Response of Recurrent Binge Eating and Weight Gain to Topiramate in Patients with Binge Eating Disorder after Bariatric Surgery

Abstract ObjectivesAnalyze the influence of Binge Eating Disorder (BED) and symptoms of depression and anxiety on anthropometric and body composition changes over five years after bariatric surgery in patients with obesity.MethodsEvaluation of 118 individuals undergoing bariatric surgery, divided into two groups: Group 1: individuals with BED; Group 2: individuals without BED. The individuals were submitted to anthropometric and body composition evaluation, and analysis of the presence of BED, depression, and anxiety according to the DSM-V and using validated questionnaires. The Kolmogorovi-Smirnov, t-test, Fisher’s, chi-square, and ANOVA were used for statistical analysis.ResultsThe groups with BED (N=61, 51,7%) and without BED (N=57, 48,3%) did not differ from each other for all sociodemographic assessed variables (p>0.05) and had similar changes in waist circumference and body composition over five years after bariatric surgery (p>0.05). On the other hand, only patients with BED had severe depression (13,11%, p=0.0079) and had a higher frequency of moderate (22.95%, p=0.0022) and severe (14.75%, p=0.0022) anxiety in the preoperative period of bariatric surgery. In addition, only the group with BED had increased weight and increased BMI in the fifth year after bariatric surgery (p<0.05).ConclusionPatients with BED had more intense symptoms of depression and anxiety, and this disorder may reappear in the postoperative period of bariatric surgery and contribute to weight gain and an increase in BMI.Level of evidence: III (evidence obtained from case-control analytic study).

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Association between binge eating disorder and psychiatric comorbidity profiles in patients with obesity seeking bariatric surgery

Comprehensive Psychiatry ◽

10.1016/j.comppsych.2018.09.004 ◽

2018 ◽

Vol 87 ◽

pp. 79-83 ◽

Cited By ~ 2

Author(s):

Virginie Borgès Da Silva ◽

Roxane Borgès Da Silva ◽

Alexandre Prud'homme ◽

Pierre Campan ◽

Jean Michel Azorin ◽

...

Keyword(s):

Bariatric Surgery ◽

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder ◽

Psychiatric Comorbidity

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BARIATRIC SURGERY AND BINGE EATING DISORDER: SHOULD SURGEONS CARE ABOUT IT? A LITERATURE REVIEW OF PREVALENCE AND ASSESSMENT TOOLS

Arquivos de Gastroenterologia ◽

10.1590/s0004-2803.201900000-10 ◽

2019 ◽

Vol 56 (1) ◽

pp. 55-60 ◽

Cited By ~ 6

Author(s):

Beatriz H TESS ◽

Letícia MAXIMIANO-FERREIRA ◽

Denis PAJECKI ◽

Yuan-Pang WANG

Keyword(s):

Bariatric Surgery ◽

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder ◽

Current Knowledge ◽

Data Extraction ◽

Patient Characteristics ◽

Assessment Tools ◽

Clinical Interviews ◽

Study Heterogeneity

ABSTRACT BACKGROUND: Eating pathologies among bariatric surgery candidates are common and associated with adverse surgical outcomes, including weight regain and low quality of life. However, their assessment is made difficult by the great variety and inconsistent use of standardized measures. OBJECTIVE: The purpose of this review was to synthesize current knowledge on the prevalence of binge eating disorder (BED) in presurgical patients and to make a critical appraisal of assessment tools for BED. METHODS: A search was conducted on PubMed, Scopus, and Web of Science databases from January 1994 to March 2017. Data were extracted, tabulated and summarized using a narrative approach. RESULTS: A total of 21 observational studies were reviewed for data extraction and analysis. Prevalence of BED in bariatric populations ranged from 2% to 53%. Considerable variation in patient characteristics and in BED assessment measures was evident among the studies. In addition, several methodological weaknesses were recognized in most of the studies. Ten different psychometric instruments were used to assess BED. Clinical interviews were used in only 12 studies, though this is the preferred tool to diagnose BED. CONCLUSION: Study heterogeneity accounted for the variability of the results from different centers and methodological flaws such as insufficient sample size and selection bias impaired the evidence on the magnitude of BED in surgical settings. For the sake of comparability and generalizability of the findings in future studies, researchers must recruit representative samples of treatment-seeking candidates for bariatric surgery and systematically apply standard instruments for the assessment of BED.

