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Eating Behavior as a Prognostic Factor for Weight Loss after Gastric Bypass

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Background

Binge-eating disorder (BED) may be associated with unsatisfactory weight loss in obese patients submitted to bariatric procedures.This study aims to investigate whether the presence of binge eating before Roux-en-Y gastric bypass (RYGBP) influences weight outcomes.

Methods

In a prospective design, 216 obese patients (37 males, 178 females, BMI––5.9 ±–.0 kg/m2) were assessed for the lifetime prevalence of BED and classified at structured interview into 3 subgroups: no binge eating (NBE––3), sub-threshold binge eating (SBE––29), and binge-eating disorder (BED––4). All patients were encouraged to take part in a multidisciplinary program following surgery, and weight loss at follow-up was used as the outcome variable.

Results

At 1-year follow-up, NBE patients (n––1) showed percent excess BMI loss (%EBL) significantly higher than SBE patients (n––12) (P––.027), although this effect was not significantly different between NBE and BED patients (n––4). At 2-year follow-up, NBE patients (n––3) showed %EBL higher than SBE (n––4) (P––.003) and BED patients (n––4) (P–lt;–.001). Nevertheless, we found no significant weight loss differences between SBE (subclinical) and BED (full criteria) patients at any period of followup. Preliminary results at 3-year follow-up suggest that such an effect may be enduring.

Conclusion

The presence of a history of binge eating prior to treatment is associated with poorer weight loss in obese patients submitted to RYGBP. Because BED is highly prevalent in obese patients seeking bariatric surgery, its early recognition and treatment may be of important clinical value.

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Authors and Affiliations

  1. Department and Institute of Psychiatry, Faculty of Medicine, University of São Paulo, São Paulo, Brazil

    Paulo C. Sallet MD, PhD & Taki A. Cordás MD, PhD

  2. Sallet Clinic, São Paulo, Brazil

    Paulo C. Sallet MD, PhD, José A. Sallet MD, Eliane Collis CN, Carlos E. Pisani MD, Andréa Levy Psychol & Fábio L. Bonaldi MD

  3. Centre for Obesity Research and Education, Monash University, Melbourne, Australia

    John B. Dixon MD, PhD

  4. Institute of Psychiatry, Faculty of Medicine, University of São Paulo, R. Dr. Ovídio Pires de Campos, s/n, São Paulo, SP, Brazil, CEP: 05403-010

    Paulo C. Sallet MD, PhD

Authors
  1. Paulo C. Sallet MD, PhD
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  2. José A. Sallet MD
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  3. John B. Dixon MD, PhD
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  4. Eliane Collis CN
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  5. Carlos E. Pisani MD
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  6. Andréa Levy Psychol
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  7. Fábio L. Bonaldi MD
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  8. Taki A. Cordás MD, PhD
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Correspondence to Paulo C. Sallet MD, PhD.

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Sallet, P.C., Sallet, J.A., Dixon, J.B. et al. Eating Behavior as a Prognostic Factor for Weight Loss after Gastric Bypass. OBES SURG 17, 445–451 (2007). https://doi.org/10.1007/s11695-007-9077-3

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  • DOI: https://doi.org/10.1007/s11695-007-9077-3

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