Association between disordered eating and clinical outcomes following a surgical or endoscopic bariatric procedure: A real-world exploratory study

Georgia Spry; Ashleigh McIntosh; Nicola Gadd; Zoe Martin; Brianna Fear-Keen; Jennifer Hoult; Isabella R. Maimone; Patrice Jones; Jaimon T. Kelly; Skye Marshall

doi:10.1002/osp4.691

Association between disordered eating and clinical outcomes following a surgical or endoscopic bariatric procedure: A real-world exploratory study

Georgia Spry, Ashleigh McIntosh, Nicola Gadd, Zoe Martin, Brianna Fear-Keen, Jennifer Hoult, Isabella R. Maimone, Patrice Jones, Jaimon T. Kelly, Skye Marshall^*

^*Corresponding author for this work

Faculty of Health Sciences & Medicine

Research output: Contribution to journal › Article › Research › peer-review

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Abstract

Problem:

Disordered eating, such as binge, graze, and emotional eating, has been strongly linked to weight gain. Improved understanding of disordered eating by adults who elect bariatric weight loss procedures in a real-world setting is required.

Purpose:

To determine the association between the number and type of disordered eating patterns (DEPs), as described by healthcare professionals during routine care without standardized assessment, with clinical outcomes in adults who elected a bariatric weight loss procedure.

Method:

An observational cohort study recruited laparoscopic sleeve gastrectomy (LSG) and endoscopic sleeve gastroplasty (ESG) patients. DEPs documented in the medical record during routine care were observed and tested for association with events (symptoms, side-effects, or adverse events), micronutrient deficiencies, weight loss, and attrition. Data were observed up to 12-month post-procedure.

Results:

215 LSG and 32 ESG patients were recruited. The mean number of DEPs was 6.4 (SD: 2.1) and 6.4 (SD: 2.1) in the LSG and ESG cohorts, respectively. Night eating was associated with a higher number of events (p < 0.008) in the LSG cohort, and non-hungry eating was associated with a higher number of events in the ESG cohort (p < 0.001). ESG patients who had a surgical or medical event by 6-months post-procedure had mean 1.78 (95%CI: 0.67, 2.89) more DEPs (p = 0.004). DEPs were not associated with weight loss, micronutrient deficiencies, nor attrition.

Conclusion:

The treating healthcare team believed the LSG and ESG patients experienced a wide variety and high frequency of DEPs requiring multidisciplinary support. Non-hungry eating and night eating were associated with poorer outcomes following an LSG or ESG. Trial registration: The study was prospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12622000332729).

Original language	English
Pages (from-to)	1-11
Number of pages	11
Journal	Obesity Science and Practice
DOIs	https://doi.org/10.1002/osp4.691
Publication status	Published - 24 Jun 2023

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Association between disordered eating and clinical outcomes following a surgical or endoscopic bariatric procedure A real-world exploratory studyFinal published version, 298 KBLicence: CC BY-NC-ND

Cite this

@article{7837d30008dc42a8a47e4b34b07732ab,

title = "Association between disordered eating and clinical outcomes following a surgical or endoscopic bariatric procedure: A real-world exploratory study",

abstract = "Problem: Disordered eating, such as binge, graze, and emotional eating, has been strongly linked to weight gain. Improved understanding of disordered eating by adults who elect bariatric weight loss procedures in a real-world setting is required. Purpose:To determine the association between the number and type of disordered eating patterns (DEPs), as described by healthcare professionals during routine care without standardized assessment, with clinical outcomes in adults who elected a bariatric weight loss procedure. Method: An observational cohort study recruited laparoscopic sleeve gastrectomy (LSG) and endoscopic sleeve gastroplasty (ESG) patients. DEPs documented in the medical record during routine care were observed and tested for association with events (symptoms, side-effects, or adverse events), micronutrient deficiencies, weight loss, and attrition. Data were observed up to 12-month post-procedure. Results: 215 LSG and 32 ESG patients were recruited. The mean number of DEPs was 6.4 (SD: 2.1) and 6.4 (SD: 2.1) in the LSG and ESG cohorts, respectively. Night eating was associated with a higher number of events (p < 0.008) in the LSG cohort, and non-hungry eating was associated with a higher number of events in the ESG cohort (p < 0.001). ESG patients who had a surgical or medical event by 6-months post-procedure had mean 1.78 (95%CI: 0.67, 2.89) more DEPs (p = 0.004). DEPs were not associated with weight loss, micronutrient deficiencies, nor attrition. Conclusion: The treating healthcare team believed the LSG and ESG patients experienced a wide variety and high frequency of DEPs requiring multidisciplinary support. Non-hungry eating and night eating were associated with poorer outcomes following an LSG or ESG. Trial registration: The study was prospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12622000332729).",

author = "Georgia Spry and Ashleigh McIntosh and Nicola Gadd and Zoe Martin and Brianna Fear-Keen and Jennifer Hoult and Maimone, {Isabella R.} and Patrice Jones and Kelly, {Jaimon T.} and Skye Marshall",

note = "Funding Information: The authors of this paper would like to acknowledge the CEO Felicity Cohen and the clinical and support staff at WeightLoss Solutions Australia (WLSA) for governance support. This study was partially supported by a grant from WLSA with all other contributions in‐kind from WLSA, Bond University, and the Research Institute for Future Health. Publisher Copyright: {\textcopyright} 2023 The Authors. Obesity Science & Practice published by World Obesity and The Obesity Society and John Wiley & Sons Ltd.",

year = "2023",

month = jun,

day = "24",

doi = "10.1002/osp4.691",

language = "English",

pages = "1--11",

journal = "Obesity Science and Practice",

issn = "2055-2238",

publisher = "Wiley Blackwell (American Society Bone & Mineral Research)",

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T1 - Association between disordered eating and clinical outcomes following a surgical or endoscopic bariatric procedure: A real-world exploratory study

