暴食干预的积极反应可增强术后体重减轻。

Positive response to binge eating intervention enhances postoperative weight loss.

机构信息

Bariatric and Metabolic Institute, Cleveland Clinic, Cleveland, Ohio, USA.

出版信息

Surg Obes Relat Dis. 2011 May-Jun;7(3):315-20. doi: 10.1016/j.soard.2010.12.005. Epub 2010 Dec 21.

DOI:10.1016/j.soard.2010.12.005

PMID:21295526

Abstract

BACKGROUND

Binge eating disorder has been suggested as a predictor of negative outcomes, including weight regain and poorer weight loss, particularly if the symptoms (e.g., loss of control eating) remain after surgery. Binge eating disorder has been viewed by some as a contraindication for weight loss surgery, and preoperative treatment has been recommended to help reduce binge eating behaviors. The objective of the present study was to evaluate whether the response to a preoperative binge eating intervention related to differential postoperative weight loss at an academic medical center.

METHODS

A total of 128 bariatric surgery candidates completed a brief cognitive behavioral group treatment for binge eating behaviors. The patients were categorized as positive responders or nonresponders according to the postintervention outcomes, including binge eating symptoms and episodes. The percentage of excess body weight loss (%EBWL) was measured at 6 and 12 months after surgery.

RESULTS

Across all bariatric procedures, the positive responders to the brief binge eating intervention had lost significantly more weight at 6 months (46% EBWL versus 38% EBWL) and 12 months (59% EBWL versus 50% EBWL) postoperatively. The results for a subsample of Roux-en-Y gastric bypass patients (n = 89) were also significant, with 53% EBWL for the responders and 42% EBWL for the nonresponders at 6 months and 68% EBWL versus 54% EBWL at 12 months postoperatively, respectively.

CONCLUSION

The response to binge eating treatment could be an important predictor of postoperative weight loss. The results from the present study provide support for patients who respond to preoperative binge eating treatment having enhanced surgical outcomes.

摘要

背景

暴食症被认为是负面结果的预测因素，包括体重反弹和减肥效果更差，尤其是在手术后症状（例如，失控性进食）仍然存在的情况下。一些人认为暴食症是减肥手术的禁忌症，因此推荐在手术前进行治疗以帮助减少暴食行为。本研究的目的是评估在学术医疗中心，术前暴食干预的反应是否与术后体重减轻的差异有关。

方法

共有 128 名减肥手术候选人完成了简短的认知行为团体暴食治疗。根据干预后的结果，包括暴食症状和发作，将患者分为积极反应者或非反应者。术后 6 个月和 12 个月测量超重体重减轻的百分比（%EBWL）。

结果

在所有减肥手术中，对简短暴食干预有积极反应的患者在术后 6 个月（46%EBWL 与 38%EBWL）和 12 个月（59%EBWL 与 50%EBWL）时体重减轻明显更多。 Roux-en-Y 胃旁路手术患者亚组（n = 89）的结果也很显著，反应者的 6 个月时的 EBWL 为 53%，非反应者的为 42%，术后 12 个月时的分别为 68%和 54%。