scholarly journals Eating Disorders and Problematic Eating Behaviours Before and After Bariatric Surgery: Characterization, Assessment and Association with Treatment Outcomes

2015 ◽  
Vol 23 (6) ◽  
pp. 417-425 ◽  
Author(s):  
Eva M. Conceição ◽  
Linsey M. Utzinger ◽  
Emily M. Pisetsky
Keyword(s):  
Bariatric Surgery ◽  
Eating Disorders ◽  
Treatment Outcomes ◽  
Eating Behaviours ◽  
Before And After ◽  
Problematic Eating

scholarly journals Comportamentos Alimentares Problemáticos após Cirurgia Bariátrica: Um Estudo com Amostra Nacional Portuguesa

2018 ◽  
Vol 31 (11) ◽  
pp. 633 ◽  
Author(s):  
Eva Conceição ◽  
Flávia Teixeira ◽  
Tânia Rodrigues ◽  
Marta De Lourdes ◽  
Ana Pinto Bastos ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Negative Urgency ◽  
Eating Behaviours ◽  
Eating Psychopathology ◽  
Mediating Role ◽  
Eating Concerns ◽  
Bariatric Patients ◽  
Problematic Eating ◽  
Anxiety Depression

Introduction: Bariatric surgery is the most effective method for the treatment of morbid obesity. However, the development of eating psychopathology and the emergence of problematic eating behaviours have been reported in the literature. The aim of this crosssectional study was to characterize the post-bariatric population in terms of the frequency of problematic eating behaviours over time and to understand the related psychological features.Material and Methods: This sample was composed of 155 bariatric patients that responded to several self-reported instruments assessing eating psychopathology, problematic eating behaviours, anxiety, depression and stress and impulsive behaviour.Results: Results showed that grazing, binge eating, concerns about body weight and shape, and negative urgency are significantly more frequent at 24 months after bariatric surgery (when compared to earlier postoperative assessments). Correlational analyses showed that eating psychopathology and problematic eating behaviours were significantly and positively associated with levels of anxiety, depression, stress and negative urgency. This study also reinforces the mediating role of negative urgency in the relationship between time elapsed since surgery and psychological distress, and problematic eating behaviours, accounting for a total of 32.3% and 27.2% of its variance, respectively.Discussion: The results suggest a growing trend of problematic eating behaviours and levels of impulsivity being reported by bariatric patients over time.Conclusion: Given the established evidence that supports its impact on weight variability, early identification of problematic eating behaviours and of patients with a tendency to act impulsively in situations of negative emotionality should be a central concern in the follow-up of the bariatric population.

scholarly journals Diabetes Mellitus Tipo 2, Depressão e Alterações do Comportamento Alimentar em Doentes Submetidos a Cirurgia Bariátrica

2016 ◽  
Vol 29 (3) ◽  
pp. 176
Author(s):  
Isabel Brandão ◽  
Ana Marques Pinho ◽  
Filipa Arrojado ◽  
Ana Pinto-Bastos ◽  
José Maia Da Costa ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Bariatric Surgery ◽  
Eating Disorders ◽  
Weight Loss ◽  
Type 2 Diabetes Mellitus ◽  
Postoperative Period ◽  
Self Report ◽  
Before And After

<p><strong>Introduction:</strong> Obesity is associated with a great number of complications, including type 2 diabetes mellitus and psychiatric pathology. Bariatric surgery is the best solution to weight loss and improvement of complications in morbid obese patients. This study aims to analyze the evolution of type 2 diabetes mellitus and psychopathologic variables before and after bariatric surgery and assess the importance of different variables in weight loss.<br /><strong>Material and Methods:</strong> This is a longitudinal study, which evaluates 75 patients before and after bariatric surgery (47 - LAGB – laparoscopic adjustable gastric band; 19 – RYGB – Roux-en-Y gastric bypass; 9 - sleeve) with a follow-up time between 18 and 46 months. A clinical interview and self report questionnaires were applied - Eating Disorder Examination questionnaire – EDE-Q and Beck Depression Inventory – BDI.<br /><strong>Results:</strong> Results show an improvement in type 2 diabetes mellitus after surgery (χ2 (1) = 26.132, p &lt; 0.001). There was not a significant improvement among psychiatric pathology when we controlled the analysis for the type of surgery. It was verified that type 2 diabetes mellitus, depression and eating disorders in post-operative period are associated with less weight loss. This model explains 27% of weight variance after surgery (R2 = 0.265) and it is significant F (3.33) = 2.981, p = 0.038.<br /><strong>Discussion:</strong> Type 2 diabetes mellitus, psychiatric pathology and eating disorders after surgery influenced weight loss. It was not clear in what way this relation was verified, neither the relation that these metabolic and psychological variables may have during the postoperative period.<br /><strong>Conclusion:</strong> Type 2 diabetes mellitus improved after surgery. Type 2 diabetes mellitus, depression and eating disorders influenced weight loss in the postoperative period. These variables did not influence weight loss in the preoperative period.</p>

