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Control of Eating Behavior Using a Novel Feedback System
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Problematic Eating Behaviors Predict Outcomes After Bariatric Surgery.

Lisa R Miller-Matero1,2, Kelly Bryce3, Caroline K Saulino3

  • 1Behavioral Health, Henry Ford Health System, 1 Ford Place, 3A, Detroit, MI, 48202, USA. Lmatero1@hfhs.org.

Obesity Surgery
|February 9, 2018
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Preoperative problematic eating behaviors, including emotional eating and food addiction, predict poorer weight loss after bariatric surgery. Screening for these issues can guide interventions to improve patient outcomes.

Keywords:
Bariatric surgeryProblematic eating behaviorsPsychiatric symptoms

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Area of Science:

  • Bariatric Surgery Outcomes
  • Psychosocial Predictors
  • Eating Behaviors

Background:

  • Limited understanding of psychosocial predictors for weight loss after bariatric surgery.
  • Need to identify pre-surgical factors influencing post-operative weight management.

Purpose of the Study:

  • To investigate if preoperative problematic eating behaviors predict weight loss outcomes following bariatric surgery.
  • To assess the role of emotional eating, food addiction, and binge eating in weight loss success.

Main Methods:

  • Retrospective analysis of 101 bariatric surgery patients (gastric bypass or sleeve gastrectomy).
  • Evaluation of pre-surgical psychosocial data including eating behaviors, anxiety, and depression.
  • Comparison of pre-surgical assessments with 1-year post-surgery weight loss outcomes.

Main Results:

  • Higher levels of emotional eating (anger/frustration) and food addiction symptoms correlated with poorer weight loss.
  • Anxiety and depression were linked to higher rates of missed 1-year follow-up appointments.
  • Binge eating showed a trend towards predicting greater %EWL (Excess Weight Loss).

Conclusions:

  • Pre-surgical emotional eating and food addiction symptoms are associated with reduced weight loss 1 year post-bariatric surgery.
  • Screening for these behaviors during pre-surgical evaluations is recommended for targeted interventions.
  • Further research is needed to identify effective interventions for problematic eating behaviors.