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Examining Sleep Quality Following Sleeve Gastrectomy Among Patients with Loss-of-Control Eating

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Abstract

Background

Sleep is associated with post-bariatric surgical outcomes; however, little is known about sleep in bariatric patients with loss-of-control (LOC) eating, a consistent predictor of poorer weight outcomes. This study examined sleep quality and clinical correlates in sleeve gastrectomy patients with LOC eating.

Methods

Participants (N = 145) were treatment-seeking post-operative sleeve gastrectomy patients with LOC eating. Eating-disorder features were assessed with the Eating Disorder Examination-Bariatric Surgery Version Interview (EDE-BSV) and participants completed established measures assessing sleep, health-related quality of life, perceived stress, depression, and night eating.

Results

58.6% of participants were characterized with “poor” sleep. Poor sleep quality was significantly associated with greater eating-disorder psychopathology, physical and mental functioning, night eating, perceived stress, and less % excess weight loss (EWL); these findings remained significant after controlling for %EWL and race. Regression analyses, adjusting for correlated variables, revealed that sleep quality significantly predicted mental functioning.

Conclusions

Poor sleep quality was common among post-operative sleeve gastrectomy patients with LOC eating. Sleep quality was significantly associated with eating-disorder psychopathology, less post-operative weight loss, and psychosocial and physical functioning problems. These findings suggest the importance of assessment and treatment of sleep problems following sleeve gastrectomy.

Clinical Trial Registration

ClinicalTrials.gov identifier NCT02259322.

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Funding

This research was supported, in part, by an NIH grant R01 DK098492 (Dr. Grilo).

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Authors and Affiliations

  1. Program for Obesity, Weight, and Eating Research, Psychiatry Department, Yale School of Medicine, 301 Cedar Street, New Haven, CT, 06519, USA

    Jessica L. Lawson, Ashley A. Wiedemann, Meagan M. Carr, Valentina Ivezaj & Carlos M. Grilo

  2. Yale University, New Haven, CT, USA

    Andrew J. Duffy & Carlos M. Grilo

Authors
  1. Jessica L. Lawson
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  2. Ashley A. Wiedemann
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  3. Meagan M. Carr
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  4. Valentina Ivezaj
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  6. Carlos M. Grilo
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Correspondence to Jessica L. Lawson.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Lawson, J.L., Wiedemann, A.A., Carr, M.M. et al. Examining Sleep Quality Following Sleeve Gastrectomy Among Patients with Loss-of-Control Eating. OBES SURG 29, 3264–3270 (2019). https://doi.org/10.1007/s11695-019-03981-7

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