Association between binge eating disorder and changes in cognitive functioning following bariatric surgery
Jason M Lavender1, Michael L Alosco2, Mary Beth Spitznagel2
1Neuropsychiatric Research Institute, Fargo, ND, USA.
This study examined whether having a history of binge eating disorder (BED) influences changes in cognitive function after bariatric surgery. Researchers tested 68 patients before and after surgery, measuring attention, memory, executive function, and language. They found that most cognitive functions improved over time, but language remained unchanged. Importantly, individuals with and without a history of BED showed similar improvements and BMI changes. The study suggests that BED does not uniquely affect cognitive outcomes after surgery. However, the authors propose that further research is needed to clarify these findings.
Area of Science:
- Bariatric surgery outcomes research within metabolic medicine
- Cognitive neuroscience in clinical populations
- Psychiatric comorbidity in weight management
Background:
Prior research has shown that obesity may be linked to cognitive deficits. It was already known that binge eating disorder (BED) could also be associated with cognitive impairments. However, no prior work had resolved how these conditions interact with bariatric surgery outcomes. That uncertainty drove this investigation into cognitive function changes after surgery. No prior work had resolved whether BED history affects cognitive outcomes post-surgery. This gap motivated a study to track cognitive domains like attention and memory. No prior work had resolved the role of depression comorbidity in these changes. This gap motivated controlling for depression history in the analysis.
Purpose Of The Study:
The aim was to determine if a lifetime history of BED influences cognitive function changes after bariatric surgery. The study focused on domains like attention and memory. The researchers propose that BED might uniquely affect post-surgery cognition. The motivation was to clarify if BED history predicts cognitive outcomes. The researchers propose that cognitive improvements may be universal post-surgery. The study sought to compare BED and non-BED groups on these outcomes. The researchers propose that depression history might confound these results. The study aimed to control for prior depression diagnoses.
Main Methods:
The study used a computerized cognitive battery to assess participants. Participants were 68 bariatric surgery patients. Assessments occurred pre-surgery and at 12-month follow-up. The battery measured attention, executive function, language, and memory. The researchers propose that these domains represent key cognitive functions. The study controlled for depression history in the analysis. The researchers propose that controlling for depression improves result validity. The study compared BED and non-BED groups on cognitive changes.
Main Results:
Participants showed improved attention from baseline to follow-up. Executive function scores also increased over the study period. Memory performance improved significantly after surgery. Language function remained stable over the 12 months. The researchers propose that these improvements are not specific to BED status. No differences were seen in BMI changes between groups. The researchers propose that BED does not uniquely affect BMI outcomes. The researchers propose that cognitive improvements are consistent across groups.
Conclusions:
The authors suggest that BED history does not influence cognitive changes after surgery. The authors suggest that improvements in cognition are common post-bariatric surgery. The authors suggest that depression history does not fully explain these changes. The authors suggest that language function remains unaffected by surgery. The authors suggest that BMI changes are similar regardless of BED status. The authors suggest that cognitive improvements may be due to weight loss itself. The authors suggest that future research is needed to clarify these findings. The authors suggest that longitudinal studies may better capture cognitive trends.
Frequently Asked Questions
The study found no differences in cognitive improvements between individuals with and without a history of BED.
The study evaluated attention, executive function, memory, and language using a computerized battery of tests.
The researchers propose that depression may confound cognitive outcomes, so they controlled for it in their analysis.
BMI changes were similar across groups, suggesting they may not directly explain cognitive function changes.
The study found no changes in language function from baseline to 12-month follow-up.
The authors suggest that future studies are needed to better understand the relationship between BED and cognitive function over time.
Related Concept Videos
Binge Eating Disorders
Bulimia Nervosa
Anorexia Nervosa
Symptoms and Physical Effects
Individuals with anorexia nervosa commonly exhibit extreme...
Pharmacokinetics in Obese Patients: Drug Absorption and Distribution
Obesity
Gastric Emptying


