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"Grazing": a high-risk behavior.

Ronna Saunders1

  • 1Center for Behavioral Change, Richmond, VA 23294, USA. risaunders@aol.com

Obesity Surgery
|February 26, 2004
PubMed
Summary
This summary is machine-generated.

Gastric bypass patients with high-risk eating patterns like binge eating or grazing may regain poor eating habits post-surgery. "Grazing" often emerges 6 months after surgery, indicating a need for targeted interventions.

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Area of Science:

  • Bariatric Surgery
  • Eating Disorders
  • Obesity Medicine

Background:

  • Pre-existing disordered eating patterns in gastric bypass patients pose a risk for postoperative relapse.
  • Binge eating is prevalent in obese individuals pre-surgery and post-surgery, linked to poorer outcomes.
  • "Grazing" is identified as another high-risk eating pattern requiring investigation.

Purpose of the Study:

  • To describe and investigate postoperative eating patterns in gastric bypass patients.
  • To identify high-risk eating patterns, including binge eating and "grazing."
  • To understand the transition of eating behaviors after bariatric surgery.

Main Methods:

  • Patients completed pre-surgery self-report questionnaires and underwent mental health evaluations focusing on eating patterns.

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  • High-risk patients (binge eaters, "grazers") were identified for further study.
  • Postoperative eating patterns were assessed via follow-up questionnaires and therapy group attendance.

    • Main Results:

    • Many high-risk patients reported recurrent loss of eating control and some experienced weight regain.
    • "Grazing" emerged as a common postoperative eating pattern, observed 6 months or more after surgery.
    • Patients could no longer consume large quantities but continued to "graze."

    Conclusions:

    • Assessment of overeating in gastric bypass patients should focus on subjective loss of control, not just quantity.
    • "Grazers," even without meeting strict binge eating disorder criteria pre-surgery, represent a high-risk group.
    • Interventions are crucial for at-risk patients, as former binge eaters may transition to "grazing" post-surgery.