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Binge eating and exercise behavior after surgery for severe obesity: a structural equation model
Junilla K Larsen1, Rinie Geenen, Bert van Ramshorst
1Department of Health Psychology, Utrecht University, Utrecht, The Netherlands. j.larsen@maw.ru.nl
The International Journal of Eating Disorders
|March 11, 2006
Summary
Binge eating, not physical exercise, significantly impacts outcomes after gastric banding for severe obesity. Managing eating patterns is key for successful weight loss surgery results.
Area of Science:
- Bariatric Surgery Outcomes
- Obesity Treatment
- Behavioral Medicine
Background:
- Severe obesity presents significant health challenges.
- Laparoscopic adjustable gastric banding (LAGB) is a common bariatric surgery.
- Understanding factors influencing post-surgery outcomes is crucial.
Purpose of the Study:
- To evaluate a model where eating patterns and exercise beliefs influence binge eating and physical activity.
- To determine the impact of these factors on outcomes following gastric banding.
- To identify key predictors of success after LAGB.
Main Methods:
- 157 patients (144 female, 13 male) were studied.
- Participants completed questionnaires ~34 months post-LAGB.
- A statistical model was used to analyze relationships between variables.
Main Results:
- A model showed external and emotional eating influenced outcomes via binge eating.
- Exercise beliefs related to physical activity, but physical activity did not correlate with weight loss or health.
- Binge eating was a stronger predictor of outcome than physical exercise.
Conclusions:
- Binge eating significantly affects outcomes after gastric banding.
- Physical exercise showed no association with weight loss or health improvements post-surgery.
- Future research should focus on managing binge eating to improve results for patients with unsuccessful weight outcomes after obesity surgery.