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Perception of Control Over Eating After Bariatric Surgery for Super-Obesity-a 2-Year Follow-Up Study

Engstrom, My; Forsberg, Anna LU ; Sovik, Torgeir T.; Olbers, Torsten; Lonroth, Hans and Karlsson, Jan (2015) In Obesity Surgery 25(6). p.1086-1093
Abstract
Physiological and psychosocial factors might contribute to differences in weight loss, eating behaviour and health-related quality of life (HRQoL) after bariatric surgery. The aim of this study was to investigate how perceived control over eating changes after bariatric surgery and whether it affects outcome in super-obese patients. In a retrospective analysis of a prospective study (n = 60), 49 patients were divided into two groups based on eating control 2 years after surgery, as assessed by the Three-Factor Eating Questionnaire-R21 (TFEQ-R21): 29 with good eating control (GC) and 20 patients with poor eating control (group PC). Eating behaviour and generic and condition-specific HRQoL was assessed by questionnaires. There were... (More)
Physiological and psychosocial factors might contribute to differences in weight loss, eating behaviour and health-related quality of life (HRQoL) after bariatric surgery. The aim of this study was to investigate how perceived control over eating changes after bariatric surgery and whether it affects outcome in super-obese patients. In a retrospective analysis of a prospective study (n = 60), 49 patients were divided into two groups based on eating control 2 years after surgery, as assessed by the Three-Factor Eating Questionnaire-R21 (TFEQ-R21): 29 with good eating control (GC) and 20 patients with poor eating control (group PC). Eating behaviour and generic and condition-specific HRQoL was assessed by questionnaires. There were significant differences in all TFEQ-R21 domains 2 years after surgery in favour of group GC; uncontrolled eating p < 0.001, emotional eating p < 0.001 and for cognitive restraint p = 0.04. The improvement in HRQoL 2 years after surgery was significantly less in group PC compared to group GC in 7 of 8 SF-36 domains (p < 0.05). Mean (SD) percentage of excess body mass index lost was similar between groups, 71.2 (17.8) in group GC versus 65.4 (17.4) in group PC 2 years after surgery (p = 0.27). However, group GC had a significant weight loss between first and second year after surgery (p < 0.001) compared to group PC (p = 0.15). In super-obese patients, perceived poor control over eating 2 years after bariatric surgery was associated with lower HRQoL and more emotional and cognitive restraint eating, than good control overeating. (Less)
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author
organization
publishing date
type
Contribution to journal
publication status
published
subject
keywords
Bariatric surgery, Super-obesity, Uncontrolled eating, Loss of control, Treatment outcome
in
Obesity Surgery
volume
25
issue
6
pages
1086 - 1093
publisher
Springer
external identifiers
  • wos:000354216500023
  • scopus:84940007103
ISSN
1708-0428
DOI
10.1007/s11695-015-1652-4
language
English
LU publication?
yes
id
b038f7ef-8fbe-4afe-8dbe-2cf7314d0daa (old id 7411601)
date added to LUP
2015-06-26 15:15:59
date last changed
2017-03-05 03:46:38
@article{b038f7ef-8fbe-4afe-8dbe-2cf7314d0daa,
  abstract     = {Physiological and psychosocial factors might contribute to differences in weight loss, eating behaviour and health-related quality of life (HRQoL) after bariatric surgery. The aim of this study was to investigate how perceived control over eating changes after bariatric surgery and whether it affects outcome in super-obese patients. In a retrospective analysis of a prospective study (n = 60), 49 patients were divided into two groups based on eating control 2 years after surgery, as assessed by the Three-Factor Eating Questionnaire-R21 (TFEQ-R21): 29 with good eating control (GC) and 20 patients with poor eating control (group PC). Eating behaviour and generic and condition-specific HRQoL was assessed by questionnaires. There were significant differences in all TFEQ-R21 domains 2 years after surgery in favour of group GC; uncontrolled eating p &lt; 0.001, emotional eating p &lt; 0.001 and for cognitive restraint p = 0.04. The improvement in HRQoL 2 years after surgery was significantly less in group PC compared to group GC in 7 of 8 SF-36 domains (p &lt; 0.05). Mean (SD) percentage of excess body mass index lost was similar between groups, 71.2 (17.8) in group GC versus 65.4 (17.4) in group PC 2 years after surgery (p = 0.27). However, group GC had a significant weight loss between first and second year after surgery (p &lt; 0.001) compared to group PC (p = 0.15). In super-obese patients, perceived poor control over eating 2 years after bariatric surgery was associated with lower HRQoL and more emotional and cognitive restraint eating, than good control overeating.},
  author       = {Engstrom, My and Forsberg, Anna and Sovik, Torgeir T. and Olbers, Torsten and Lonroth, Hans and Karlsson, Jan},
  issn         = {1708-0428},
  keyword      = {Bariatric surgery,Super-obesity,Uncontrolled eating,Loss of control,Treatment outcome},
  language     = {eng},
  number       = {6},
  pages        = {1086--1093},
  publisher    = {Springer},
  series       = {Obesity Surgery},
  title        = {Perception of Control Over Eating After Bariatric Surgery for Super-Obesity-a 2-Year Follow-Up Study},
  url          = {http://dx.doi.org/10.1007/s11695-015-1652-4},
  volume       = {25},
  year         = {2015},
}