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Binge Eating After Bariatric Surgery in Patients Assisted by the Reference Service in a Brazilian Hospital and the Correlation with Weight Loss

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Abstract

Purpose

Identify, 18 months after bariatric surgery, the binge eating variation and its relation with weight regain or loss.

Materials and Methods

Cross-sectional, retrospective study with 108 patients, assisted by an obesity walk-in clinic of a specialized hospital in São Paulo (Brazil), who had undergone bariatric surgery a minimum of 18 months previously. The anthropometric and clinic data were collected from medical records, and binge eating symptoms were evaluated with the application of the Binge Eating Scale (BES). Scale outcomes were related to weight regain and loss at the application moment.

Results

The average age (standard error) of the sample was 47 years (±0.91) and 93% were female. Patients had lost 52.2% of their body weight and regained 4.7% of their weight 18 months after the surgery. The elapsed surgical time (> 50 months) was associated with a higher gross weight (p<0.0001).

Conclusions

Bariatric surgery has been shown to be effective for improving diabetes mellitus as well as for controlling obesity. The variation in binge eating intensity 18 months after bariatric surgery is a factor that interferes in the amount of weight regained. The presence of binge eating symptoms negatively affects the % total weight loss (%TWL).

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Author information

Authors and Affiliations

  1. Santo Amaro University. Post Graduation Program in Health Science, São Paulo, SP, Brazil

    Fabiana Salatino Fangueiro, Carolina Nunes França, Elias Jirjoss Ilias & Patrícia Colombo-Souza

  2. School of Medical Sciences - Santa Casa of São Paulo - Obesity Ambulatory, São Paulo, SP, Brazil

    Mônica Fernandez & Elias Jirjoss Ilias

Authors
  1. Fabiana Salatino Fangueiro
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  2. Carolina Nunes França
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  3. Mônica Fernandez
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  4. Elias Jirjoss Ilias
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  5. Patrícia Colombo-Souza
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Correspondence to Patrícia Colombo-Souza.

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Ethical Approval Statement

This study is in accordance with the ethical standards of the institutional research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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The authors declare no competing interests.

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Bullet points

• The presence of binge eating symptoms was significantly related to weight gain.

• The presence of binge eating symptoms was related to greater weight gain.

• The longer the time elapsed after bariatric surgery, the greater the weight gain.

• Bariatric surgery promotes permanent changes in the glucose regulation in diabetics.

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Fangueiro, F.S., França, C.N., Fernandez, M. et al. Binge Eating After Bariatric Surgery in Patients Assisted by the Reference Service in a Brazilian Hospital and the Correlation with Weight Loss. OBES SURG 31, 3144–3150 (2021). https://doi.org/10.1007/s11695-021-05372-3

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  • DOI: https://doi.org/10.1007/s11695-021-05372-3

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