Eating behavior and eating disorders in adults before bariatric surgery

James E. Mitchell, Wendy C. King, Anita Courcoulas, George Dakin, Katherine Elder, Scott Engel, David Flum, Melissa Kalarchian, Saurabh Khandelwal, John Pender, Walter Pories, Bruce Wolfe

Research output: Contribution to journalArticle

80 Scopus citations

Abstract

Objective: To describe eating patterns, prevalence of problematic eating behaviors, and determine factors associated with binge eating disorder (BED), before bariatric surgery. Method 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. Results 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. Discussion 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.

Original languageEnglish (US)
Pages (from-to)215-222
Number of pages8
JournalInternational Journal of Eating Disorders
Volume48
Issue number2
DOIs
StatePublished - Mar 1 2015

Keywords

  • Binge eating
  • Binge eating disorder
  • Evening hyperphagia
  • Laparoscopic gastric banding
  • Night eating syndrome
  • Nocturnal eating
  • Roux-en-Y gastric bypass

ASJC Scopus subject areas

  • Psychiatry and Mental health

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    Mitchell, J. E., King, W. C., Courcoulas, A., Dakin, G., Elder, K., Engel, S., Flum, D., Kalarchian, M., Khandelwal, S., Pender, J., Pories, W., & Wolfe, B. (2015). Eating behavior and eating disorders in adults before bariatric surgery. International Journal of Eating Disorders, 48(2), 215-222. https://doi.org/10.1002/eat.22275