AU - Spry, Georgia

AU - McIntosh, Ashleigh

AU - Gadd, Nicola

AU - Martin, Zoe

AU - Fear-Keen, Brianna

AU - Hoult, Jennifer

AU - Maimone, Isabella R.

AU - Jones, Patrice

AU - Kelly, Jaimon T.

AU - Marshall, Skye

N1 - Funding Information: The authors of this paper would like to acknowledge the CEO Felicity Cohen and the clinical and support staff at WeightLoss Solutions Australia (WLSA) for governance support. This study was partially supported by a grant from WLSA with all other contributions in‐kind from WLSA, Bond University, and the Research Institute for Future Health. Publisher Copyright: © 2023 The Authors. Obesity Science & Practice published by World Obesity and The Obesity Society and John Wiley & Sons Ltd.

PY - 2023/6/24

Y1 - 2023/6/24

N2 - Problem: Disordered eating, such as binge, graze, and emotional eating, has been strongly linked to weight gain. Improved understanding of disordered eating by adults who elect bariatric weight loss procedures in a real-world setting is required. Purpose:To determine the association between the number and type of disordered eating patterns (DEPs), as described by healthcare professionals during routine care without standardized assessment, with clinical outcomes in adults who elected a bariatric weight loss procedure. Method: An observational cohort study recruited laparoscopic sleeve gastrectomy (LSG) and endoscopic sleeve gastroplasty (ESG) patients. DEPs documented in the medical record during routine care were observed and tested for association with events (symptoms, side-effects, or adverse events), micronutrient deficiencies, weight loss, and attrition. Data were observed up to 12-month post-procedure. Results: 215 LSG and 32 ESG patients were recruited. The mean number of DEPs was 6.4 (SD: 2.1) and 6.4 (SD: 2.1) in the LSG and ESG cohorts, respectively. Night eating was associated with a higher number of events (p < 0.008) in the LSG cohort, and non-hungry eating was associated with a higher number of events in the ESG cohort (p < 0.001). ESG patients who had a surgical or medical event by 6-months post-procedure had mean 1.78 (95%CI: 0.67, 2.89) more DEPs (p = 0.004). DEPs were not associated with weight loss, micronutrient deficiencies, nor attrition. Conclusion: The treating healthcare team believed the LSG and ESG patients experienced a wide variety and high frequency of DEPs requiring multidisciplinary support. Non-hungry eating and night eating were associated with poorer outcomes following an LSG or ESG. Trial registration: The study was prospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12622000332729).

AB - Problem: Disordered eating, such as binge, graze, and emotional eating, has been strongly linked to weight gain. Improved understanding of disordered eating by adults who elect bariatric weight loss procedures in a real-world setting is required. Purpose:To determine the association between the number and type of disordered eating patterns (DEPs), as described by healthcare professionals during routine care without standardized assessment, with clinical outcomes in adults who elected a bariatric weight loss procedure. Method: An observational cohort study recruited laparoscopic sleeve gastrectomy (LSG) and endoscopic sleeve gastroplasty (ESG) patients. DEPs documented in the medical record during routine care were observed and tested for association with events (symptoms, side-effects, or adverse events), micronutrient deficiencies, weight loss, and attrition. Data were observed up to 12-month post-procedure. Results: 215 LSG and 32 ESG patients were recruited. The mean number of DEPs was 6.4 (SD: 2.1) and 6.4 (SD: 2.1) in the LSG and ESG cohorts, respectively. Night eating was associated with a higher number of events (p < 0.008) in the LSG cohort, and non-hungry eating was associated with a higher number of events in the ESG cohort (p < 0.001). ESG patients who had a surgical or medical event by 6-months post-procedure had mean 1.78 (95%CI: 0.67, 2.89) more DEPs (p = 0.004). DEPs were not associated with weight loss, micronutrient deficiencies, nor attrition. Conclusion: The treating healthcare team believed the LSG and ESG patients experienced a wide variety and high frequency of DEPs requiring multidisciplinary support. Non-hungry eating and night eating were associated with poorer outcomes following an LSG or ESG. Trial registration: The study was prospectively registered with the Australian New Zealand Clinical Trials Registry (ACTRN12622000332729).

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Association between disordered eating and clinical outcomes following a surgical or endoscopic bariatric procedure: A real-world exploratory study

Abstract

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Nutrition to optimise surgical outcomes

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Association between disordered eating and clinical outcomes following a surgical or endoscopic bariatric procedure: A real-world exploratory study

Abstract

UN SDGs

Access to Document

Other files and links

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Related Projects

Nutrition to optimise surgical outcomes

Cite this