Eating Disorders and Problematic Eating Behaviors After Bariatric Surgery

2017 ◽  
Author(s):  
Molly Orcutt ◽  
Kristine Steffen ◽  
James E. Mitchell
Keyword(s):  
Bariatric Surgery ◽  
Eating Disorders ◽  
Weight Control ◽  
Eating Behaviors ◽  
Severe Obesity ◽  
Food Addiction ◽  
Gastrointestinal Problems ◽  
Problematic Eating ◽  
Post Bariatric Surgery ◽  
Problematic Eating Behaviors

Bariatric surgery is the most effective treatment for severe obesity and its weight-related comorbidities. As the use of bariatric surgery has increased, concerns have arisen about problematic eating behaviors (EBs) and eating disorders (EDs) in this population. This chapter describes the current literature detailing EDs and problematic EBs and weight control practices (WCPs) in the post-bariatric-surgery population. It begins with a description of EDs in this population. Next, it describes problematic EBs, followed by a review of postoperative gastrointestinal problems that influence EBs. Third, it reviews the WCPs that can evolve. Finally, it describes models of “food addiction” as they apply to eating-related pathology in the post-bariatric-surgery population.

POSTOPERATIVE COMPLIANCE OF BARIATRIC SURGERY PATIENTS REGARDING THE ASSESSMENT OF SERUM LEPTIN LEVELS AND INSULIN RESISTANCE

2019 ◽  
Vol 49 (1/2019) ◽  
Keyword(s):  
Insulin Resistance ◽  
Bariatric Surgery ◽  
Serum Levels ◽  
Medical Laboratory ◽  
Leptin Resistance ◽  
Obese Patients ◽  
Laboratory Assessment ◽  
Serum Leptin ◽  
Before And After ◽  
Bariatric Patients

Background and aims: Overweight and obese patients who undergo bariatric surgery require a rigorous clinical and paraclinical assessment both before and after the surgery at 3, 6, and 12 months.The present study aims the assessment of serum leptin levels and insulin resistance status in compliant bariatric patients to scheduled medical laboratory assessment at 6 months after surgery. Material and Method: The study included 109 eligible patients selected for bariatric surgery, 48 of whom attended the scheduled visit at 6 months after the surgery. Laboratory assessing regarded the insulin resistance by determining before meal the serum levels of leptin, glucose and insulin, as well as HOMA 1 and HOMA 2 indexes. Results: Patients who underwent bariatric treatment experienced a significant decrease in insulin resistance status. A higher percentage in the preoperative group was recorded in women, feature which was also recorded in the postoperative group that attended the scheduled visit at 6 months after surgery. Age is also an important factor that significantly influences the behavioral adherence to postoperative visits. Conclusions: Insulin resistance status improved significantly in 6 months after bariatric surgery among the fully compliant patients. The percentage of attendance at scheduled visits is higher among women, and decreases with age. Keywords: obesity surgery, leptin resistance, insulin resistance, HOMA index, compliance

scholarly journals Orosensory Perception of Fat/Sweet Stimuli and Appetite-Regulating Peptides before and after Sleeve Gastrectomy or Gastric Bypass in Adult Women with Obesity

Nutrients ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 878
Author(s):  
Arnaud Bernard ◽  
Johanne Le Beyec-Le Bihan ◽  
Loredana Radoi ◽  
Muriel Coupaye ◽  
Ouidad Sami ◽  
...  
Keyword(s):  
Bariatric Surgery ◽  
Gastric Bypass ◽  
Sleeve Gastrectomy ◽  
Gut Hormones ◽  
Sweet Taste ◽  
Taste Perception ◽  
Taste Sensitivity ◽  
Adult Women ◽  
Before And After ◽  
The Impact

The aim of this study was to explore the impact of bariatric surgery on fat and sweet taste perceptions and to determine the possible correlations with gut appetite-regulating peptides and subjective food sensations. Women suffering from severe obesity (BMI > 35 kg/m2) were studied 2 weeks before and 6 months after a vertical sleeve gastrectomy (VSG, n = 32) or a Roux-en-Y gastric bypass (RYGB, n = 12). Linoleic acid (LA) and sucrose perception thresholds were determined using the three-alternative forced-choice procedure, gut hormones were assayed before and after a test meal and subjective changes in oral food sensations were self-reported using a standardized questionnaire. Despite a global positive effect of both surgeries on the reported gustatory sensations, a change in the taste sensitivity was only found after RYGB for LA. However, the fat and sweet taste perceptions were not homogenous between patients who underwent the same surgery procedure, suggesting the existence of two subgroups: patients with and without taste improvement. These gustatory changes were not correlated to the surgery-mediated modifications of the main gut appetite-regulating hormones. Collectively these data highlight the complexity of relationships between bariatric surgery and taste sensitivity and suggest that VSG and RYGB might impact the fatty taste perception differently.

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