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Body image in binge eating disorder

G F Adami1, G M Marinari, A Bressani

  • 1Dipartimento di Discipline Chirurgiche e Metodologie Integrate, Facoltà di Medicina, Università di Genova, Genoa, Italy. adami@unige.it

Obesity Surgery
|November 18, 1998
PubMed
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Binge eating disorder (BED) patients experienced significant body image improvement after biliopancreatic diversion (BPD). While binge eating ceased, body dissatisfaction normalized more slowly in BED patients compared to non-BED individuals long-term.

Area of Science:

  • Bariatric Surgery
  • Eating Disorders
  • Psychosomatic Medicine

Background:

  • Obesity is frequently associated with binge eating disorder (BED).
  • Impaired body image is a common comorbidity in BED.
  • Biliopancreatic diversion (BPD) is a bariatric surgery for severe obesity.

Purpose of the Study:

  • To evaluate body image impairment in obese patients with BED.
  • To compare body image changes in BED patients versus non-BED patients post-BPD.

Main Methods:

  • A 3-year longitudinal study involving 25 obese BED patients and 26 obese non-BED patients.
  • Participants underwent biliopancreatic diversion (BPD) for obesity treatment.
  • Body image was assessed using the Eating Disorder Inventory body dissatisfaction scale.

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Main Results:

  • Binge eating ceased in 95% of BED patients by the third postoperative year.
  • Postoperatively, BED patients initially reported higher body dissatisfaction than non-BED patients.
  • Long-term body dissatisfaction scores became similar between BED and non-BED groups.

Conclusions:

  • BPD effectively eliminates binge eating, suggesting a strong link between dieting/food preoccupation and loss of control over eating.
  • Body image derangement in BED is partly influenced by internal factors but significantly improves with weight normalization post-BPD.
  • Complete body image normalization takes longer for BED patients than for non-BED patients following BPD.