代谢和减肥手术前和手术后 10 年的暴饮暴食行为。

IF 3.9 2区心理学 Q1 PSYCHIATRY

European Eating Disorders Review Pub Date : 2024-12-13 DOI:10.1002/erv.3161

Deborah Lynn Reas, Selma Øverland Lie, Tom Mala, Ingela Lundin Kvalem

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引用次数: 0

摘要

目的：对于代谢和减肥手术（MBS）后暴饮暴食行为（BE）的长期维持、缓解或发展知之甚少。这份简短的报告调查了MBS之前和之后10年的BE，并检查了BE组之间的心理健康和体重结果（从未BE，持续BE，缓解BE或“从头开始”BE）。方法：183名参与者（76.1%为女性），平均年龄44.8（±9.5）岁，平均BMI为42.9 kg/m2（±5.4），MBS术前和术后10年进行评估（94.0% Roux-n-Y）。结果：在10年时，48%的患者从未从事过BE， 27.9%的患者已缓解，15.8%的患者继续从事BE， 8.2%的患者报告为新发BE。继续做BE的人更年轻，焦虑和抑郁程度更高，体重也反弹得更多。持续或发展为新生BE的个体报告了更高水平的术后重复饮食行为，并且更有可能恢复≥25%的最大体重减轻。结论：大约25%的样本报告了MBS术后10年的BE，其中包括8.2%的新发病例。术后BE患者的心理健康和体重结果明显较差，特别是那些有终身BE病史且10年后仍继续BE的患者。研究结果提供了现有文献的细微差别，并强调了在术前和术后评估BE的价值。

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Binge Eating Behaviour Before and 10 Years Following Metabolic and Bariatric Surgery.

Objective: Little is known about the longer-term maintenance, remission, or development of binge eating behaviour (BE) following metabolic and bariatric surgery (MBS). This brief report investigated BE prior to and 10 years following MBS and examined mental health and weight outcomes between BE groups (never BE, continued BE, remitted BE, or developed 'de novo' BE).

Method: One hundred and eighty-three participants (76.1% females) with a mean age of 44.8 (± 9.5) years and mean BMI of 42.9 kg/m² (± 5.4) were assessed before and 10 years following MBS (94.0% Roux-n-Y).

Results: At 10 years, 48% had never engaged in BE, 27.9% had remitted, 15.8% had continued BE, and 8.2% reported de novo BE. Individuals who continued BE were younger, reported higher levels of anxiety and depression, and had regained more weight. Individuals who continued or developed de novo BE reported higher levels of post-surgical repetitive eating behaviour and were more likely to regain ≥ 25% of maximum weight lost.

Conclusions: Approximately 25% of the sample reported post-operative BE a decade following MBS, including 8.2% de novo cases. Individuals who engaged in post-operative BE demonstrated significantly worse mental health and weight outcomes, especially those with a lifetime history who continued to engage in BE after 10 years. Findings provide nuance to the existing literature and underscore the value of assessing BE at pre- and post-surgery.

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来源期刊

European Eating Disorders Review PSYCHOLOGY, CLINICAL-

CiteScore

8.90

自引率

7.50%

发文量

期刊介绍： European Eating Disorders Review publishes authoritative and accessible articles, from all over the world, which review or report original research that has implications for the treatment and care of people with eating disorders, and articles which report innovations and experience in the clinical management of eating disorders. The journal focuses on implications for best practice in diagnosis and treatment. The journal also provides a forum for discussion of the causes and prevention of eating disorders, and related health policy. The aims of the journal are to offer a channel of communication between researchers, practitioners, administrators and policymakers who need to report and understand developments in the field of eating disorders.