Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2023 Jul 6;9(6):590-600.
doi: 10.1002/osp4.691. eCollection 2023 Dec.

Association between disordered eating and clinical outcomes following a surgical or endoscopic bariatric procedure: A real-world exploratory study

Georgia Spry  1   2 , Ashleigh McIntosh  1 , Nicola Gadd  1   3 , Zoe Martin  1 , Brianna Fear-Keen  4 , Jennifer Hoult  4 , Isabella R Maimone  4   5 , Patrice Jones  6   7 , Jaimon T Kelly  8   9 , Skye Marshall  5   9   10
Affiliations

Association between disordered eating and clinical outcomes following a surgical or endoscopic bariatric procedure: A real-world exploratory study

Georgia Spry et al. Obes Sci Pract. .

Abstract

Problem: Disordered eating, such as binge, graze, and emotional eating, has been strongly linked to weight gain. Improved understanding of disordered eating by adults who elect bariatric weight loss procedures in a real-world setting is required.

Purpose: To determine the association between the number and type of disordered eating patterns (DEPs), as described by healthcare professionals during routine care without standardized assessment, with clinical outcomes in adults who elected a bariatric weight loss procedure.

Method: An observational cohort study recruited laparoscopic sleeve gastrectomy (LSG) and endoscopic sleeve gastroplasty (ESG) patients. DEPs documented in the medical record during routine care were observed and tested for association with events (symptoms, side-effects, or adverse events), micronutrient deficiencies, weight loss, and attrition. Data were observed up to 12-month post-procedure.

Results: 215 LSG and 32 ESG patients were recruited. The mean number of DEPs was 6.4 (SD: 2.1) and 6.4 (SD: 2.1) in the LSG and ESG cohorts, respectively. Night eating was associated with a higher number of events (p < 0.008) in the LSG cohort, and non-hungry eating was associated with a higher number of events in the ESG cohort (p < 0.001). ESG patients who had a surgical or medical event by 6-months post-procedure had mean 1.78 (95%CI: 0.67, 2.89) more DEPs (p = 0.004). DEPs were not associated with weight loss, micronutrient deficiencies, nor attrition.

Conclusion: The treating healthcare team believed the LSG and ESG patients experienced a wide variety and high frequency of DEPs requiring multidisciplinary support. Non-hungry eating and night eating were associated with poorer outcomes following an LSG or ESG.

Trial registration: The study was prospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12622000332729).

Keywords: bariatric surgery; endoscopic sleeve gastroplasty; feeding and eating disorders; laparoscopic sleeve gastrectomy; micronutrients; weight loss.

PubMed Disclaimer

Conflict of interest statement

The authors declare no financial or other conflicts interests. It is acknowledged for authors Brianna Fear‐Keen, Jennifer Hoult, and Isabella R. Maimone were clinicians at the study site who provided care to the patients as part of routine care. Brianna Fear‐Keen, Jennifer Hoult, and Isabella R. Maimone were not involved in data collection, data analysis, or interpretation of clinical outcome.

References

    1. Bezerra IN, Curioni C, Sichieri R. Association between eating out of home and body weight. Nutr Rev. 2012;70(2):65‐79. 10.1111/j.1753-4887.2011.00459.x - DOI - PubMed
    1. O’Neill BV, Bullmore ET, Miller S, et al. The relationship between fat mass, eating behaviour and obesity‐related psychological traits in overweight and obese individuals. Appetite. 2012;59(3):656‐661. 10.1016/j.appet.2012.07.017 - DOI - PubMed
    1. McCuen‐Wurst C, Ruggieri M, Allison KC. Disordered eating and obesity: associations between binge‐eating disorder, night‐eating syndrome, and weight‐related comorbidities. Ann N Y Acad Sci. 2018;1411(1):96‐105. 10.1111/nyas.13467 - DOI - PMC - PubMed
    1. Arslan S, Tari Selcuk K, Sahin N, Atan RM. The relationship between food and cooking skills, and eating behaviors in people with overweight or obesity. Int J Obes. 2023;47(1):60‐66. 10.1038/s41366-022-01238-5 - DOI - PubMed
    1. Livingstone KM, McNaughton SA. Diet quality is associated with obesity and hypertension in Australian adults: a cross sectional study. BMC Publ Health. 2016;16(1):1‐10. 10.1186/s12889-016-3714-5 - DOI - PMC - PubMed

LinkOut - more resources