internally consistent and converged with other relevant measures of psychopathology.Discussion-Factor analysis of the EDE-Q in bariatric surgery candidates did not replicate the original subscales but revealed an alternative factor structure. Future research must further evaluate the psychometric properties, including the factor structure, of the EDE-Q in this and other diverse populations and consider means of improving this measure's ability to best assess eatingrelated pathology in bariatric surgery patients.

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Eating disturbances before and after vertical banded gastroplasty: A pilot study

Cited by 63 publications

References 0 publications

Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study

Ten-year trends in health-related quality of life after surgical and conventional treatment for severe obesity: the SOS intervention study

Night eating syndrome in class II–III obesity: metabolic and psychopathological features

Psychometric Evaluation of the Eating Disorder Examination-Questionnaire for Bariatric Surgery Candidates

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