Supported by grants from the National Institute of Diabetes and Digestive and Kidney Diseases (UO1-DK066557, to the Data Coordinating Center; UO1-DK66667, to Columbia University; UO1-DK66568, to the University of Washington, in collaboration with General Clinical Research Center Grant MO1RR-00037; UO1-DK66471, to the Neuropsychiatric Research Institute; UO1-DK66526, to East Carolina University; UO1-DK66585, to Oregon Health and Science University.
Eating behavior and eating disorders in adults before bariatric surgery
Article first published online: 9 APR 2014
© 2014 Wiley Periodicals, Inc.
International Journal of Eating Disorders
Volume 48, Issue 2, pages 215–222, March 2015
How to Cite
Mitchell, J. E., King, W. C., Courcoulas, A., Dakin, G., Elder, K., Engel, S., Flum, D., Kalarchian, M., Khandelwal, S., Pender, J., Pories, W. and Wolfe, B. (2015), Eating behavior and eating disorders in adults before bariatric surgery. Int. J. Eat. Disord., 48: 215–222. doi: 10.1002/eat.22275
- Issue published online: 9 FEB 2015
- Article first published online: 9 APR 2014
- Manuscript Accepted: 2 MAR 2014
- Manuscript Revised: 7 FEB 2014
- Manuscript Received: 17 DEC 2013
- National Institute of Diabetes and Digestive and Kidney Diseases. Grant Number: UO1-DK066557
- Data Coordinating Center. Grant Number: UO1-DK66667
- Columbia University. Grant Number: UO1-DK66568
- University of Washington, in collaboration with General Clinical Research Center. Grant Numbers: MO1RR-00037, UO1-DK66471
- Neuropsychiatric Research Institute. Grant Number: UO1-DK66526
- East Carolina University. Grant Number: UO1-DK66585
- Oregon Health and Science University
- Roux-en-Y gastric bypass;
- laparoscopic gastric banding;
- binge eating;
- binge eating disorder;
- night eating syndrome;
- nocturnal eating;
- evening hyperphagia
To describe eating patterns, prevalence of problematic eating behaviors, and determine factors associated with binge eating disorder (BED), before bariatric surgery.
Before surgery, 2,266 participants (median age 46 years; 78.6% female; 86.9% white; median body mass index 45.9 kg/m2) of the Longitudinal Assessment of Bariatric Surgery-2 (LABS-2) study completed eating behavior survey items in the self-administered LABS-2 Behavior form. Other measures included the Alcohol Use Disorder Identification Test, the LABS-2 Psychiatric and Emotional Test Survey, the Beck Depression Inventory, the Interpersonal Support Evaluation List-12, the Short Form-36 Health Survey, and Impact of Weight Quality of Life-Lite Survey.
The majority (92.1%) of participants reported eating dinner regularly, whereas just over half (54.0%) reported eating breakfast regularly. Half of the participants reported eating at least four meals/week at restaurants; two meals/week were fast food. Loss of control eating was reported by 43.4%, night eating syndrome by 17.7%; 15.7% satisfied criteria for binge eating disorder (BED), 2% for bulimia nervosa. Factors that independently increased the odds of BED were being a college graduate, eating more times per day, taking medication for psychiatric or emotional problems, and having symptoms of alcohol use disorder, lower self-esteem and greater depressive symptoms.
Before undergoing bariatric surgery a substantial proportion of patients report problematic eating behaviors. Several factors associated with BED were identified, most suggesting other mental health problems, including higher levels of depressive symptomotology. The strengths of this study include the large sample size, the multi-center design and use of standardized assessment practices. © 2014 Wiley Periodicals, Inc. (Int J Eat Disord 2015; 48:215–222)