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This study investigated the prognostic significance of preoperative and postoperative loss of control over eating in extremely obese bariatric surgery patients over two years of potential multi-wave follow-up. Prior to surgery, 61% of medical patients reported LOC over eating, which is related to reviews from other research groupings utilizing similar evaluation procedures (see 52 for an assessment). Preoperative LOC was associated concurrently with significantly elevated eating-disorder psychopathology and psychosocial troubles and forecasted prospectively postoperative LOC. Preoperative LOC, however, was unrelated to postoperative weight loss or psychosocial functioning.
In contrast, LOC following surgery was a negative prognostic signal for weight loss, with postoperative LOC predicting less weight loss at 12- and 24-month follow-up factors. The current findings add to the emerging literature showing considerable improvements following bariatric surgery, both in terms of weight loss and psychosocial outcomes through 24-a few months post-surgery.
Our results support and prolong findings from prior research reporting that preoperative binge eating and/or loss of control over eating does not impede weight loss 11, 17, 21-24 . This research indicates that preoperative binge eating Collectively, although common 52, might not require specific additional medical intervention before treatment. Our results, however, do claim that the emergence of post-operative eating problems has negative prognostic impact on weight reduction outcomes, as well as a few of the psychosocial benefits associated with surgery. The current study parallels previous research with other patient groups 29-31 identifying the clinical need for LOC overeating as a correlate of eating-specific and more global psychopathology.
Therefore post-surgical LOC overeating, although subclinical in nature, should be the target of scientific intervention following surgery. Considering that almost 40% of the patients in this study reported LOC overeating in the 24 months following surgery, these results also claim that a considerable percentage of bariatric surgery patients may reap the benefits of continued medical treatment. Specifically, the subjective sense of a loss of control overeating has significant impact on weight and psychosocial outcomes, in addition to the amount of food that is consumed. Clinicians dealing with this patient group should be aware that various areas of eating disturbance are more medically relevant than the mere amount of food consumed.
In conditions of determining patients in danger for psychosocial troubles or distress, LOC is a good proxy or marker for determining those patients who may reap the benefits of more clinical attention to manage their problems. Clinicians can readily assess whether an individual experiences subjective LOC overeating episodes predicated on verbal survey. Further, clinicians should be aware that while the mere presence or absence of LOC following surgery predicts weight outcomes, a graded effect exists such that the frequency of LOC predicts worsened psychosocial results. This scholarly research has some potential restrictions that needs to be considered when interpreting the findings. The findings pertain to extremely obese patients who seek bariatric surgery at an urban general infirmary and undergo gastric bypass procedures.
The findings may not generalize to less obese patients or even to obese patients who seek different (non-surgical) types of treatment or different kinds of bariatric surgeries. Even though the questionnaire we used to evaluate LOC elicits specific quotes in conditions of the number of eating episodes where LOC was experienced, self-report steps are limited by retrospective recall and response biases potentially.