The impact of disordered eating and eating behavior on weight loss after sleeve gastrectomy in Egyptian adolescents

Obesity Pillars Pub Date : 2025-09-09 DOI:10.1016/j.obpill.2025.100207

Mohey Elbanna , Amany Falah , Ahmed Magdy Hafez

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Abstract

Background

Bariatric surgery is the most effective treatment for obesity in Adolescents. However, disordered eating is frequent in this population. Several studies found that disordered eating affects weight loss after bariatric surgery. The aim of this study was to find out the impact of disordered eating on weight loss in Egyptian adolescents two years after sleeve gastrectomy.

Methods

This is a retrospective cohort study conducted at Ain Shams University Hospitals from March 2020 to March 2024. It included 47 adolescents with obesity who underwent laparoscopic sleeve gastrectomy (LSG) two years before. Their age was 16.2 ± 0.67 years (range 14.5 – 17.8 years old). Their body mass indices were above 99th percentile for age and sex with or without comorbidities. They had a mean BMI of 39.9 kg/m² (range: 36.9 – 54.3 kg/m²). Patients with psychiatric illnesses and eating disorders were excluded. Patients were recruited after completion of two years of follow up for weight loss. Weight loss was evaluated by total weight loss % (TWL%). Disordered eating was detected by the Arabic version of EDE-Q v.6.0, and a global score of > 2.5 was considered positive. TWL% was correlated with EDE-Q score.

Results

After two years, the mean TWL% was 27.5% ± 7.7%. Nineteen patients (40.4%) had EDE-Q score more than 2.5. The EDE-Q positive patients had a mean %TWL of 25.7% ± 4.8%, while EDE-Q negative patients had a mean %TWL of 30.5% ± 6.2%. The difference is statistically significant.

Conclusion

We conclude that the outcome of sleeve gastrectomy in adolescents is affected by their eating behavior as soon as the restrictive effect of the operations subsides.

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饮食失调和饮食行为对埃及青少年袖式胃切除术后体重减轻的影响

背景：减肥手术是治疗青少年肥胖最有效的方法。然而，饮食失调在这一人群中很常见。几项研究发现，饮食失调会影响减肥手术后的体重减轻。本研究的目的是找出埃及青少年在袖胃切除术两年后饮食失调对体重减轻的影响。方法回顾性队列研究于2020年3月至2024年3月在艾因沙姆斯大学附属医院进行。它包括47名肥胖的青少年，他们在两年前接受了腹腔镜袖胃切除术（LSG）。年龄16.2±0.67岁（14.5 ~ 17.8岁）。不论有无合并症，他们的体重指数均在年龄和性别的第99百分位以上。他们的平均BMI为39.9 kg/m²（范围：36.9 - 54.3 kg/m²）。排除有精神疾病和饮食失调的患者。患者在完成两年的减肥随访后被招募。以总减重% （TWL%）评价体重减轻。进食障碍采用阿拉伯语版ed - q v.6.0进行检测，整体得分为>； 2.5为阳性。TWL%与ed - q评分相关。结果术后2年TWL%平均值为27.5%±7.7%。ed - q评分大于2.5的患者19例（40.4%）。ed - q阳性患者的平均%TWL为25.7%±4.8%，ed - q阴性患者的平均%TWL为30.5%±6.2%。这一差异在统计学上是显著的。结论青少年袖胃切除术后，一旦手术限制作用消退，其饮食行为就会影响手术效果。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Obesity Pillars

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