Binge eating in massively obese patients undergoing bariatric surgery

✍ Scribed by Adami, Gian Franco ;Gandolfo, Patrizia ;Bauer, Beatrice ;Scopinaro, Nicola

• Publisher: Wiley (John Wiley & Sons)
• Year: 1995
• Tongue: English
• Weight: 438 KB
• Volume: 17
• Category: Article
• ISSN: 0276-3478
• DOI: 10.1002/1098-108x(199501)17:1<45::aid-eat2260170106>3.0.co;2-s

✦ Synopsis

Data on the prevalence of binge eating in a series of 92 massively obese patients undergoing bariatric surgery are presented. A semistructured clinical interview demonstrated that 63 individuals had problems with binge eating, 43 of these reporting episodes of binge eating more than twice a week and then meeting the diagnostic criteria for binge eating disorder. By comparison with their nonbinge eating counterparts, binge eaters demonstrated higher body weight, greater weight fluctuation due to reducing diets in their past lifetime, higher Three-factor Eating Questionnaire Disinhibition and Hunger score, and an overall higher psychopathology as assessed by the Eating Disorder Inventory. The great prevalence of binge eating in these patients could be accounted for by the high body weight, by the characteristics of the patients, or by the context in which the eating behavior assessment was carried out. 0 1995 by lohn Wiley & Sons, Inc.

Although it was identified as a distinct eating disturbance more than 30 years ago , only recently increasing attention has been focused on the occurrence and prevalence of binge eating in the obese population. Obese binge eaters typically report that they eat a large amount of food in a short period of time and feel unable to stop, without compensating by vomiting or using laxatives .

Evidence deriving from recent clinical experience suggests that approximately 25 to 45% of obese patients treated in weight control programs report problems with binge eating (Spitzer et al.