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Binge Eating Disorder and Bariatric Surgery

Journal of the Academy of Nutrition and Dietetics ◽

10.1016/j.jand.2012.02.014 ◽

2012 ◽

Vol 112 (4) ◽

pp. 483

Author(s):

Gladys Witt Strain

Keyword(s):

Bariatric Surgery ◽

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder

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Axis I Psychopathology in Bariatric Surgery Candidates with and without Binge Eating Disorder: Results of Structured Clinical Interviews

Obesity Surgery ◽

10.1007/s11695-010-0322-9 ◽

2010 ◽

Vol 22 (3) ◽

pp. 389-397 ◽

Cited By ~ 72

Author(s):

LaShanda R. Jones-Corneille ◽

Thomas A. Wadden ◽

David B. Sarwer ◽

Lucy F. Faulconbridge ◽

Anthony N. Fabricatore ◽

...

Keyword(s):

Bariatric Surgery ◽

Eating Disorder ◽

Binge Eating ◽

Binge Eating Disorder ◽

Clinical Interviews ◽

Axis I

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Comparing weight gain in the year prior to treatment for overweight and obese patients with and without binge eating disorder in primary care

Journal of Psychosomatic Research ◽

10.1016/j.jpsychores.2014.05.006 ◽

2014 ◽

Vol 77 (2) ◽

pp. 151-154 ◽

Cited By ~ 24

Author(s):

Valentina Ivezaj ◽

Roushig Kalebjian ◽

Carlos M. Grilo ◽

Rachel D. Barnes

Keyword(s):

Primary Care ◽

Eating Disorder ◽

Weight Gain ◽

Binge Eating ◽

Binge Eating Disorder ◽

Obese Patients

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Binge eating disorder and related features in bariatric surgery candidates

Open Medicine ◽

10.1515/med-2019-0043 ◽

2019 ◽

Vol 14 (1) ◽

pp. 407-415 ◽

Cited By ~ 2

Author(s):

Stefania Cella ◽

Landino Fei ◽

Rosa D’Amico ◽

Cristiano Giardiello ◽

Alfredo Allaria ◽

...

Keyword(s):

Bariatric Surgery ◽

Eating Disorder ◽

Binge Eating ◽

Disordered Eating ◽

Binge Eating Disorder ◽

Weight Loss Surgery ◽

General Health Questionnaire ◽

Psychological Characteristics ◽

Eating Disturbances ◽

Surgery Outcome

AbstractObjectiveThe present study sought to: 1) assess the prevalence of Binge Eating Disorder (BED) and abnormal eating behaviors in bariatric surgery candidates; 2) compare patients with and without BED as regards to eating disturbances, psychological characteristics, and health status; 3) individuate which factors were significantly related to binge eating severity.MethodsSixty-three preoperative patients (17 males and 46 females) were screened by means of an ad hoc socio-demographic schedule, the Rosenberg Self-Esteem Scale, the Eating Disorders Inventory-3, the Binge Eating Scale, and the General Health Questionnaire-28. BED diagnosis was performed through a clinical interview.ResultsBED and disordered eating, such as episodes of binge eating, sense of lack of control over eating and inappropriate compensatory behaviors, appear common in patients undergoing weight loss surgery. Significant differences between BED and non-BED subjects in relation to eating disturbances and psychological characteristics emerged. Multiple regression analysis revealed that only emotional dys-regulation significantly predicted binge eating vulnerability.ConclusionThe recognition of factors involved in the development and maintenance of disordered eating in bariatric patients may support the choice of particular therapeutic strategies and improve bariatric surgery outcome. Further studies on this issue would be useful.

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